Best ABN Assistant Alternatives in 2025
Find the top alternatives to ABN Assistant currently available. Compare ratings, reviews, pricing, and features of ABN Assistant alternatives in 2025. Slashdot lists the best ABN Assistant alternatives on the market that offer competing products that are similar to ABN Assistant. Sort through ABN Assistant alternatives below to make the best choice for your needs
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ScriptSure
DAW Systems, Inc.
30 RatingsScriptSure Cloud ERX is the #1 E-Prescribing application available. ScriptSure combines weekly updates to medications, daily updates to pharmacy lists, full e-prescribing network connectivity, Electronic Prescribing of Controlled Substances (EPCS), web-based access and simple workflow methods to deliver the best in E-Prescribing. Electronic refills, order sets, compound medication order, printing prescriptions, patient reports and audit logs are all included and supported in ScriptSure Cloud ERX. ScriptSure is fully HIPAA compliant. ScriptSure Cloud ERX is the winner of the 2021, 2022 & 2023 Surescripts network White Coat Award for Most Accurate Prescriptions and a total 11-time award winner of this prestigious award. -
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Service Center
Office Ally
73 RatingsService Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status online, and receive remittance advice. Accepting standard ANSI formats, data entry, and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers. -
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XpertCoding
XpertDox
37 RatingsXpertCoding by XpertDox is an AI medical coding software that utilizes advanced artificial intelligence, machine learning, and natural language processing (NLP) to automatically code medical claims within 24 hours. This software streamlines and enhances the coding process, ensuring faster and more accurate claim submissions and maximizing financial returns for healthcare organizations. Features include a comprehensive coding audit trail, minimal need for human supervision, a clinical documentation improvement module, seamless integration with EHR systems, a business intelligence platform, a flexible cost structure, significant reduction in claim denials and coding costs, and risk-free implementation with no initial fee and a free first month. XpertCoding's automated coding software ensures timely payments for healthcare providers & organizations, accelerating the revenue cycle and allowing them to focus on patient care. Choose XpertCoding for reliable, efficient, and precise medical coding tailored to your practice. -
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RXNT's cloud-based integrated Electronic Health Records (EHR), software with E-Prescribing and Patient Portal optimizes patient treatment and streamlines workflows in practices of all sizes and specialties. Providers have access to the most current patient health information and prescription history from one database, accessible from any device. Integrated communications allows providers to share real-time clinical information with patients and clinicians, allowing for better care coordination. The use of "smart keys" and intake forms allows for customization and eliminates redundancy. Your practice will enjoy the Patient Check-In feature and integrated Electronic Prescribing. HIPAA compliant, ONC certified, EPCS-certified and meets MACRA/MIPS requirements. RXNT also offers Practice Management (PM), which includes Medical Billing, Scheduling, and standalone E-Prescribing. You can choose a solution by the piece with predictable pricing or you can implement our Full Suite for one, integrated platform.
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Azalea EHR
Azalea Health
Azalea is a leader in interoperable cloud-based healthcare services and solutions. Azalea's platform offers electronic health records with integrated telehealth functionality, revenue cycle management, and analytic software. Azalea's integrated platform is focused on customer success and can be used by all practices and hospitals ambulatory strategies. It instantly improves cash flow and clinical outcomes through care coordination innovation and revenue cycle performance. -
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Practice Mate
Office Ally
$0Practice Mate by Office Ally is a comprehensive HIPAA-compliant practice management solution used by over 25,000 healthcare organizations. Its user-friendly interface simplifies revenue cycle and billing management and streamlines booking to increase administrative workflow efficiency. It seamlessly integrates with other Office Ally solutions to provide patient intake, reminders, and e-prescriptions. You can get started today at no cost, commitment, or implementation to reduce administrative tasks, enhance job satisfaction, and improve the overall patient experience. -
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Benchmark PM
Benchmark Solutions
Benchmark PM transforms patient engagement, covering everything from initial intake to final encounter. Key features include streamlined patient onboarding, hassle-free appointment scheduling, customizable reminders, comprehensive reporting, and user-friendly dashboards. On the billing side, Benchmark PM offers integrated claims management, a connected clearinghouse, electronic billing, insurance verification, and a versatile payment portal, simplifying the entire process. Benchmark Solutions provides a complete management solution for healthcare practices with Benchmark EHR software, Benchmark PM software, and Benchmark RCM services. This robust electronic toolset streamlines daily operations, boosts revenue, and enhances the patient experience. Each component of the Benchmark Solutions' suite is modular, ensuring easy integration with your existing systems. With Benchmark Solutions, you can focus on delivering high-quality care while we take care of the operational and administrative aspects, ensuring your practice runs smoothly and efficiently. -
