Medical Billing Companies & Consultants in Lafayette, LA

Advanced Medical Billing, LLC is a revenue cycle management firm headquartered in Lafayette, Louisiana, in the Acadiana region. It handles claims, coding and provider enrollment work for healthcare organizations of varying size. Although its staff work from a single Lafayette office, the company runs an entirely web-based operation, which lets it support providers in many specialties throughout the United States rather than only in its home state.

Services for practices

The firm's core offering is outsourced billing and coding that spans the full revenue cycle. Claims go out electronically wherever payers allow, with electronic remittance advice, eligibility verification and EOBs available in most cases; paper submission is reserved for payers, such as certain small HMOs or secondary insurers, that still require it.

Staff watch the status of every claim, logging rejections, denials and non-responses, and pursue any claim that remains unpaid after a set window. Practices carrying older receivables can also hand that aging A/R to the team for recovery.

• Medical billing and coding
• Electronic claim submission and ERA processing
• Denial tracking and unpaid claim follow-up
• Aging accounts receivable recovery
• Provider credentialing and re-credentialing
• Practice management consulting
• Data migration from prior systems

Credentialing is the second major line. The team can obtain an NPI for a provider, assess which local insurers, HMOs and PPOs are worth joining, gather the paperwork, complete CAQH and similar online applications, monitor pending files and handle periodic re-credentialing. Clients may split these duties with the firm or delegate them fully.

The company is candid that panel acceptance cannot be guaranteed and that approvals often take several months. Its consulting arm advises new and established offices on workflow design, charge capture, EHR and paperwork problems, coding accuracy, form creation and front-desk steps such as collecting co-pays and recording demographics, delivered by phone, webinar, email or on site.

How the firm works with clients

Onboarding is designed to be quick: after collecting basic practice details, the company says it can begin sending claims to most commercial payers within about two days, while claims to Medicare, Medicaid and Blue Cross Blue Shield take longer to start.

Clients get access to billing software the firm describes as intuitive, around-the-clock reporting, full visibility into their accounts and an assigned account representative. Training is offered through recorded videos and live webinars. Engagements carry no long-term contract, and compensation is tied to what the practice actually collects, so unpaid claims are not billed.

Employees receive monthly HIPAA training, and compliance audits are run regularly.

Team and background

Kevin McBride serves as principal, supported by vice presidents for business development and customer relations, a group of billing and coding specialists led by a team leader, and a dedicated credentialing specialist. The company says its staff bring experience from healthcare, insurance, regulatory compliance and information technology.

Client testimonials on its site come from an internal medicine group, an aesthetics practice, a sober living provider and a regional therapy center, several of which report relationships lasting four to five years or more. Buyers seeking a regional partner with national reach, contract-free terms and combined billing and credentialing support may find it a relevant option.