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Working inside AdvancedMD: what LedgerBPO does
AdvancedMD bookkeeping services from LedgerBPO give medical groups a named billing agent and accountant who work inside your AdvancedMD PM account: scrubbing claims with ClaimInspector, reviewing ERA auto-posting, working denial worklists, sending patient statements, and reconciling every payer and patient deposit to the general ledger. HIPAA-trained staff under a signed BAA, one team for billing and books.
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Your subscription, your data
AdvancedMD bookkeeping services from LedgerBPO give medical groups a named billing agent and accountant who work inside your AdvancedMD PM account: scrubbing claims with ClaimInspector, reviewing ERA auto-posting, working denial worklists, sending patient statements, and reconciling every payer and patient deposit to the general ledger. HIPAA-trained staff under a signed BAA, one team for billing and books.
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Inside your file
ClaimInspector edits cleared and claims submitted daily
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Reconciled on a calendar
ERA posting reviewed, denials worked, statements sent on schedule
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Reviewed before you see it
Collections reconciled to QuickBooks Online every month
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A named accountant, a backup and a team lead
Inside your own software, on a fixed close calendar, with a reply from a person within 1 business day. Call +1-657-777-0006 or start a quote.
Get a custom quote 06 / 06
Why businesses on AdvancedMD outsource
AdvancedMD is built for multi-provider groups that bill high volumes across many payers. That volume is the problem. ClaimInspector flags edits nobody clears, ERAs post with adjustments nobody reviews, the denial worklist grows by location, and the finance side receives a deposit total that does not agree with the payments report. The billing manager becomes the bottleneck for both cash and reporting.
A dedicated team inside your AdvancedMD account removes the bottleneck without replacing the system. Billing agents clear edits, post remittances and work denials by payer each day. The accountant ties AdvancedMD payment and deposit reports to the bank and the ledger each month, so the practice's financial statements use the same collections figure the billing office reports. One team, one number.
What we do inside AdvancedMD
ClaimInspector scrubbing
Claims held by ClaimInspector edits are corrected for coding, modifier and payer rules and released daily, and clearinghouse rejections are fixed and resubmitted.
ERA auto-posting review
Electronic remittances are reviewed before and after auto-posting so underpayments, takebacks and non-contractual adjustments are coded rather than written off silently.
Denial management worklists
Denied and unpaid claims are worked from AdvancedMD's A/R and denial reports by payer, reason and age, appealed with supporting records, and tracked to resolution.
Patient statements and payment plans
Patient balances are verified after adjudication, statements run on your cadence, and payment plans set up through your patient portal; our agents never store card data.
Eligibility and prior authorization support
Eligibility checks run inside AdvancedMD before visits, and our billing agents call payers under your practice name for authorizations and claim status.
Deposit reconciliation to the general ledger
AdvancedMD payment, adjustment and deposit reports are matched to bank deposits and posted to QuickBooks Online or Xero by payer class each month.
Integrations we reconcile
- QuickBooks OnlineDeposit summaries and refunds from AdvancedMD posted by payer class and matched to the bank feed.
- XeroPractice revenue and adjustments posted from AdvancedMD reports and reconciled to the bank.
- ADPProvider and staff payroll journals posted and reconciled alongside collections.
- Bill.comPractice vendor bills routed for approval and reconciled to the same ledger.
- RampPractice card spend coded by location and reconciled in the same monthly close.
Migration to and from AdvancedMD
Moving to AdvancedMD
Implementing AdvancedMD means loading providers, locations, fee schedules, payer contracts and patient demographics, and planning the run-down of A/R in the old system. We build the fee schedule and payer list, complete ERA and EFT enrollments, work the old A/R in parallel to a cut-off date, and reconcile the first month's deposits before the old system is retired.
Moving from AdvancedMD
Leaving AdvancedMD for Tebra, athenahealth or another platform starts with the open A/R. We work claims to an agreed cut-off, export aging, payment history and patient balances, re-point ERA enrollments, and reconcile the final deposits to the ledger. Patient statements switch to the new system on a date the practice announces.
Common AdvancedMD reconciliation problems we fix
Edits held in ClaimInspector for days
A held claim earns nothing. We clear the edit queue every business day so claims reach the payer inside the filing window.
Auto-posting hiding underpayments
Remittances posted without review turn short payments into write-offs. We compare paid amounts with the fee schedule and flag lines for appeal.
Denials worked by whoever has time
Without an owner, high-value denials age out. We assign the worklist by payer and deadline and report weekly on what was recovered.
Collections figure differs by report
Billing, the bank and the ledger show three totals. We reconcile them monthly and explain each variance in an exception log.
Patient refunds and credits piling up
Overpayments sit unresolved and distort A/R. We identify true credits, prepare refund requests for your approval and post them correctly.
Other healthcare billing platforms
Frequently asked questions
Do you work inside my existing AdvancedMD account?
Yes. You create user accounts for our staff with the roles you set, and we sign a business associate agreement before any access is granted. Patients, claims, payer data and reports stay in your account. Access is logged and removed when the engagement ends.
How much do AdvancedMD bookkeeping services cost?
Pricing depends on volume and scope, so we send a custom quote within 1 business day. The main drivers are monthly claim volume, providers and locations, whether you need denial management and payer calls as well as posting, and whether the group's bookkeeping is included.
Do you replace AdvancedMD's own RCM service?
We work as your dedicated billing and accounting team inside the AdvancedMD software you already license. Whether that sits alongside or instead of a vendor RCM plan is your choice; we do not require you to change your subscription. Our medical billing page explains the staffing model.
How is patient information protected?
Staff who handle PHI complete HIPAA training, work under a signed BAA, use MFA and role-based access, and are covered by access logs. We describe controls rather than claim certifications. Data stays in your AdvancedMD account and your ledger; nothing is copied elsewhere.
Will you make calls to payers and patients?
Yes, under your practice name. Insurance follow-up calls chase claim status and authorizations; patient billing calls explain balances and take payment through your own portal. Our insurance follow-up calls page describes the call scripts and logging. Our agents never store card data.
How do you reconcile AdvancedMD to my accounting system?
Each month we match AdvancedMD payment and deposit reports to bank deposits, post revenue and refunds by payer class to QuickBooks Online or Xero, and reconcile the practice's bank accounts. The financial statements then use the same collections figure the billing office reports.
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