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MediFusion
MediFusion
MediFusion offers a comprehensive suite of software that delivers cutting-edge EHR and medical billing solutions aimed at optimizing clinical, administrative, and financial functions within healthcare practices. Our dedicated team is always just a phone call away to provide continuous EHR training and support whenever you require assistance. Accelerate your clinical workflows and streamline your operations with our all-in-one integrated solution. This system effectively oversees the entire revenue cycle, encompassing everything from Eligibility Verification to Claim Processing and ensuring timely payments. Our cloud-based Electronic Health Record (EHR) software serves as a scalable and integrated solution, empowering your practice to enhance the quality of care delivered to patients. Designed for ease of use, this web-based EHR platform allows you to document, access, and monitor your clinical and financial data from any internet-enabled device, regardless of your location, ensuring you remain connected and efficient in your practice. -
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ClearGage
ClearGage
$89.00Our PCI compliant payment vault securely stores your patient's payment information. With their consent, you can automate and collect payments of a pre-authorized amount post-claim adjudication. Practices can accept patient copays pre-care with estimates to support financial management and plan activation or pre-authorized payments post-care. A fully customizable portal for your practice allows patients to make payments online or set-up payment plans and securely stored payment types. For a more transparent experience, estimate your patients' out of pocket expenses with greater accuracy and discuss payment plans early to improve treatment acceptance. -
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GenHealth.ai
GenHealth.ai
GenHealth.ai is a specialized generative AI platform designed for the healthcare sector, utilizing a unique Large Medical Model (LMM) developed from the analysis of over 100 million patient records instead of traditional natural language data. This LMM excels in interpreting medical codes and events, allowing it to accurately forecast patient outcomes, estimate costs, and model clinical pathways with significantly fewer errors compared to conventional large language models. The platform features a range of tailored applications such as Intake Automation for managing PDF routing and data extraction, a Prior Authorization Agent that automates the approval process, and G‑Mode analytics that allows users to interact with both historical and predictive population health data using natural language, all without requiring any coding expertise. Notably, this AI co-pilot has achieved an impressive 94% accuracy rate in prior authorization cases, a remarkable 120-fold enhancement in forecasting medical loss ratios, and a 110% improvement in cost predictions when compared to standard Hierarchical Condition Category (HCC) scoring methods. In addition to these advancements, GenHealth.ai is positioned to transform the healthcare landscape by facilitating more efficient and data-driven decision-making. -
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Canvas Medical
Canvas Medical
FreeHealthcare delivery organizations, ranging from small telehealth startups to expansive health plans with millions of members, utilize Canvas software and APIs to rapidly develop innovative patient experiences and business models, all while significantly reducing costs compared to conventional methods. This represents the distinct advantage of Canvas. Progressive teams require an electronic medical record (EMR) and payment solution designed for both healthcare providers and software engineers. Our platform consolidates all necessary components to seamlessly integrate modern digital patient interactions, care strategies, and payment systems. The Canvas platform facilitates the coordination of care services and payment methods for companies offering direct-to-consumer virtual care, managing complex at-risk patients, and everything in between. Established medical groups can leverage the Canvas platform to stay ahead of shifts in the industry and foster unique collaborations between payers and providers. Acting as a headless EMR, Canvas includes integrated payment solutions and insurance reimbursement processes. By adopting Canvas, you can expedite the development of new patient experiences, ensuring your care team remains at the forefront of healthcare innovation. Investing in Canvas not only enhances operational efficiency but also positions your organization as a leader in the evolving healthcare landscape. -
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PMS Insight Medical Billing
PMS Insight
PMS Insight is a comprehensive medical billing service provider that focuses on delivering tailored claims billing and patient accounting solutions. Our specialized Medical Billing Services team emphasizes effective and revenue-enhancing billing methods, adeptly addressing the diverse requirements of the healthcare sector. We proudly extend our medical billing expertise to cities such as Houston, Dallas, Austin, Los Angeles, New Jersey, and Boston. For healthcare organizations focused on patient care, navigating the complexities of medical billing can become an overwhelming distraction from their primary mission. By partnering with a proficient medical billing service like PMS Insight, healthcare professionals can ensure that their billing, authorizations, appeals, and patient follow-ups are handled efficiently. Over the years, we have refined our workflows, utilizing electronic processing and integrated billing software to maximize efficiency and accuracy. Our commitment to excellence not only alleviates the burden of billing but also enhances the overall patient experience. -
