Nephrology Billing & Coding Software
AdvancedMD is an innovative software tool that brings powerful revenue cycle management to independent, small-group, and medium-size group nephrology practices
More accurate claims from start to finish
We designed our software for busy clinicians and administrators who want to improve the financial health of their clinic without getting in the way of other essential patient care and practice management priorities.
Claims accuracy is one of the most important things for every practitioner, but especially for small nephrology practices. Getting claims right the first time ensures that you can get reimbursed in a timely manner for the services rendered, and helps you maintain smooth cash flow over time. With AdvancedMD, you have all the tools you need to get complete, accurate claims out the door quickly. We offer:
Automated insurance verifications
Automatically check to make sure you have the correct and most updated insurance information for your patients at two key points in their care—when they schedule and again right before their appointment. If there’s a problem the system flags it so your team can contact the patient or insurance to clear it up before the appointment happens.
Real-time insurance eligibility checks
Verify that a specific treatment or plan is covered under the patient’s plan with real-time eligibility verifications. This is especially useful for patients who just switched insurance coverage, or who are undergoing newer or more experimental kidney treatments.
Industry-leading claims scrubbing services
Our software automatically checks for thousands of potential errors in claims, including common errors and things your team may not even know to check. If we spot an error, we’ll flag it so you can go back and correct it before you submit.
Simple worklists to correct errors
Process claims more efficiently with worklists that identify errors after claims scrubbing or after claims denials. Your staff gets a straightforward list of all the potential problems that they can methodically work through based on the highest priority claims so you never miss a deadline and have to write off claims as a result.
Batch processing to review & approve claims
When your medical coding and billing team is done with claims, send it for a final approval with a supervisor or administrator. We offer a streamlined batch approval process to move claims through quickly with just a few clicks.
Optimize revenue with powerful tools
Key stakeholders in your practice need the right tools to optimize the money you can bring in based on the services you provide. That includes:
- Speedy, accurate claims submission to avoid errors that delay or deny claims or missed deadlines
- Automated software to match payments from insurance or self-pay with outstanding invoices on a patient’s account
- Tools to send invoices and accept online payments from patients after insurance pays for what they will cover, or for self-pay patients with no insurance
Medical coding & billing data directly from the EHR
With a fully integrated database that shares information seamlessly across all the modules in the AdvancedMD software solution, your medical coding and billing team gets all the details they need to submit claims. The data is readily available straight from the EHR, with no uploads or downloads, and no manual data entry that is often the source of claims errors.
The right codes every time
Our software includes automatic updates for changes to CPT, ICD-10, and HCPCS codes. Your staff never has to worry about whether they are using the most relevant codes on each claim. Additionally, medical coding and billing team members can use features to create a list of most-used or favorite codes for common encounters. They can also use our “suggested codes” feature to see what the software recommends based on information in the EHR. This prevents upcoding that could get your practice in trouble, or downcoding that reduces your revenue.
Comprehensive reporting for practices of all sizes
A healthy practice starts with the right information. Give your providers and administrators access to the latest practice data in easy-to-read reports that go directly to the inbox of key stakeholders at regular intervals. Track all the most important metrics that affect clinic finances, including:
- First-pass resolution rates
- Total patient visits and no-shows
- Net collection rates
- Claims denial rates
- Days in accounts receivable (A/R)
- Bad debt write-offs
You can customize reports for unique or specific metrics you want to track and improve upon. Our software makes it easy to choose from hundreds of predesigned reports that other nephrology clinics use or create something entirely unique. Our team of software experts can even help you build your custom reports if you’re not sure how to do it on your own.AdvancedMD also provides all the tools for specific quality program reporting for:
- Accountable care organizations (ACOs)
- Next-generation ACOs
- Kidney Care Choices (KCC) models, including CKCC and KCF
- Meaningful Use (MU)
Schedule Your Live Demo
Get a demo of our software to see how helpful our medical coding and billing tools are for small or independent nephrology practices. Schedule a time to see it in action live, or watch one of our recorded demos.