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Access to pertinent billing information in one place

In medical billing, time and accuracy are the two most important things to get claims out the door. Having all your information in a single place ensures that your medical coding team can move claims out the door as quickly as possible.

AdvancedMD stores information in one centralized database hosted on the Amazon Web Services (AWS) cloud platform. This unified architecture enables fast, secure, and reliable software and data access to everyone involved in the patient’s care. Starting with the scheduling office, through the patient encounter, and on to the medical billing and coding.

Using separate systems that are patched together with APIs or requiring staff to manually transfer information between systems creates more opportunities for error.

Even small errors or missing information can:

  • Significantly slow down the claims process
  • Require medical billing staff to spend extra time tracking down information
  • Result in claims denials if your team doesn’t catch errors prior to submission

Reduce Errors & Improve Cash Flow

Errors in medical coding and billing slow down your revenue cycle. They can be the difference between a healthy practice cash flow and significant financial challenges. Errors in claim submissions are costly and require a lot of extra work to find the problem and resubmit them to insurance payors.

There are also limited timeframes to rework and resubmit incorrect claims. When you have a lot of denials, overworked or understaffed medical billing offices can quickly get behind. This leaves you with unpaid bills and the choice to either bill your patients for the difference or write them off as bad debts.

Finding errors on the first pass and correcting them improves cash flow and reduces costly and time-consuming denials. AdvancedMD claims scrubbing features check all your claims before they go to payors to find common errors, such as:

  • Errors or misspellings in demographic information (name, date of birth, sex, etc.)
  • Missing or incorrect insurance information
  • Incorrect coding or coding that is not specific enough (not coded to the highest level)
  • Outdated coding (not using updated CPT or ICD codes)
  • Missing documentation to back up coding
  • Claims not submitted on time
  • Errors in global billing vs encounter billing

Address Unique OB/GYN Billing Challenges

One of the biggest challenges for OB/GYN providers is ‘global’ billing. All aspects of treatment from the time a pregnancy is confirmed through postpartum care—which can last as long as a year—is billed in a single insurance claim. There are few other instances in medicine where a treatment plan lasting this long would be billed as a single diagnosis.

OB/GYN practices must have accurate records and carefully track what happens with each patient in order to bill for the pregnancy and childbirth encounters. Reworking claims denials for global billing claims means going through months of notes, diagnoses, and codes to find errors and resubmit.

What is included in each global billing group can also differ significantly from one payor to the next. OB/GYN practices need expert coding and billing professionals, along with advanced medical billing and coding software to ensure accuracy.

AdvancedMD medical billing and coding software is specifically designed with the needs of specialty practices like OB/GYNs in mind. Our software developers consult with practitioners to understand the needs of independent clinics and small group practices so we can create software that makes billing easier and more efficient.

Track Payments from Payors & Patients

High-deductible health plans are also changing the billing process for OB/GYN practices. Patients with these plans must cover a higher portion of the bill before insurance payments kick in to cover the balance of the costs. Insurance coverage used to represent the majority of collections, and many would even write off some or all of a patient’s balance rather than go to the trouble of trying to collect. Today patient billing represents a significant portion of overall collections, especially for an OB/GYN practice, so providers must have billing software that tracks both patient and payor responsibility accurately. Being able to bill secondary insurance is a bonus.

AdvancedMD billing software helps you carefully track each patient’s billing history so you can quickly identify when they meet their deductible. Timely patient collections are essential to healthy practice finances. The longer it takes to collect on patient (and insurance payor) balances, the less likely you will be able to collect the entire billed amount.

With AdvancedMD OB/GYN billing software:

  • You can send patients information about their payment responsibilities in advance to allow them the chance to pay when they complete electronic check-in
  • Patient responsibility is clearly visible to front desk staff at the time of the appointment, allowing them to collect some or all of it up front
  • Advanced tracking and reporting make it easy to see what portion of a bill should go to the patient and what should go to the payor
  • Unified EHR makes it easy to transfer documentation and coding information to your billing team without uploading, downloading, transferring, or manually entering information
  • Shortening the time between the encounter and the billing increases the chance that you will collect more of the total billed charges

Advanced Reporting Tools

Reporting tools are also an essential part of billing. Keep track of your accounts receivable and other critical financial information for your practice with our advanced suite of reporting tools.

  • Dynamic dashboards allow you to see exactly the OB/GYN medical billing and financial information that you need in your role as a provider, office manager, or billing staff member.
  • Recently run reporting log gives you quick access to the most frequent reports used in your practice.
  • Report generator allows you to build any report you need to share with physicians, stakeholders, executive team members, and medical billing staff.
  • Advanced analytics provides insight into the numbers on each report so you can actually use them to make better strategic decisions for your practice.

Reporting and Analytics

“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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“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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