Take your revenue cycle management to the next level with tools from AdvancedMD. Our medical coding and billing software is uniquely designed to meet the needs of independent, small group, and medium-size group practices in integrated health.
Getting accurate information to submit claims is essential to maximize reimbursement and minimize staff time on claims submission. AdvancedMD medical coding and billing software pulls all the relevant information on patient demographics and patient encounters to create an accurate claims submission. Coders can immediately access relevant details to select the right codes and avoid manual data entry that slows claims submission and increases the risk of errors.
There are hundreds of CPT and ICD-10 codes, and they are always changing. Our team maintains an up-to-date list of all codes so your team can feel confident that they have the correct information. With our cloud-based system, any changes to codes are immediately accessible to your team without the need for software updates.
Medical coding teams can instantly find the codes they need for claims with our convenient last-used and most-used lists. Build a custom list of common codes based on your most frequent patient encounters to reduce time spent searching for the right one. As codes change, our team can help update these lists to ensure accurate coding for every claim.
Inaccurate insurance information is one of the top errors that leads to claims denial. Our system automatically verifies patient insurance twice, first when they schedule their appointment, then again right before the encounter. If there’s a problem, your team gets an alert to verify or update the insurance information before or at the time of the appointment.
We offer the industry’s best claims scrubbing services. Automatically check for thousands of common and uncommon claims errors before you send it off to payers. The system flags items for your team to verify or correct, and creates a worklist to help them quickly address any problems. Once it’s complete, supervisors can sign off on the claims submission electronically, submit the claims, and track them to reimbursement.
Mental and behavioral health services are increasingly important for overall patient health and well-being. But providing mental health services is also a challenge for many primary care practitioners. In recent years the volume of billable mental health codes has increased, and the parameters for providing this care have also changed.
AdvancedMD medical coding and billing software for integrated health practices can help you properly bill for services to minimize the risk of errors that result in rejected or denied claims.
Integrated health practices often include a mix of payers—from those with comprehensive coverage for a wide range of mental and physical health services, to self-pay patients with little or no coverage. Our extensive invoicing and payment collections tools help you collect more of the revenue you earn with a streamlined billing process regardless of coverage.
For patients with insurance coverage, we offer electronic tracking to see the status of claims from the moment you submit until you get reimbursement. If a claim is denied, you’ll know right away and get a worklist for your coding and billing team to dig into the problem and get it resolved.
You can also create and send invoices to self-pay patients, or those with a remaining balance after the insurance payment. Design custom invoice templates to provide all the relevant information for your patients in a user-friendly format. Patients can scan and see what the bill is for, how much they owe, and how much (if any) was paid by their insurance carrier. Send invoices to your patients via email or mail, then follow up with reminder phone calls, emails, and texts to ensure prompt payment.
We also offer extensive online bill pay options. Our secure payment portal allows you to accept credit, debit, FSA, and HSA cards. Patients can also use it to set up payment plans for ongoing care or large balances. Payments are auto-debited from a checking or savings account at regular intervals until their account is settled.
Reporting tools in the AdvancedMD platform provide a comprehensive overview of your practice’s financial health. Set up automated reports to run at regular intervals, and have the reports delivered directly to the inboxes of key stakeholders within your clinic. We offer a wide range of predesigned reporting templates, as well as the ability to customize reports based on specific financial information you need. Reports are easy to read, with the ability to dig deeper on specific details as needed.
Get all the financial tools you need to optimize your practice with AdvancedMD.
Jed Shay, MD
The Pain Care Center
Keith Berkowitz, MD
Center for Balanced Health
Estaban Lavato, MD
La Loma Medical Center
Raju Raval, MD
Read the story ›