Alternatives to Approved Admissions

Opus is an all-encompassing platform that combines EHR, CRM, and RCM functionalities, specifically tailored to optimize the operations of treatment centers specializing in behavioral health, such as addiction, mental health, and substance use disorder clinics. This platform offers a suite of integrated features that facilitate patient management, billing processes, appointment scheduling, and telehealth capabilities. Opus significantly boosts operational efficiency through intelligent lead routing, insurance verification, automation of routine tasks, and customizable forms that cater to specific needs. Additional offerings include sophisticated reporting tools, AI-enhanced progress note creation, and smooth laboratory integrations. With its emphasis on adaptability and growth potential, Opus serves as an excellent choice for organizations of varying sizes, from small practices to large multi-center operations within the behavioral health sector. Ultimately, Opus stands out as a versatile solution designed to meet the evolving demands of the industry while ensuring high-quality care for patients.

XpertCoding 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.

A secure SaaS-based medical billing and revenue cycle management (RCM) solution that aids in improving automation and increasing collection for physicians. Software is efficient and simple to use because of features like Seamless Insurance Eligibility Verification (IEV), appointment booking, claims cleaning, auto Posting, and public health clinic. To smoothly link EMR software with expEDIum Medical Billing / RCM software, there are many APIs accessible in the expEDIum SDK.

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.

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.

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.

Droidal transforms healthcare revenue cycle management (RCM) through intelligent AI agents that automate administrative tasks, reduce errors, and drive faster reimbursements. Built for hospitals, physician groups, hospices, dental networks, and ambulatory care centers, it simplifies billing and claims processes end-to-end. The platform’s AI mimics human users, ensuring accuracy and compliance while scaling to handle millions of transactions per month. Healthcare organizations using Droidal report up to 40% automation of operational processes, 50% cost savings, and 25% increases in net patient revenue. Its agentic design eliminates repetitive work, shortens payment cycles, and delivers a 30–250% annual ROI. Unlike traditional RCM vendors, Droidal works within your existing infrastructure — no system overhauls required. With built-in human fail-safes and real-time exception management, it ensures every claim and transaction meets compliance standards. Backed by advanced security and transparent documentation, Droidal gives healthcare providers a faster, smarter, and more reliable way to manage their financial operations.

Zuub is a cutting-edge platform that leverages artificial intelligence to enhance revenue cycle management for dental practices by streamlining essential administrative functions. It features a variety of tools, including instant insurance verification, digital treatment plans, online payment processing, accounts receivable oversight, and electronic consent forms. By effortlessly integrating with existing practice management software, Zuub minimizes the need for manual tasks, boosts overall operational efficiency, and fosters greater transparency for patients regarding the costs and insurance coverage of their procedures. Supporting a network of more than 350 insurance payers, the platform can perform insurance verifications in under five seconds. Furthermore, Zuub’s digital treatment plans not only improve patient comprehension but also encourage acceptance of proposed services, while its collaboration with Sunbit offers convenient financing solutions for patients. This innovative approach positions Zuub as an invaluable asset for dental practices striving to enhance both their financial performance and patient experience.

Thoughtful AI presents an all-encompassing, AI-powered approach to managing healthcare revenue cycles (RCM). Featuring advanced AI agents like EVA for verifying eligibility and CAM for handling claims, this platform streamlines even the most intricate and labor-intensive RCM tasks. Aimed at enhancing both efficiency and precision, it lowers operational costs, decreases denial rates, and speeds up the posting of payments. Endorsed by top healthcare organizations, Thoughtful AI ensures smooth integration, promises a return on investment, and effectively cuts down costs associated with collections, all while adhering to HIPAA-compliant security standards and offering performance-based assurances. This innovative solution is transforming the way healthcare providers manage their financial processes.

Axora AI serves as a comprehensive claims management solution that integrates AI-driven automation with billing proficiency, overseeing all aspects from eligibility verification to payment processing. However, its capabilities extend beyond mere automation; Axora AI proactively mitigates denial risks, adjusts to changes in payer regulations, and focuses on critical tasks, enabling you to enhance revenue recovery with reduced effort. 1. Oversees the complete claims cycle from initiation to completion. 2. Identifies potential denial issues prior to submission. 3. Focuses on actions designed to boost cash flow. 4. Integrates effortlessly with your existing EHR, payer, and financial systems. 5. No need for migrations or interruptions—just more efficient and streamlined payments. 6. This ensures that your organization can operate smoothly while maximizing financial outcomes.

