Archway Practice Management, LLC
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Frequently Asked Questions




What operational benefits can my practice expect from Archway's billing services?

  • Reduction of staff costs
  • Elimination of concerns about staff turnover, training or vacation and sick time
  • Claims entered and submitted daily A/R worked every day - not just when there's "free time"
  • No more complaints of "I just don't have time"
  • Less paperwork for office employees, allowing them to focus on other areas of your practice
  • Ability free up and utilize office space for additional exam rooms or other practice requirements.
  • What cost benefits will we see from Archway's billing services?

    Regulated Cash Flow - Archway employs a dedicated team of professionals to manage your insurance claims, protecting against cash flow interruptions due to staff turnover or leave time.  This eliminates backlogs and ensuring continuity of services.

    Improved A/R - Daily claim generation and carrier follow up ensure faster pay-outs.  We minimize unnecessary write-offs.  Critical review of EOB's, ensuring you are getting the proper payment amounts.  Effective appeal letters resulting in additional benefits.  Aggressive follow up on outstanding claims, avoiding timely filing issues and unresolved claims. 

    Reduced Administrative Expenses - In addition to the decreased staff expenses, we also lower your administrative costs by providing all paper claim forms, statements, postage, envelopes, paper, and many other expenses associated with in-house medical billing. 

    What does it take to get started: 

      We can begin working on getting your claims paid as soon as you are set up in our system - usually within two weeks.  We will need some specific practice information to get started, such as:  the names of all providers within the practice, practice name and address, NPI numbers, Tax ID numbers, misc provider numbers, fee schedules, insurance contract information, etc.  Once we have this data, we take care of the technical issues and can usually start submitting your claims within a very short time frame. 

    What billing software/clearinghouse do you use? 

      We have the ability to work on your software so that there is no delay and no data conversion for you to worry about.  If necessary, we are able to bill your claims and manage your A/R on our own software, which is customized for each client. Please inquire for further details.  Our preferred clearinghouse is Gateway EDI, however we can and have worked with many other clearinghouse vendors.  

    How will Archway receive my information for daily claims generation? 

      We are able to receive information from you either electronically, secure fax,  mail or courier service.  Regardless of the method of transmission, we keep your claims current and generated within 1 business day of receipt of the claim information. 

    How will I receive my payments?  Where does the money actual go? 

      All insurance carrier and patient payments go directly to you or your bank.  You may elect to utilize a Lock Box service provided by your bank, or have the payments sent directly to your office.  EOB's received with these payments are then forwarded to our office for processing (normally by electronic means or secure fax, but other options are available).  You always retain complete control over your money at all times.    

    Can Archway help with EFT's (Electronic Fund Transfer) and ERA's (Electronic Remittance Advice)? 

      Absolutely.  Archway will work with your practice and the insurance carriers to implement EFT's and ERA's.  In most cases, payments can then be processed automatically by Archway with payment information provided by the clearinghouse instead of using printed EOB's. 

    What costs are associated with the services provided by Archway? 

      For most services we provide (such as claims submission, payment processing, follow up, etc), our fees are based on a percentage of collections.  We don't charge based on claims submitted, but on reimbursements received.  This approach directly ties our success with yours and creates an immediate incentive for us to work together toward the same goals.  For insurance verification we charge a flat fee per policy verified.  For consulting, staff training, credentialing and enrollment services, fees are billed by the hour.  All practices are different and choose to utilize different services. For that reason, we custom tailor a plan that will fit YOUR needs.  There is no reason to pay for services you don't need or want.  Please contact our office so that we can work with you to determine what needs you have - we can then tailor a plan that will work best for you.   

    How often will you invoice our practice for services rendered? 

      We will send an invoice at the beginning of each month for services performed (successful collections) from the previous month. 

    Is Archway HIPAA compliant? 

      Yes.  Archway is completely HIPAA compliant.  We are legally obligated to obey HIPAA regulations as they related to the electronic transmission of data and protection of private patient information.  All of the data stored or sent electronically by our office is encrypted and concealed.  Any information retained in printed form is shredded per HIPAA guidelines. 

    How can I contact Archway Practice Management, LLC?

    Please feel free to contact our office by any of the following means:

    Phone:  314-842-5100

    Fax:  314-842-5151

    Email:  Support@ArchwayClaims.com

    Physical Address:  12964 Tesson Ferry Road, Suite C

                         St. Louis, MO 63128



       

     

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