Billing Services

Pathology Billing Services

AdvantEdge provides comprehensive pathology billing services, coding, and accounts receivable management. Incredible technology, expert staff, and rigorous workflows optimize your practice, lab or hospital department revenue and cashflow.

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Do you face the following issues?

  • Collections are below expectations.
  • Days in A/R are above 40.
  • Billing staff turnover is too high.

AdvantEdge helps pathology practices and departments solve these problems every day.

Do your Current Pathology Billing Services Exceed Expectations?

Practices and departments using other pathology billing services often tell us:

  • Information isn’t available and/or is difficult to get
  • Reports don’t have the details needed to measure their performance
  • The account manager hasn’t been seen in months

While none of us are perfect, at AdvantEdge we operate with a ClientFirst philosophy which means we strive to view the world through your lens and respond accordingly. One result is that we provide complete visibility and transparency into our work.  We have many communications channels: coding feedback, compliance training, process improvement suggestions, and our AdvantEdge Analytics (A2) dashboard that provides “anytime, anywhere” access to exactly what we’ve processed for you every day.

If your current pathology billing services aren’t delivering the results you desire, call us at 877-501-1611 to learn how you can do much better.

Efficient and Effective Pathology Billing Services

Your hospital ADT, LIS and other systems are linked directly to AdvantEdge billing technology. When some or all information is on paper, AdvantEdge workflow optimization means your data is entered faster, all with fewer errors. Software automation speeds the entire billing cycle.

You get:

  • Fewer days in A/R.
  • Service to billing intervals measured in hours, not days or weeks.
  • Increased collections from more accurate and comprehensive billing—all fully compliant.
  • Reduced billing costs.

Is your in-house billing delivering what you need? Efficiently?

Many practices and hospitals do their own coding and billing, either with a dedicated team or as part of a hospital billing team or CBO. These operations can be effective as long as investments in billing technologies are kept current and staff members are well trained. But we often see problems that reduce effectiveness, and therefore cashflow. These include:

  • Staff turnover
  • Outdated or inflexible systems
  • Limited reporting capabilities

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Even if these issues are not present, there are often cost issues that need to be evaluated. Staff costs increase from year to year as salaries, benefits and other overheads continue to rise. At some point, it is imperative to analyze the fixed (and increasing) expenses of in-house pathology billing vs. the downward trend in reimbursement. In contrast to the fixed expenses of an in-house operation, AdvantEdge billing services represent a predictable, variable cost that is directly proportional to your revenue. Of course, you retain complete control and visibility, including “anytime, anywhere” access to current financials. And you gain an expert coding and billing partner.

You can get a comprehensive view of current coding and billing effectiveness and costs with the AdvantEdge Financial Review: a thorough, unbiased analysis of current results versus benchmarks. It assesses where revenue can be improved, costs reduced, cash flow accelerated and where there may be compliance risks. Call 877 501-1611 today to schedule yours!

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AdvantEdge pathology billing services include

  • A comprehensive Interface Engine to obtain demographic information and pathology reports from ADT, RIS, EMR and other systems.
  • Sophisticated Production-Edge technology (if required for paper information).
  • Computer-assisted procedure and diagnosis coding supported by AdvantEdge Certified Coders.
  • Billing by experienced AdvantEdge staff.
  • Claims scrubbing.
  • Payment and EOB posting.
  • Accounts receivable management.
  • Denial management.
  • Contract management (e.g. monitoring underpayments).
  • Patient billing.
  • Patient web portal.
  • Referral to collections agency and posting of collections received.
  • A formal refund process.
  • Comprehensive daily, weekly and monthly reporting.
  • Anytime, anywhere access to the InfoEdge dashboard and all reports.
  • Formal, comprehensive compliance program.
  • As required:
    • Credentialing (enrollment) services.
    • Managed care contracting.
  • Physician feedback and education on coding, compliance and other industry trends.
  • ClientFirst account management and support.