Health Care Financial Management Made Easy

According to MGMA†, the average practice lets 50 percent of all rejected claims go un-worked. Now medical practices can easily resolve denied charges through interactive online work lists. AdvancedMD denial tracking helps you effectively follow up on all your denied claims, helping you capture more revenue, and thereby, create a more profitable medical practice.

Combined, these three factors contribute to a high rate of claims denials.

Moreover, private practice physicians and their support staff are beginning to recognize and feel the pinch of an increased number of rejected claims. MGMA reports that 30 percent of all claims submitted to payers are rejected, and 50 percent of those rejected are never resubmitted. The potential for effective claims management to counter these declining payments and increasing cost pressures can create a big boost to the financial performance of your practice.

Convert Your Office into a Technology-enabled Practice

Selecting AdvancedMD’s continuously-updated and easy-to-use software converts your office into a technology-enabled practice, providing you with the ability to experience a 95 percent or better claims acceptance rate on first pass, significantly enhancing your overall revenue position. If you are experiencing a claim rejection rate of five percent or higher, or are having difficulty reworking rejected claims, you should explore the extraordinary benefits of AdvancedMD web-based software. Does your existing revenue cycle management software even tell you what your rejection rate is?

Knowing About Your Denied Claims Is Half the Battle

The AdvancedMD A/R Control Center is comprised of two modules: Collections and Denial Tracking. Our Denial Tracking module provides standard ANSI payment and denial reasons in a visual display, giving you an easy way to view, manage and work your rejected claims.

Establish Effective Work List Guided Follow-up

Our Denial Tracking module enables medical office staff to follow up on denied claims with simple, prioritized work lists. You are able to easily determine why the carrier rejected your claim, and then gain the ability to set up an automatic reason-based work list for efficient follow-up, maximizing your chances to obtain approval. This automated process can be applied to all rejected claims, significantly improving your ability to capture more revenue, more quickly. Our automation process also reduces lost claims that frequently occur during a manual process.

_{† Keegan, Deborah Walker, Larch, Sara M., Woodcock, Elizabeth W., The Physican Billing Process: Avoiding Potholes in the Road to getting Paid (MGMA, 2004) xviii}