Advanta Medical Solutions, LLCis a health information and revenue cycle services company specializing in the complete range of clinical coding and auditing outsourcing services. Services include:
hospital coding; professional services coding and billing; compliance, revenue improvement, and documentation audits; clinical documentation reviews including setting up and implementing CDI programs; education and training; special studies; project management, and information technology.
In the government market, Advanta's subsidiary companies hold unique contracts for the Medicare and Medicaid programs in support of the identification, prevention and measurement of fraud, waste and abuse; statistical sampling, analysis, calculation and reporting of claims payment error rates; development and implementation of audit protocols and support systems for the Medicare retiree drug subsidy program; and independent review and recommendations concerning Workers Compensation Medicare set-aside amounts that are part of settlement agreements.
Advanta offers software applications and systems for imaging, tracking, transmitting, accessing, viewing, and managing workflow, and storing health and administrative records. Advanta's systems can accept faxed or electronic documents directly into its image repository or Advanta can provide the personnel, equipment, and procedures to image client records and documents. These systems were developed by Advanta and its subsidiary company to service its clients with remote coding, auditing, storage, workflow management, and back-up solutions. They are modeled after similar applications the firm developed for contracts with the Centers for Medicare and Medicaid Services (CMS), Department of Health and Human Services (DHHS), Office of Inspector General (OIG), Department of Defense (DOD), and Department of Veterans Affairs (DVA).