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“Making comprehensive healthcare easier by offering a more cost-effective way to process claims.”
Ancillary Benefit Systems
326 E. Coronado Rd.
Phoenix, AZ 85004
 
800-624-4277
602-252-4042


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     ABS Re-pricing Services  
The Right Company to Power Your Claims Repricing 
 
The healthcare industry has long faced the challenges of quickly, accurately, and efficiently processing claims due to the complicated set of rules underlying claim re-pricing; the vast number of services a provider may render; the specific handling and processing exceptions required for the services; and the variation in the forms used to submit claims.  
 
With hundreds of thousands of claims requiring processing annually, a need existed in the industry for an improved method of re-pricing claims. Ancillary Benefit Systems (ABS) offers a proprietary, automated claims re-pricing system guaranteed to re-price claims timely, economically and precisely.
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Prepare for 5010 with ABS  

On January 1, 2012, a federal mandate requires health plans, clearinghouses and providers to use new standards in electronically conducting certain healthcare administrative transactions at the heart of daily operations, including claims submission and status requests and responses. 
 
The deadline is approaching fast. Now is the time for affected healthcare organizations to upgrade and test their claims management systems to accomodate 5010 and prevent operational distruptions.  
 
Arizona Foundation for Medical Care - the parent company of Ancillary Benefit Systems - has prepared a Q & A document to answer your immediate questions and concerns regarding functionality with us: Download and print a copy 
 
AFMC/ABS has also prepared a companion guide. Download and print a copy. 

  

CMS Creates Implementation Handbook for ICD-10

All entities covered under the Health Insurance Portability and Accountability Act (HIPAA) must transition to the ICD-10 code sets by October 1, 2013. The Centers for Medicare & Medicaid Services (CMS) has developed four Implementation Handbooks to assist you with your transition to ICD-10. These handbooks are step-by-step guides specifically for small and medium provider practices, large provider practices, small hospitals, and payers. 
 
The appendix of each handbook references relevant templates which are available for download in both Excel and PDF files. The templates are customizable and have been created to help entities clarify staff roles, set internal deadlines and responsibilities and assess vendor readiness. View the step-by-step plans and relevant templates.  
 
The ICD-10 Implementation Handbooks outline suggested steps and processes to take for a smooth transition to ICD-10. Providers, hospitals, and payers may use the guides to:  
  • Ensure the appropriate steps and actions are taken throughout the ICD-10 implementation process.
  • Stay on top of deadlines by viewing the timelines within the handbooks.
  • Customize your transition plan by filling out the Excel templates listed in the appendices. The templates will assist you with clarifying staff roles, setting internal deadlines and responsibilities, and assessing vendor readiness. 
The Version 5010 compliance deadline is less than 60 days away.  
 
All affected entities must first convert to Version 5010 by January 1, 2012 in order for the ICD-10 medical code sets to work. In order to meet this compliance deadline, you need to conduct both Level I Internal Testing, and Level II External Testing of transactions. Once your practice is fully transitioned to Version 5010, take the necessary steps listed in the ICD-10 Implementation Handbooks to help you prepare for ICD-10.  
 
Keep Up to Date on Version 5010 and ICD-10. Visit the ICD-10 Web site for the latest news and resources to help you prepare. 
 
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