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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:

  • Decrease hassle for health care providers
  • Increase cash flow
  • 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.

Benefits

 

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:

  • Error free data entry
  • Collection of entitled reimbursements
  • 24 hours claim turn around time
  • 99.5% acceptance rate - claims are practically pre-approved for payment
  • Accelerated cash flow – most claims are processed in 14 days
  • Fixed claim processing and collection costs
  • Up to 66% reduction in claim processing and collections related costs
  • Significantly reduced hiring and training costs
  • Increased revenues – we collect more of your entitled carrier reimbursements
  • Insulated cash flow – your staff turnover and other office personnel issues won’t affect claim processing and collections
  • Improved productivity – substantial reduction in your staff’s non-revenue generating activities
  • Improved efficiency – we streamline your front and back office operations
  • You can leverage additional staffing hours and funds to provide more efficient patient care and expand and diversify services and revenue streams
  • Reduced office supply and postage expenses and MORE!

 

Services

 

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:

  • A dedicated team to work with you and your staff to develop and implement efficient data capturing and communication processes
  • Practice, patient and database set-up
  • Clearinghouse set up (electronic claim filing)
  • 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
  • Your data is backed up daily. We provide back up files on CD upon request.
  • We address and resolve pre-existing claim and collection issues where possible
  • Electronic and paper claim processing
  • Secondary and tertiary claim filing
  • We correct and resubmit rejected and denied claims
  • Aged claim follow-up
  • Posting reimbursements to patient accounts
  • Printing and mailing patient statements
  • Workers compensation and personal injury (no fault) case management & MORE!


 
 
 
AAPC:

AAPC announces new credential for Payors   >> more

AHIMA:

ICD-10 is coming, are you ready? 
>> more

CMS:

Review the latest CMS's  National Coverage Determinations (NCD). Current index listing.  
>> more

Other sources:

Are you current on your physician CCI Edits? >> more

Copyright 2006 Adviri, LLC