Billing Management means efficient accounts from begining to end - we never charge extra for extra effort and always go above and beyond to make sure each bill is properly paid and resolved.

Assign all your accounts to us and enjoy peace-of-mind while you focus on what you love doing most - delivering health and wellbeing!

PRIVATE HEALTH INSURANCE

PERSONAL INJURY

WORKERS' COMPENSATION

MEDICARE

BACKLOG COLLECTIONS

• Backlog is analyzed to produce a plan of action that will maximize collections on aged claims
• Every Aged account is carefully audited for hidden/forgotten billable services and maximized collections on each service
• All Aged accounts are resubmitted and followed-up until resolved

DAILY INSURANCE SUBMISSIONS ~ CURRENT CHARGES

• Insurance Verifications
• Data Entry 
• Service Coding and Charge Entry
• Pre-submission claims analysis
• Timely and accurate billing of current charges
• Insurance Payment posting
• Review EOB/EOR for correct reimbursement
• Follow-ups until all bills are properly resolved
• Full Appeals and Protest process for improperly paid claims

HOW IT WORKS - IT HAS NEVER BEEN EASIER!

We only ask that clinics forward our office daysheets or post slip, which can be faxed or e-mailed, and we take care of the rest.

AdvantEdge offers a variety of Consulting Services for those practices that are comfortable with in-house billing but need a hand with a termed project or a given problem.  We stay on top of new guidelines, rules and regulations for the most accurate billing so you don't have to.

• Office Billing Set-up:  A great option for start-up practices or offices rebuilding their billing department.  We provide you with all the letters/forms you need to run billing in-house with your staff; set-up your database system to generate correct billing for WC, PI, PR, MC and ASHP; Set up your system with CPT codes, ICD-9 codes, modifiers, up-to-date service fees; set-up electronic billing in your office; train staff in correct billing submissions, general billing procedures, filing protests, tracers and resubmissions and accounts management.
• Systems Set-up:  Guidelines for submitting bills differ from carrier to carrier - WC bills require data that Medicare specifically wants left out, for example.  Put our experience and constant training to work for you.  We set-up your in-office database system with correct codes and correct claim printing for all the case-types.  We'll leave it ready for you or your staff to start printing and billing correctly filled out claims.
• Correct Claim Bill Review:  Can't figure out why insurance companies keep denying you on certain bills?  Save time and money and let us review the claim for you - we'll tell you what corrections you need to make to collect on your bills.
• Biling Staff Training:  We help Billing Departments in trouble get back on track by training Billing Staff -boosting their confidence through listening to their questions and addressing their concerns about billing; educating them on current billing requirements and standards; giving them tips and tools for sucessful billing practices; clearing-up common misconceptions about billing and collections; and leave them better prepared to manage an efficient and effective Billing Department.