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CoverMyMeds
McKesson
We are dedicated to driving forward innovative approaches that cater to the needs of all healthcare stakeholders, aiming to enhance the speed of therapy delivery, minimize prescription abandonment rates, and foster better health outcomes for patients. Our commitment lies in dismantling barriers to healthcare access, whether that involves addressing prior authorization issues or increasing awareness of available support services. With healthcare costs reaching new heights, it is vital to assist patients in affording their prescribed treatments, especially in the context of high-deductible health plans, rising copays, and a lack of transparency. For many patients, maintaining adherence to their therapy can be the most challenging aspect of their healthcare experience, whether it involves understanding how to properly take medications or just remembering to do so at the appropriate times. Thus, it is crucial to tackle these adherence challenges with solutions that prioritize the needs of individuals first, ensuring they receive the support necessary to navigate their treatment journey successfully. By focusing on patient-centric strategies, we can create a more accessible and supportive healthcare environment for everyone involved. -
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Inbox Health
Inbox Health
Inbox Health empowers medical billing teams, regardless of their size, to transform the management of patient responsibilities from a burden into a valuable asset. By automating the most time-consuming and labor-intensive aspects of the accounts receivable process, you can reclaim precious time and enhance operational efficiency. Your clients will benefit from a patient experience that meets their expectations, while also enjoying improved collection rates and faster payment timelines. The platform simplifies administrative duties, allowing you to prioritize patient care effectively. By enhancing patient satisfaction and boosting profitability, you can also save time and cut down on overhead costs. Inbox Health guarantees that patient billing is handled in a manner that is efficient, compassionate, and results-driven. With user-friendly statements designed to encourage prompt balance resolution, patients are more likely to engage with their billing. Automated billing cycles can be customized to meet your clients' needs, and statements are conveniently delivered to patients through email, traditional mail, and text messages. Ultimately, this innovative approach not only streamlines the billing process but also fosters better communication and understanding between providers and patients. -
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Southern Scripts
Southern Scripts
Southern Scripts streamlines the often complicated landscape of Pharmacy Benefit Managers by providing employer groups with unparalleled autonomy, control, and flexibility in designing their plans. Established by pharmacists, Southern Scripts stands out as a forward-thinking pharmacy benefits manager (PBM) that seeks to transform the conventional PBM model. Our unique pass-through PBM framework and adaptable solutions enable plan sponsors to maximize savings, minimize risk, and enhance flexibility in their plan design, fostering genuine patient-centered clinical care at the most affordable net cost. The plan sponsor only pays the exact amount that the pharmacy receives, while we ensure that all discounts and rebates obtained are fully passed on at 100% to the plan sponsor. There are no hidden fees for essential PBM services, including prior authorizations, step therapy, and data reporting. Our comprehensive clinical management programs and top-tier drug formularies are designed to provide the lowest net costs, safeguarding plans against unnecessary expenditures while promoting optimal patient health outcomes. Ultimately, the focus remains on delivering value and ensuring that plans are both efficient and effective in meeting their goals. -
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EHR 24/7 by Office Ally empowers more than 20,000 users with efficient patient care management. It has charting, real-time data, customizable forms, and integrations for patient intake and e-prescription solutions. With no implementation needed, healthcare providers can use EHR 24/7 to treat and document patients today.
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Prestige Billing
Elevos
Our proprietary billing solution built specifically around the needs of the EMS industry sets Elevos apart. When a regulation or claim submission format changes, our development team will be on top of it – making system updates as the changes occur. Your business and billing process will never be slowed down by out of date functionality or system maintenance requirements. We strive to give our customers every advantage to elevate patient care by optimizing revenue recovery with technology, expertise, and unsurpassed customer service. A team of dedicated Billing Account Specialists assigned to your account processes all of the day to day tasks of your revenue cycle management. They code the claims, process payments, follow-up on unpaid claims, and assist with your reporting requirements. -
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Waystar offers market-leading technology that streamlines and unifies revenue cycle. Their cloud-based platform streamlines workflows, improves financials for all healthcare providers and provides more transparency to the patient's financial experience. Waystar has been ranked best in KLAS for Claims & Clearinghouse every year since 2010. It has also received #1 rankings in Black Book™, surveys since 2012, and the Frost & Sullivan North America Customer Valu Leadership Award for ambulatory RCM service in 2019. Waystar is used by over 450,000 providers, 750 hospitals and 5,000 plans. It integrates with all major HIS/PM systems. Waystar.com and @waystar on Twitter provide more information.
