AMS Solutions

AMS Solutions Medical billing & RCM for healthcare. AAPC-certified, HIPAA-compliant team since 1992. Dallas-based.

AI is everywhere in billing conversations right now -- but not everything should be automated. We took an honest look at...
07/31/2026

AI is everywhere in billing conversations right now -- but not everything should be automated. We took an honest look at where AI genuinely helps in medical billing, and where human judgment still wins.

A balanced look at AI in medical billing: what to automate (eligibility, scrubbing, denial patterns) and where experienced billers still win.

Thinking about outsourcing your billing? One of the first questions is always cost. We broke down what billing companies...
07/29/2026

Thinking about outsourcing your billing? One of the first questions is always cost. We broke down what billing companies actually charge and how the common fee structures compare, so you can weigh your options with clear eyes.

Compare percentage-of-collections, flat-fee, and hybrid billing fee models, what drives rates, and the hidden costs of cheap vendors.

First-pass resolution rate might be the most honest number in medical billing: the share of claims paid on the very firs...
07/27/2026

First-pass resolution rate might be the most honest number in medical billing: the share of claims paid on the very first try. When that number is healthy, cash flows steadily. When it slips, it usually shows up in your bank account weeks later. Here's why it matters.

First-pass resolution rate measures claims paid on first submission. Formula, commonly cited benchmarks, and how to raise yours.

Do you know your clean claim rate? It's one of the simplest, most telling numbers in your billing operation -- and most ...
07/24/2026

Do you know your clean claim rate? It's one of the simplest, most telling numbers in your billing operation -- and most practices track it loosely, if at all. Here's the formula and what a healthy benchmark looks like.

Clean claim rate defined: the formula, why first-pass payment matters, commonly cited 90%+ benchmarks, and practical steps to improve yours.

Behavioral health billing runs on its own rulebook -- therapy time codes, telehealth requirements, and add-on codes all ...
07/22/2026

Behavioral health billing runs on its own rulebook -- therapy time codes, telehealth requirements, and add-on codes all work differently than standard medical claims. We pulled it together into one practical guide.

A practical guide to behavioral health billing: psychotherapy CPT codes, telehealth modifiers, time documentation, incident-to rules, and common denials.

A lot of urgent care denials are born at the front desk -- before the provider ever sees the patient. Wrong insurance in...
07/20/2026

A lot of urgent care denials are born at the front desk -- before the provider ever sees the patient. Wrong insurance info, missing authorizations, and small intake slips add up fast. Here's where to tighten things up.

Eligibility skips, demographic typos, bad card capture, missed copays, and authorization edge cases — the intake errors costing urgent care clinics revenue.

Urgent care coding has its own rules -- S9083, S9088, and standard E/M levels each behave differently depending on the p...
07/17/2026

Urgent care coding has its own rules -- S9083, S9088, and standard E/M levels each behave differently depending on the payer. Choosing the wrong one quietly costs clinics real money. Here's how to get it right.

S9083 global fees vs S9088 add-ons vs standard E/M: how urgent care billing changes by payer, plus POS 20 and contract rules that drive reimbursement.

The 8-minute rule trips up even experienced PT billers -- and getting it wrong means leaving units (and revenue) on the ...
07/15/2026

The 8-minute rule trips up even experienced PT billers -- and getting it wrong means leaving units (and revenue) on the table. We walked through it with real, worked examples so your team can bill timed codes with confidence.

How Medicare's 8-minute rule turns treatment minutes into billable PT units — thresholds table, timed vs untimed codes, and a worked mixed-remainder example.

Opening a new practice? Start credentialing before you sign the lease. Enrollment can take months, and getting the order...
07/13/2026

Opening a new practice? Start credentialing before you sign the lease. Enrollment can take months, and getting the order of operations right keeps you from opening your doors with no way to bill. Here's the checklist.

Chronological credentialing and enrollment checklist for new practices: start 120-150 days out with EIN, NPI Type 1/2, CAQH, PECOS, and payer priorities.

Did you know most family practices lose money not by overbilling — but by underbilling?When a provider "plays it safe" a...
07/10/2026

Did you know most family practices lose money not by overbilling — but by underbilling?

When a provider "plays it safe" and codes a routine follow-up visit one level lower than the work actually supports, that's about $39 given away per visit. Do that once a day per provider, and a 4-doctor practice loses around $40,000 a year — for work they already did.

The coding rules changed back in 2021, but a lot of practices are still coding from old habits. Our new guide explains the difference between a 99213 and a 99214 visit in plain English, and how to code confidently without audit worries: https://hubs.li/Q04nBX1B0

2026 office E/M coding for family practice: 99213 vs 99214 by time or MDM, prolonged G2212/99417, and the audit-safe template.

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3419 Westminster Avenue, Suite 1062
Dallas, TX
75205

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