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Supporting agencies across the full spectrum of Behavioral Health services:- Mental Health- Psychiatry- Day Treatment- Early Intervention- Family Stabilization- Substance Abuse- Inpatient Hospital- Partial Hospitalization- Day Habilitation- Adult Day Health
Business Solutions for Behavioral Health
Industry RequirementsBehavioral Health providers serve many of society’s most troubled individuals and groups. Growing awareness of the need to treat all aspects of mental health is a positive development. However, the ongoing need to treat substance abuse and disabilities continues to grow. At the same time, economic pressures add to the strains on fragile populations.
More broadly, the desire to address physical and behavioral health holistically offers promise and challenges, because chronic physical conditions are disproportionately present in Behavioral Health clients. Challenges arise from the need to coordinate care across many providers and to determine a fair reimbursement for each. In addition, DSM-V and ICD-10 impose new requirements, new reimbursement rules for “dual eligibles,” and pressures on state Medicaid budgets add additional challenges.
In this environment, Behavioral Health providers and agencies need business operations that effectively and efficiently bill and collect from insurance companies and, in some cases, from clients. These operations must interoperate efficiently with the agency EHR or, if no EHR is present, provide scheduling, registration and other front-end functions and provide the information needed to run the agency including productivity and financials. Many agencies turn to trusted partners for this increasingly complex and important work so that they can focus on clinical excellence.
Business Management Solutions for Behavioral Health For over 30 years, AdvantEdge has worked as a partner with Behavioral Health agencies to streamline and enhance their operational software and billing. Today, these solutions optimize every aspect of agency business operations, encompassing: billing, EMR/EHR interoperability, scheduling, registration, eligibility, business intelligence, compliance and consulting.
Results and ServiceBusiness solutions for Behavioral Health start with consistent, day-in and day-out financial performance: i.e. collection of every dollar that the agency is owed. At the same time, agency leaders and providers expect responsive and proactive service. This means quick answers to questions, regular dialogue, recurring meetings and much more. AdvantEdge has a ClientFirst philosophy that means everyone in the company strives to see the world through the “lens” of the agency and its staff. An important part of this equation is that AdvantEdge treats each customer as a partner. The company believes that this partner working relationship translates to better results, both today and tomorrow.
PERFORMANCE THAT MATTERS
AdvantEdge Healthcare Solutions ahsrcm.com [email protected] 30 Technology Drive, Warren NJ 07059 877 501 1611
PERFORMANCE THAT MATTERS
Behavioral Health SoftwareAdvantEdge has been providing management software for behavioral healthcare agencies for over 30 years. The company supports industry-leading collection rates because it is not only the software developer, but also the largest user.
The AdvantEdge Behavioral Health software is called ARPlus. It provides a number of benefits:
- Current with all regulatory and payer standards. With AdvantEdge billing, customers get a team of experts who do nothing but Behavioral Health billing every day. As a result, AdvantEdge knows what payors expect and when things change. The same is true for governmental regulations. Payor updates are reflected regularly with software updates.
- No hassles or extra costs. When AdvantEdge does the billing for a customer, they maintain the system. No updates to load. No systems or servers to maintain. The ARPlus system resides at a fully secure, off site, co-location facility with 99.9% up time; customers only need an Internet connection (AdvantEdge provides the HIPAA security protocols).
- Extensive, flexible reporting: over 200 templates in an extensive billing report generator. And download reports to Microsoft Office (Excel, Word, XML, etc.).
- Online dashboards. The InfoEdge dashboard makes key performance indicators (KPI’s) available anytime, anywhere.
- Registration / Intake / Scheduling / ePrescribing – customers use ARPlus to register clients and/or use the interoperability module to import client information from their EMR. The built-in Resource Based Scheduler has the tools to match client intakes to clinician schedules based upon their availability, specialty, licensure and credentials. Billing checks can be performed on scheduled services making the clinicians aware of authorization and/or other billing criteria, as necessary. With export capabilities, client registrations are sent to the customers ePrescribing solution.
- EDI / e-claims. HIPAA 837 Professional and Institutional formats are submitted to each payer according to their submission guidelines.
- Follow-up / patient billing / claims management / A/R. AdvantEdge expert staff perform all follow-up and A/R activities. Information is updated on a daily basis and stored in ARPlus for easy, transparent viewing by customers.
- Transition management. AdvantEdge has done many data conversions, from a variety of systems to speed the start-up of a more effective billing process.
EMR/EHR InteroperabilityWith AdvantEdge billing services and ARPlus software, customers have an easy-to-use, yetsophisticated package that is easily integrated with their choice of electronic medical records.One of the problems with “all in one” software packages is that typically one aspect is stronger than the other. The solution to this problem is an Interoperability Module which allows each agency to choose the EMR that best fits its needs and integrate it with ARPlus.
With the interoperability module, there is no redundant data entry. Scheduled appointments can be made in ARPlus or the EMR and the information flows back and forth between systems. Clinicians can enter their progress notes into the EMR and the billing is generated by ARPlus from that note.
This “best of breed” approach means each AdvantEdge customer has clinical EMR capabilities tailored to their agency and the most powerful billing capabilities.
AdvantEdge Healthcare Solutions ahsrcm.com [email protected] 30 Technology Drive, Warren NJ 07059 877 501 1611
Our Promise- More Money, Faster- Information Anytime, Anywhere- Privacy and Security- ClientFirstSM Service
Agency Performance
98.5%
96.5%
94.5%
92.5%
90.5%
Cus
tom
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Cus
tom
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Cus
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Collection Rate
Days in AR
