AdvancedMD Medical Billing vs ModMed Practice Management

AdvancedMD Medical Billing gives practices tools to handle claims, denials, payments, and collections in-house. Its workflow includes charge capture, eligibility verification, claims management, electronic remittance advice, patient payments, and collections. ClaimInspector checks claims for CCI, HIPAA, and LCD errors before they are submitted. Staff can use the A/R Control Center’s worklists and denial tracking to prioritize follow-up, while the Central Billing Office brings billing for multiple providers and locations into one system and login. Patients can pay online, and integrated credit card processing is supported. AdvancedMD also offers outsourced revenue cycle management and dedicated billing tools and pricing for medical billing service companies. The cloud-hosted software is accessible from internet-connected devices and offers an open API architecture; its partner marketplace lists more than 1,400 integration offerings. AdvancedMD says it maintains security controls for protected health information under the HIPAA Security Rule. Standard phone and email support is available 8 a.m. to 8 p.m. Eastern on normal business days; after-hours emergency help is available, with some incidents charged at $150. Pricing is paid, with no free plan and a 30-day trial. Listed monthly prices are $2,291,070 a month for the medical billing service company subscription and $4,291,070 a month for medical specialties software.

ModMed Practice Management is a cloud-based system for medical practices, available through web, Android, and iOS. It combines electronic health records with appointment scheduling, claims management, and a patient portal. The product uses a paid pricing model, with pricing available on request, and has no free plan. ModMed lists three packages. Fundamentals+ is a specialty-specific solution whose features vary by specialty. Premium+ includes Practice Management and a clearinghouse interface in the solutions overview. Enterprise includes Practice Management and clearinghouse services and features. The service was founded in 2010, and its headquarters are in Boca Raton, Florida, United States. Practices can therefore use one cloud deployment for clinical records, scheduling, claims work, and patient access, while selecting among packages with different stated scopes.