Medical Billing Companies & Consultants in Sayreville, NJ

Headquartered in Sayreville, New Jersey, AMBSI Inc. provides medical billing and revenue cycle support to hospitals, group practices and solo physicians. Most of its clients are in New York City and the broader Tri-State region. Its coverage spans several of the city's boroughs, the suburban counties to the north and east of the city, and its home state of New Jersey. In these markets, the firm aims to reduce rejected claims, recover aging balances and shorten the time it takes providers to receive payment.

Core Services

Practices can hand AMBSI responsibility for their entire reimbursement process or assign it only selected functions. The offerings it advertises are:

• Comprehensive billing and complete revenue cycle oversight
• Tracking, review and recovery of outstanding receivables
• Assignment of diagnosis and procedure codes (ICD and CPT), along with modifiers
• Handling of rejected claims through corrected submissions and formal appeals
• Confirmation of patient insurance coverage
• Provider enrollment with payers and pre-approval requests for treatment
• Claims for no-fault auto cases, workplace injury cases and out-of-network services

Specialty Focus

The firm concentrates on ambulatory surgery centers (ASCs), pain medicine, anesthesiology, family medicine and other multi-provider practices. Its coders are trained across many fields of medicine, among them cardiology, internal medicine, pathology, psychiatry, hematology, oncology, radiology, neurology, general surgery, genetics, gastroenterology, orthopedics, dermatology and gynecology. Dietitians also appear among the provider types it supports. According to AMBSI, every specialty is assigned a certified coder, and the team prepares both professional and facility claims. Each claim's codes are reviewed a second time before submission.

How AMBSI Works With Clients

Engagements typically begin with a no-cost review of a practice's billing or receivables. This review is meant to reveal missed income and gaps in existing workflows. Once a practice signs on, certified billing and collections specialists stay with every claim until payment arrives. Assigned receivables managers communicate with insurance carriers and patients on the practice's behalf. Staff keep watch over amounts owed by payers as well as by self-paying patients, review accounts continuously and deliver reports on a set schedule.

When a payer rejects a claim, the team identifies the cause, corrects any coding mistakes, attaches relevant medical records, and then either files the claim again or submits an appeal. If the rejection turns out to be justified, responsibility for the balance shifts to the patient, and collection efforts continue there. AMBSI also maintains its own reference of which diagnosis-and-procedure pairings each insurer accepts. This helps coders get claims right on the initial submission.

Background and Differentiators

By its own account, AMBSI supports upward of 1,500 clients in more than 75 specialties and employs over 1,200 people in billing and coding roles. Its technology meets HIPAA requirements and connects with a wide variety of electronic health record (EHR) and practice management systems. Practices whose software is not among those displayed may request the complete roster of supported platforms. At the time this profile was prepared, the company held a 5.0 rating on Google reviews.

Providers in the New York metropolitan area may find AMBSI a strong match if they need billing expertise for surgery centers, pain medicine or anesthesiology, or if they want assistance with no-fault and workplace injury claims.