You have flexibility of in-house billing or revenue cycle management services. Take control over revenue collections and financial outcomes. Get help during transitionary times: startup, staff turnover, growth, or simply just to tighten up your books.
When considering how to manage your medical billing, practice administrators must weigh the pros and cons of employing and managing in-house medical billing and coding versus working with an outsourced team with expertise and capabilities for high performance collections. Either option can help you achieve exceptional financial results. Our robust medical billing software gives you end-to-end claims management within a single platform for verification, claims scrubbing, review, submission, and collections.
You choose what works best for your practice, and improve your efficiency with our powerful medical billing tools to process claims accurately and automate ERAs.
We can react quickly to the needs of your medical practice. Offload tasks such as unpaid claims, exclusions, denials, appeals, payment posting, and patient billing.
Our billing experts and robust software help you collect more revenue, faster. Streamlined workflow and automation reduce labor and headaches.
Our medical billing software includes all the latest revenue collections features to manage the entire billing process with high levels of automation and data availability. One main advantage lies in the unification of all AdvancedMD products. Our EHR software offers seamless coordination of charge capture automatically pushed into our billing platform. Our clearinghouse automates manual processes to improve workflow by easily connecting you to 1,800 major payors. Achieve higher claim acceptance and higher reimbursements with automation tools that review claims for accuracy prior to submission to improve reimbursement rates. Large group practices can also streamline billing for multiple providers and sites with our Central Billing Office.
Opting for AdvancedMD RCM services means outsourcing your revenue cycle management to a specialized team that can partner with you to leverage our platform’s full billing and collections capabilities. Our RCM team can handle most of your billing tasks like claims submission, appeals, collections, statements, and includes a dedicated US-based patient call center. Our team of RCM experts taps into our advanced technologies and analytics to create meaningful reports for complete visibility on your performance and trends. That way you can focus more on patient care, knowing that a dedicated team is navigating the complexities of medical billing on your behalf.
| Do my own billing with in-house staff | Have AdvancedMD do billing for me | |
|---|---|---|
| Software | Practice management with scheduling and reporting. Optional EHR and patient engagement. | Scheduling and charge capture. Optional EHR and patient engagement. |
| Insurance Verification with eEligibility | Run daily batches and on-demand checks. | Daily batches are run one business day prior. |
| Charge Capture | PM, EHR, and simple charge capture push charges to your staff. | PM, EHR, and simple charge capture push charges to RCM team. |
| Coding | Performed by your staff. | Performed by experienced medical coder (certified preferred) on your staff. |
| Claims Scrubbing | Performed by your staff using software that includes the extensive Optum knowledge base of third-party industry edits. | Performed by your staff using software that includes the extensive Optum knowledge base of third-party industry edits. |
| Claims Management | Performed by your staff. | Performed by our RCM team. |
| Claims Submission | Performed by your staff. | Performed by our RCM team. |
| EDI Agreements | Performed by your staff with 90-day deadline to complete. |
Performed by our RCM team and your staff (no extra cost). |
| Claims Status Follow-Up | Performed by your staff. | Performed by our RCM team. |
| Follow-up on Denials | Performed by your staff. | Performed by our RCM team. |
| Manage Appeals | Performed by your staff. | Performed by our RCM team. |
| Denial Trending | Performed by your staff. | Insights provided in visual reports by our RCM team. |
| Payments & Posting | Performed by your staff. | Performed by our RCM team. |
| Patient Collections | Performed by your staff. | Performed by our RCM team. |
| Patient Call Center | Performed by your staff. | Performed by our U.S.-based call center team (in states where permitted). |
| Statements & Postage | Performed by your staff or one of our integration partners (extra cost). | Sent electronically and physically by our RCM team (no extra cost). |
| Manage Patient EOB requests | Performed by your staff. | Performed by our U.S.-based call center team. |
| Dedicated Account Manager | Available to our larger enterprise clients. | Specialist assigned with expertise in your specialty and payor mix. |
| General Reporting | Software included and performed by your staff. | Basic reports provided in frequent intervals. |
| Advanced Reporting & Analytics | Available for expanded financial and business intelligence (extra cost). | Deeper insights and trending provided in frequent intervals (no extra cost). |