Overview

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AdvancedMD provides cloud-based EHR, practice management, and telemedicine solutions for ambulatory practices and specialty groups. Known for its robust billing capabilities, scheduling flexibility, and integrated patient engagement tools, AdvancedMD serves practices that prioritize revenue cycle performance alongside clinical quality. Stream Health's AdvancedMD integration delivers comprehensive patient data consolidation and revenue optimization through seamless API connectivity.

With AdvancedMD's strong focus on practice profitability and operational efficiency, Stream Health enhances these capabilities with AI-powered clinical intelligence and systematic gap-in-care identification that drives both quality improvement and revenue growth.

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Key features:

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• Unified Clinical & Billing Integration: Single API connection to both AdvancedMD's clinical system and practice management platform. Stream Health retrieves patient demographics, clinical encounters, diagnoses, procedures, billing data, and revenue cycle metrics—enabling comprehensive analysis across clinical and financial workflows.

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• Scheduling Intelligence: Integration with AdvancedMD's scheduling system to identify appointment gaps and optimize visit types. Stream Health recommends specific appointment slots for care gap closure visits, suggests appropriate visit types (AWV, CCM, preventive), and estimates revenue impact of schedule optimization.

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• Revenue Cycle Analytics: Correlation of clinical care gaps with billing performance. Stream Health identifies: patients with care gaps who already have scheduled appointments (opportunistic gap closure), underutilized visit types with high reimbursement, services frequently undercoded or unbilled, and payer-specific billing opportunities maximizing contract performance.

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• Telemedicine Integration: Support for AdvancedMD's telemedicine capabilities with care gap identification appropriate for virtual visits. Stream Health flags preventive counseling, medication management, chronic disease follow-up, and other services billable via telehealth.

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How it works

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Stream Health connects to AdvancedMD via secure API, retrieving patient data from both clinical and practice management systems. Our platform consolidates AdvancedMD data with external patient records from other providers, hospitals, specialists, labs, imaging centers, and health information exchanges—creating comprehensive longitudinal patient records.

Our AI analysis engine, validated by licensed Nurse Practitioners, identifies care gaps including missed annual wellness visits, overdue preventive services, chronic care management opportunities, medication management gaps, and specialty-specific quality measures. The analysis correlates clinical findings with billing data to prioritize highest-value opportunities.

Care gap findings integrate with AdvancedMD's scheduling system, allowing staff to: book care gap closure appointments with appropriate visit types and durations, send automated patient reminders with gap-in-care context, prepare pre-visit documentation templates, and track completion rates tied to specific staff members. Revenue cycle teams receive reports showing estimated reimbursement, CPT codes, and payer-specific billing rules.

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Benefits of integrating AdvancedMD with Stream Health

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• Revenue Cycle Optimization: Practices using AdvancedMD for billing already have strong revenue cycle processes. Stream Health enhances these capabilities by identifying $5M+ in new billing opportunities that existing revenue cycle workflows don't capture—primarily from unidentified care gaps, underutilized visit types, and payer-specific quality incentives.

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• Scheduling Efficiency: Optimize appointment utilization by identifying care gap opportunities during already-scheduled visits. For a typical practice, 30-40% of identified care gaps can be closed during existing patient appointments—generating incremental revenue with zero scheduling friction.

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• Clinical-Financial Alignment: Bridge the gap between clinical quality and financial performance. AdvancedMD users gain visibility into how clinical care gaps impact revenue, enabling data-driven decisions about staffing, visit types, and patient outreach priorities.

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• Telemedicine Revenue: Identify care gaps appropriate for virtual visits, expanding telemedicine utilization beyond acute care. Stream Health enables chronic disease management, medication reviews, preventive counseling, and behavioral health services via AdvancedMD's telemedicine platform—generating recurring telehealth revenue.

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• Payer-Specific Intelligence: AdvancedMD's multi-payer environment benefits from Stream Health's payer-specific gap-in-care analysis. Our platform identifies quality measure priorities for each payer, provides payer-specific billing guidance, tracks payer mix impact on gap-in-care revenue, and optimizes value-based contract performance by payer.

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• Specialty Practice Support: Advanced features for specialty practices using AdvancedMD including specialty-specific quality measures, procedure-based revenue optimization, specialty drug monitoring protocols, and referral pattern analysis.