Specialty Medical Billing

Specialty Medical Billing

Is your group collecting every dollar it is owed from your current specialty billing? Are you getting the information needed to manage the practice and deal with ACO’s and “pay for performance” ? With superior service?

Specialty groups face unique challenges in today’s healthcare environment. The group has obligations to its patients and to its hospital partner(s). At the same time, each specialty has unique needs, requirements and priorities,  particularly true for coding and billing.

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At AdvantEdge, we recognize these challenges and work with the group as a business partner to solve them. We pride ourselves in being more than a billing company: our healthcare business management solutions empower your group to be successful today…and tomorrow.

So whether you need assistance with a coding project today or a complex ACO reimbursement solution for tomorrow, we have the resources ready to help.

Customized specialty billing, coding and practice management solutions
Your practice and hospital require—and deserve—a billing process tailored to your exact needs. Among many other capabilities, our solutions include:

  • Technical capabilities to easily interface with your ADT, EMR, charge capture and other systems
  • Flexible processes that fit to your workflow with special attention to when and where your staff and physicians want to be involved
  • A full range of practice management services, if you need them
  • AdvantEdge people available when and where you need them
Billing Performance that Matters: Results, Results, Results
You expect your billing partner to deliver strong collections, every day. The core AdvantEdge systems and operating processes have a persistent focus on this mission.Results can be seen in metrics such as Net Collections Rate (mid to high 90’s), Days in A/R (low 30’s), Days over 120 (under 10%) and Bad Debt % (under 3%). More significant, however, are the results that show up in your bank account: monthly cash collected. New AdvantEdge clients see more cash, with increased stability of cash flow.Learn more about how AdvantEdge delivers top-notch specialty billing results. 


Results and Information

Today’s practices and hospitals require increasing amounts of  information from their coding and billing and know that information needs are escalating every day.

In today’s world, that means the Quality Payment Program with the Merit-based Incentive Program (MIPS) which replaced Meaningful Use, and hospital quality metrics. It is clear that clinical quality and outcomes measures and payment information must be integrated—and not just for your group but for your group in partnership with your hospital(s), referring physicians and payors.In this healthcare environment, comprehensive informatics such as dashboards, data analytics, drill downs and, most importantly, the flexibility to adapt to the evolving requirements are required by practices and hospitals from their business partners.Unlike other specialty billing companies, AdvantEdge is also a technology company. That gives AdvantEdge the freedom to adapt quickly to ever-changing regulatory and customer requirements.  And our AdvantEdge Anayltics (A2) empowers our clients with leading informatics. Learn more about AdvantEdge specialty billing informatics.

Specialty Billing Partner

Our experience proves that the best medical billing outcomes occur when there is a strong and trusting partnership between your team and our team. This means information sharing, communications, and complete transparency. We promote and expect our customers to be involved in as much of the process as they wish.

At the same time, we want to relieve you of administrative burdens from your practice (learn more about specialty practice management services). We work with each client to achieve the right balance. We look forward to partnering with your specialty practice! Call us on 877 501-1611 to learn more.