FAQ — A Squared Billing Solutions

Question 1

How do we get started with A Squared Billing Solutions?

Accepted Answer

Getting started begins with a conversation. We'll schedule an initial consultation to learn about your practice, existing billing processes, and revenue cycle challenges.

From there, we'll evaluate your needs and develop a transition plan designed to minimize disruptions to your billing operations. Onboarding timelines vary depending on practice size, system access, payer requirements, and the scope of services.

Question 2

What information do we need to provide to begin the onboarding process?

Accepted Answer

Onboarding requirements vary depending on your practice and the services requested. Information may include practice and provider enrollment details, payer contracts and fee schedules, existing billing workflows, outstanding accounts receivable, and practice management or EHR system information.

Any required system access will be established through approved, secure methods with appropriate user permissions. We will provide a customized onboarding checklist and coordinate the necessary documentation and access arrangements before services begin.

Question 3

Do you work with practices that are switching from another billing company?

Accepted Answer

Absolutely. Our founders bring extensive experience in revenue cycle operations, billing management, and navigating workflow transitions.

We work with practices to evaluate existing billing processes, identify outstanding accounts receivable, and develop an organized transition plan. Our goal is to support continuity in claims processing, payment posting, and follow-up while minimizing disruptions during the transition.

Question 4

Do you work with practices outside of Texas?

Accepted Answer

Yes. A Squared Billing Solutions is based in Texas and welcomes opportunities to work with healthcare practices nationwide.

Because payer requirements, state regulations, and billing processes can vary by location, we evaluate each prospective client's needs and applicable requirements before establishing a service agreement.

Question 5

How quickly are claims submitted after a patient encounter?

Accepted Answer

Timely claim submission is a priority at A Squared Billing Solutions. Our goal is to process and submit clean claims within 24–48 hours of receiving complete and accurate encounter documentation.

Submission timelines may vary based on documentation requirements, coding clarification, payer guidelines, and practice workflows. We prioritize accuracy and timely submission to help reduce unnecessary delays in reimbursement.

Question 6

What happens when a claim is denied?

Accepted Answer

When a claim is denied, we review the denial reason to identify the underlying issue, whether related to coding, documentation, eligibility, authorization, or payer-specific requirements.

Based on our findings, we coordinate necessary corrections, resubmissions, reconsiderations, or appeals when appropriate. We also monitor denial trends to identify recurring problems and recommend workflow improvements that may help prevent future denials.

Question 7

How do you handle patient billing and collections?

Accepted Answer

We approach patient billing with accuracy, professionalism, and respect. Following insurance adjudication, patient balances are reviewed for accuracy and consistency with applicable payer agreements, patient financial responsibility, and billing requirements.

Depending on the services established with each practice, we may assist with patient statements, balance inquiries, payment follow-up, and account resolution.

Our goal is to support responsible collections while maintaining positive patient relationships and protecting the reputation of the practices we serve.

Question 8

Do you handle prior authorizations?

Accepted Answer

Prior authorization requirements vary by payer, procedure, and plan. A Squared Billing Solutions can assist practices with identifying potential authorization requirements, tracking authorization-related information, and communicating potential issues that may affect reimbursement.

Authorization responsibilities are established during onboarding based on the services agreed upon with each client. We work collaboratively with practice staff to support timely communication, accurate documentation, and appropriate follow-up.

Question 9

How long does it typically take to see payment after a claim is submitted?

Accepted Answer

Payment timelines vary depending on the payer, insurance plan, claim accuracy, and processing requirements. Many clean electronic claims are processed within approximately 14–30 days, although actual reimbursement timelines may differ.

A Squared Billing Solutions monitors outstanding claims, reviews accounts receivable aging, and follows up on delayed or unresolved claims to help identify issues and support timely reimbursement.

Question 10

How do you measure and report on billing performance?

Accepted Answer

We believe effective revenue cycle management requires more than simply tracking collections.

A Squared Billing Solutions evaluates key performance indicators such as clean claim rates, denial trends, accounts receivable aging, collection performance, payment posting activity, and reimbursement patterns.

Our reporting approach focuses on identifying opportunities for improvement, recognizing potential revenue delays, and providing meaningful financial insights. Reporting frequency and specific metrics are established based on each practice's needs and service agreement.

