Billing Software

Pathology Billing Software

AdvantEdge uses powerful pathology billing software that streamlines work for our staff through ease of use, automation of routine tasks, and reminders when followups are required. This equates to more time available to focus on and resolve complex cases and denials, enabling us to increase collections and improve A/R at a cost far less than internal billing operations.

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Some of the technical features are:

  • Our billing software links directly to your, LIS, ADT and other systems to download demographics and/or charge information
  • Electronic interfaces with all major payers mean that 99% of claims are filed electronically
  • Optimized pathology workflows submit claims electronically the same day a charge is entered and the batch verified.
  • Comprehensive claim scrubbing means that 99% of claims are accepted by payers on the first submission.
  • Payments are applied fast: electronically for carriers with automatic reconciliation and for others, using procedures optimized for each payer.
  • Secondary claims are filed the same day payments are applied from the primary payer, with the primary EOB attached.
  • Denials and other payer responses are automatically queued for A/R team member follow-up. Capitation adjustments are done automatically.
  • Denials are automatically routed to the right specialist for immediate attention.
  • A contracting module and analysis reports highlight underpayments for review by our A/R experts.
  • All transactions are recorded and fully journaled.

Powerful pathology reporting and dashboards

As an innovative technology-based pathology billing company, AdvantEdge offers industry leading dashboards, reporting and business intelligence capabilities, often referred to as “informatics.” From a client perspective, you have exactly the information you need, in the format you need and on time.

This approach is based on the AdvantEdge ClientFirst philosophy, meaning that we view every situation from the client’s viewpoint. One clear promise to our clients is visibility and transparency. For that reason, all forms of coding, billing and practice management data are readily available at any time.

The HIPAA-secureAdvantEdge Analytics (A2) dashboard provides a 12 month overview of Charges, Payments, Adjustments, and encounters/units. As a user, you can drill down on any of the data for more detailed information by payor class or individual payor, location, or physician for any time period. If you wish, sub-groups can be set up within a practice (e.g. by sub-specialty) and each sub-group’s information will be available for all of the drill downs. Any of the data can be exported to Excel at any time.

AdvantEdhe Analytics dashboard uses a powerful but flexible security system allowing each authorized user to see the data you specify, and only that data. For example, you can set it up so that an individual physician can see his or her information, but nothing else. Similarly, a location manager could see just their location information, etc.

The A2 portal is also where you may access your reports at any time.  Ad hoc reports and other HIPAA secure information can be sent and received in the same manner.