Alternatives to CodaMetrix

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.

CombineHealth AI is the creator of Amy, Marc, Emily, and Diana, an innovative AI workforce engineered to support comprehensive Revenue Cycle and Practice Management services across healthcare organizations in the U.S. Powered by a proprietary foundational model, these AI employees provide an industry-leading 99.2% accuracy rate while maintaining 100% compliance with all coding and billing guidelines. The AI workforce effectively reduces coding mistakes, boosts coder efficiency, and helps resolve physician documentation issues. Organizations leveraging these solutions have seen a 35% uplift in clean claim submissions alongside a marked decrease in claim denials. The AI employees collaborate seamlessly with human teams to handle crucial tasks such as medical coding, billing, data entry, accounts receivable follow-up, and denial management. Beyond performing these functions, the AI provides transparent, auditable reasoning for every decision and action taken. This combination of accuracy, compliance, and accountability helps healthcare groups optimize revenue cycles and improve financial performance. CombineHealth AI is revolutionizing healthcare administration through intelligent automation.

Our multi-specialty EHR, Practice Management, and Billing software solutions allow doctors to provide the best care possible to patients.

EZDI is Acquired by AGS Health Company. Our revenue cycle management platform allows businesses of all sizes, large and small, to access our APIs and revenue cycle management platform to gain insights from their healthcare data. A platform that integrates medical coding and clinical documentation. Fully integrated platform that allows you to increase documentation and coding specialist productivity by upto 45%. It also increases revenue through improved case mix and risk scoring. Modern clinical APIs that seamlessly integrate into your infrastructure. To provide cutting-edge accuracy, we have been trained on more than 7,000,000 real clinical documents. We use millions of knowledge graph records, deep-learning, and machine learning to provide clear code suggestions and query suggestions. We are ready to lead the next wave in AI in healthcare. Built for coders, documentation specialists to work smarter, faster and more efficiently from the beginning. Our Deep Learning NLP models help the most brilliant minds in healthcare navigate a seaof data with confidence.

Retrieving a patient's medical records is now just a search away, thanks to the PRISMA health information search engine, which consolidates data from primary care providers, specialists, clinics, urgent care centers, and hospitals into a comprehensive, searchable timeline of a patient’s health. Our Customer Success Stories showcase how our healthcare IT is being utilized in real-world scenarios, highlighting how eClinicalWorks customers are enhancing value-based care and overall healthcare outcomes. With a dedicated team of 5,000 employees, eClinicalWorks is committed to advancing healthcare in collaboration with our clients. Over 130,000 physicians across the United States, along with more than 850,000 medical professionals worldwide, depend on our EHR software for thorough clinical documentation as well as solutions that encompass telehealth, population health, patient engagement, and revenue cycle management. As a privately held company focused on innovation and excellence, our primary goal is to equip our customers with secure, cloud-based solutions that meet their evolving needs. Our commitment to improving healthcare continues to drive every aspect of our operations.

Clinical Info Solutions provides comprehensive and integrated medical billing services that cater to all your needs. Recognized as one of the leading medical billing firms in the United States, we specialize in a range of services including medical billing, coding, revenue cycle management, and medical credentialing. Our mission is to optimize your collections while alleviating the burden on your financial and human resources, allowing you and your team to concentrate on exceptional patient care. We pride ourselves on offering cutting-edge medical billing solutions that surpass industry standards in efficiency and cost-effectiveness. Our unique approach allows us to remotely access the client's server, utilizing their software to handle all billing tasks seamlessly. This arrangement ensures that all data and documents remain on the client’s server, granting them full oversight of the billing process, which is crucial for maintaining transparency and control. By partnering with us, you can expect a streamlined billing operation that enhances both your revenue cycle and patient experience.

Revolutionizing medical coding and auditing through artificial intelligence, our platform enhances the efficiency of manual inpatient coding processes, elevates the quality of documentation, and empowers your team to concentrate on more valuable tasks. Leading hospitals are experiencing significant advancements thanks to Semantic Health’s innovative solutions. By leveraging bespoke clinical AI and natural language processing algorithms, developed from millions of medical records by our exceptional AI experts, we can analyze clinical and coded data with precision. This enables our coding and auditing systems to grasp intricate clinical contexts, adapt to evolving coding guidelines, and identify high-quality coding and auditing prospects, all supported by clear evidence from clinical documentation. By integrating AI into the traditionally labor-intensive processes of medical coding and auditing, you can save time and enhance your revenue cycle. Furthermore, Semantic Health provides hospitals and healthcare systems with a powerful inpatient auditing platform designed to conduct comprehensive pre-bill reviews of claims data, ensuring that every detail is meticulously checked before submission. Ultimately, this approach not only streamlines operations but also significantly reduces the risk of errors.

