Well I think it is. I think I'm a pretty good biller but you're always going to make mistakes. The Advanced Claims Edit catches everything that you ask it to catch. I'm attaching a screenshot of one of the many edits I created. (You have to be able to work with If/Then statements. Availity does not make these for you.)

I don't use their collections. I use a collections company called SCS that take about 28%. But they've never been successful. We just try our hardest to collect everything up front. I hope everyone knows about the real-time claim estimators that most payer portals now have.

The TMD integration:
Charts created in AC show up in TMD. When an encounter is signed off and the doctor selects the CPT code, those show up in TMD as a new bill. We still use a paper superbill. The biller takes the stack of paper superbills and opens TMD. Then they go to each chart in TMD and sees the new billing with the E/M code already in there. Then they complete the claim by adding any vaccines and procedures. (The doctor selects only the E/M code when they sign off. The doctor COULD select all the vaccine and procedure codes during signoff but we don't do this for our workflow.) Then once a day I batch send the completed TMD claims to Availity.

The TMD-AC connection is a bit finnicky. You have to have a program running on the server computer and this program sometimes closes down. I check it every Monday morning and sometimes I have to restart it. If I'm on vacation on Monday and the program is down, then nothing will get transferred to TMD.

Also you have to pay AC yearly for this connection.

Attached Images
Serene
Office Manager
General Pediatrics
Houston, Texas