Effective collaboration in patient care hinges on continuous connectivity and access to the latest information. It has become increasingly crucial to streamline the exchange of this information with insurers. Availity simplifies the process of working with payers, guiding you from the initial verification of a patient's eligibility to the final resolution of reimbursements. Clinicians desire quick and straightforward access to health plan details. With Availity Essentials, a complimentary solution backed by health plans, providers can benefit from real-time data exchanges with numerous payers they frequently engage with. Additionally, Availity offers a premium option known as Availity Essentials Pro, which aims to improve revenue cycle performance, minimize claim denials, and secure patient payments more effectively. By relying on Availity as your trusted source for payer information, you can dedicate your attention to delivering quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions enable providers to seamlessly integrate HIPAA transactions along with other essential functionalities into their practice management systems, ultimately enhancing operational efficiency. This comprehensive approach ensures that healthcare providers can maintain focus on their primary mission: patient well-being.

The LigoLab LIS & RCM Laboratory Operating Platform™, a comprehensive enterprise-grade platform, includes modules for AP and CP, MDx and RCM. It also supports Direct-to-Consumer. This allows laboratories to be more competitive in the marketplace, scale up their operations and become more profitable. The RCM module integrates with the LIS and automates ICD/CPT coding. The billing process begins at order inception and includes verification, eligibility and scrubbing components. This increases claim submissions and revenue and decreases claim denials. TestDirectly is a portal for patient engagement that allows labs and collection facilities scale collection, testing, reporting, and reporting workflows. This reduces friction and eliminates errors that can be caused by manual labor and paper forms.

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.

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.

Centauri Health Solutions is a company specializing in healthcare technology and services, motivated by our commitment to enhance the efficiency of the healthcare system for our clients while offering compassionate assistance to those in need. Our software, powered by advanced analytics, supports hospitals and health plans—including Medicare, Medicaid, Exchange, and Commercial sectors—in effectively managing their fluctuating revenue through a bespoke workflow platform. Moreover, our personalized support for patients and members grants them access to vital benefits that can significantly improve their quality of life. Our array of solutions encompasses Risk Adjustment (including Medical Record Retrieval, Medical Record Coding, Analytics, and RAPS/EDPS Submissions), management of HEDIS® and Stars Quality Programs, Clinical Data Exchange, Eligibility and Enrollment services, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, and both Referral Management & Analytics, as well as addressing Social Determinants of Health to further bolster healthcare outcomes and accessibility. Each of these components is designed to work in harmony, ultimately creating a more effective and compassionate healthcare experience for everyone involved.

"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."

The Eligibility Verification Standard enhances both patient access and billing procedures by allowing staff to efficiently assign and prioritize patients, payers, and tasks throughout the eligibility verification process. This advanced technology surpasses mere eligibility checks by offering a comprehensive dashboard for confirming, managing, and archiving every inquiry made. It accelerates the verification process through automated enrichment, correcting incomplete or improperly formatted transactions from payers. Additionally, staff can conduct multiple eligibility inquiries simultaneously via batch file uploads that swiftly verify Medicaid, Medicare, and commercial coverage. Team members can be easily assigned tasks, follow-up flags can be set, and eligibility documentation can be generated for future use. Managing patients across batches and resolving issues is simplified, requiring just a few clicks. Ultimately, this cloud-based, all-payer health insurance eligibility verification software saves time and enhances coverage accuracy, while empowering staff to handle benefit inquiries in the manner that suits them best, ensuring operational efficiency. With its user-friendly design and powerful capabilities, it transforms the way eligibility verification is approached in healthcare settings.

Silna Health's Care Readiness Platform efficiently manages prior authorizations, benefit verifications, and insurance monitoring right from the start, ensuring that patients are ready to receive care while allowing providers to concentrate on delivering treatment. Powered by AI, the platform oversees the entire workflow of prior authorizations, which includes tracking future authorizations, sending weekly reminders, handling submissions, and conducting follow-ups, all while applying established industry rules and highlighting exceptions for human intervention when necessary. Benefit checks specific to various specialties confirm coverage, accumulation, authorization prerequisites, and visit limitations in real time, providing precise quotes at the point of intake. The system also performs continuous insurance monitoring to identify lost coverage, detect new insurance plans, and prevent eligibility gaps. Designed to operate without increasing staff numbers, Silna directly integrates data from EMRs and practice management systems, offers customizable rule sets and strategic frameworks, and features intuitive dashboards that present insights into incremental revenue. Overall, this comprehensive approach not only streamlines processes but also enhances the financial performance of healthcare providers.