Experience a comprehensive patient management suite that offers a fully integrated solution for all your needs in one unified platform. With the concept of "One Click = Many Actions," it streamlines workflows, minimizes administrative burdens, and cuts costs. This system includes features such as an integrated EMR, revenue management, practice ePrescribe, alerts, medication renewals, and referral management, all enhanced by customizable workflows, dictation capabilities, and analytics for value-based care as well as MACRA compliance for MIPS and APMs, among other functionalities. Users benefit from real-time data accessibility on mobile and tablet devices, along with integrated financial and clinical risk analytics, telemedicine options, and tools for tracking patient wellness and lifestyle. The suite also provides mobile applications for both physicians and patients, facilitating family care through a cohesive care suite. Parents are empowered to manage their family's medical records, engage with their family doctors, and connect with healthcare specialists through a secure, time-controlled access feature, ensuring instant access to vital medical information for both families and individuals. This innovative approach fosters a more connected healthcare experience, ultimately enhancing patient engagement and satisfaction.

Instant Health Care offers comprehensive online medical billing solutions tailored for practitioners from various specialties nationwide. Our software is designed with exceptional ease of use and an intuitive workflow, reflecting a profound comprehension of user needs. We electronically submit claims to insurance providers and ensure claims are processed within a swift 24-hour timeframe upon receipt. Our service portfolio encompasses accounts receivable management, medical coding review and support, as well as physician credentialing services. This innovative platform enables both you and your patients to securely collect, manage, share, and store health information without being hindered by time or location. The personal health record provided by IHC goes beyond a mere summary of health history, offering a more comprehensive view. Furthermore, Instant Health Care’s patient appointment software serves as a robust and user-friendly scheduling tool, designed to help staff manage appointments efficiently using a color-coded calendar system that enhances organization and accessibility. With these tools, practitioners can streamline their operations and focus more on patient care.

AdvantEdge provides specialized medical billing services, practice management, and coding tailored to enhance both your specialty and financial success. Clients of AdvantEdge enjoy the assurance of partnering with a leading medical billing provider. Their comprehensive revenue cycle management is designed to boost your financial returns! The company's “future-proof” solutions for physician billing merge cutting-edge technology with the capability to adapt to future advancements in the field. AdvantEdge also delivers thorough medical billing services for group practices and hospitals, including telemedicine billing. Focused on delivering exceptional outcomes, the company prioritizes ClientFirst service and maintains fully transparent operations. The effectiveness of any medical billing service is primarily determined by its results, and at AdvantEdge, they are proud of their impressive net collection rates in the mid to upper 90s, average Days in Accounts Receivable in the low to mid 30s, and, most crucially, a steady cash flow for clients. This commitment to excellence ensures that clients experience not just efficiency, but also peace of mind regarding their financial health.

MDofficeManager stands out as a premier provider of comprehensive solutions in revenue cycle management, encompassing medical coding, credentialing, accounts receivable management, electronic health records (EHR), and practice management software, along with transcription services for medical, business, and legal needs, serving a diverse range of facilities such as acute and non-acute hospitals, outpatient surgery centers, ambulatory care practices, and long-term care facilities across the United States. Our innovative products and services enhance both administrative and clinical workflows through either Cloud-Based or Server-Based alternatives. By promoting streamlined information exchange and fostering effective communication among healthcare stakeholders, we enhance operational efficiency while significantly lowering costs. This approach empowers healthcare professionals to make better-informed decisions, ultimately leading to improved patient care quality at reduced expenses. Notably, MDofficeManager’s Documentation Management system effectively minimizes costs and delivers timely, impactful solutions that optimize operational performance. We are committed to supporting the healthcare industry with tools that drive excellence and innovation.

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.

