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Minimize payment delays

Our billing software is specifically designed to meet the needs of gastroenterology practices that are not part of a large healthcare organization or hospital system. Timely reimbursements from payers and payments from your patients will help you maintain a strong practice over time. Minimizing the time it takes to get paid starts with your practice management, EHR, and billing software.

Claims scrubbing services

that check every claim before it goes out and flag potential errors. Your team can quickly correct and resubmit, avoiding a denial altogether.

Claims tracking

that follows your claims from the moment the patient encounter ends to the time you collect reimbursement.

Reporting & analytics

to help you spot trends—both good and bad—in your revenue cycle management.

eRemittance features

Match reimbursements automatically and flag any unusual or mismatched payments.

We provide all the tools

For independent practitioners, and small or medium-size group practices, efficiency is essential in revenue cycle management to get paid for the work you do and maintain optimal cash flow.

Integrated modules for seamless data transfer

Information in the AdvancedMD system travels seamlessly between various aspects of your software, from scheduling and front desk teams to the EHR and clinical care team, then finally to the billing and coding department. The modules all pull from the same database so you always have the most accurate and up-to-date information about patients available. There is no need for manual data transfers, uploads, downloads, or data entry that can lead to omissions or data errors, and denied claims.

Automated insurance verification

Verify patient insurance immediately when they schedule an appointment, then check it again before they arrive for an appointment or surgical procedure. The software flags important details related to whether patients will need preauthorization for specific types of care, or if their insurance has changed since their last visit. Your team will get prioritized worklists to check on any flags that come from automated verifications so they can follow up in a timely manner prior to an appointment.

Payment responsibility calculators

Help patients understand their total costs with payment responsibility calculators built into the system. You can quickly show patients a breakdown of what their insurance should pay (if they have insurance) and any balance they will need to cover. Your front desk team can also pull up co-pay, co-insurance, and self-pay information to help get a more accurate picture of what someone owes before an appointment.

Speed up billing & coding

An efficient billing and coding process helps your practice thrive, even if you have a small billing team or limited resources in your billing and coding department. With AdvancedMD the information to create accurate claims is readily available, with seamless data sharing between the practice management module, the EHR, and the billing module.

All the information is stored in a single database where you can quickly pull it for claims process, including:
  • Patient demographics
  • Chief complaint
  • Documentation from the exam or encounter
  • Patient insurance information
Our software will help you find the most accurate and appropriate billing codes for your claims as well, using information about your most common procedures, last-used billing codes, or helping you search the database of CPT, HCPCS, and ICD-10 codes to find the ones that are most relevant to gastroenterology care.

Submit clean claims every time

The most important aspect of getting paid in a timely manner is your ability to submit clean claims—that is, claims that are free of errors that lead to denial or rejection. AdvancedMD software is the best solution for small and independent clinics to get most of your claims through on the first pass. A high first-pass resolution rate (FPRR) eliminates the extra work your team would have to do to rework and resubmit denied claims, saving you time and money and ensuring that you get the highest possible reimbursements based on your billed charges.

Your ability to collect full payment declines as time passes, either because your team never gets to the denied claims to resubmit them or because you miss payer deadlines for claims submission.

Robust RCM reporting features

Never miss out on important information about your practice finances with the AdvancedMD reporting features. We make it easy to stay on top of your revenue cycle with detailed analytics, predesigned reports from finance and account experts, and customizable reports to highlight any specific information that you need for your stakeholders, providers, and administrators.

  • Protect your sensitive financial information with eyes-only access
  • Security features ensure only the appropriate staff members and physicians can view financial data
  • Get high-level reports or drill down into the details of your clinic finances
  • Set up automatic reports to run and arrive in your inbox

“The money I have invested in AdvancedMD is miniscule compared to the return. I have never been more efficient – ever – in my professional life as I am now.”

Jed Shay, MD
The Pain Care Center

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“[Our] patients are very well-educated and well-informed, and they want to see results quickly. The practice has to run extremely efficiently and be accessible to them. The nice thing about [AdvancedMD] is it has allowed me to be more efficient both in and out of the office. Now I don’t have to come back into the office, which is great for my family and everything else. It saves me a lot of time – probably an hour a day on the three days I work in the second office.”

Keith Berkowitz, MD
Center for Balanced Health

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Estaban Lavato, MD - La Loma Medical Center

“The best thing I ever did in private practice was getting AdvancedMD—it has liberated me.”

Estaban Lavato, MD
La Loma Medical Center

“Having integrated practice management and EHR is absolutely wonderful, you don’t have to flip back and forth between systems—all of your information is at hand when needed.”

Raju Raval, MD

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