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Better revenue cycle management for pathology clinics

Most medical coding and billing software systems are built for clinical services. With AdvancedMD you get all the functionality that comes from these clinical systems, but with the features specific to running a pathology lab. The right coding and billing software will improve your operations and cash flow so you can run an efficient and effective pathology service and provide better ongoing care. Our system is a comprehensive solution that brings together all your revenue cycle management in a single place. Take control of the process with pathology coding and billing software that meets your specific needs as an ancillary service in medicine.

Dashboard views for operational efficiency

The AdvancedMD pathology dashboards make it easy for your administrators, pathologists, and key stakeholders to see exactly what is happening in your revenue cycle. You can customize the dashboard view to identify areas of operational efficiency or areas where there are bottlenecks and challenges.

Improved revenue cycle reporting tools

With AdvancedMD you get all the information you need to improve and streamline your entire revenue cycle management process in a pathology lab. You can track financial indicators, including days in A/R, outstanding claims, first-pass resolution rate, and more than help you see a clear financial picture. Share that information with your leadership team with simple and automated reporting tools. Financial reports go directly to your inbox in an easy-to-read format so everyone can stay on the same page.

A better claims process from start to finish

The claims process is the lifeblood of your pathology services. AdvancedMD makes it easy to keep your claims process running smoothly so you can collect maximum reimbursements for the pathology services you provide and maintain a healthy cash flow at all times.

Quick access to pathology codes

Help your billing and coding team process pathology claims faster with our search features in AdvancedMD billing and coding software. Team members can find pathology codes that they recently used or the most-used codes. Or they can sort all the CPT and ICD-10 codes to find only pathology codes, helping narrow down the list of possible codes from the thousands that are available to find the most accurate one.

Electronic claims processing

Process all your claims electronically with our simple claims submission tools. Remove the unnecessary steps, manual work, and paper processing from your workflows with our eRemittance tools. Every claim that you submit goes through our automated scrubbing service to identify errors, then goes straight to the payer for processing.

Eligibility checks

Check patients’ insurance information and make sure they have the appropriate preauthorizations for the pathology services that the physician ordered. It also verifies patient insurance prior to a pathology lab appointment so you know you have the correct information for billing the services once they are complete. If there is an issue with a patient’s insurance, the system will flag that and create a worklist for your staff to follow up prior to the appointment to get the correct information.

Claims scrubbing

We use an industry-leading claims scrubbing service to check every claim before it goes out the door. With claims scrubbing we check for millions of potential errors, then flag any issues with a simple worklist. Your team can double-check the information and make sure it’s correct before submitting any claims to the insurance provider. This helps you avoid costly claims denials that can slow down reimbursement for pathology services.

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Claims review

If you have new team members on your billing and coding team, or just want to make sure that you are submitting clean claims, use our claims review process. Supervisors can check the claims information, make minor edits immediately, or create a worklist of tasks for a coding and billing employee to review. When you’re satisfied that your pathology claims are ready to go, you can approve and process the entire batch with a single click.

eRemittance

Check the progress of your claims at every stage with our eRemittance tools. Submit all your information electronically to payers, then see the status in real time. Find out quickly if there is a problem and identify when payments arrive for specific claims. The system automatically matches incoming reimbursements with outstanding invoices, so your team doesn’t have to do any manual work.

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Schedule your demo today

Learn why so many independent pathology clinics trust AdvancedMD for their billing and coding software by scheduling a live demo to see the software in action today.

“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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