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Efficient claims processing tools

AdvancedMD offers the tools you need to process claims, collect payments, and track practice finances for independent plastic surgeons and small- or medium-size group practices. Some plastic surgery procedures are covered by insurance, and for those claims AdvancedMD offers a convenient and simple tool for creating, submitting, and processing claims.

Insurance verification

Errors in insurance coverage, such as expired policies or patients who have changed insurance in the last little while, are one of the most common reasons for a claim to get denied. Check for valid insurance information at the time of scheduling with our automated insurance verification tools. You can also find out whether you will need preauthorizations for covered plastic surgery services.

Claims scrubbing services

We lead the industry in claims scrubbing, providing you with the best option to submit clean claims to payers. The tool checks for more than 3.5 million potential errors before you send claims in. Your team gets a simple worklist to prioritize corrections and edits, and the end result is a higher-than-average first-pass resolution rate on your claims.

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ERA claims tracking

Electronic submission for claims is one of the best ways to ensure timely reimbursement. With AdvancedMD the entire process is simple. You can collect all the necessary documentation electronically, including EOBs and notes from the EHR. Your staff won’t have to upload, download, or scan and enter any information to prepare the claim. Once you send it, you can track the entire claims process through to reimbursement with our convenient ERA tools.

Automatic payment matching

Our payment system automatically matches reimbursements with outstanding invoices so your team won’t have to take the time to manually connect payments with existing balances on patient accounts. If payments don’t match any outstanding invoice, the software creates a worklist for your staff to identify which payments need attention and address them quickly.

Extensive options to support self-pay patients

Unlike other medical specialties, plastic surgery clinics can have a high volume of patients that opt for self-pay, either because they don’t have insurance or because cosmetic procedures are not covered by traditional medical insurance plans. When you have self-pay patients, we make it easy to manage these along with your payer claims processes to create a seamless revenue cycle management system for a healthy bottom line.

We offer several tools to make it easier for your patients to pay for cosmetic procedures, including:

Cost estimates up front:
Provide customers with an estimate or an exact procedure cost before they begin. When patients know what their financial responsibility will be, they are more likely to pay the bill in full compared to those that get a surprise bill later for an amount they have never seen before.

Deposits and customizable payment plans:
Help patients pay for procedures by offering flexible and convenient payment plan options, including accepting deposits up front and structuring payments over time in smaller amounts to pay off the full balance.

Online bill pay:
Patients can pay for their entire procedure online with a credit or debit card or using an FSA or HSA for costs that are covered under those programs. The convenient and secure portal allows patients to pay in full, pay a partial balance, or set up an automatic withdrawal from their account each month on a payment plan.

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Ongoing support & software updates

Keep your medical coding and billing software up to date at all times with the latest ICD-10, CPT, and HCPCS codes for plastic surgery services. Whenever there is a change to these codes our team updates it in the AdvancedMD system and pushes those changes out to your software immediately. With a secure, cloud-based SaaS platform you never have to worry about whether you have downloaded the latest medical coding changes.

We also monitor constantly for cybersecurity threats and make sure your software always has the latest patches and protection. You get the same level of protection that large hospital systems with massive IT teams have, but without the need to hire your own internal IT security team.

Complete financial reporting tools

Keep an eye on your practice finances with simple tools from AdvancedMD. We make it easy for practitioners to stay current on RCM while still devoting plenty of time and attention to patient care. With our tools you can quickly view practice income and expenses in easy-to-read charts that show trends over time.

Make better decisions with accurate and up-to-date information about where you’re at financially with our reporting tools. Set up automated reports to run and get the information sent directly to the inboxes of your key stakeholders, administrators, managers, and executives.

See a demo of our financial tools today

Make the most of your billing and coding with software from AdvancedMD. Get a demo today to see how our software improves the revenue cycle management process for plastic surgeons and discover why so many independent and smaller clinics trust us for their financial software.

“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

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Raju Raval, MD

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