- 8017 Labana Ct, Canton Township, MI 48187
- +1 (734) 418 2537
- info@a2zbillings.com
Your EHR is only one piece of the revenue cycle. Our certified billing specialists work directly inside your existing MediFusion account to submit clean claims, resolve denials, post payments, and recover outstanding A/R helping your practice collect faster without changing platforms
Claims & 837 submission · Live 835 posting · 270/271 eligibility checks · Denial and appeal work
MediFusion isn't a single tool with billing bolted on. It's a set of connected modules, each handling one piece of the visit-to-payment cycle. Here's exactly which ones we touch on your behalf, and what each one is doing while we're in there.
Converts finished charges into 837 files, sends them to the clearinghouse, and pulls back the 835 remittance once a payer responds. Real-time 270/271 checks run through the same module.
Handles scheduling, appointment reminders, e-statements, and card-on-file payments. Most of what a patient touches before or after a visit lives here, including their share of the bill.
Stores EOBs, signed forms, and chart documentation behind HIPAA-compliant access. When an appeal needs backup, this is where we pull it from without a phone call to your front desk.
Tracks payer applications, re-credentialing dates, and license renewals, so a claim never gets denied because a provider quietly fell off a panel.
Surfaces clean claim rate, denial rate, and collections by provider closer to real time than a monthly PDF.
Registration, encounter templates, and staff permissions. Get this step wrong and every downstream claim inherits the mistake, so we watch it as closely as the billing itself.
CPT, HCPCS Level II, and ICD-10 codes checked against the encounter, with modifiers added and medical-necessity mismatches caught before a claim exists.
270/271 lookups confirm active coverage, copay, and secondary or tertiary payers before the patient sits down.
Every 837 runs FusionEDI's edit rules first, so a missing field or a bad ID gets fixed before it reaches a payer.
We watch acknowledgments coming back and split a clearinghouse rejection from a payer denial right away, since the fix for each is different.
Every denial gets a CARC/RARC reason code, a correction or an appeal letter, and a note in the pattern log.
835 remittances matched to the original charge, adjustments applied, and the deposit reconciled against the bank.
Open balances worked oldest and largest first, ahead of each payer's timely-filing cutoff.
Enrollment paperwork, re-credentialing dates, and authorization numbers tracked so a service isn't denied for a missing approval.
A monthly walkthrough of your numbers in plain terms, plus hands-on training on the MediFusion screens your staff actually uses.
Every visit moves through the same four stages inside MediFusion. The first two set up the claim. The last two decide whether the money actually lands, so that's where we spend the most attention.
Getting a patient ready to be seen
demographics and coverage entered into the practice management screen ahead of the appointment.
FusionEDI runs the 270/271 automatically, primary, secondary, and copay, confirmed before check-in.
booked through PatientSense, with automated reminders cutting down same-day cancellations.
Turning the encounter into something a payer can pay
chart notes and orders captured in PatientSense during or right after the visit.
CPT/HCPCS and ICD-10 assigned, modifiers added where the payer requires them.
MediFusion assembles the 837 from the coded encounter and the documentation behind it.
Where a clean claim gets separated from one that stalls
FusionEDI's edit rules catch a bad ID or a missing field before the claim leaves the building.
filed through the clearinghouse to the correct payer, primary first, then secondary.
a rejection means the claim never reached the payer. We correct it and refile the same day.
adjudication status checked through MediFusion rather than a phone hold with the payer.
Collecting what's owed, and chasing what isn't paid yet
835 remittance posted line by line, contractual adjustments checked against the actual fee schedule.
denials appealed by reason code instead of written off. Patient balance: what's left routes to PatientSense for an e-statement and online payment.
unpaid balances worked by bucket, oldest and largest first. Reporting: clean claim rate, denial rate, and days in A/R reviewed with you monthly.
A patient's insurance ID gets entered one digit off during registration. Left alone, that comes back as a rejection two weeks later with nothing paid. FusionEDI's edit rules flag the mismatch before the 837 goes out, so we fix it against the card on file and file it clean the first time. No rework, no second trip through the queue.
Auto-posting an ERA is fast, and it's also how underpayments slip through unnoticed. When the adjustment on a remittance doesn't match your actual fee schedule, that line gets pulled for review instead of posted as-is. Across a month of claims for one payer, that habit alone recovers money a practice would otherwise never notice was missing.
One denied claim gets corrected and moves on. Ten denials with the same reason code across three months means the front desk is missing the same authorization step at scheduling. We pull that pattern from MediFusion's reporting, fix the intake step causing it, and watch that denial category shrink instead of resubmitting the same fight every time.
An aging report only helps if someone actually works it in order. We prioritize claims closer to a payer's filing deadline over ones that still have time, so nothing gets written off simply because it sat at the bottom of the list. The oldest dollar doesn't always mean the most urgent one; the closest deadline does.
A denial pattern gets fixed at the intake step that caused it, not resubmitted with the same gap next month.
Scrubbing catches what would have bounced before it's ever filed.
Balances worked by deadline, not by whichever claim happens to be on top of the pile.
Your front desk answers patients instead of chasing a clearinghouse portal.
Signed BAA, role-based access, and DocuHub's storage rules applied to every file we touch.
We walk through what each number in your report actually means, not just hand it over.
Re-credentialing dates tracked ahead of time, so a claim never gets denied over an expired panel status.
Underpayments caught at the 835, not written off six months later.
Why A2Z Billings for MediFusion
No parallel software, no data export. We're added as a user inside the MediFusion account you already run, under your payer contracts.
FusionEDI's edit rules, where PatientSense routes a card-on-file payment, how an 835 posts against your fee schedule: not generalized clearinghouse knowledge, this specific platform.
A denial gets fixed once. The reason it happened gets fixed so it stops showing up on the next ten.
We don't sell the software or get paid by the vendor. Our only interest is what actually lands in your account.
No. We work inside the MediFusion account you already have; nothing about your EHR or PM setup changes.
You do, the entire time. We're added as a user with role-based access, not given ownership of anything.
We work with whatever you're licensed for and tell you plainly if an unlicensed module would genuinely help.
MediFusion supports the software. We work your specific claims, denials, and aging report inside it every day.
Monthly, in plain language, tied to the specific thing that changed each metric.