The RCM Cloud® employs a "software as a service" (SaaS) framework designed to modernize the demanding processes of medical billing through digital solutions that minimize manual intervention and enhance workflow via automation. This innovative system not only boosts operational efficiency but also enables the organization to increase its service delivery capabilities while requiring only slight growth in administrative personnel. By investing in this technology, businesses can expand and thrive without the need to significantly increase their workforce. On the administration front, RCM Cloud® and its related services operate on the robust, reliable, and secure medsphere cloud services platform. The RCM Cloud® suite encompasses various modules such as patient and resource scheduling, enterprise registration, real-time payer eligibility verification, contract management, medical records handling, billing processes, claims management, collections for both payer and self-pay, point-of-sale payment processing, and bad debt management, empowering healthcare organizations to revolutionize their revenue cycles effectively. This comprehensive approach not only streamlines operations but also positions healthcare entities for sustained growth in a competitive market.

Enhancing the financial and operational processes within your practice presents a significant challenge. You aim to optimize provider schedules, boost reimbursement rates, thrive in alternative payment models and value-based care, reduce claim inaccuracies, and ensure secure data access, all while striving to deliver exceptional patient care. This multifaceted task can be daunting; however, aligning with a knowledgeable partner equipped with the necessary resources can help you enhance performance effortlessly. The Practice Management system facilitates seamless scheduling and registration, allowing for immediate access to referrals and eligibility checks. Through Practice Management, your staff can efficiently handle walk-ins, cancellations, and regular appointments. Additionally, the patient-focused ledger provides a comprehensive solution for account management, enabling you to view service and payment history, detailed reimbursement notes, and collection activities all within a single interface. This streamlined approach ensures that both administrative tasks and patient care can be managed more effectively, ultimately leading to improved outcomes for both the practice and its patients.

The intricacies of medical billing for healthcare providers have made traditional billing approaches outdated, given the rising demands for thorough documentation, compliance, and diminished reimbursements. Utilizing advanced technologies such as artificial intelligence, machine learning, and robotic process automation, RevvPro effectively addresses the critical shortage of certified medical billing professionals while offering essential visibility into real-time data like claim statuses and denials through automation. Accessible via both smartphones and desktops, RevvPro presents a promising solution for revenue cycle management, tackling reimbursement challenges head-on. Healthcare facilities have the flexibility to continue using their preferred practice management and EMR/EHR systems if they find them satisfactory. RevvPro operates as an overlay on existing systems, extracting necessary information to enhance provider transparency. Additionally, it enables various members of the revenue cycle team to effortlessly collaborate and manage their specific workflows and processes, ensuring a more efficient billing environment. This integrated approach not only simplifies operations but also helps healthcare providers adapt to the evolving landscape of medical billing.

Adonis is an innovative platform powered by artificial intelligence that seeks to transform revenue cycle management through its capabilities in monitoring, alerting, and resolving dynamic issues. It significantly improves task prioritization within RCM organizations by offering insights into denial patterns, underpayments, and performance metrics. Utilizing AI-driven analytics, Adonis aims not only to boost first-pass acceptance rates but also to reduce human errors, effectively surpassing traditional automation methods. The platform takes a proactive approach to preventing denials while automating routine tasks, thereby enabling teams to dedicate more time to enhancing patient care and overall experience. Moreover, Adonis integrates effortlessly with current electronic health records, practice management systems, billing frameworks, and patient portals in real-time, which helps to eliminate data silos and ensures a streamlined workflow. Its adaptable solutions cater to a range of healthcare organizations, including physician group practices, hospitals, healthcare systems, digital health providers, and practice management services, making it a versatile choice in the industry. By focusing on collaboration and efficiency, Adonis not only improves operational performance but also elevates the standard of care delivered to patients.