Aptarro's HCC Coding Engine is a cutting-edge AI solution that works in harmony with electronic medical records and practice management systems, enabling real-time scanning of every patient interaction to automatically identify and rectify coding discrepancies, ensuring that all Hierarchical Condition Category (HCC) diagnoses are correctly recorded for effective risk adjustment and revenue optimization. Utilizing established industry rules and advanced machine learning algorithms, the engine highlights high-priority encounters for coder assessment, significantly enhancing coder productivity by as much as 300% without increasing the workload for providers, while simultaneously minimizing denials through instant validation and compliance enhancements. The system features exception-based workflows, user-friendly dashboards that track RAF score trends, integrated audit trails, and logging capabilities, and offers rapid deployment within current processes, allowing organizations to experience immediate returns on investment during their initial billing cycle and recover millions in overlooked revenue, all while upholding clinical focus and ensuring the integrity of documentation. This innovative approach not only streamlines the coding process but also empowers healthcare organizations to maximize their financial performance without compromising patient care.

Envision a transformative approach to care management that lowers healthcare expenses, reduces both admissions and readmissions, enhances star ratings and HEDIS metrics, and elevates health quality and outcomes through a mission-focused data platform driven by artificial intelligence. As the healthcare sector increasingly embraces value-based care, Health EM.AI emerges as a pioneer, redefining care management and enhancing care delivery through innovative data utilization and AI technology. By streamlining patient information from various care settings and leveraging AI/ML-driven predictive analytics, we equip healthcare organizations with actionable insights that significantly enhance care quality. Our approach ensures measurable improvements at the individual patient level, particularly within palliative and chronic care management workflows. The integration of unified patient 360 data across all care settings leads to meaningful advancements in star ratings, risk adjustment, and the effective closing of care gaps. Additionally, our localized healthcare models examine over 1,000 clinical and non-clinical variables based on geographical context, further refining the effectiveness of care. This comprehensive strategy not only fosters better patient outcomes but also encourages a more efficient healthcare ecosystem.

Remote Patient Monitoring (RPM) enables individuals to utilize connected medical devices for routine assessments and transmit the results to their healthcare providers. By enhancing access to medical care and lowering healthcare delivery expenses, RPM assists safety-net providers in moving beyond sporadic patient visits to establish an ongoing, real-time patient record, thereby transforming healthcare practices from a reactive to a proactive approach that supports value-based care (VBC). Through Care Management services, patients with complex medical needs can receive continuous, patient-centered care. Those grappling with chronic conditions who participate in these initiatives experience better health results due to consistent care coordination, uninterrupted communication with their healthcare providers, and regularly scheduled telehealth consultations. Additionally, the implementation of telepharmacy plays a pivotal role in improving patient outcomes by ensuring that individuals adhere to their medication regimens, including specialized treatments. Moreover, these innovations in healthcare delivery systems contribute to a more holistic approach to patient wellness, fostering an environment where proactive management can significantly reduce the potential for health complications.

The Solventum™ 360 Encompass™ System is a holistic, cloud-centric solution created to optimize revenue cycle management within healthcare entities. By seamlessly integrating computer-assisted coding (CAC), clinical documentation integrity (CDI), and auditing capabilities, it simplifies the workflows associated with both facility and professional services coding. Utilizing cutting-edge artificial intelligence (AI), the system automates the coding process, which lessens the reliance on onsite hardware and support, ultimately leading to a reduction in total ownership costs. Furthermore, it encourages teamwork among coding and CDI teams by breaking down barriers and advocating for a cohesive strategy to clinical documentation. The platform's adaptability empowers organizations to concentrate more effectively on business results, thereby enhancing both efficiency and precision in the revenue cycle. Its user-friendly interface and robust features make it an essential tool for modern healthcare management.

Transform your healthcare experience with the revolutionary Soliton® AI, which is powered by 30,000 evidence-based rules and advanced machine learning techniques. By automating various healthcare and care management functions, Soliton® equips you with the tools necessary to thrive in a value-based care environment, offering unmatched capabilities. It efficiently analyzes vast amounts of patient data in real-time, leading to enhancements in both clinical outcomes and financial performance, while also supporting a range of Alternative Payment Models (APMs). The solution boosts the effectiveness of telehealth by forecasting billable codes during patient interactions and predicting future healthcare costs through sophisticated risk stratification models. Furthermore, it provides timely clinical decision support to assist in managing intricate patient populations. Soliton® optimizes the patient journey, facilitating seamless transitions from acute to post-acute care through AI-driven care coordination. Moreover, it identifies care gaps, uncovers service and coding opportunities, and generates tailored patient assessments and personalized care plans, while also enabling the creation of custom cohorts for targeted interventions. As a result, Soliton® not only enhances operational efficiency but also elevates the overall quality of patient care.

