ADVOCATE’s entire management structure is designed to provide accurate, timely and consistent feedback between ADVOCATE and our clients. We have made it our business to understand our clients’ business needs. Diagnostic Revenue Analysis tracks performance from every angle to ensure revenue maximization.

 

ADVOCATE’s computerized payment compliance software has been engineered to verify payers are paying the contracted amount. Our system compares the actual amount paid to the contracted rate to verify the accuracy of every payment. Our Fee Compliance system identifies and reports all underpaid claims.

 

Our proprietary Dual Code Technology provides the highest level of coding accuracy. Computer assisted coding technology and sub-specialized certified coders assign CPT and diagnosis codes for each procedure using the Dual Code Technology. This process not only provides the most accurate coding but also reduces denials through proper modifier application that cannot be accomplished with alternative coding methods.

 

ADVOCATE’s real time claims tracking module ensures claims are followed up on for maximum collection efforts as soon as the claim is delinquent, as opposed to predetermined generalized time frames. In other words, based on statistical determination by individual payor, our system determines the fastest time each payor processes claims. If any claim in the system is unpaid after the optimal number of days determined, the account follow up process begins immediately.

ADVOCATE’s computerized charge count verification software has been engineered to verify that every exam that is read by a radiologist is billed. Our custom Exam Capture Verification software uses source data to verify the charge capture is 100% complete. The Exam Capture Verification system compares our billing system with the hospital RIS system to confirm every exam read has been billed.

 

To start the billing process, state-of-the-art claim purification software allows our digital processing systems to transfer and improve data from the site of service before it enters our customized billing system. Our claims preparation & purification process improves data quality and eliminates workflow fluctuations. All this results in cleaner data and the fastest revenue for our clients.

 

Our Denial Management software was one of the first in the industry and remains the leader. Our denial management software applies exact and consistent procedures to produce a quality control process that allows us to thoroughly inspect every denied claim, determine why it was denied, stop the recurring denial process and obtain payment. Denial Management software reduces first-time claim denials by 50%-60%.