Kodiak Platform serves as a comprehensive, cloud-based solution for healthcare finance and revenue-cycle management, aiming to streamline essential financial operations for hospitals, health systems, and physician practices. Central to its offering is the proprietary Revenue Cycle Analytics software, which compiles over twenty years of national payor and provider data to provide profound insights into net revenue trends, competition standards, and potential risk factors, all designed to ensure a significant return on investment. The platform incorporates various modules, including charge capture, three-way cash reconciliation, uncompensated-care reimbursement, and payor market intelligence, which empower finance teams to automate vital processes, enhance visibility into unapplied payments, and assess payor performance at a granular level. Users benefit from detailed dashboards and multi-step workflows that facilitate the standardization of revenue-cycle tasks, minimize manual labor, and uncover new growth opportunities, all from a single, integrated platform instead of disjointed systems. This holistic approach not only boosts operational efficiency but also fosters a more strategic perspective on healthcare finance management.

RevCycle Engine utilizes integrated, customizable rules alongside AI-driven automation to rectify coding and charge inaccuracies at their origin, guaranteeing the precision of billing data prior to claim submissions. By effortlessly merging with EMRs and practice management systems, it processes claims data in real-time, implements established rules that cater specifically to the unique requirements of each organization, and automatically rectifies errors, which significantly minimizes avoidable denials and expensive rework. The platform enhances workflow efficiency by prioritizing only complex or exceptional claims for human oversight, thereby alleviating team workload and preventing burnout. Furthermore, with its AI-enhanced charge accuracy, it boosts clean claim rates, reduces the cost associated with collections, and stabilizes cash flow, all of which can be monitored through intuitive dashboards and immediate insights. Its scalable automation is capable of managing high volumes of claims without necessitating overtime or late-night work, while also including functionalities such as charge accuracy validation, denial prevention strategies, optimization of coding reviews, and support for payment collection, among others. The comprehensive nature of these features ensures that health organizations can maintain operational efficiency and financial health.

Transform patient-reported information into valuable insights through cliexa's effective RPM solutions. By utilizing powerful, real-time data, cliexa enhances the efficiency of care delivery while simultaneously reducing costs. The integration with EMR simplifies documentation for audit protection and compliance purposes. With features like automated billing code qualification and documentation processes, cliexa enables immediate time and cost savings. Furthermore, cliexa-OPTIONS provides a unique multi-metric screening assessment for adolescents that evaluates various risk factors, including depression, anxiety, sexual behaviors, substance use, and alcohol consumption. Providers are equipped with an easy-to-understand risk report that includes national guidelines and recommendations to assist in determining appropriate next steps. The platform also includes a specialized resiliency screening tool that offers valuable insights into the protective factors of patients, which can be leveraged to inform follow-up discussions and customize treatment plans effectively. This comprehensive approach ensures that healthcare providers are well-prepared to address the diverse needs of their patients.

Clinics of all sizes and specialties can concentrate on their patients while PertexaIQ™ manages the rest of the tasks. This applies not only to primary care but also to various specialty and subspecialty practices, including neurology, obstetrics and gynecology, pediatrics, dermatology, podiatry, endocrinology, and behavioral health. By enhancing ease, speed, and accuracy, practices can significantly increase both their value and patient volume, leading to greater revenue. For hospitalists, nurses, and related groups, our platform-independent application seamlessly integrates with your device and your client’s electronic health records (EHR), ensuring that documentation is completed in real-time for every patient interaction, whether it occurs remotely, in nursing homes, rehabilitation facilities, or at home. Administrators and advisors in accountable care organizations (ACOs), patient-centered medical homes (PSOs), and independent practice associations (IPAs) can see a rise in the number of patients treated and bills processed, while experiencing faster payments and lower staffing and outsourcing costs. The auto-accurate coding feature leads to nearly 100% approval rates for claims on the first submission, alongside immediate auto-audit capabilities at the Recovery Audit Contractor (RAC) level and comprehensive compliance measures. Ultimately, this integrated approach maximizes efficiency and enhances the overall patient care experience.

Enhance your claims management process while reducing denials with superior edits and a top-tier clean claim rate. Healthcare organizations need advanced technology to ensure precise claim submissions and swift reimbursements. Claims Director, the claims management solution from SSI, simplifies billing procedures and offers transparency by assisting users throughout the entire electronic claim submission and reconciliation journey. As reimbursement criteria from payers undergo modifications, the system continuously tracks these changes and adapts accordingly. Furthermore, with an extensive array of edits across industry, payer, and provider levels, this solution empowers organizations to maximize their reimbursement efforts effectively. Ultimately, utilizing such a comprehensive tool can significantly improve financial outcomes for health systems.