ClinicAid streamlines your workflow by utilizing our cloud-based medical billing software to handle the more labor-intensive tasks, allowing you to concentrate on what truly matters: patient care. By minimizing administrative burdens with state-of-the-art billing and coding solutions, you can focus more on your patients. Our software automatically populates claims with your practice and patient information, simplifying complicated processes. ClinicAid's physician billing software keeps your practice organized and efficient by offering robust reporting features, all developed with input from our users. This ensures you have immediate access to essential reports, including Remittance, Rejection, and Efficiency, all at the touch of a button. The reporting capabilities of our medical billing software are adaptable to the evolving needs of your practice, enabling you to create and save personalized reports that encompass up to 46 different data points for enhanced insights into your operations. With ClinicAid, you are equipped to make informed decisions that improve the overall performance of your practice.

Achieving significant advancements in both clinical and administrative outcomes, Evolent Care Partners, a healthcare system in the Midwest, has earned the distinction of being ranked third nationally for both total shared savings and the percentage of savings against benchmarks. By providing independent primary care physicians with essential capital and resources, Evolent Care Partners empowers them to engage in and thrive under two-sided payer contracts while mitigating their financial exposure. New Century Health enhances cost-effectiveness and quality of care in oncology and cardiology by leveraging clinical evidence to inform care decisions, a process that enjoys support from both payers and providers alike. Furthermore, Evolent Health Services streamlines health plan operations through a suite of comprehensive services backed by a modern, integrated platform and a genuine model of strategic partnership. Additionally, the organization encourages exploration of insights and news related to value-based care, population health, health plan administration, and various topics concerning the transformation of healthcare. Through these initiatives, Evolent aims to foster a more efficient and effective healthcare landscape.

If you are considering outsourcing your revenue cycle management functions, either entirely or partially, Precision Practice Management possesses the necessary experience and knowledge to assist you in navigating the ever-evolving challenges in this crucial field. They cover every facet of revenue cycle management, including compliance, credentialing, coding, claims processing, clearinghouse edits, electronic lockbox solutions, claim denial management, comprehensive reporting, and financial analysis among others. While your in-house team may excel in managing various aspects of medical billing, they also have numerous critical clinical responsibilities that demand their attention. Consequently, billing tasks might not always receive the focus they require, leading to potential shortcomings. Unlike your internal staff, Precision's dedicated medical billing specialists concentrate solely on billing, ensuring it is handled with the utmost expertise and efficiency. This focused approach allows your practice to thrive, as you can be confident that billing is in capable hands.

MedHeave, a medical billing solution provider located in Massachusetts, delivers services across the United States. With extensive experience, we specialize in lightening the administrative burden faced by medical staff. Our offerings include billing, coding, accounts receivable services, and medical credentialing, among others. Our dedicated team of medical billing specialists manages your documentation, allowing you to focus entirely on providing top-notch care to your patients. Experience the peace of mind that comes from streamlined revenue cycle management, enabling you to prioritize patient treatment without the hassle of administrative tasks. We are committed to ensuring that healthcare professionals can perform their duties effectively and efficiently.

Our cutting-edge platform was crafted by healthcare providers, incorporating insights from medical professionals nationwide, leading to our consistent recognition as a top-tier EHR by Black Book™ for excellence in performance, dependability, support, and customer service. Our celebrated, cloud-based EHR software empowers providers to deliver care in a more effective and efficient manner. With over twenty years of experience in the healthcare sector, we have honed our expertise to better serve our clients. Since our debut in 1999, we’ve refined our platform through significant collaboration with both our providers and specialized industry vendors. Today, we offer more than just EHR software; we serve as a vital partner in the journey toward value-based care. Our primary objective is to equip practices with state-of-the-art healthcare technology that improves clinical workflows, lowers operational costs, and strengthens the provider-patient dynamic. By continuously adapting to the evolving needs of the industry, we ensure our solutions remain relevant and effective in enhancing patient care.