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PracticeAdmin
PracticeAdmin
PracticeAdmin Scheduling enhances patient engagement and minimizes no-show rates by delivering essential data right when you need it. Our innovative rules-based framework allows customization of preferences for various providers, whether you operate solo, manage a small to medium-sized organization, or oversee multiple locations. You have the flexibility to design unique scheduling templates for countless locations and automate patient reminder notifications. The billing component serves as a comprehensive solution for managing patient registrations, claims, and payments seamlessly. You can keep a meticulous record of all patient data and prior authorizations, ensuring that everything is organized. Additionally, it integrates smoothly with your EHR system, aiding in the maintenance of your Meaningful Use certification. Billing also alerts you to any claim errors before submission, allowing for expedient re-submission without penalties while you keep track of all EDI rejections effectively. This streamlined approach ultimately empowers healthcare providers to optimize their administrative tasks and enhance the overall patient experience. -
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Infinx
Infinx Healthcare
Utilize automation and advanced intelligence to tackle challenges related to patient access and the revenue cycle while enhancing reimbursements for the care provided. Even with the advancements in AI and automation streamlining patient access and revenue cycle operations, there remains a critical requirement for personnel skilled in revenue cycle management, clinical practices, and compliance to ensure that patients are financially vetted and that services rendered are billed and reimbursed correctly. We offer our clients a comprehensive combination of technology and team support, backed by extensive knowledge of the intricate reimbursement landscape. Drawing insights from billions of transactions processed for prominent healthcare providers and over 1,400 payers nationwide, our technology and team are uniquely equipped to deliver optimal results. Experience faster financial clearance for patients prior to receiving care with our patient access platform, which offers a holistic approach to eligibility verifications, benefit checks, patient payment estimates, and prior authorization approvals, all integrated into a single system. By streamlining these processes, we aim to enhance the overall efficiency of healthcare delivery and financial operations. -
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Veradigm AccelRx
Veradigm
Veradigm AccelRx offers a complimentary, automated, all-encompassing solution designed to optimize the fulfillment of specialty medications for your patients. By reducing the time it takes to initiate therapy, this system can improve medication adherence and patient outcomes, while also minimizing the administrative burden of phone calls and faxes on your team. AccelRx integrates electronic enrollment, consent, prior authorization, and prescriptions into one seamless platform, enabling your practice to greatly decrease the fulfillment time for specialty drugs across all payers. With just a click, patient information is automatically filled in on enrollment forms and other necessary documents. This user-friendly platform serves as a transformative tool for managing specialty medications effectively. Furthermore, it enhances your ability to oversee a wide range of specialty drugs, including features for electronic prior authorization (ePA), all within your current electronic health record (EHR) system. This comprehensive approach not only streamlines processes but also supports better patient care and operational efficiency. -
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Quadax
Quadax
The way you tackle the obstacles in your revenue cycle significantly influences your profitability and the overall effectiveness of your organization. The influx of patients seeking your services means little if receiving the payments for those services takes an excessive amount of time. You shouldn’t be burdened with dedicating countless hours to chase after payments that you rightfully deserve. Fortunately, there are more effective strategies to enhance healthcare reimbursement. Let Quadax assist you in developing a thorough, sustainable, and well-organized strategic plan while also helping you choose the most suitable technology solutions and services aligned with your business model. By partnering with us, you can not only attain operational efficiency but also improve your financial outcomes and elevate the patient experience. Ultimately, the aim for each claim submitted is to prevent denials and secure prompt payment. Additionally, implementing robust processes can further streamline operations and ensure financial stability for your organization. -
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AuthParency
Oncospark
Managing prior authorization has become an increasing challenge for healthcare providers. Our innovative solution, AuthParency™, utilizes artificial intelligence and machine learning to streamline this process. By implementing this state-of-the-art system, your team can significantly reduce the time spent on prior authorizations by 50%. Furthermore, it seamlessly integrates with all electronic health records (EHR) and practice management platforms. AuthParency is designed to assist in various ways: - Evaluating the tendencies of payers - Shortening the time patients wait for care - Enhancing overall patient health outcomes - Preventing financial losses from services that lack reimbursement - Identifying the burdens of financial toxicity - Analyzing health data across populations - Monitoring health disparities - Supporting pharmaceutical companies in their efforts -
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pMD
pMD
FreepMD provides complete solutions for practice management and revenue cycles, covering everything from patient onboarding to payment collection. This comprehensive software suite equips medical practices with all necessary tools to operate efficiently, minimizing the potential for errors by reducing the number of systems used. You can take advantage of all the functionalities pMD provides, or it can be smoothly integrated with your current systems. A well-structured and secure communication framework ensures that care is continuous and enhances the overall patient experience. To deliver optimal care, it’s crucial to have a standardized communication method for interactions with patients. We ensure that all essential patient data is organized in a single location, which helps save valuable time during critical moments. Additionally, pMD offers a fully integrated, HIPAA-compliant telemedicine platform that enables healthcare professionals to provide exceptional patient care. Discover the user-friendly telehealth software applications that pMD has available and implement telemedicine solutions for both your practice and your patients. With pMD, enhancing patient engagement and care delivery becomes more manageable and effective. -