Utilize a cloud-based healthcare delivery system to effectively manage your members' healthcare and networks. This system streamlines the claims processing for managed care organizations by automating various tasks such as eligibility verification, referral and authorization handling, provider contracting, benefit management, auto adjudication of claims, capitation for primary care and specialty services, EOB/EFT check processing, as well as EDI transfers and reporting. It can be implemented as a cloud solution or operated in-house, making it suitable for a range of entities including managed care organizations (MCOs), independent physician associations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. By simplifying the intricate processes involved in managing eligibility, referral authorizations, and claims, this system enhances operational efficiency. Its features are designed to optimize data integrity while minimizing the need for manual data entry, thus improving overall accuracy and productivity. Additionally, the flexibility of deployment options ensures that organizations can choose the best fit for their operational needs.

Veradigm Payerpath offers a comprehensive suite of revenue cycle management solutions designed to enhance financial performance for healthcare organizations by improving communications with both payers and patients, ultimately increasing practice profitability across various specialties and sizes. By addressing issues such as incomplete information, incorrect coding, and data entry mistakes, the system ensures that claims are submitted cleanly and accurately. It also guarantees that claims are correctly coded, devoid of missing details, and free from errors before submission. With advanced analytical reporting, practices can benchmark their performance against state, national, and specialty peers, enabling them to optimize productivity and boost financial outcomes. Additionally, Veradigm Payerpath helps remind patients about their appointments while confirming their insurance coverage and benefits, streamlining the process. The platform further automates the billing and collection of patient responsibilities, making it easier for practices to manage finances. Notably, Veradigm Payerpath's integrated solutions are agnostic to practice management systems, ensuring seamless compatibility with all major PM platforms, which enhances its versatility in various healthcare settings. This flexibility allows practices to focus more on patient care while efficiently managing their financial operations.

Whether you need assistance with grasping the intricacies of the CMS and ONC final regulations, crafting a strategy to meet compliance deadlines, or executing a practical solution, we are here to assist you. As a frontrunner in the field of interoperability, Edifecs possesses the necessary expertise to guide you in achieving adherence to the latest mandates while unlocking the potential of secure and dependable electronic health data exchange. Edifecs provides top-tier Smart Trading and Encounter Management solutions specifically designed for small to medium-sized health plans. By leveraging financial, clinical, and administrative data, organizations can advance their business strategies and facilitate automation in administrative tasks. Improve encounter management processes and enhance first-pass rates for managed Medicaid and Medicare Advantage through a hosted solution model that Edifecs offers. Additionally, Edifecs presents COTS-based modular solutions aimed at optimizing data quality and supporting payment reform initiatives. By utilizing these innovative tools, health plans can ensure a proactive approach to compliance and data management, ultimately leading to improved outcomes.

GoRev offers advanced functionality tailored for enterprise use within an affordable Health Information System. Our features are shaped by direct feedback from clients, providing us with a distinct edge over our competitors. Every tool we offer is crafted to enhance the profitability of your practice by automating tasks that typically consume valuable employee time. With a comprehensive selection of reports, visual data representation, and a robust grading system, you gain vital insights and resources necessary for achieving success. Additionally, our dedicated team of data analysts is on hand to help create any custom reports you require, often at no extra cost. GoRev also includes expedited registration processes, a complete scheduling module, real-time eligibility checks, electronic outreach campaigns for patients, and bar-code charge capture capabilities. These features work together to streamline your operations, elevate user satisfaction, and enhance the effectiveness of your revenue cycle management. Furthermore, our commitment to continuous improvement ensures that we adapt to the evolving needs of your practice.

Utilize the specialized EMR designed specifically for urgent care settings to enhance your practice. This system features streamlined charting and user-friendly templates that facilitate rapid and precise documentation, optimizing workflow and fostering superior experiences for both patients and staff alike. Access the urgent care EMR software that equips you with essential tools to efficiently manage center visits. Clinicians can confidently document urgent care encounters thanks to its intuitive interface and tailored documentation templates. The system accelerates patient processing with swift registration, real-time insurance checks, an integrated EMR/PM database, and scheduling queues driven by workflow, enabling patients to move from check-in to discharge in the shortest time possible, thereby enhancing overall satisfaction. Furthermore, accurate CPT autocoding and intelligent E/M code suggestions guarantee comprehensive documentation for every visit and improve claim accuracy. With a comprehensive library of relevant standard reports available to support strategic decision-making, your clinic's performance can be easily monitored and continuously improved, ultimately elevating the quality of care provided.

