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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

Description

EMCsoft's Claims Management Ecosystem guarantees that healthcare providers and billing companies submit accurate claims to insurance payers for effective claim processing. This system combines our adaptable claims processing software, Claim Agent, with a comprehensive methodology known as the Four Step Methodology, seamlessly integrating into your claim adjudication workflow. By implementing this strategy, we enhance, facilitate, and automate your processes to optimize claim reimbursements. For an insightful overview of Claim Agent's features and its integration into your claims process, you can request our complimentary online demonstration. Claim Agent efficiently manages the scrubbing and processing of claims, ensuring a smooth transition from provider systems to insurance payers in a timely and cost-effective manner. The software is designed to be compatible with any existing system, ensuring a swift and straightforward implementation. Furthermore, we offer tailored edits, bridge routines, payer lists, and workflow configurations that cater specifically to each user's requirements, enhancing the overall claims management experience. This personalized approach enables healthcare providers to focus more on patient care while we take care of the complexities of claims processing.

Description

We assure you of our commitment! RiverSoft offers comprehensive billing capabilities compatible with all payers while maintaining full compliance with state and federal regulations. With just a click, users can generate reports detailing unbilled claims and their reasons, ensuring transparency. Our RiverSoft pathways enhance the efficiency of EMR entry, facilitating meticulous charting and flawless claims submission. We possess in-depth knowledge of your payers’ requirements and the relevant regulations. Furthermore, we ensure that care plans are adhered to, leading to Perfect Claims. Unlike generic solutions, we tailor our offerings to meet the specific operational needs of your agency. With hundreds of integrated clinical consistency checks, you’ll be well-prepared for any audits. Effortlessly manage patient aide tasks, collect vital signs, and obtain patient signatures. Additionally, arrival and departure times are stamped with GPS data, and office schedules are instantly verified upon departure. Our dedication to customization guarantees that your agency’s unique workflows are fully supported.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

$140 per user per month
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows Yes 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) Yes 
In Person No 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

EMCsoft

Founded

1980

Country

United States

Website

emcsoft.com

Vendor Details

Company Name

Riversoft

Country

United States

Website

www.riversoft.net

Product Features

Long Term Care

Claims Management Yes 
Clinical Care No 
EHR No 
Electronic Health Record No 
For Home Care Providers No 
For Nursing Homes No 
Geriatric Care No 
MDS Review No 
Patient Records No 
Staff Scheduling No 

Medical Billing

Claims Processing No 
Claims Scrubbing Yes 
Code & Charge Entry No 
Compliance Tracking Yes 
Customizable Dashboard Yes 
Dunning Management Yes 
Invoice History Yes 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates Yes 
Remittance Advice No 

Product Features

Reservations

Activities Booking Yes 
Booking Notes No 
CRM No 
Customer Support Yes 
Group Reservations Yes 
Guest Management No 
Payment Processing Yes 
Promotions Management No 
Rate Management Yes 
Room Booking Management Yes 
Third Party Booking Yes 

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