Medical Groups & Practices
Expertise in Revenue Cycle Management Services
It’s no secret that physicians today find themselves at a crossroads of remaining independent or joining a larger practice, health system, or even hospital. Government regulations, changes in reimbursement, increasing costs, and a rise in technology have contributed to these pressures.
However, if you are like many physicians, then you hope to retain freedom in your independent practice. A recent Becker’s Healthcare article states over 73% of physicians wish to remain independent, but find themselves caught in a bind between remaining solvent or joining the local hospital or health system.
What if we were to tell you that dream can be a reality?
Specialties and sub-specialties we serve
Head & Neck Surgery
Orthopedic Surgery (Spine, Hand, etc.)
Outpatient Imaging Center
Pain Management & Rehab (PM&R)
Reconstructive Plastic Surgery
POINTS OF CARE
Are you focused not on just one, but several specialties? Or perhaps you are a certain type of facility or center that treats a broad range of patients? We’ve also helped the following point of care providers improve their operational and financial outcomes.
- Rural Health Clinics (RHC)
- Patient-Centered Medical Home (PCMH)
- Federally Qualified Health Center (FQHC)
- Ambulatory Surgery Centers (ASCs)
- Retail and Urgent Care Clinics
Provider Enrollment Services (PES)
Enrolling with payers and credentialing is key to not only receiving payment quickly but receiving the reimbursement that you deserve.
Our team reviews and assures that we have all the right documentation before submitting your information to the payer. We confirm all licenses, certifications, group names, TINs, malpractice insurance, and more are accurate across all paperwork so your application gets accepted the first time.
We manage your initial enrollment and maintain your information on CAQH. Our team informs you when your information is requiring re-enrollment or is expiring. We are your advocate and liaison with your payers.
However, we don’t stop there.
The Advantum Advantage
Advantum knows that while setting up and getting credentials approved is critical – it’s even more important to monitor the outcome. Our credentialing experts work closely with our billing team and your back-office staff to monitor for claim status and denials. We review denial status and reason codes and look at your original contracts to make sure you are getting paid properly.
At Advantum, we believe that your revenue cycle is not a static process but rather an evolving, dynamic process that needs constant attention for the success of your business, your practice – and ultimately, the care of your patients.
- Relieve you and your team from the many administrative tasks required of your practice
- Expedite your payer enrollment and credentialing process
- Review your documentation and submit proper information for each payer
- Reduce denials and ensure you receive the reimbursements you are owed
- Monitor and maintain your credentials for ongoing compliance and verification
- Reduce your administrative costs through our affordable, proprietary services