How We Work

Credentialing And Contracting

How We Work

What Services We Provide at AM Med Solutions

AM Med Solutions provides specialized revenue cycle, credentialing, payer, and practice support services designed to help healthcare providers operate more efficiently, improve collections, strengthen financial visibility, and stay focused on patient care.

Our Core Services

AM Med Solutions provides specialized revenue cycle, credentialing, payer, and practice support services designed to help healthcare providers operate more efficiently, improve collections, strengthen financial visibility, and stay focused on patient care.

Medical Billing & Revenue Cycle Management

End-to-end billing support designed to improve clean claim rates, accelerate collections, reduce denials, and strengthen financial performance across your practice.

Services include:

  • Charge entry and claim submission

  • Payment posting and reconciliation

  • Accounts receivable follow-up

  • Denial management and appeals

  • Patient balance and collections support

  • Patient statements and statement workflow support

  • Patient and parent outreach regarding balances and billing questions

Credentialing

We assist providers and healthcare groups with credentialing workflows so they can enroll efficiently and remain focused on patient care.

Services include:

  • Initial provider enrollment

  • Recredentialing and maintenance

  • Group and individual applications

  • Follow-up with payers and networks

  • Provider roster updates

Contracting

Our team supports payer contracting efforts to help practices establish, maintain, and optimize participation with insurance networks.

Services include:

  • New payer contracting support

  • Contract review coordination

  • Participation status tracking

  • Fee schedule review support

  • Ongoing contracting follow-up

CAQH Management

We manage CAQH-related updates and monitoring so your provider information stays complete, current, and ready for payer review.

Services include:

  • CAQH profile setup and updates

  • Attestation tracking

  • Document maintenance

  • Roster and demographic updates

  • Ongoing profile monitoring

Eligibility Verification

We help verify patient coverage details before services are rendered to reduce billing issues and improve front-end accuracy.

Services include:

  • Coverage and plan verification

  • Copay, deductible, and coinsurance review

  • Referral and authorization checks

  • Coordination of benefits review

  • Verification workflow support

Prior Authorizations

We support prior authorization processes to help practices navigate payer requirements and reduce delays in care and reimbursement.

Services include:

  • Authorization request submission

  • Handling payer disputes and reimbursement-related issues

  • Follow-up with payer portals and representatives

  • Status tracking and documentation

  • Renewals and continuation requests

  • Support for high-volume specialties

Practice Analytics & Reporting

We provide actionable reporting to help practices understand performance, monitor trends, and make informed operational decisions.

Services include:

  • Collection and reimbursement analysis

  • Weekly and monthly financial reporting

  • Financial health reviews and performance monitoring

  • A/R aging and denial trend reports

  • Provider and payer performance tracking

  • Custom management reports

  • Workflow and productivity insights

How We Work

Our approach is structured, responsive, and built around the operational realities of healthcare practices. We focus on communication, accountability, measurable results, and ongoing strategic support.

01
Assess
We begin by understanding your practice, payer mix, workflow challenges, and revenue goals so we can tailor the right support model.

02
Implement
Our team integrates into your processes, establishes clear communication channels, and launches structured workflows for billing, credentialing, and support services.

03
Manage
We actively manage day-to-day revenue cycle and administrative functions with consistency, transparency, and attention to detail.

04
Optimize
Through reporting, follow-up, and continuous review, we identify opportunities to improve collections, reduce friction, and strengthen long-term performance.

Built to Support Growing Practices

Whether your practice needs full revenue cycle management or support with targeted services such as credentialing, CAQH maintenance, contracting, eligibility verification, patient statements, payer dispute handling, reporting, and operational support — AM Med Solutions delivers solutions tailored to your workflow and goals.

Our Commitment

✔ End-to-end billing and revenue cycle support
✔ Customized service models for every practice
✔ Responsive ongoing communication and follow-up
✔ Focused operational and financial improvement