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Harnessing the Power of Software

It’s not always easy, but with the right software tools you can streamline your revenue cycle management and improve collections. Getting paid in a timely manner for all the services you render ensures a thriving practice now and long into the future.

Avoid Errors That Delay Payment

One of the most common problems in medical coding and billing is the high rate of errors. Every error can delay payment, and even if each one only delays claims reimbursements or patient payments by a few days, they can all add up to an inefficient collections process that hinders cash flow in your clinic. With our tools you can streamline collections at every touchpoint, minimizing the common delays that hold up your payments with:

Automated insurance verifications
Verify that each patient’s insurance information is correct and up-to-date before the procedure starts. Our system automatically reviews insurance data the day before a patient encounter and flags any problems so your team can quickly follow up to get accurate information. Insurance errors are one of the most common reasons for denied claims or delayed claims reimbursement.

Automated claims checks
Submitting accurate information to payers is the only way to get reimbursed for your work. But even a minor error can result in a claims denial, so it’s important to verify everything you submit before it goes out. Our software does all that for you so you never have to commit staff time to manual claims checks.

Automated statements and reminders
Help patients understand the outstanding balances that they owe, either for self-pay services or for remaining balances after insurance payments go through. Our billing software sends out statements via email, with automated reminders via text for payments when they are due. Simply set up patient communication preferences, and the billing software does the rest.

Industry-Leading Claims Scrubbing Services

There are thousands of potential errors that could result in claims denials or rejections. With ever-changing requirements from payers, annual (or sometimes more frequent) changes to procedure codes, and human error in data entry, it’s no wonder millions of claims go unpaid every year because they are denied.

The best way to avoid claims denials is by having the most accurate information in your claims the moment they go to the payers. Our industry-leading claims scrubbing service makes it easy by reviewing every claim before submission. We flag the potential problems and create a simple worklist for your coding and billing staff to find and correct errors right away. The system also specifically checks to make sure you haven’t billed for overlapping times, which can happen when you have multiple anesthesia patients in a single day. Missing this error could get your practice flagged for audit or review by payers.

If a claim is denied, we can help you quickly identify the source of the problem so your team can correct and resubmit without missing the deadline. Each payer has unique requirements and specific timelines for resubmission, so your team gets worklists that are prioritized based on the claims that must be addressed right away.

The amount you will collect goes down with each passing day. The longer it takes your practice to submit a claim initially, or correct an error and resubmit, the less likely you will be to collect the full amount.

Simplified Payment Options for Patients

Insurance doesn’t always cover the full cost of anesthesia services, and some patients don’t have insurance or don’t want to bill insurance for their clinical encounters. AdvancedMD makes it easy to work with patients who are paying off balances after insurance payments go through, or who are self-pay. You can:

  • Quickly match insurance payments to patient accounts and calculate balances owed
  • Create easy-to-read patient statements that reflect total charges, insurance payments, and outstanding balances
  • Provide online payment options to settle a balance with a credit, debit, or FSA card
  • Easily match patient payments with collections to zero out a balance once it’s settled, and avoid errors that confuse and frustrate patients when they get an additional bill

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Seamless Data Capture from Multiple Sources

Anesthesiology billing is more complicated than many other practices, because it often relies on interactions and data from external systems or providers. Our tools help you import all the information you need to create an accurate billing statement for payers or patients. You can connect with hospital systems, ASCs, and patient clinics where you perform inpatient anesthesia services.

You can also connect multiple anesthesiologists or CRNAs to our system for practices that include more than one provider. Separate out billing by location, provider, or practice area to ensure optimal RCM no matter where or when you provide services.

Reporting to Keep Your Practice on Track

Stay on top of your RCM with ongoing reports that automatically run and show up in your inbox, and the inboxes of all the key stakeholders within your practice. Set up custom reports or choose from our library of already-built reporting templates that provide the exact revenue information you need.

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Schedule Your Demo

Schedule your demo today to talk to our helpful team of software professionals. Find out how easy it is to run a practice and maximize revenue with AdvancedMD medical coding and billing for anesthesiology.