Acusis delivers a comprehensive and effective strategy for Revenue Cycle Management (RCM) that ensures an exceptional experience for its clients. The company boasts an experienced team of RCM professionals, including experts in billing, coding, Clinical Documentation Improvement (CDI), risk adjustment, Hierarchical Condition Category (HCC) management, account receivables, and denials handling. By merging advanced technology with skilled documentation services, Acusis simplifies clinical documentation management in a cost-efficient manner. Their eCareNotes speech recognition platform empowers physicians to save valuable time, allowing them to concentrate on patient care, while the Acusis professional services team enhances the experience for Health Information Management (HIM) professionals by providing top-notch editing support. From capturing dictation to implementing state-of-the-art voice recognition solutions, Acusis presents a diverse range of cloud-based products designed to streamline the transcription workflow for Managed Transcription Service Organizations (MTSOs). The flagship technology platform, eCareNotes, not only assists MTSOs but also benefits in-house transcription teams at hospitals, helping them lower documentation expenses and maintain compliance with industry standards. Ultimately, Acusis stands out for its commitment to innovation and customer satisfaction in the realm of healthcare documentation and management.

Advaa Health presents a unified suite of medical practice software and digital health resources designed to assist healthcare providers in delivering high-quality patient care efficiently and affordably. This comprehensive platform caters to various needs, including direct primary care, independent practices, virtual primary care, and the establishment of new primary care facilities. Among its many functionalities, the software features electronic prescriptions, lab order management, streamlined communication, holistic patient health profiles, accessible patient portals, and robust revenue cycle management tools. The primary goal is to minimize manual processes, elevate the standard of patient care, and boost overall patient satisfaction. By utilizing Advaa Health's solutions, physicians can concentrate on enhancing patient care and satisfaction, all while alleviating the pressures of staff burnout and stress. This platform prioritizes the attraction, connection, and retention of patients through a cost-effective solution that offers branded, SEO-friendly websites, digital tools for patient interactions, and optimized workflows, ultimately fostering a more engaged patient community. Furthermore, the integration of these technologies allows healthcare providers to adapt seamlessly to the evolving demands of modern medical practice.

Lightning Step software and billing services are used by all types of addiction and mental health treatment facilities. Lightning Step eliminates the hassle of using multiple platforms and puts all the pieces under one efficient EMR system. We provide the foundations needed to create a successful treatment center today. Say goodbye to duplicate data. Our EMR software allows treatment centers of all sizes to guide their clients from referral through discharge. It connects to one system, allowing you to regain your superhero powers of saving people's lives. We help treatment centers to navigate the ever-changing complexities involved in sending invoices and insurance claims, so that they can maximize admissions and improve their client outcomes.

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.

Certive’s Revenue Integrity Analytics platform uniquely combines data science, clinical insights, and administrative knowledge. The extensive experience of Certive Health safeguards the revenue integrity and process compliance of hospitals. Central to Certive Health's offerings is the Revenue Integrity Analytics™ platform, which serves as the foundation of their Revenue Solutions. Furthermore, the advanced capabilities in analytics, workflow, and marketing automation, paired with expertise from both clinical and payer perspectives, empower clients to cut costs, enhance outcomes, and boost patient satisfaction levels effectively. This comprehensive approach not only streamlines operations but also fosters a more efficient healthcare environment overall.

AGS AI Platform is an end-to-end revenue cycle management platform that offers a full spectrum of revenue cycle solutions that can be tailored to any organization's specific requirements.

Interconnected technologies and consolidated data enhance individual capabilities while driving the health sector to foster innovation and improve health results. Oracle Health is creating a comprehensive healthcare platform equipped with intelligent solutions designed for data-focused, patient-centered healthcare interactions that link consumers, healthcare professionals, insurers, and organizations in public health and life sciences. Holding the largest share of the global electronic health record (EHR) market allows us to unify data, empowering clinicians, patients, and researchers to take significant actions that promote health and enhance outcomes on a global scale. Recognized as the leading provider in revenue cycle management (RCM) by IDC MarketScape, we deliver timely, predictive, and actionable health insights that help automate workflows, maximize resource efficiency, and streamline operations. By accelerating innovation and leveraging flexible infrastructure alongside platform resources, we enhance clinical intelligence through our expansive and adaptable ecosystem of partners and technologies, ultimately striving to create a healthier future for all. This unified approach not only improves the efficiency of healthcare delivery but also strengthens the connections within the entire health ecosystem.