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Collectly
Collectly
We assist over 300 medical practices in enhancing and boosting their patient cash flow, automating the complete billing process, and elevating patient satisfaction. Collectly is an advanced platform designed for patient billing, functioning as an additional resource for your EHR/PM system. This tool not only enhances and accelerates patient cash flow but also optimizes billing operations after services are rendered while ensuring an exceptional experience for patients across various demographics. With patient financial responsibilities rising annually by 12%, an increasing number of private practices, urgent care facilities, and other outpatient healthcare organizations recognize the necessity for improved methods of collecting patient payments. Collectly serves as a groundbreaking solution for practices aiming to simplify medical billing, enhance collection efficiency, and enrich the overall billing experience for patients. Importantly, the existing EHR/PM practices you have in place can continue unchanged. By integrating Collectly, your practice can thrive in a challenging financial landscape while maintaining familiar operational processes. -
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AdvancedMD
AdvancedMD
Experience seamless accessibility and top-notch security without any trade-offs. Work from anywhere, consult with patients, and maintain connectivity through an all-inclusive cloud suite that encompasses both office and remote care technologies. Since its inception in 1999, our medical office software has remained unique as the only solution built entirely on a 100% cloud framework. We are excited to provide our complete range of software and data storage on the Amazon Web Services (AWS) cloud hosting infrastructure. The collaboration between AdvancedMD and AWS results in an unparalleled experience characterized by swift and dependable access to your information, steadfast data security, and effortless storage with automatic backup features. No other ambulatory software solution matches this level of hosting quality, ensuring that starting or expanding your practice in the cloud is both simple and budget-friendly. With our software being hosted and managed on AWS, your monthly subscription includes exceptional reliability, security, and performance. Furthermore, our cloud platform facilitates easy access to our software across various devices and operating systems, enhancing the convenience of your practice even further. This combination of cutting-edge technology and user-friendly design sets a new standard in the medical software industry. -
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CureMD Medical Billing
CureMD
$295.00/month CureMD is an award-winning provider for specialty EHR and billing services that help optimize efficiency, reduce cost, and improve the patient experience. Our cloud platform allows seamless information exchange across multiple platforms, systems, or organizations. This facilitates greater collaboration, productivity, patient safety, and increased collaboration. # 1 EHR KLAS Research # 1 Billing Services - KLAS Research Top-Rated Customer Service Simple to use - integrated and customizable iPad KIOSK & iPhone EHR -
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Experian Health
Experian Health
The process of patient access serves as the foundation for the entire revenue cycle management in healthcare. By ensuring that patient information is accurate from the outset, healthcare providers can minimize errors that often lead to additional work in administrative departments. A significant portion, between 10 to 20 percent, of a healthcare system's revenue is spent on addressing denied claims, with a staggering 30 to 50 percent of these denials originating from the initial patient access phase. Transitioning to an automated, data-oriented workflow not only mitigates the risk of claim denials but also enhances patient care access, thanks to features such as round-the-clock online scheduling options. Furthermore, patient access can be refined by streamlining billing processes through real-time eligibility checks, which provide patients with precise cost estimates during registration. Additionally, enhancing registration accuracy leads to greater staff efficiency, allowing for immediate rectification of discrepancies and errors, thereby preventing expensive claim denials and the need for further administrative corrections. Ultimately, focusing on these elements not only safeguards revenue but also elevates the overall patient experience. -
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Rivet
Rivet Health
Upfront collection and cost estimates for patients. Instantly understand patient responsibility with automatic eligibility verification and benefit verification checks. Your practice data provides hyper-accurate estimates, which can lead to better care and a healthier company. Send estimates via email or text conforming to HIPAA. It's time for 2020 to be treated like 2020. Mobile patient payments upfront can help you collect more than ever. Reduce patient AR by getting rid of the write-offs -
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XIFIN RPM
XIFIN
Utilizing our cutting-edge, cloud-driven technology platform, XIFIN RPM offers a robust and highly automated Revenue Cycle Management solution that enhances efficiency, streamlines medical billing processes, boosts cash collection, and elevates financial precision. Diagnostic providers require financial management solutions that not only enhance cash collection but also offer insight and control over their financial operations while ensuring connectivity both internally and externally. As the demands on these providers grow more intricate, traditional billing systems often fall short, lacking the necessary financial and referential integrity to provide precise and verifiable data. Consequently, it is essential for these providers to have a technology framework grounded in solid financial and accounting principles, granting comprehensive visibility into the financial status of each diagnostic activity throughout every phase, from the submission of orders to the final payment. This approach ensures that providers can navigate the complexities of revenue management with confidence and clarity. -