Epion’s patient engagement platform integrates solutions for patient access, check-in, and telehealth, facilitating seamless connections with patients throughout their healthcare journey—before, during, and after their appointments. Patients anticipate receiving care that actively reaches and engages them in their current environment. To meet this expectation, healthcare practices must utilize the appropriate tools and automation to enhance engagement, satisfaction, and return on investment. Committed to transforming healthcare, Epion focuses exclusively on creating innovative digital access solutions that lead to improved clinical and financial results. By serving as a reliable partner to healthcare providers, we help advance your value-based care objectives while ensuring exceptional customer support and a wealth of resources. This commitment to excellence is among the reasons why our leading platform has gained traction with medical practices nationwide, spanning from small, single-provider offices to large health systems. Ultimately, Epion's dedication to enhancing patient experiences solidifies its position as a key player in the healthcare technology landscape.

Sully.ai specializes in creating AI-powered agents tailored for the healthcare sector, delivering solutions that automate essential functions like medical coding, scheduling patient appointments, and managing clinical documentation. By integrating effortlessly with current healthcare infrastructures, these intelligent agents help organizations boost their efficiency and lower operational expenses. The platform adheres to HIPAA regulations, guaranteeing the safety and confidentiality of patient information while providing rapid task execution. Sully.ai's technology finds applications across various fields, including pediatrics, psychiatry, and primary care, and is relied upon by more than 100 healthcare organizations to optimize workflows and enhance patient services. This commitment to innovation and security positions Sully.ai as a leader in transforming healthcare operations through automation.

Computer-Assisted Coding, also known as medical coding, helps to boost productivity, make critical decisions quicker, and reduce denials, missed fees, and low-risk score. The AGS Computer Assisted Coding module (CAC) allows for flexible and scalable coding to increase accuracy, productivity, efficiency, and flexibility. Features: Integrated Encoder : CAC has a built-in, 'book-based encoder' that helps you select the correct code. It also includes full guideline information as well as coding clinics. Integrated References - An integrated reference guide contains detailed visuals and information on anatomy for coders during the coding procedure. Integrated and 3M grouper: DRG/MSDRG grouping comes built-in. For those who require the 3M APR grouper, it can be activated easily through an existing integration with third party (3M fees apply).

As a company that emphasizes value-driven healthcare, effective communication through a versatile and scalable platform is essential for your success. NaviNet Open stands out as one of the premier collaboration platforms in the United States, enhancing engagement among providers and producing reliable, actionable insights throughout the healthcare delivery process. This secure multi-payer system not only improves communication but also boosts operational efficiency, reduces expenses, and heightens provider satisfaction. It enables real-time exchanges of crucial administrative, financial, and clinical data between payers and providers. For NantHealth, prioritizing security is paramount. Our adherence to HIPAA regulations, coupled with a steadfast commitment to our core values, has earned us EHNAC HNAP accreditation since 2006. Additionally, NaviNet Open holds HITRUST certification, demonstrating compliance with critical regulations and industry standards. This platform effectively mitigates risks associated with third-party privacy, security, and compliance, ensuring a robust framework for all users. Such dedication to security and efficiency fosters an environment of trust and collaboration in the healthcare ecosystem.

Easy Coder offers a comprehensive solution that integrates efficient searching for procedure and diagnosis codes, encounter editing, and compliance tools within a single user-friendly platform. By utilizing a web-based interface, the program ensures that users receive real-time updates on content, regulatory changes, and policies without the hassle of software installation. It confirms medical necessity, enhances coding efficiency, and consolidates various coding elements, enabling early corrections in the revenue cycle workflow. For nearly 15 years, our medical billing service has relied on Alpha II’s EasyCoder daily, and it has become an indispensable asset, granting my team quick access to up-to-date, thorough, and trustworthy coding information. Features like the E&M Generator, policy reviewer, lists of supporting diagnoses, and localized Medicare fee schedules have significantly boosted our team's expertise and confidence, allowing us to better assist our clients as a dependable resource. This powerful tool not only streamlines our processes but also fosters a culture of continuous learning and improvement within our organization.

