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Cleaner claims submissions for faster payment

AdvancedMD is the best software to help you navigate the unique financial model of an ophthalmology practice, which includes both traditional claims billing for medical services as well as retail sales in a single office. Our billing and coding software will help you manage both together so administrators, physicians, and key stakeholders can optimize financial health.

One of the biggest challenges for ophthalmology clinics (and all medical offices) is getting clean claims submitted to payers in a timely manner. Claims that have errors are denied, so your medical coding and billing staff has to spend time figuring out the error, reworking the claim and submitting it again—all within a very tight deadline.

With AdvancedMD you get the tools you need to submit clean (error-free) claims, avoiding the wasted time and lost revenue from denied claims. Our industry-leading claims scrubbing service provides a first-pass resolution rate of more than 95% so your team can submit claims and you can get maximum reimbursement for the services you provide.

Automatic insurance verification

One of the most common errors that can lead to denied claims is a problem with the insurance information. Our software automatically verifies a patient’s insurance at the time they schedule, then you can set it up to run the verification again right before the appointment. If there’s an error your team gets a worklist to contact patients prior to arrival and get their insurance information corrected.

Fully integrated database

Another common error that leads to claims denials is errors in patient demographics or encounter data. When you have the full suite of AdvancedMD software solutions you get a single database that connects your practice management, EHR, and medical coding and billing systems together. Your team can skip the time-consuming manual data entry or downloading and uploading information to transfer it between systems that also presents opportunities for data errors that slow down payment.

Easy-to-find ophthalmology billing codes

Use our convenient search features to find the right ophthalmology billing codes for each encounter. Select from most-used or last-used codes for your commonly billed charges. The system can also recommend potential codes based on the information in the patient’s EHR. AI algorithms and machine learning tools can identify better or more accurate codes that help you avoid overbilling or underbilling.

Claims review & scrubbing services

Automatically review every claim before it goes to your payers. Our software can flag more than 3.5 million potential errors in coding, patient data, insurance, and more. It creates a simple worklist for your billing staff to address, then they can send out correct claims that are more likely to get reimbursed quickly.

AdvancedMD also has a claims review feature where supervisors or administrators can quickly check and edit claims, especially when you have new medical billing staff or notice a higher-than-normal amount of errors. As soon as claims are ready to go, just approve and submit the batch with a single click.

Digital revenue cycle management

With AdvancedMD you can say goodbye to managing your revenue cycle process on paper or with Excel spreadsheets. Every claim is submitted and tracked electronically so you always know exactly what’s happening with your RCM. Our tools include:

eRemittance (ERA)
upload, export, receive, match, and double-check your claims all in one place. The software helps you match EOBs with patient billing, pull all the information together electronically, and send it to payers.

ERA tracking
after submitting your claims, you can track them digitally through the entire process. If there is an issue, the system can flag it for you and create a worklist for any denials that come back.

Charge matching
our ERA software automatically matches reimbursements with charges on a patient’s account. Your team won’t have to do the tedious work of manually matching charges, and you can post the payments with a single click.

Simple setup
AdvancedMD helps you set up payer electronic data interchange agreements with our industry-leading clearinghouse so you can quickly start using the software.

Convenient payment options

With AdvancedMD you get all the features and functionality you need to bill insurance payers for clinical services. Our software also includes the capabilities to set up retail payments for in-office sales of things like corrective lenses, sunglasses, and other eyewear and vision purchases. The platform also has features to accept online patient payments for outstanding balances and self-pay services.

360-degree reporting

AdvancedMD ophthalmology medical billing and coding software has all the tools you need to create comprehensive reports to stay on top of your clinic finances. Get high-level financial information on a convenient dashboard to see what’s happening with your revenue cycle management at all times. Then dive deeper with advanced reporting tools for insight into every aspect of your practice. Customize reports to see exactly the information you want, and have them delivered right to the inboxes of key stakeholders within your clinic. Choose from hundreds of predesigned reports, or create your own with the help of our IT team.

Get a demo of AdvancedMD ophthalmology software today

Schedule your demo to see our medical billing and coding software for your ophthalmology practice and discover why so many independent clinics choose our platform.

“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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