Our goal is to help clients understand not only what they are collecting, but how their revenue cycle is performing.

Question 11

What is your clean claim rate?

Accepted Answer

Claim accuracy is a priority at A Squared Billing Solutions. We focus on accurate coding, complete documentation, payer-specific requirements, and identifying potential errors before claims are submitted.

We monitor claim rejections, denials, and submission trends to identify recurring issues and opportunities for improvement.

Our goal is to promote clean claim submissions, reduce avoidable rework, and support more efficient reimbursement while maintaining responsible billing practices.

Question 12

How do you ensure accurate medical coding?

Accepted Answer

Accurate medical coding begins with complete clinical documentation, appropriate code selection, and an understanding of applicable payer requirements.

A Squared Billing Solutions emphasizes documentation-supported coding, claim accuracy, and identifying potential discrepancies before submission. When clarification is needed, we work collaboratively with the practice to address concerns and support appropriate billing decisions.

Our approach prioritizes accuracy, regulatory awareness, and responsible reimbursement practices rather than simply maximizing claim payments.

Question 13

How do you stay current with payer rule changes and billing regulations?

Accepted Answer

Healthcare billing requirements continually evolve, making ongoing education and regulatory awareness essential.

Our leadership maintains professional involvement with organizations such as the American Academy of Professional Coders (AAPC) and the Medical Group Management Association (MGMA), while monitoring updates from CMS, Medicare Administrative Contractors, commercial payers, and other applicable regulatory sources.

We emphasize reviewing payer-specific requirements, communicating relevant changes, and incorporating necessary updates into billing workflows. Our goal is to help practices navigate evolving reimbursement requirements with accuracy and accountability.

Question 14

How is patient data protected?

Accepted Answer

Protecting patient information is a fundamental responsibility in healthcare revenue cycle management.

A Squared Billing Solutions recognizes the importance of HIPAA requirements, patient confidentiality, and appropriate safeguards when handling protected health information.

Before accessing patient information, we establish the necessary contractual arrangements, including applicable Business Associate Agreements, and define authorized system access and data-handling responsibilities.

Our approach emphasizes limiting access to authorized personnel, protecting confidential information, and maintaining accountability throughout the billing relationship.

Question 15

Who will we be working with day to day?

Accepted Answer

At A Squared Billing Solutions, our founders remain actively involved in client relationships, revenue cycle oversight, and service quality.

Each practice will have designated points of contact who understand its billing workflows, operational needs, and revenue cycle priorities. Our approach emphasizes consistent communication, experienced leadership, and accountability throughout the client relationship.

Question 16

How do we communicate with your team?

Accepted Answer

We believe consistent communication is essential to effective revenue cycle management.

Our team communicates through established business channels, including phone, email, and scheduled meetings. Communication frequency and reporting expectations are determined based on each practice's needs and service agreement.

Whether addressing billing concerns, reviewing performance, or discussing operational improvements, our goal is to maintain open communication and keep clients informed.

Question 17

What specialties do you have experience billing for?

Accepted Answer

Our founders bring experience across hospital-based, post-acute, and outpatient healthcare settings.

Our specialty experience includes hospitalist medicine, skilled nursing facilities (SNFs), acute care, cardiology, vascular medicine, neurology, pain management, dermatology, and behavioral health, including psychology-related billing.

We understand that each specialty has unique documentation, coding, payer, and reimbursement requirements. If your specialty is not listed, we welcome the opportunity to discuss your practice's specific billing needs and determine whether our services are a good fit.

Question 18

How is your fee structured?

Accepted Answer

A Squared Billing Solutions offers customized pricing based on each practice's needs, specialty, billing volume, and scope of services.

Depending on the services requested, fee arrangements may include a percentage of collections, hourly rates for specialized projects, or other agreed-upon pricing structures.

During our initial consultation, we evaluate your revenue cycle needs and provide a clear proposal outlining services, responsibilities, and associated fees.

Our goal is to establish transparent, fair pricing that reflects the services provided and supports a productive, long-term partnership.

Frequently Asked Questions

Getting Started

Billing Processes

Turnaround & Performance

Compliance & Accuracy

Working With Us

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