Running a clinic in Little Rock isn’t the same as running one in Bentonville. Payers, portals, and rules shift by plan and county. We handle the maze so you can focus on treating patients and growing your practice.
The local landscape shapes your cash flow. We tune your revenue cycle to Arkansas-specific rules that can quietly delay or deny payment.
12 months from the date of service. Miss it and you’ll eat the claim.
Claims submitted by Friday 6:00 p.m. post in that week’s financial cycle; we schedule transmissions accordingly.
Arkansas bills are processed under Novitas Solutions (Jurisdiction H), and their edits/LMRPs differ from those of other MACs.
First-time and corrected claims have a 180-day filing limit in most networks.
Filing times follow your Provider Agreement; late claims can’t be billed to members.
Arkansas purchases QHPs for eligible adults; plan routing and prior authorization rules can differ by carrier.
Patient says “Medicaid,” but the card shows a marketplace plan. We confirm the plan, PCP attribution, and prior authorization rules before the DOS to prevent claims from being rejected.
Medicaid at 365 days, ABCBS at ~180 days, QualChoice per contract. Our queue flags approaching deadlines, ensuring no claims age out.
We apply Novitas LCDs/NPIs, MUEs, and modifier logic upfront to prevent nonsensical rejections
We apply Novitas LCDs/NPIs, MUEs, and modifier logic upfront to prevent nonsensical rejections
We align OON workflows with the federal No Surprises Act and Arkansas carrier notices to reduce balance-billing risk and patient disputes.
Our cutting-edge Billing and Coding Services in Arkansas are
Submit clean claims with edits for timely filing windows, modifier pairs, POS, taxonomy/NPI, AR Medicaid diagnosis limits, and COB.
Root-cause analysis, corrected claims inside 180-day/365-day windows, targeted appeal letters, and EFT/ERA reconciliation timed to weekly Medicaid cycles.
Work down 30/60/90+ buckets with payer-specific playbooks; escalate when a claim hits policy-driven stall points.
We track KPIs like AR days, collection rates, and denial percentages in real time. Provide month-end dashboards that are actually readable.
Eligibility + coding + claim submission + ERA posting
Essentials + denial management + AR follow-up + monthly KPI reviews
Growth + provider education + payer contracting support + revenue strategy
Prior auth team, chart audits, single-day “AR Blitz,” credentialing help
Suppose you’re in Little Rock, Fayetteville, Fort Smith, Rogers, Bentonville, Jonesboro, Hot Springs, or anywhere in between. In that case, A2Z Billing will tailor your process to Arkansas rules and help you get paid faster.
