Specialty Billing Services

 

Our Specialty billing service starts by creating a billing process tailored to your practice, focusing on the most efficient and expedient means to obtain all needed information, with built-in quality and integrity checks.  At the same time, we conduct a comprehensive review and update of provider enrollment/credentialing information. Compliance issues and risks are emphasized and resolved throughout the process.

 

 

Accurate bills are sent to each of your payors within 30-90 days, and your practice has access to daily financial and operational summaries. As claims are adjudicated, payments are posted and denials are automatically directed to the proper AdvantEdge expert for rapid resolution. Secondary claims and patient balances are automatically billed at the time the primary payment is posted.  Every day our accounts receivable experts  review and analyze all other outstanding payor and patient balances

 

An AdvantEdge client manager partners with your practice throughout implementation and after; and is always available to your practice to answer billing questions and as a practice management resource.

 

If your current Specialty billing company isn’t exceeding your expectations, ask us to show you why AdvantEdge is different. At AdvantEdge, we take pride in meeting each client’s specific needs, with constantly strong net collections and A/R performance. This “outsourced” (i.e. your work is done by our employees on your behalf) billing reduces your fixed costs, while you retain visibility and control of your practice, including online “anytime, anywhere” access to your current financial performance.

 

Can your Specialty Billing Benefit from our Proven Results?

Proof:

  • Collections up 5 to 50%
  • A/R days outstanding reduced by 7 or more
  • Denials down up to 90%
  • Achieve net collections of 95+%

Productivity

  • You focus on clinical matters, not the “back office”
  • Reduce staff and overhead costs

Performance

  • Advanced, robust tools and technology guarantee service to billing intervals in hours or days, not weeks
  • 99% of claims are processes electronically
  • Real-time, comprehensive reporting
  • Visibility and control for your practice

People

  • Certificated, trained, and ready to meet your unique needs.
  • Responsive service
  • Expertise
  • Confidence

Process

  • Streamlined and fully compliant workflow means
    • Expedient, efficient claims processing
    • Fewer denials, faster denial processing
    • Automation of routine tasks
    • Reduced compliance risk

    Partner

    • Solutions tailored to the specific needs of your practice
    • An extension of your practice
    • Advisor
    • Payor contract negotiations
    • Credentialing
    • Industry expert in regulations, coding, compliance

     

    How AdvantEdge Specialty Billing Serves your Practice

    • Demographics captured via hospital downloads (HL7 and other)
    • Multi specialty Charge Capture including ECC and EMR interfaces
    • Reconcile charge batches
    • Daily electronic filing of medical claims
    • Electronic Payer Remittance (ERA)
    • Payment Posting with Daily Reconciliation
    • Flexible Patient Statements
    • Patient portal
    • Lockbox, other Banking Arrangements
    • Rapid Follow-Up with Payers, Patients
    • Denial Management
    • Expected vs. Actual Reimbursement Analysis
    • Compliance Plan and Program
    • Powerful Specialty Billing System
    • Line Item Posting
    • All transactions fully journaled
    • Customized Reporting
    • Web-based dashboard with daily financial results
    • Client Management Expert Assigned to each Client
    • Chart auditing, credentialing, payer contracting, HR, Accounts Payable options and more

Latest Tweets

    • Loading tweets...