Advanced Medical Billing

Medical Billing Services

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You are here: Home / Services / Medical Billing

Medical Billing

We provide a flexible and transparent medical billing solution. We empower our clients with industry leading, powerful and intuitive software. Our team consists of experts in the medical billing, healthcare and insurance fields that effectively manage every aspect of the revenue cycle.

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Our Medical Billing Process

1. Helping Your Office Achieve Success Collapse

The medical billing process begins by building a strong team between your front office and our billing experts. Our billing professionals will work closely with you and your staff to ensure the proper data is collected and claims are processed quickly and accurately.

2. Data Entry Expand

Most clients prefer to enter basic information themselves such as demographics, diagnosis and CPT codes and other encounter information. This data can be entered electronically directly into our software from any Internet connected computer. If you’d prefer, we can enter this information on your behalf as an added service. Alternatively, if preferred, a paper superbill can be faxed to our office. All of our clients receive a dedicated, unique fax number free of charge. Although encouraged, an integrated EHR is not mandatory. Our Practice Management software is fully integrated with its own EHR but it also integrates with dozens of other EHR programs and more are being added on a regular basis.

3. Claims Submission Expand

Regardless if the data entry is performed by your staff or Advanced Medical Billing, an encounter form is created in our Practice Management software. We then carefully review each encounter manually, make sure everything is accurate, and then submit your claims electronically. All that’s required of you is to get the information to us so we can process the claim. If your staff is doing some of the data entry into our EHR, they simply enter a few fields such as diagnosis and CPT codes and click “submit for review”. It’s that easy. At that point we can then review and electronically submit the claim. Nothing additional is required by you or your staff.

4. Claims Follow Up Expand

We constantly monitor all of our claim submissions and aggressively follow up on all issues to be certain that they are received in a timely manner and paid in the shortest time possible. We then proactively follow up on any claim that has been rejected, denied or underpaid or on claims where there has been no response from the insurance company. We handle all of this for you as part of our unmatched medical billing service. You will never have to worry about claims follow up or tracking unpaid claims.

5. Secondary Insurances Expand

We provide the same thorough level of medical billing services for secondary claims and at no charge to you. We will automatically bill any secondary insurance at no extra cost. Many billing services charge extra for this service.

6. Patient Balances Expand

Each month we send out statements for any amounts owed by patients for co-pays and deductibles. All questions regarding patient bills are directed to our office not yours. Our professional and friendly staff will review your patient's bill with them directly and answer all of their questions. This service alone relieves a huge burden from your staff. They will no longer have to answer patients’ questions about their bill and will be free to perform other duties.

7. Pricing Expand

Our medical billing fees are percentage based and are typically between 5% - 10% of the amounts collected (not billed) from both insurances and patients. We don’t get paid until you do.

There are a number of factors that determine the exact percentage you are charged. Some of these include:

  • Level of data entry
  • Number of monthly encounters
  • Average encounter amount
  • Current A/R status/account health
  • Who’s responsible for the software subscription

Why Outsource?

Due to the complexity involved with successful reimbursement and the increasing frequency of denials, medical practices are increasingly turning to professional medical billing companies to handle their billing needs. This is proven to be a cost effective solution as opposed to doing in-house billing. This alleviates the need for costly equipment, software upgrades and reduces payroll thus drastically cutting overhead and improving your bottom line.

Free up your office staff and allow them to devote more time to patient care and other duties. Day-to-day operations will be more consistent and relaxed and your cash flow will improve. We become an extension of your staff; highly productive, motivated employees with none of the hassles.  We put our combined medical billing expertise to work for you daily.

medical billing

Ready to learn more?

Contact us for your complimentary consultation.

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Frequently Asked Questions

How long does it take to get started?

You can begin using the system immediately. We will request some information about your practice to properly setup your account. We can begin sending claims to most commercial insurance companies within 48 hours. Some payers, such as Medicare, Medicaid and BCBS take a bit longer.

Are there any setup fees?

No. There are no setup fees to begin using our system or our services. We handle all aspects of setting up your account free of charge.

Can data be migrated from my current system?

Yes. There may be charges associated with migrating data from your current system and importing it into our system should you chose to request this service.

What about my current A/R?

We’re experts at reducing our client’s accounts receivable. Our percentage for collections on aging A/R may be slightly higher than our standard rates. We work closely with each client to tailor a solution that best fits their needs and budget.

Are claims submitted electronically?

Yes. Our system allows for electronic claim submission, ERAs and in most cases, electronic eligibility checks and EOBs. Some secondary claims must go out via paper if mandated by the payer.

Do you follow up on unpaid claims?

Absolutely. Our system and staff thoroughly monitor the claim status of all claims. We have the ability to effectively track rejections, denials and no responses. We aggressively follow up on all claims that have not been paid in a reasonable amount of time (14 days for electronic claims & 30 days for paper claims).

When will I get paid?

Quickly. On average, electronic claims are paid within 14 days and paper claims within 30 days. For most payers, we receive notification of payment electronically and an EFT is sent directly to your bank account from the insurance company.

Are there any long term commitments?

Absolutely not. No one likes contracts. We’re so confident in our services and technology, we do not require any contract or long term commitment. We want to earn your business every month.

What are your fees?

Between 5% - 10% of monies collected depending on a few factors. We do not bill you for claims that have not been paid. We only get paid when you get paid.

Is training available?

Yes. Training is provided free of charge. Training consists of online, prerecorded videos and live webinars. We will also gladly work with you and your staff at your office. Our system is very intuitive and requires only basic computer skills to use.

Are you HIPAA compliant?

Yes. All of our employees receive monthly training and audits are performed on a regular basis to ensure compliance. In fact, we employ certified HIPAA consultants and I.T. professionals and offer compliance services to our clients. Please visit the Compliance section of our website for more information.

Where are you located?

Our offices are located in Lafayette, LA. in The Heart of Acadiana at 309 La Rue France Ste 202. However, we are 100% web based and our technology and processes allow us to effectively service providers in various specialties across the country.

What if I have additional questions?

Just ask. We’re here to help. We understand that there are many things to consider when looking for a qualified billing partner. We want you to have all of the information you need to make the right decision for your practice. We’re accessible by phone during normal business hours or you can send us a message right now.

Ready to learn more?

Contact us for your complimentary consultation.

Free Consultation
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309 La Rue France Ste. 202
Lafayette, LA. 70508
1.844.424.5537

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