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Services

Overview

Many of the nation’s largest healthcare providers rely on AGS Health outsourced services to ensure their claims are completed accurately and fully paid on time for maximum revenue and cash flow.

Patient Access Services

AGS Health understands the key goals, priorities, and needs of a high-functioning Patient Access department. Our experienced team can help you identify missing information and confirm insurance details prior to the visit – ensuring nothing is missed that could hold up your claims.

Demographic Verification
Ensure all the critical pieces of information are on the patient’s record, including address verification.
Insurance Verification
Confirm insurance coverage, including dual eligibility, TP eligibility, and Out-of-State verification.
Prior Authorization
Authorization determination, submission, and follow-up through completion.
Benefit Determination

Determine in- and out-of-network benefits and patient liability.

Experienced Staff

Our team of more than 7,000 coders and A/R specialists receive comprehensive training in specialty-specific areas and have a minimum of a Bachelor’s degree in a related field.

A Focus on Compliance

AGS Health is certified by both the American Health and Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC), and is committed to diligent coding compliance at all levels.

Cutting Edge Technology

AGS Health’s custom workflow tools are smart-learning equipped, and include proprietary document management and communication systems.

PROCESS & PROCEDURE

Our comprehensive approach to understanding and streamlining your revenue cycle means you can stop worrying about revenue and keep your attention on patients.

Introductions and Interviews
Get in touch with AGS today to learn more about how our experienced team can help you make data-driven, informed decisions that will maximize revenue.
01
Capture Claims Data
AGS will help launch and maintain an efficient claim submission process minimizes claim denials and improves cash flow.
02
Coding Oversight
AGS’s 3,000+ coding professionals are experts in inpatient, outpatient, and multi-specialty professional fee coding.
03
Recover Unpaid Collections
AGS’s signature underpayment analysis and recovery service will bring in revenue from otherwise unpaid claims.
04
Review Billing Processes
AGS’s custom analytics tools ensure we provide clients with crucial, actionable insights that help them meet and exceed revenue goals and growth targets.
05
We help each client solve their unique RCM challenges.