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
Work down 30/60/90+ buckets with payer-specific playbooks; escalate when a claim hits policy-driven stall points.
Submit clean claims with edits for timely filing windows, modifier pairs, POS, taxonomy/NPI, AR Medicaid diagnosis limits, and COB.
We track KPIs like AR days, collection rates, and denial percentages in real time. Provide month-end dashboards that are actually readable.
Root-cause analysis, corrected claims inside 180-day/365-day windows, targeted appeal letters, and EFT/ERA reconciliation timed to weekly Medicaid cycles.
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.
We can begin eligibility checks and claim scrubs within days. A full takeover usually takes 2–3 weeks (including ERA/EFT, portal access, and payer links).
Yes. We submit, check eligibility, and monitor remits in the Arkansas Provider Portal and in payer-specific portals as needed.
Medicare fee-for-service in Arkansas runs through Novitas Solutions (Jurisdiction H). We build edits to match their rules.
We verify the correct QHP, confirm PCP attribution, and follow the plan’s prior auth—because ARHOME routes through marketplace carriers.
Absolutely. We track 365-day Medicaid windows, ~180-day ABCBS windows, and agreement-based windows for QualChoice and others.
Yes. We verify benefits upfront, provide clear estimates, and comply with the No Surprises Act, ensuring patients aren’t blindsided.
