Get medical coding right the first time for improved revenue cycle management, faster reimbursement and higher collection rates. Our coding software offers a comprehensive suite of tools to make medical coding simple and intuitive for solo to large group practices.
Coding is the backbone of any medical billing system, but these days it can be hard for medical coders to keep up with all the changes. Every year there are hundreds of new codes, code revisions, and deactivated codes, making medical billing difficult and cumbersome for even the most seasoned coding professionals. Errors in coding can lead to denied or rejected claims, prolonging your total days in A/R and making it harder to collect the full amount you are owed.
AdvancedMD offers simple and intuitive software to search for codes electronically, using numbers, keywords, acronyms, or abbreviations, and it can even search using misspelled words. Each code includes a detailed description to verify you are selecting the right one before including it in a claim.
Our digital search tools are quick and easy, helping you avoid time-consuming manual lookups in printed or PDF versions of codebooks. Our powerful software allows you to view codes by diagnosis, specialty, procedure, or number, and you can instantly see all the relevant codes that are available and pick the right one. No more guessing which codes will work best or hoping you got it right.
You can review all claims prior to submission with our integrated review screen, and quickly make edits before sending the claim for payment.
The save-and-store feature allows you to create a list of most commonly used codes for quick access, allowing you to pick from a short, manageable list for the majority of your claims. This helps speed up coding to get claims out to payors immediately, shortening your revenue cycle and improving collection rates.
AdvancedMD medical billing software includes a comprehensive set of all three major medical coding types
Current Procedural Terminology (CPT)
International Classification of Diseases (ICD-10)
Healthcare Common Procedure Coding System (HCPCS)
Each year the organizations that create medical codes come out with new codes, remove old codes, and revise some existing codes. As these changes are released, AdvancedMD automatically updates our coding software to include all the changes. Every update is managed centrally by our team so all you need to do is log on to have full access to the most accurate set of codes at all times. Our cloud platform is the ideal environment for a progressive billing and coding team.
We include quarterly updates for all of our clients, so you always have the latest codes to ensure speedy approvals and claims payment. Updates happen automatically, which means you’ll never need to purchase the updates or install codes from a CD again. Plus, your medical billing staff won’t have to spend hours combing through codebooks to try and find the right information before submitting claims.
Within every medical specialty, the key to maximizing revenue and collections is submitting clean, accurate claims. With more than 10,500 CPT codes, 6,700 HCPCS codes, and 70,000 ICD-10 codes – and hundreds of updates every year – it’s increasingly impossible for someone to stay on top of everything using manual lookup and printed codebooks. This software incorporates content from all the leading coding and reference books in a single place for streamlined coding workflows.
Every insurance payor also has its own rules on coding maintenance that you have to follow to get ‘clean claims’ through, and as billing rules change, the rate of rejection on claims often goes up. With every rejected claim, your revenue cycle slows down and staff have to do additional work to find the error and resubmit a claim, all of which impacts your cash flow. For most medical practices, capturing up to 70% of billed charges is the standard and it’s difficult or impossible to dedicate more resources to improve that percentage. Every claim that is denied for a minor error could mean lost revenue—money you should get paid for services you provided.
Sometimes it feels like a daily battle just to get paid for the care you provide and the work you do. The AdvancedMD medical coding software helps you and your team fight that battle, staying on top of all the changes, examining each of your claims for accuracy, and improving total revenue capture.
Errors can drastically impact your revenue cycle. In the best case scenario, your staff can quickly identify an error on a rejected claim and resubmit it, capturing most or all of the revenue. In the worst case scenario, your staff doesn’t have time to rework the claim, misses the deadline to resubmit, or is unable to identify the problem, and you have to write it off as bad debt.
The proprietary AdvancedMD Claims Inspector automatically checks every claim before it goes out. It compares the claim against current industry guidelines (including LCD, NCD, CCI, HIPAA, and LMRP edits), checks for minor errors in codes or patient data, and reviews rules and requirements specific to each payor. We’ve combined years of claims submission experience with a proprietary algorithm to alert you whenever there is a potential error.
The result is virtually error-free claim submissions and a predictable 95% or better first-time acceptance rate. It saves your team time and frustration and maximizes your collections to improve revenue cycle management.
Better medical coding results in higher revenue capture for medical clinics of all sizes.
Efficient back-end revenue cycle management starts with the claims process, where coders translate the services a physician provided (indicated in the EHR) into billable charges. Having knowledgeable medical billing staff is important, but perhaps even more critical today is having the right software tools at your team’s disposal so they can find the correct ICD-10, HCPCS, and CPT codes. Next, medical coders must ensure that each claim meets payor-specific requirements, which can vary widely. Finally, they have to verify patient data and insurance information on each claim prior to submission.
For many clinics, the sheer scope of work means some claims go out with errors, leading to claims denials and even more work to capture that revenue. A significant number of claims are denied after the first submission (as many as 5%, according to industry reports from the American Medical Association). As many as half of those claims are never resubmitted because staff are focused on processing new claims and finding the errors would require a lot of manual work and time they don’t have.
The truth is most errors in denied claims are preventable, and by eliminating minor mistakes you can significantly improve collection rates and boost your bottom line.
With a cloud medical coding software, you can stay ahead of all the rules changes, regulatory requirements, and implementation deadlines for HIPAA. As your software vendor, AdvancedMD is defined as a Business Associate, and HIPAA requires that we meet all the same patient privacy and data protection rules as your healthcare organization.
We take that role very seriously by:
As our partner, you’ll never need to worry about whether we are taking HIPAA compliance seriously and whether you are protected—we do all of this automatically and provide it free to every client with no software downloads, no upgrades or additional modules to purchase. We also provide training and educational materials to help keep you and your staff updated on any changes or new compliance requirements. You can find the full details in our Terms of Service.
When it comes to medical practice management software, the complicated maze that makes up revenue cycle management starts with scheduling and continues through the patient visit to billing and payment collection. Along the way are multiple steps that can affect your ability to code properly and capture as much revenue as possible. Streamlining your revenue cycle management means having a fully integrated suite of software solutions that seamlessly transfers data at each step. Integrated systems prevent the need for manual data transfer, eliminate costly errors, and speed up the process from patient visit to collection.
We know coding and billing is complex and frustrating, but at AdvancedMD we’ve got you covered. Find out more about how our medical coding software and our full suite of integrated solutions can improve your clinic’s revenue cycle management today.
Jed Shay, MD
The Pain Care Center
Keith Berkowitz, MD
Center for Balanced Health
Estaban Lavato, MD
La Loma Medical Center
Raju Raval, MD
Read the story ›