Emergency Medicine Billing Service

The AdvantEdge emergency medicine billing service starts by designing a billing process specifically for your practice, focusing on the most efficient and rapid means to acquire all needed information, with quality and integrity checks built-in. Meanwhile, a comprehensive review and update of credentialing (provider enrollment) information is conducted. Compliance issues and risks are highlighted and resolved throughout the process.



As claims are adjudicated scrubbed claims are sent to each of your payors. 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. Throughout this process, your practice has access to daily financial and operational summaries of these functions. 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.

At AdvantEdge, we pride ourselves in meeting each client’s specific needs, with consistently 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 control and visibility, including online “anytime, anywhere” access to your current financial performance.

Can your Emergency Medicine Billing Benefit from our Proven Results?

Performance

• Robust, State-of the Art, powerful 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

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+%

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

How an AdvantEdge Emergency Medicine Billing Service can Benefit your Practice

• Demographics captured via hospital downloads (HL7 and other)
• Emergency medicine Charge Capture including ECC, 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  Emergency medicine 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