Services

Appointment Scheduling

Efficiently initiates the process and improves patient balance collection. The integrated scheduler automatically displays outstanding balances, flags global days and special notices to improve collection at the time of service.

Charge Capture

On-line charge slips automatically populate directly from appointment scheduler. The on-line charge slips creates a successful reconciliation for charge capture and patient no shows. The on-line charge slip automatically populates patient information directly from the appointment scheduler and allows for different layouts depending on visit type and provider yielding the ultimate in flexibility.

Secondary Claims

We manage all payers and patient bills to get you paid appropriately. Secondary claims are processed automatically to ensure you are paid faster, with maximum allowable amounts due.

Patient Billing

We complete billing functions efficiently with respect and courtesy to encourage loyalty to you practice. While balances are collected with mutually acceptable repayment schedules.

Checks & Balances

We incorporate an advanced series of internal and external check and balances to ensure every visit and procedure is accounted for, billed, collected and every account balanced.

Claim Generation

Our data entry specialists work with industry-leading “scrubbing” technology to ensure claims are prepared correctly and processed against thousands of accuracy checks prior to submission.

Electronic Claims Submission

Most claims are submitted electronically, quickly, and efficiently to all payers through our clearing house. Rare-exception paper claims are mailed.

Payment Posting and Processing

All insurance payments that are approved for electronic remittance (ERA) or (EFT) are imported daily. Payments and denials are meticulously reconciled, reviewed, and resolved. We post, review, research, correct, and reprocess or appeal any denials to ensure correct and maximum reimbursement.

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Recovering Unpaid Claims

Our sophisticated technology aggressively detects unpaid or misadjudicated claims. Many practices or other billing services unknowingly lose significant amounts of reimbursement. We will follow-up on unpaid claims by contacting the insurance carrier within 30-45 days from submission.

Claims Follow-Up

Technology alone doesn’t get claims paid, but when combined with our claims recovery specialists, we are able to help succeed in the claims-lost, denial battle.

System Reporting and Analysis

Sophisticated reports keep you in total control, in real time, with key practice performance information to keep things on track and make your practice as profitable as possible. With more than 150 standard reports, and custom report services AdvancedMD gives you the detail and visibly you need to effectively manage the business side of your medical practice.