Tribal Health Billing & Coding Software
The right medical coding and billing software helps you create a thriving tribal health practice and efficiently manage your entire revenue cycle.
Data sharing is one of the most important aspects of a clinical billing and coding software system. Systems that are not connected require several additional steps to either manually enter data in after each patient encounter, download information from another system and upload it into your billing software, or through APIs that aren’t always seamless for sharing data.
With AdvancedMD all the information for every patient encounter is transmitted securely from our cloud-based database as soon as it’s ready for coding and billing. Your billing team has all the necessary information to create an accurate claim without wasting any time. The software is housed on the world’s most secure platform, Amazon Web Services (AWS) so you can always feel confident that your patient information and sensitive claims and financial data are protected.
Your coding and billing team has enough on their plate trying to get claims out the door in a timely manner to get reimbursed for healthcare services. With our medical coding and billing software for tribal clinics they can take even more of those time-consuming administrative tasks off their to-do lists. Our software eliminates several of the most time-intensive processes in claims submission and revenue cycle management.
Create custom settings to show the most-used or the last-used codes to quickly access common codes for frequent treatments offered in your clinic. Our search features also make it easy to find codes that are new or less common, with an intuitive interface and algorithms that make searching and finding the right information simple.
ICD-10 and CPT codes are continually changing, and it is a lot for your small IT team to keep up with. When you use AdvancedMD for tribal medical coding and billing, our team will make sure the software always has the latest updates. Your team can simply log into our cloud-based server and feel confident that the available codes are the most up to date.
With AdvancedMD your coding team gets automatic suggestions for the most appropriate and accurate codes based on information in the patient’s record, including medical history, diagnosis, chief complaint, and encounter notes. Avoid the legal risks and concerns about overcoding, or the financial consequences of undercoding and not collecting as much reimbursement as you are due based on the clinical services provided.
Even with all the tools built into our tribal coding and billing software system, there may still be a few errors in your claims. Our industry-leading claims scrubbing service catches most of these issues before your claims ever go to payers. The software creates a simple worklist for your billing team to find and correct these errors, then submit clean claims. Our first-pass resolution rate is well above industry benchmarks to help you get claims through faster and avoid the hassle and extra work of denied claims your team has to rework.
We also speed up the payment process for patients by making it easier to access billing information and submit payments securely. Patients can pay online or through their patient portal with credit, debit, FSA, or HSA cards. Payments are encrypted with the same security as financial industry transactions to keep data safe from cybercriminals and hackers.
Providers can use our electronic remittance advice (ERA) tools to securely view and track claims online. Gather all the necessary information about a claim without any uploading, downloading, or faxes. Then the system automatically matches payments with outstanding balances and invoices so your team doesn’t have to spend time manually matching reimbursements. If there are any partial charges that don’t match, AdvancedMD software creates a prioritized worklist to help your team quickly address the issues.
Financial reporting is one of the most critical—and perhaps the least utilized—tools for improving practice health and efficiency. With AdvancedMD you don’t need to be a database expert to capture and report on key metrics that indicate financial health. Set up automatic reports to run at regular intervals from our software. Get results delivered straight to your inbox and the inbox of key stakeholders in your organization.
Create custom reports from scratch, or choose from some of the most common reports that other healthcare organizations use to measure key performance indicators (KPIs) related to revenue cycle management. Every report is beautifully presented with easy-to-read information that you and your team can decipher.
Tribal health clinics can learn more about how AdvancedMD is designed to meet the unique needs of your organization, with tools for small and independent clinics that care for American Indian and Alaskan Native populations. Learn more about our software by scheduling a demo today.
Jed Shay, MD
The Pain Care Center
Keith Berkowitz, MD
Center for Balanced Health
Estaban Lavato, MD
La Loma Medical Center
Raju Raval, MDRead the story ›