Hospital Billing

Hospital Billing for Physician Providers

Many hospitals employ physicians and that trend continues to increase as health systems and hospitals prepare for “accountable care” and payment reform. An important, and challenging, part of the hospital’s role is to ensure that it is being fully reimbursed for the work done by its physicians and related providers. The challenge arises because the requirements for professional (physician) billing and coding differ dramatically from those for hospital¬†billing and the hospital’s billing staff may not have the skills, or the time, to do both types of billing. In many cases, the result is that physician billing gets short shrift, since it represents a fraction of the hospital component.

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When a hospital needs to ensure that it is collecting every dollar owed for its physicians, it can turn to the physician billing experts at AdvantEdge. The company has over 40 years experience billing for hospital-based physicians with a track record of increasing collections in virtually every case. This is because AdvantEdge systems and workflows are designed and optimized to deal with complex hospital configurations, such as multi-specialty groups with one tax ID but the need to report separately for each specialty. AdvantEdge already works with virtually every hospital ADT and EMR system so there is no learning curve and no demand on the hospital IT department for support.

In most cases, hospital physician billing is done using AdvantEdge technology interfaced with hospital systems. This results in highly efficient and effective workflows and provides the hospital, department chairs, and staff with extensive reporting, dashboards and, where desired, business intelligence informatics.

In other cases, the hospital prefers to have the physician billing performed on its system, such as IDX, NextGen or Epic. AdvantEdge has dedicated teams for each system, each with deep training and expertise on the workflows and nuances of that particular platform.

While financial performance is always the priority, hospitals and their employed physicians also expect, and deserve, responsive and knowledgeable service. That is exactly what AdvantEdge delivers with its ClientFirst service: a dedicated Client Manager as the single point of contact and a full team of coding, charge entry, payment posting, denial management, A/R follow-up and reporting experts. At AdvantEdge, we strive to work in a partnership, “win win” environment with each hospital client. This includes customized workflows and reporting with personalized service.

In addition to comprehensive revenue cycle management services, AdvantEdge offers its hospital clients a full range of project-type services. For example, a hospital may need help to clear a backlog of coding work. Or it may need a coding audit performed. Similarly, there may be a backlog of A/R that needs to be worked. In these situations and many others, AdvantEdge is fully prepared to go to work today to solve the immediate problem.

Call AdvantEdge today at 877 501-1611 for more information or email us at