Menu

HEALTHCARE BUSINESS SERVICES

You are here : Healthcare / Provider & Payer Services

HEALTHCARE BUSINESS SERVICES

Avanze provides comprehensive healthcare business services to our global clients. We manage complete revenue cycle, provide medical billing, medical coding, and adjudication services.

Adjudication Services (Claims)

  • Claims Entry
  • Claims Verification
  • Claims Analysis

Our Adjudication team has the ability to work on Multi-Plan, Multi-Lines of Business platforms such as HMO, PPO, MSO, etc. We service OCR & EDI solutions and are likely to include support on 5010 transition. With our expertise, you achieve accurate payments, reduce training overheads and last but not the least, see a drastic reduction in claims backlogs.

We have set processes such as Standard Operating Procedures, Variance Matrix and other robust mechanisms to ensure our services are highly personalized and customized to the needs of our varied healthcare providers and hospital clientele.

It is our constant endeavor to deliver highest value in terms of accuracy and productivity. Thus, we constantly look at various internal and external factors to re-engineer processes and achieve the best.

We understand the complexities involved in Medical Coding. Our approach towards this business line has been unique and we build our team with a blend of fresh and experienced coders to ensure superior quality output. We have been very successful in consistently meeting client expectations.

We also recognize that moving to ICD-10 will only increase the complexity for all involved and thus are proactively gearing up to upgrade our resources to gain expertise in this area. We have trained resources in ICD-10 coding.

Fact Sheet
  • Over ten years of experience in healthcare BPO
  • Experienced with ICD-9 & ICD-10 Coding requirements
  • Reduce the burden on your billing staff and minimize administrative costs
  • Data Entry performed with dual keying to ensure 99%+ accuracy
  • Hands-on experience with billing and A/R Applications such as Medical Manager, Medris, Medsoft-AS 400, Medisoft, Medrium
  • Team following coding manuals & guidelines like ICD-9-CM Volume 1, 2 & 3, CPT-4, HCPCS, LCD and MSDRG
  • HIPAA Complaint
  • Scalable & Skilled Workforce
Medical Billing
  1. Patient Demographics - Entry & Verification
  2. Charge Entry
  3. Payment Posting
  4. AR Calling
  5. Denials
Medical Coding
  1. Radiology Coding
  2. Emergency Department (ED/ER) Coding
  3. HCC (Hierarchical Condition Categories) coding

BENEFITS ADMINISTRATION SERVICES - SUPPORT

Avanze handles back-office work of few leading benefits administration companies, we assist thousands of advisors by understanding their requirements, generating multiple quotes to help them effectively manage their clients.Our team has rich experience in working with nationwide advisors right from a request for proposal to comparison of multiple carriers.Our Team consists of graduates who are well experienced with US Health Care Portals such as Humana, Aetna, UHC, Blue Cross, Blue Shield, and Kaiser etc. We have made the complex benefits maze an easy to handle concept.

Hands-on Experience with Applications such as -


MEDRIS


MEDSOFT-AS 400


MEDISOFT


MEDRIUM


SURGI SOURCE


ADVANTX

Our world-class facility is designed to meet HIPAA compliance requirements, and maintain high levels of data and physical security.

Avanze Advantage

Certified Coders
Multispeciality Coding
ICD-10 Readiness

Speak to an Expert Now

Discuss your options with our specialists and see how we can help you

Schedule a Meeting