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Myndshft
Myndshft
Experience a streamlined workflow with real-time transactions integrated into current technology platforms. This approach enables providers and payers to cut down on time and effort by as much as 90% when it comes to benefits and utilization management. By eliminating the opaque nature of the existing benefits and utilization management system, confusion is significantly reduced for patients, providers, and payers alike. With self-learning automation and fewer clicks required, more time can be dedicated to patient care, allowing providers and payers to concentrate on what truly matters. Myndshft addresses the complexities of multiple point solutions by offering a cohesive, end-to-end platform that facilitates immediate interactions among payers, providers, and patients. The platform not only dynamically updates its automated workflows and rules engines based on real-time feedback from provider-payer interactions but also continually adapts to the specific rules utilized by payers. As usage increases, the system becomes increasingly intelligent, drawing from a comprehensive library of thousands of regularly updated rules tailored for national, state, and regional payers, thereby enhancing efficiency and effectiveness in the healthcare landscape. Ultimately, as the technology evolves, it fosters an environment where care delivery can be optimized, benefiting all stakeholders involved. -
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Practice Fusion
Practice Fusion
1 RatingOptimize your workflow by utilizing customizable templates and patient charts within a cloud-based EHR system designed to meet your specific requirements. Access a wide array of medical charting templates created by similar practices for enhanced efficiency. Effectively manage prescriptions, including those that are controlled or require prior authorization, while ensuring smooth communication with local pharmacies, labs, imaging centers, and other integrated tools within the EHR ecosystem. Select from more than 500 lab and imaging facilities to order tests and easily share results with patients. Benefit from versatile billing solutions provided by top industry partners to accelerate your payment process. Track your performance through insightful dashboards and effortlessly submit reporting data to CMS directly via your EHR system. Utilize customizable dashboards to monitor your progress on quality initiatives such as MIPS, while also taking advantage of comprehensive educational resources to help you understand the intricacies of quality measures. In addition, the platform offers ongoing support and updates to ensure you remain compliant with the latest healthcare standards. -
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Rhyme
Rhyme
Rhyme facilitates a smart integration between payers and providers within the prior authorization process, effectively reclaiming valuable time lost in repetitive communications and redirecting it to benefit the patient. While automating routine tasks is essential (and that's our focus), it doesn't stop there. In situations where the intricacies of clinical decision-making necessitate collaboration between payers and providers, Rhyme ensures your workflow remains streamlined, flexible, and efficient. We have developed the most extensive integrated prior authorization network, moving away from a fragmented system and fostering intelligent cooperation. Our platform boasts robust relationships and connections to EHRs, payers, and benefits managers, all seamlessly integrated. This means no frantic searches, no cumbersome screen-scraping, and no reliance on indirect information. We engage with providers and payers directly within their current systems and workflows, making connections straightforward so that we can adapt to your needs rather than forcing you to change. Prior authorizations are not just an ancillary feature of our platform; they are our core focus, ensuring that we excel in this area and provide exceptional service. By prioritizing these elements, we aim to transform the way prior authorizations are managed and enhance the overall experience for all parties involved. -
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Cohere Unify
Cohere Health
The Cohere Unify platform enhances all of our intelligent prior authorization solutions through the integration of touchless and predictive technologies, clinical content grounded in evidence, and various advanced features. By leveraging these technologies, we significantly minimize or completely remove the manual processes involved in achieving a comprehensive, fully automated prior authorization workflow. This predictive functionality allows health plans to nearly eradicate the traditional steps associated with prior authorization processes. Consequently, the system can autonomously generate tailored care plans utilizing patient and population authorization and claims data, which includes the ability to pre-approve multiple services before any requests are made. We employ evidence-based clinical criteria for specific specialties that complement our touchless and predictive technologies. Additionally, our platform features reliable single sign-on capabilities with widely used portals such as Availity and NaviNet. Furthermore, the configuration and implementation of rules have been validated to effectively manage transactions involving millions of cases, showcasing the scalability of our system. Ultimately, this innovative approach streamlines healthcare operations while enhancing efficiency and accuracy. -
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Valer
Valer
Valer’s innovative technology streamlines and accelerates the processes of prior authorization and referral management by facilitating automated submissions, status checks, verifications, reporting, and EHR synchronization, all from a single platform that caters to mid-to-large-sized healthcare facilities, various specialties, and multiple payers. Designed to meet the specific needs of users, Valer stands out as a comprehensive solution that accommodates all specialties and payers, in contrast to generic products that often restrict specialties and service lines and lack automation for submissions. The platform's user-friendly interface boosts staff productivity, simplifies the training process, and monitors both staff and payer performance across diverse service lines, fostering an environment of ongoing enhancement. Valer goes beyond merely connecting with a handful of payers; it integrates seamlessly with all payers, ensuring compatibility across all specialties, service lines, and care environments, and provides real-time updates on payer rules to keep your operations current. With Valer, healthcare organizations can experience a revolutionary shift in how they manage prior authorizations and referrals, paving the way for improved efficiency and patient care outcomes. -