Vozo is an industry-leading EHR that empowers healthcare professionals with the ability to manage their practices in a personalized, informed and advanced manner. Vozo platform is a combination of affordability and ease of use that is specifically tailored to improve innovative practice workflow management. Vozo's cloud-based EHR software allows you to securely and safely manage your patient records, ensuring smooth operations and comprehensive care. It also offers advanced features such as easy-to-access dashboards and online telehealth appointments.

We firmly believe that the future of healthcare and the sustainability of healthcare systems hinge on a robust, mutually beneficial partnership between committed clinicians and advanced predictive tools, enabling them to confidently navigate the intricate balance of delivering high-quality care while ensuring financial stability. Our innovative predictive engine enhances the expertise and judgment of healthcare providers by transforming and enriching raw clinical data into real-time, precise insights that can be utilized by clinicians and hospital administrators. This approach significantly improves the management of care delivery by aiding in critical decision-making, automating processes to scale clinical teams, and enhancing the financial health of health systems. Additionally, the Artifact mobile application by Iodine allows physicians to quickly and accurately address CDI and coding queries, streamlining their workflow. This integration of technology and clinical expertise not only supports better patient outcomes but also fosters a more efficient healthcare environment overall.

Zentist is an advanced technology platform that automates insurance revenue cycle management (RCM), for dental practices. Zentist uses machine learning and robotic process automation (RPA), to automate tedious billing tasks at a time when dental practices are losing an estimated $2.1 million due to legacy billing systems. Zentist's platform can be easily scaled to meet the increasingly complex billing needs of modern dentistry, which has seen a lot of consolidation and unprecedented pressures to scale RCM. It minimizes human error, maximizes insurance payouts, provides advanced analytics on revenues, and improves patient-provider relationships.

Gentem Health revolutionizes the reimbursement process by efficiently managing the complete billing and revenue cycle while also providing advance payments to private medical practices. With our platform, nothing is overlooked, as it acts as a comprehensive hub for understanding billing operations and tracking essential metrics, ensuring you maintain control over your revenue. We recognize the critical importance of cash flow and access to capital to enable sustainable growth for your practice. By partnering with Gentem, you can secure working capital while we meticulously submit, review, and follow up on your claims. Our team of specialized experts, equipped with cutting-edge technology, is committed to optimizing your collections. Our innovative technology is designed to deliver impactful results. Additionally, our advanced analytical tools and AI-driven automations empower you with unprecedented control over your practice’s financial health. With real-time performance analytics and timely notifications, you will have complete visibility into your claims process, guaranteeing that every claim receives the attention it deserves and nothing is ever overlooked. Thus, by leveraging our platform, healthcare providers can focus more on delivering quality patient care while we handle the complexities of revenue management.

Anatomy's range of financial automation tools is designed to assist any healthcare entity that processes insurance claims, encompassing medical and dental offices, management service organizations, billing and revenue cycle management firms, as well as digital health companies. By consolidating all relevant data, Anatomy facilitates automated financial reconciliation and insightful analytics. Eliminate the tedious task of manually entering Explanation of Benefits (EOBs) into your practice management system; Anatomy’s innovative AI technology swiftly transforms EOBs into Electronic Remittance Advices (ERAs), streamlining your workflow. Additionally, you can forgo the hassle of tracking bank deposits using Excel spreadsheets, as Anatomy guarantees that crucial data is readily accessible to authorized personnel whenever needed. No longer will you be left in the dark about discrepancies between your bank statements and practice management system at month-end; with Anatomy’s real-time dashboards and comprehensive reporting, clarity is assured. Committed to revolutionizing financial operations for healthcare providers, Anatomy enables professionals to prioritize delivering high-quality patient care. With Anatomy, the modernization of your financial processes is not just a possibility; it is an attainable reality that enhances efficiency and accuracy.

Speed up payment processes while minimizing administrative tasks. With over 8,000 payer connections and established collaborations with more than 650 practice management vendors, our claims management solutions lead to a reduction in pending claims and decreased need for manual efforts. Efficiently and accurately send claims for various services, including professional, institutional, dental, and workers' compensation, ensuring prompt reimbursement. Tackle the evolving landscape of healthcare consumerism by delivering a smooth and transparent financial experience. Our patient engagement tools enable you to facilitate informed discussions around eligibility and financial obligations, while also lowering obstacles that could affect patient outcomes, ultimately fostering better healthcare experiences.