AdvancedMD Billing Services

AdvancedMD gives an independent practice serious billing tooling: a claim scrubber, worklists, automated remittance matching and centralized billing across providers and locations. It also sells its own managed billing service. If you run AdvancedMD billing in-house, or you want an independent alternative to the vendor’s service, the question is the same: who works the lists?

The scrubber catches it. Someone has to fix it.

AdvancedMD’s ClaimInspector checks claims for coding, HIPAA, coverage-policy and payer-specific errors before they go out. That is exactly where you want errors caught. But a caught claim is a held claim, and the fix — a missing referring provider, a diagnosis that does not support the code, a modifier — is usually small, which is why it gets left for later.

Held claims keep aging against timely filing. We clear scrubber holds every business day, so clean claims go out within 24 hours of the charge. Our clean-claim rate is 98% because the fixing happens before submission, not after the denial.

Worklists are a list, not a workflow

AdvancedMD builds worklists for rejections, denials and errors and tracks claim status in one place. The lists are accurate. They do not shrink on their own, and when the office is busy they are the first thing to slip.

We work them daily: rejections corrected and resent the same day, denials worked within 48 hours, unpaid claims followed up at 25 to 30 days, ordered by dollars and filing deadline rather than by whatever is at the top. See denial management and A/R follow-up.

Automatic remittance matching handles most payments, not all

ERA payments that match their charges post with little effort. The exceptions are the expensive part: payments that do not match, recoupments and takebacks, zero-pay lines that are really denials, and payers still sending paper. Left alone, they become unapplied cash and denials nobody appealed, while the aging report looks fine.

We work remittance exceptions to zero, reconcile payments against contracted rates so quiet underpayments surface, and finish ERA enrollment for payers still paying by paper. See payment posting and credit balance resolution.

Centralized billing depends on setup nobody revisits

Billing several providers and locations from one database is a strength of the platform. It also means one wrong record repeats everywhere: a location with the wrong NPI, a provider with the wrong taxonomy, a payer mapped to the wrong plan, a fee schedule that was never updated. Some of those cause rejections; the worst ones just underpay every claim they touch.

Before we start billing, we audit the setup that touches money and correct what is wrong with your approval. We re-check it whenever you add a provider, a location or a payer.

The vendor’s billing service, or an independent one

AdvancedMD offers its own managed billing, and for some practices that is a sensible choice. Others prefer a billing department that is independent of the software vendor, local enough to meet, and accountable to the practice alone. We are that option: you keep AdvancedMD and your contract with it, and we work inside your system as your billing team.

We are based in Aurora, Illinois, and have served independent practices for twenty years. Compare models on our pricing page and in how to choose a medical billing company.

Reporting you can check us against

Every month you get a Practice Performance Report at no charge: clean-claim rate, days in A/R, aging by bucket, denials by reason and dollars, and collections against charges. You can pull the same numbers from AdvancedMD and confirm them. We work under a signed Business Associate Agreement through user accounts you control, and everything we do appears in AdvancedMD’s own audit trail.

Insurance verification, coding, credentialing and patient statements are included. See credentialing and revenue cycle management.

Why practices on AdvancedMD choose Synergy

You keep AdvancedMD. You keep your logins, your templates, your schedule and your data. Nothing is migrated and nothing new is purchased — we work inside the system you already run. What changes is who works it: a 98% clean-claim rate, claims out within 24 hours, denials worked within 48 hours, insurance aging worked at 25–30 days, and free insurance verification, coding, credentialing and monthly Practice Performance Reports. Twenty years in business, a US and India team so your queues move overnight, HIPAA-compliant throughout, a 30-day free trial and a 90-day money-back guarantee. We're not your billing service — we're your Billing Department.

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