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Qure4u
Qure4u
Qure4u's all-encompassing Virtual Care Platform provides a seamless experience for both patients and providers, ensuring comprehensive support throughout the entire patient journey and enhancing care before, during, and after appointments. Curious about the financial benefits of Remote Patient Monitoring? With evolving reimbursement models, integrating remote patient monitoring has become increasingly feasible and lucrative, and Qure4u’s Platform is designed to help you fully leverage this opportunity for both your practice and your patients. Utilize our ROI Calculator to discover the potential revenue that RPM can produce for your organization. By enhancing brand value, streamlining office operations, and boosting revenue, Qure4u also delivers greater clinical insights and significantly improves the patient experience. Our leading solution, MyCarePlan, plays a crucial role in fostering better patient outcomes and communication, making it an essential tool in modern healthcare. As the landscape of healthcare continues to evolve, embracing these innovative solutions will be key to staying competitive and providing exceptional care. -
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PAHub
Agadia Systems
With the increasing volume of Prior Authorizations and the added complexities introduced by specialty medications, Health Plans, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs) face significant challenges in adapting while striving to enhance both operational and clinical efficiencies. PAHub is a solution that is certified by HITRUST, providing comprehensive tools designed to streamline and govern all clinical, compliance, and administrative facets of Prior Authorization directly at the point-of-care, thereby enhancing compliance and decreasing turnaround times and costs. By utilizing cutting-edge technologies in data mining, analytics, content management, and sophisticated decision support frameworks, PAHub empowers clients to fully automate the entire prior authorization workflow. This innovative approach not only simplifies the process but also fosters a more efficient healthcare experience for both providers and patients. In an evolving healthcare landscape, solutions like PAHub are essential for organizations aiming to keep pace with the demands of modern medicine. -
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Hippocrate
HIPPOCRATE
Enhance patient interactions, assess their needs, offer solutions, and elevate the overall experience, satisfaction, and loyalty by adopting a Patient-Centric Approach to Healthcare. Gain access to a larger patient base, boost your revenue, and lower operational expenses simultaneously! Securely connect, discuss, refer patients, and share your most challenging cases with fellow medical professionals. Collaborate with other specialists and exchange insights within our highly secure and scalable encrypted Medical Social Network. This platform serves as a robust Big Data Health resource for Medical Researchers, enabling them to analyze anonymized health data, including MRT, fMRI, and genetic information, to uncover underlying patterns that can enhance patient treatment through advanced analytics. Hippocrates has been recognized as the premier Big Data Health platform at Stanford Medical School, the world's leading medical institution, where we unveiled our innovative research on Healthcare Systems and Medical Technology, illustrating how our offerings can transform the medical landscape at no expense. By fostering collaboration and knowledge sharing, we aim to create a more effective and efficient healthcare ecosystem. -
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Cedar Pay
Cedar Cares
Caring truly pays off. Explore the financial engagement platform in healthcare that ensures patient satisfaction while promoting business wellness. We handle comprehensive billing processes, allowing you to focus on patient care. By merging expertise from healthcare, technology, and design, we deliver a smooth financial experience for each patient. From the initial registration before appointments to the final billing after visits, we customize the care journey to facilitate easy payment options. Experience advanced personalization as we customize patient interactions and communications to enhance payment likelihood. Our user-centric design prioritizes the patient experience, resulting in an intuitive interface and clear billing processes. Our reliable implementation seamlessly integrates with your existing workflows, requiring minimal effort on your part while catering to your specific needs. Additionally, we provide real-time insights, offering complete visibility into your revenue cycle along with actionable analytics that inform your performance. With our platform, financial engagement becomes not just efficient but also a key driver of patient loyalty. -
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ECFS
ECFS
Boost your practice's revenue while enhancing the experience for your patients. Our aim is to foster exceptional long-term collaborations with the healthcare practices we support. Prioritizing the ability of providers to focus on delivering quality patient care is our top concern. We handle administrative responsibilities, allowing healthcare providers to dedicate their efforts entirely to their patients. The foundation of ECFS is centered around our commitment to support both healthcare providers and patients effectively. We are dedicated to creating a customized solution that caters to the specific needs of your practice and your patients. By partnering with us, your practice can enhance its operational efficiency, enabling you and your team to prioritize what truly matters—patient care. Our goal is to deliver an improved billing and electronic health records experience that benefits everyone involved. Discover how teaming up with ECFS Billing can elevate your practice to new heights. Our all-inclusive billing services are designed to boost your practice's revenue significantly, with most claims processed and ready for payment within just 48 hours. Additionally, monitor claims and payments effortlessly through our advanced clearinghouse system, ensuring transparency and efficiency for your practice. This partnership not only stands to improve financial outcomes but also enriches the overall quality of care provided to patients. -
