Medical Billing Companies & Consultants in Hampton, NH

Advantage Medical Billing Solutions, LLC is a medical billing firm that has worked with physician practices since 1991. It concentrates on smaller, independent offices, including solo practitioners, group practices and multi-specialty organizations. Its central aim is to help these providers stay financially stable enough to remain in private practice. The company lists offices in Hampton, New Hampshire, and Naples, Florida, so it can serve practices in New England and the Southeast.

Core Billing and Revenue Services

The firm groups its work into five areas: claims processing, receivables management, financial reporting, practice consultation, and software and EHR technology. On the claims side, it submits claims both electronically and on paper. Payers it handles include:

• Medicare and Medicaid
• Blue Cross/Blue Shield
• HMO and PPO plans
• Champus (military coverage)
• Commercial insurers
• Workers' compensation and motor vehicle accident claims

The company says its staff's coding knowledge helps practices capture appropriate reimbursement and get paid faster. It also offers claims audits. For receivables, it sends monthly patient statements, follows up on unpaid balances on a set schedule and answers patients' questions about their bills. Team members also contact insurance carriers by phone, letter and claim tracer to resolve outstanding claims. Collections support is listed as well.

Reporting and Practice Consulting

Clients receive detailed financial reports. These include patient and insurance aging, productivity broken down by procedure, provider and practice, and revenue summaries. Practices can pull reports on demand and can view financial data, schedules and practice information remotely at any hour. As part of its consulting work, the firm reviews a practice's claims workflow to find inefficiencies. If needed, it can redesign encounter forms, patient demographic intake sheets and financial policies. Staff training is available alongside these reviews.

Technology and Software

The firm's technology is built on Kareo. It provides a cloud-based practice management system designed to be easy for office staff to learn. Clients get remote scheduling, around-the-clock reporting, and scanning and retrieval of documents. The company also offers an integrated electronic health record that runs on iPad, iPhone and Apple Watch, so providers can work from mobile devices. It handles software installation, EHR integration and training on both. The website also covers security and privacy and promotes an electronic records option offered to billing clients.

Background and Approach

The company has more than two decades of experience and presents outsourcing as a cost-effective alternative to running billing in-house. It aims to lower a practice's administrative costs, increase physician revenue and steady cash flow. It also aims to take the work of chasing receivables off office staff. Prospective clients can request a free, no-obligation quote by completing a request-for-quote form. The firm also publishes a news section on regulatory and coding updates, such as CMS evaluation and management changes, prolonged service codes and Medicare payment adjustments. This gives buyers a sense of how closely it tracks billing rules.