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Medical
Billing and Coding Services
Your Financial Health
While your primary concern is always for your
patients, it is the financial well-being of your
practice that enables you to provide them with the
highest quality services.
Your education, experience, and
passion for quality healthcare have prepared you
well for caring for patients, but not necessarily
for managing your receivables.
Understanding insurance bureaucracies, compliance
requirements, and accounting disciplines can take a
significant toll on your resources. More
importantly, the time and attention required for
performing these administrative functions can
detract significantly from the time and attention
needed for patients.
Adviri’s Medical Billing Service objectives are to:
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Decrease hassle for health care providers
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Increase cash flow
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Decrease risk to exposure
Our Medical Billing Service specializes in staying
current on regulations and requirements that affect
your reimbursement, monitors any software
developments and constantly researches new methods
that benefit our clients.
We service the full spectrum of healthcare
services including Physicians, Chiropractic,
Dentist, DME, Optometry, Psychologist, Physical
Therapist, Ambulance, Hospital, Nursing Home, and
Home Health.
Our Medical Billing Services are offered Nationwide!
Since each provider and/or practice is unique, we
customize our Medical Billing Service to meet your
individual needs. We have the ability to remotely
access your current database, networking our
software with your office, or having your
information scanned or faxed to us.
Adviri can handle all of your billing needs;
however, if you wish to keep your billing function
in-house, we can sell you the billing software and
provide the implementation so that your office
functions electronically and is fully HIPAA
compliant.
Along with the
Medical Billing Services, we offer Medical Coding
Services. Our medical coding services can be
included with the billing services, or maybe you
only need the coding services.
Medical coding is a
serious business in this day and age of medical
practices. Without the proper knowledge of medical
coding and reimbursement methodologies, providers
and practices will not receive the proper
reimbursements, if any reimbursement at all.
Obviously, you have to make money to be able to
continue your dream. We can help you do that. In
addition to Medical Billing Specialists, we employ
Medical Coding Specialists. Our Medical Coding
Specialists are comprised with several years of
clinical experience in a vast array of medical
specialties, and have their CPC, CPC-H, CCS-P and/or
CCS credentials. We offer nothing but the best in
coding staff and coding services including the
services below!!
Medical Coding - we
assign the correct ICD-9, CPT, and/or HCPCS codes
derived from the medical records and reports from
your practice.
Medical Coding Audits
- we analyze your medical records and previous
coding to make sure you are on the right track and
understanding of medical coding. If there are
discrepancies, then we help you with that and
provide you with training, so that you receive the
maximum reimbursement that you deserve. See Chart
Audits for more information.
We can also provide periodic
accounts receivable anaylsis and monitoring, chart
auditing , Practice Cost Analysis, Negotiate
Insurance Fee Schedules and more. See
consulting for more information
Is Outsourcing the Answer?
In many practices, outsourcing your billing can save
your practice thousands of dollars annually and
improve your cash flow.
Utilizing a billing service will allow you to save
on overhead expenses such as salaries, payroll
taxes, benefits, and printing/office supplies. You
will not have to invest in expensive billing
software or have to train your staff every time
there is a software update or change. You will
eliminate worry about billing staff turnover,
vacations, sick leave and new employee training.
Adviri employees are Certified Medical Coders by the
American Academy of Professional Coders (AAPC) and
the Adviri owners are Certified Instructors for the
AAPC Curriculum.
Practices can lose thousands of dollars each year
due to untimely filing and inexperienced staff. Our
focus is to provide you with maximum reimbursement
for your services by making sure that your insurance
claims are billed correctly the first time. Our
staff is an extension of your staff, who will work
together to achieve maximum reimbursement for you.
Customization is Key
Our
objective is to custom design, implement and manage
a medical billing outsourcing solution for you that
is guaranteed to significantly maximize profits,
lower operating costs, accelerate cash flow and
capture more of your entitled reimbursements.
Our Medical Billing Services encompass the
management of the entire claims processing and
collections cycle. Our medical billing processes can
be applied to any solo or group practice regardless
of specialty or claim volume. The scalability of our
product will provide you with the cost effective
administrative infrastructure necessary to
profitably grow your business.
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Benefits |
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Outsourcing the account receivable
management process is the single-most
powerful tool you have in managing and
maximizing the profitability of your
practice. Here are some real benefits you’ll
quickly realize by outsourcing your medical
billing and collections processes to Adviri
LLC:
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Error free data entry
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Collection of entitled reimbursements
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24 hours claim turn around time
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99.5% acceptance rate - claims are
practically pre-approved for payment
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Accelerated cash flow – most claims are
processed in 14 days
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Fixed claim processing and collection
costs
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Up to 66% reduction in claim processing
and collections related costs
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Significantly reduced hiring and
training costs
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Increased revenues – we collect more of
your entitled carrier reimbursements
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Insulated cash flow – your staff
turnover and other office personnel
issues won’t affect claim processing and
collections
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Improved productivity – substantial
reduction in your staff’s non-revenue
generating activities
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Improved efficiency – we streamline your
front and back office operations
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You can leverage additional staffing
hours and funds to provide more
efficient patient care and expand and
diversify services and revenue streams
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Reduced office supply and postage
expenses and MORE!
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Services |
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Our commitment to servicing you, your staff
and patients requires us to invest the time
necessary to insure that each and every
claim is properly managed throughout its
entire life cycle. Our fee includes
the following services:
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A dedicated team to work with you and
your staff to develop and implement
efficient data capturing and
communication processes
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Practice, patient and database set-up
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Clearinghouse set up (electronic claim
filing)
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24/7 Internet access to our network
servers and your practice’s Syngery PMX3
practice management program with patient
account access, patient scheduling, and
financial reporting software programs
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Your data is backed up daily. We provide
back up files on CD upon request.
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We address and resolve pre-existing
claim and collection issues where
possible
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Electronic and paper claim processing
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Secondary and tertiary claim filing
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We correct and resubmit rejected and
denied claims
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Aged claim follow-up
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Posting reimbursements to patient
accounts
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Printing and mailing patient statements
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Workers compensation and personal injury
(no fault) case management & MORE!
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