Risk-Free Revenue Recovery from Alpha II
of Denied Claims are Preventable
The complexity of medical billing and coding increases every year, while provider margins continually decrease. And with the constant changes to coding and billing guidelines comes an increase in partial and full claim denials. Industry leaders estimate that 90% of denied claims are preventable, and 67% are recoverable – let Alpha II build you a comprehensive strategy for both recovery and prevention.
Why Zero Balance Review (ZBR)?
Claims Rejected by Commercial and Public Payers
Even if your staff has mastered billing and coding, the rules and regulations are in constant flux and providers average between 5-10% claim rejection by commercial and public payers every year. Instead of relying on your staff to chase denied claim dollars, engaging a ZBR partner ensures your revenue cycle isn’t leaving dollars on the table – all at no risk to you.
The Alpha II Zero Balance Review Platform
Using our revenue intelligence platform, our team will identify underpayments, prioritize high-dollar opportunities, and engage your team in denial avoidance related to:
- Missing, inaccurate, or duplicate claim information
- Unpaid line items on processed claims
- Medical necessity
- CMS rule changes
- Missing or incorrect modifiers
- Fee schedule updates
- And more
We go beyond simple denial recovery by performing root cause analysis to identify and correct issues related to denials and underpayments early in the revenue cycle and educating your staff on denial prevention.
Our contingency-based pricing allows Alpha II to assume all risk, which maximizes your reimbursement. You don’t pay until we find your lost revenue.
The Alpha II Difference
For over 40 years, our team of healthcare experts – including clinicians, certified coders, software engineers, EDI specialists, medical managers, and reimbursement subject matter experts – have provided top solutions for both physicians and hospitals.
Our comprehensive rules engine contains hundreds of professional and institutional edits and is constantly evolving, including fee schedule data across 20 different provider types to ensure precise payment calculations.
“For almost 15 years, our medical billing service has been daily users of Alpha II’s EasyCoder. It has proved to be an invaluable tool, providing my staff with quick access to current, comprehensive and reliable coding resources. The E&M Generate, policy reviewer, supporting diagnoses lists, and access to the Medicare fee schedules by locality have developed our staff’s knowledge and confidence as we strive to serve our clients as a trusted resource.”
“Alpha II clinical scrubbing has been instrumental in helping our clients submit clean claims. We were able to integrate encounter editing into our EHR and claim editing in our PM system, giving our clients the chance to address issues as early in the process as possible. The edit configurability allows our providers to enable edits that impact their claims and the custom edits ensure even the most obscure payer rules get billed correctly.”
“We are in the midst of unprecedented transformation in healthcare – from transitioning guidelines and emerging regulations to staff turnover and care model changes within the practice. Alpha II’s ClaimStaker product helps my customers mitigate billing challenges by filling in knowledge gaps and staying in front of those rule changes.”
“Integration of the Alpha II Code Wizard into our EHR/PM software Team Chart Concept has been instrumental in our clients achieving an average of 96 to 98 percent clean claims ratio. Our relationship spans over eight years of continued innovation by Alpha II to meet the needs of the medical billing community.”
“For over 20 years, White Plume has relied on Alpha II’s software development kits to deliver cutting-edge code search and medical necessity guidance for our provider customers. Alpha II’s CodeWizard is integrated seamlessly with AccellaCAPTURE™ and AccellaSMART™ and helps us deliver trust for our customers time and time again – and that’s very important to us.”
"I want to offer my gratitude for the incredible work that your teams have put in to help some of our customers in the recent week. Between the additional training sessions and custom reporting adds, you helped save a considerable amount of revenue for the business.
Alpha II has gone above and beyond. We are truly grateful and look forward to our continued partnership."
“My experience with Alpha II has been exceptional and I couldn’t ask for better service or a better product. Their entire team is courteous, professional, and knowledgeable. They consistently exceed our clients' and my expectations as a MIPS Qualified Registry. I know them to be of excellent character, highly qualified, and honorable. Their MIPS Registry product has given our clients the ease to do their MIPS reporting and every client has expressed how much they love the Alpha II Team. Their customer service is stellar like no other.”
"Upgrading claim scrubbing in the eMDs product portfolio is an important part of the ongoing investment in our platform modernization strategy that makes a real difference to our customers. The partnership with Alpha II shows eMDs’ ongoing modernization investments across our software and services portfolio. With over 20 years providing RCM services to healthcare organizations, large and small, now known as eMDs Aria Health Services, we fully understand the value of tight scrubbing integration when it comes to dealing with the complexity of a myriad of payer rules in order to ensure claims are paid the first time ensuring a lower cost to collect."
“It has been an absolute joy to work with Alpha II during our transition to a new EHR. Their implementation team has assisted us with enabling many of their existing edits as well as quickly creating several user defined edits. As someone new to the world of coding, I appreciate their assistance in helping me think through complicated coding scenarios and the thorough overview they provided of their ClaimStaker portal. They have been extremely accessible to us, patient with our questions, and thoughtful with our requests, even going as far as to ensure understanding of our unique workflow. They have gone above and beyond to support their mission of providing us with excellent customer service.”
“EZClaim partnered with Alpha II for claim scrubbing due to their superior solution and friendly team. Alpha II met our high expectations and we could tell from the start they’ve done this before. They’ve been on the ball with every request, including slicks, show support, and webinars. From our first partner kickoff meeting on, we knew we made the correct partner choice.”