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Bridge
Bridge Patient Portal
$500.00/month Bridge is a recognized leader in patient engagement solutions designed specifically for healthcare organizations. This innovative platform empowers companies to upgrade their current EHR's patient portal, integrate various health IT systems, unify patient engagement tools, and establish a digital front door. Notably scalable and user-friendly, it boasts ONC 2015 Edition Certification and is offered as both a client-branded web application and a mobile app compatible with Android and iOS devices. By automating the entire care journey, Bridge enhances the patient experience significantly. Patients remain actively engaged through customizable electronic communications and can access their health, financial, and appointment details across multiple platforms. Key features of the solution encompass self-scheduling, secure messaging between patients and providers, mobile intake, bill payment options, telemedicine services, and a wide array of additional functionalities. Moreover, the platform includes a fully-documented and complimentary API, enabling healthcare organizations to effortlessly develop their own interfaces, incorporate additional features, and generate advanced reports tailored to their needs. This level of customization ensures that each organization can effectively meet its unique patient engagement goals. -
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AppealsPlus
Etactics
AppealsPlus™ is an innovative cloud solution designed to automatically assess ERAs, apply specific rules for categorizing questionable payments and denials into relevant work queues, and leverage dashboards alongside key performance indicators for effective quantitative management that aids in decision-making. As the regulatory landscape evolves swiftly, it often changes course unexpectedly, which can leave healthcare providers and their patients with minimal time to adapt. Uncertainty looms over whether patients will be financially prepared or willing to settle their bills post-procedure. A critical oversight in many studies, vendor offerings, and software solutions is the subjective nature of denial definitions, which can vary significantly among physicians, billers, and healthcare institutions. To address these challenges, we offer you and your team a tailored, four-week implementation phase aimed at customizing the solution to meet your unique needs. Following the completion of this initial phase, we invite you to reach out with any queries or issues that may arise, ensuring continued support and optimization of your experience. This ongoing relationship reinforces our commitment to your satisfaction and enables you to navigate the complexities of billing and denials with confidence. -
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I-Med Claims
I-Med Claims
"I-Med Claims is a leading provider of comprehensive medical billing and revenue cycle management (RCM) solutions, trusted by healthcare practices across the United States. Our services cover every aspect of the RCM process, from eligibility verification to denial management, helping practices streamline their operations, reduce overhead costs, and maximize reimbursements. With flexible and affordable billing plans starting at just 2.95% of monthly collections, we deliver cost-effective solutions that ensure smooth financial workflows while maintaining high standards of accuracy and compliance. Outsourcing your medical billing to I-Med Claims can significantly boost your practice's efficiency by reducing claim denials and refusals, while increasing reimbursements. Our team of experts handles all billing tasks, allowing you to focus more on patient care. From compiling detailed billing reports to managing claims, we take the complexity out of the process, ensuring faster payments and better revenue management for your practice." -
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MedicsRIS
Advanced Data Systems
MedicsRIS is an all-encompassing radiology information system designed to enable radiologists to efficiently oversee their practice and ensure proper payment for each diagnostic examination. Created by Advanced Data Systems, this innovative platform allows for the seamless integration of orders from referring physicians' stage 2 certified electronic medical records (EMR) without the need for expensive HL7 interfaces, thereby helping users take advantage of incentives while steering clear of penalties. Among the core features that enhance operational efficiency are a dedicated portal for referring physicians, automated billing with EDI, multi-modality scheduling, insurance eligibility checks, mammography tracking, and additional functionalities. Furthermore, MedicsRIS provides access to a qualified Clinical Decision Support (CDS) option through its portal for referring physicians and radiology departments that lack their own qualified Clinical Decision Support Mechanism (qCDSM). If the manual process of obtaining prior authorizations has been a challenge, our automated prior authorization feature offers a solution by facilitating this task online directly within the MedicsRIS system, thereby streamlining workflows and saving valuable time. Ultimately, the integration of these features aims to enhance the overall efficiency of radiology practices. -
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Cortex EDI
Cortex EDI
Cortex EDI offers a comprehensive suite of services designed to enhance efficiency in medical, institutional, and dental practices. Our complimentary medical billing and claims clearinghouse software enables you to optimize your operational processes seamlessly. With user-friendly tools at your disposal, managing client billing becomes easier, allowing you to reclaim valuable time. Additionally, our solutions include essential features like patient eligibility verification for private insurance plans, Medicare, and Medicaid. We proudly provide our free medical billing software to a variety of practices without any signup fees or contractual obligations. By enrolling today, you can also access free training to master our practice management and medical claims clearinghouse tools effectively. Take the opportunity to consolidate your diverse EDI service requirements with Cortex EDI now and begin the process of refining your workplace efficiency. As a top provider of electronic medical transaction solutions, Cortex EDI is committed to supporting your practice's operational needs and facilitating your growth.