Medical auditing, billing, credentialing and more...
Frequently Asked Questions
Avalon Practice Management Solutions is here to help your practice succeed. Below are some of the frequently asked questions about our company and our services.
How do you charge for your services?
Avalon Practice Management Solutions performs their services based on a percentage of the revenue collected. This percentage varies based on the size and specialty of the practice. This method insures that the goal of both of our companies is the same – to obtain the full financial reimbursement for services provided. We do not get paid unless you get paid!
What services are included with your fee?
Our fee includes our staff to assist you and your staff with any questions you, your practice or your patients may have about your claims and billing.
Do you charge extra for re-bills, monthly reports, monthly patient statements and denied claims?
No! We charge one fee that includes all of our standard services; there are no hidden fees and charges involved. Any fees for extended services will be negotiated before the services are performed.
Do I have to sign a contract?
Yes, Avalon Practice Management Solutions works off of a simple contract that documents the services that we will provide to each other. The contract may be terminated at any time with 30 days written notice by either party.
Do you transmit claims electronically?
Yes, Avalon Practice Management Solutions transmits claims electronically to all insurance companies that accept claims electronically. If an insurance company does not allow claims to be transmitted electronically, they will be submitted on paper utilizing the standard CMS Form.
Do you process EOBs electronically?
Yes, Avalon Practice Management Solutions has the ability to process EOBs electronically from Medicare and our clearing house. It can take several months to have this set up electronically by Medicare and the clearing house but it is our preference to process EOBs electronically whenever possible to reduce errors.
Are you HIPAA compliant?
Yes, Avalon Practice Management Solutions complies with all HIPAA privacy and security regulations.
Do you provide Credentialing services?
Yes, Avalon Practice Management Solutions provides Credentialing services for most, if not all, insurance companies.
Will my practice receive full reimbursement for services from the insurance companies?
Avalon Practice Management Solutions will review your fees to make sure you are not getting underpaid for your services. We monitor the fee schedules from the insurance companies to make sure you do not get underpaid for your services throughout the year.
Who does a patient call with questions about their bill?
All patients should call The BILLING DEPARTMENT at 559-549-3234 with any questions they have about their claims, statements, or bills. Questions are answered courteously and every effort is made to settle the claim quickly and fairly by Avalon Practice Management Solutions staff.
Is my data protected?
Yes, your data is stored and backed up locally and offsite every evening.
How do I get started with Avalon Practice Management Solutions Billing Services?
If you would like to get started with Avalon Practice Management Solutions or would like more information, please call us at 559-538-2624. We look forward to hearing from you.