General Surgery Billing & Coding Software
Utilize the most flexible and convenient billing options to help surgical centers stay on top of reimbursements and maximize revenue.
Insurance eligibility & preauthorization checks
Our general surgery billing and coding software makes it easy to manage, track, and submit claims for payments while overseeing the financial health of your surgery practice to improve revenue cycle management.
One of the most common reasons that payers deny surgery claims is inaccurate or outdated insurance information. Our software helps you automatically check for insurance eligibility and accuracy at the time a patient schedules their surgery, then again right before the procedure. Your front desk staff can set up automatic batch checks for upcoming surgeries and eliminate time-consuming manual insurance checks.
You can also check to ensure that a patient has the proper preauthorization to move ahead with their surgery so you won’t encounter any errors or denials on the back end when it’s time to submit the claim for reimbursement. The system will flag potential errors and create worklists that staff can follow up on with insurance providers.
Quickly find diagnosis codes
Using the right diagnosis codes is essential to maximize reimbursement and minimize the risk of denials or the risk of errors that could land you in trouble with payers. Quickly locate the latest codes that provide the highest level of specificity for billing and the maximum reimbursement in our system. You can create custom lists of your most-used diagnosis and billing codes, or use our SALT (same-as-last-time) feature for repeat codes.
Quick charge entry for faster payments
Capture charges electronically following a procedure, and automatically send the information to billing staff for immediate coding and submission. The sooner you can get clean claims out the door, the quicker you can get reimbursed by payers. Improve your cash flow and reduce total days in A/R with our quick charge entry features.
Automatically updated billing codes
Billing codes for surgical procedures are constantly changing, and it can be hard to keep up. Your billing and coding staff can feel confident that the codes in AdvancedMD billing software for surgery centers are always accurate and up to date. We monitor for coding changes and update our system, then push out those updates automatically to your software. You never have to worry about downloading software updates or manually entering or removing codes from your software.
AdvancedMD can also recommend the best codes from ICD-10, CPT, or HCPCS based on your most common procedures, your last-used codes, or other information in the surgery notes and the patient’s record.
Claims Center for Smoother Claims Submission
Our centralized Claims Center helps you submit clean claims the first time to improve revenue cycle management and reduce days in A/R.
With the Claims Center you get:
Claims Scrubbing
Our billing and coding software scrubs each claim to check for mistakes that could delay your reimbursement or result in a denied claim. It flags the issues and creates a priority worklist so your billing team can review the information and make adjustments as needed for clean, accurate claims.
Reviewing
Create a system of checks and balances to ensure that your claims are prepared to go out. Supervisors or team leads can review all claims and batch process them once they are approved. Set up customized workflows to bypass claims review for your more advanced team members.
Submitting
Submit claims electronically through our system. We’ll help you set up payer electronic data interchange agreements so you can submit and accept electronic payments with ease.
Tracking
Track claims from the time the surgeon’s notes are complete until the reimbursement arrives. Manage claim errors or denials easily within the system to keep claims moving along the process, re-work denials, and increase total revenue.
Our Electronic Remittance Advice (ERA) feature quickly matches payments with billed charges and automatically applies them. Your team won’t have to go through spreadsheets of data and manually assign payments to claims. Our software flags any unexpected payment amounts that don’t match with billed charges and creates a priority worklist for your billing team to go in and investigate.
Patient Billing & Online Bill Pay Options
Make it easier for patients to settle outstanding surgery bills with electronic invoicing and online bill pay options. Prepare bills for self-pay patients or remaining balances after a payer reimbursement. Automatically apply any discounts to the bills as appropriate based on your billing policies. Set up patient preferences to receive bills by mail, email, or with a text link. Patients can review the electronic document and pay online. For larger bills, you can set up options for payment plans within the system. Making it easy for patients to view and pay bills can speed up your collection efforts and reduce the number of statements that go unpaid.
Complete Reporting Tools for Revenue Cycle Management
AdvancedMD makes it easy to manage the financial health of your surgery practice with our standard and customizable reporting tools. Choose from 150 standard reports or more than 500 customized reports created by financial and account experts who understand general surgery practices and your specific financial needs.
You can also create your own custom reports for information that is specific to your practice, or information that a specific audience within your organization needs to see. Set up reports to run automatically and arrive in the inbox of executives, administrators, or providers. Control access to sensitive financial information with software controls and eyes-only security features.
Improve the Financial Health of Your Surgery Practice With AdvancedMD
Find out more about our full suite of billing and coding software for surgery practices by scheduling a time to speak to a member of our team. Or you can set up a personalized live demo to see our software in action and learn why so many surgery practices trust AdvancedMD.