Apple Billing And Credentialing

Apple Billing And Credentialing, often shortened to ABC, handles the paperwork side of running a medical practice in the United States. It takes on claims, payer enrolment and follow-up work so that doctors and their staff can spend less time on administration. It serves providers from solo practitioners up to larger groups.

Products and services

• End-to-end billing: claim creation and submission, payment posting, denial management, appeals and patient statements.
• Provider credentialing: enrolment with Medicare, Medicaid and commercial insurers, with a named coordinator gathering each payer's documents.
• Prior authorisation: managing authorisations to cut delays before treatment.
• Revenue cycle assessment: a review of a practice's billing process to find where claims stall or money is lost.
• Practice reporting: custom reports shared daily, weekly, monthly or yearly.
• Coding and MIPS support: certified coders and consulting on the MIPS quality programme.

Who it serves

The firm works with US healthcare providers of many specialities, from single-doctor practices to large groups. It uses whichever practice management system the client already runs rather than asking the practice to switch.

Key facts

• Based in: United States
• Experience: the company reports 19 years in medical billing and credentialing
• Management: the same core management team for about 15 years, by its own account