AdvancedMD offers a medical billing service that includes access to its powerful EMR system and practice management software. AdvancedMD is a competitively priced service that has the flexibility and expertise to serve practices of varying sizes across a wide range of specialties. For these reasons, AdvancedMD is our best pick for large practices, which likely have the resources to overcome the company's lack of coding services.
Editor's score: 8.7/10
AdvancedMD relies on the same rules engine as its preferred clearinghouse partner, Optum. This means claims scrubbing is virtually guaranteed to catch any coding or billing errors that would lead to a clearinghouse rejection. When payers deny a claim, AdvancedMD billers work to revise and resubmit the claim within 72 hours, an especially important turnaround time for large practices submitting a significant volume of claims every day.
Unfortunately, AdvancedMD's medical billing service does not include coding. This means your practice is responsible for coding claims internally, which requires an in-house medical coder. However, the billing services that AdvancedMD does offer are exceptional, generating a companywide first-pass claims rate guaranteed to exceed 95%. Many billing services promise numbers like this, but AdvancedMD will guarantee it in a written agreement.
Like most medical billing services, AdvancedMD charges a percentage of your monthly collections. Its typical pricing ranges from 3% to 8%, depending on practice size, specialty, billing process complexity and several other factors. While this range is indicative of the company's typical clients, there are outliers that are charged as little as 2% of monthly collections or as much as 9%. The typical contract term for AdvancedMD's RCM service is one year, which is shorter than many other medical billing services in our review require.