Hospital-based Pathology Billing

Many pathology groups work in a hospital setting which provides unique and differentiated support  to the group. But this also means a complex environment for billing and reimbursement since information is typically in several hospital system, beyond the direct control of the pathologist.

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AdvantEdge has over 30 years of experience coding and billing for hospital-based pathology services in mid-size and large hospitals. Our expert IT team knows how to deal with the hospital IT staff to get information from your LIS, the ADT system and other systems, as required (e.g. the hospital EMR). In addition, our team of hospital pathology coders and billers stays current with regulations and ever-changing payer requirements. They communicate regularly with client physicians and staff providing information on these changes, feedback on documentation, and compliance advice.

Hospital Pathology Billing Service: ClientFirst

Hospital-based pathology groups expect and depend more than basic billing and coding. First they need responsive service to address questions and opportunities that arise. Examples include payer reimbursement changes, hospital contract negotiations and potential ACO discussions. AdvantEdge ClientFirst service responds to these needs and many more. The AdvantEdge Client Manager represents our entire company and is available at any time to answer questions and to proactively provide information and insight about healthcare challenges that could affect your practice.  Most importantly, the Client Manager works as a partner with your pathology group.

Hospital Pathology Billing Analytics and Business Intelligence

The revenue cycle process is essential to capture financial information about a group and its operations, productivity and quality of services. Pathology practice leaders must have easy, hands-on access to this data in the form of reports, dashboards and downloads.  Our AdvantEdge InfoEdge dashboard gives you that access, providing up-to-date information on charges, adjustments, payments, volume, A/R and more.  Log on anytime to our easy-to-use, HIPAA-secure online portal with drill-downs, downloads and flexible time frames.

The InfoEdge portal also offers InfoEdgeBI business intelligence capability. This powerful tool allows AdvantEdge client managers to quickly identify bottlenecks, analyze trends, and answer payer and client questions. It provides customized recurring reports, flags when any metric exceeds a threshold and much more. InfoEdgeBI is also available to clients who wish to utilize its sophistication and power.

Contact AdvantEdge today

Hospital-based pathology practices looking for comprehensive billing solutions find them with AdvantEdge: consistently strong cash flow, personalized ClientFirst service and practice management information anytime, anywhere.

Call 877 501-1611 today to learn more.