OB/Gyn Billing Services

At AdvantEdge our OB/Gyn billing services start by designing a billing process specialized for your practice. The processes focuses on the most efficient and quick ways to acquire all needed information, with quality and integrity checks built-in. At the same time, a complete review and update of credentialing (provider enrollment) information is conducted. Compliance issues and risks are highlighted and resolved throughout the process.

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  • Accurate bills are sent to each of your payors within 24 hours of posting your charges, ensuring that all billings are filed with the payors within their designated filing limit.
  • As claims are adjudicated, payments are posted and denials are automatically routed to the proper AdvantEdge expert for rapid resolution.
  • Secondary claims and patient balances are automatically billed.
  • Outstanding balances with payors and patients are analyzed daily with each exception assigned to the appropriate accounts receivable expert.
  • An AdvantEdge client manager works with your practice throughout implementation and after; he or she is available to your practice at any time to review questions and as a practice management resource
  • And your practice has access to daily financial and operational summaries of these functions.
AdvantEdge pain management billing technology links directly to hospital and other systems. Paper records are scanned at your point of service directly to our certified coders for immediate attention (24 hour or faster turnaround). AdvantEdge pain management workflow optimization assures that data is entered faster, with fewer errors. Sophisticated software automation streamlines and accelerates the entire billing cycle.

Can your OB/Gyn billing benefit from our Proven Results?

Proof

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

Performance

  • Robust technology and tools mean service to billing intervals in hours or days, not weeks
  • Process 99% of claims electronically
  • Comprehensive Real-time reporting
  • Visibility and control for your practice

Productivity

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

People

  • Trained, certified, and ready to meet your unique needs.
  • Expertise
  • Confidence
  • Responsive service

Process

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

Partner

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

How AdvantEdge OB/Gyn Billing Serves your Practice

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