When it's time to connect with your patients, Navigesia is here to assist you. Our platform provides real-time patient data collection alongside a variety of clinical decision support tools, enabling you to deliver Value-Based Care effectively within your practice. We offer an innovative solution that allows patients to use electronic tablets in the waiting area to fill out forms and health-related surveys. This not only enhances the patient experience but also streamlines your practice's operations. By integrating patients into the software as a valuable resource, you can effortlessly gather the high-quality information that matters to you. Embrace creativity to leverage the insights gained for improving your practice. Engage in data-rich reporting incentives and start reaping the rewards of the valuable insights your patient data can provide. Don't miss out on potential revenue; optimize your operations and maximize the benefits of your efforts. By doing so, you'll create a more efficient and rewarding environment for both your patients and your practice.

Cut down on administrative expenses and enhance reimbursement rates, all while ensuring compliance is upheld. Transform your revenue cycle management (RCM) with the innovative capabilities of RapidClaims powered by AI technology. Significantly reduce administrative costs, elevate reimbursement levels, and maintain compliance with minimal effort. Simplify your coding workflow, and either automate tasks or empower your coding staff with tailored solutions that meet your specific needs. Process thousands of charts quickly and accurately while addressing the distinct demands of each client. Our advanced language model adeptly handles unstructured data, crafting a comprehensive patient record by turning notes into organized codes and identifying disease patterns. Avoid repeating past errors by establishing broad coding-related rules in straightforward language, which can be easily implemented across your charts, categorized by specialty, code type, and individual coders. Enhance your insight into code-level trends across various locations and take proactive steps to refine the revenue cycle. Additionally, our platform meticulously reviews charts to uncover claim denial trends, equipping you with the tools to address these challenges effectively and improve overall performance. With these capabilities, you can ensure a more streamlined and efficient coding process that supports your organization's financial health.

Enhance your value-based initiatives by swiftly evaluating and comprehending the expenses associated with episodes of care. Foster provider participation and engagement by facilitating discussions rooted in data and evidence regarding overall episode costs as well as the specific practice patterns of individual providers. Propel enhancements in cost and quality by addressing discrepancies in care delivery and performance among providers. Utilize analytics to empower value-based strategies, offering insights that assist in refining network structures and advancing clinical transformations. Discover opportunities for value-based care by analyzing episode costs, using clinically validated definitions for episodes. Engage providers in value-focused conversations by examining patterns of utilization, costs, and variations in care. Employ episode analytics to refine network designs, reshape clinical guidelines, and boost consumer engagement effectively. Simplify the process of creating episode budgets by establishing average costs per episode alongside the related clinical services, ensuring a comprehensive understanding of financial requirements. This focused approach not only drives efficiency but also lays a strong foundation for sustainable improvements in healthcare delivery.

We facilitate the transition to value-based healthcare by evaluating various treatments, medications, processes, and costs, which aids hospitals, life sciences firms, and payers in pinpointing the most effective treatment strategies for optimal patient results. Our CRCA™ P&T platform equips Pharmacy and Therapeutics committees to implement data-driven enhancements in key quality indicators, including metrics like average length of stay (ALOS) and 30-day readmissions. The innovative POP-BUILDER Rx™ solution offers comparative evaluations among chosen cohorts against CRCA’s extensive real-world data index, which encompasses over 140 million longitudinal patient records. Additionally, our drug remittance dashboard provides an in-depth analysis and reporting of drug remittance information across different payer categories, focusing on high-cost medications at the National Drug Code (NDC) level. Furthermore, we assist hospital finance teams in effectively tracking and enhancing service line costs and profitability, productivity, and revenue cycle performance through our insightful analytics, detailed reporting, and the expertise of our Agilum Healthcare Intelligence team. This comprehensive approach ensures that healthcare providers can make informed decisions that positively impact both operational efficiency and patient care.

myUnity®, - Leveraging the most strategic elements of the Netsmart market-leading senior living, hospice, and home care solutions into a unified enterprise platform. All your post-acute care settings can be accessed from a single location or across hundreds. It is user-friendly and gives your clinical staff the right information at the right moment so they can concentrate on patient care. This platform is designed to provide value-based care through connectivity, analytics, population health management and electronic referral management.

With ClinicMind, you can achieve a more effective and lucrative practice. If you find yourself dedicating excessive time and effort to trivial issues instead of focusing on what truly matters for your practice, you're certainly not alone. This is a common concern we hear from many practitioners still dealing with outdated software or struggling with manual processes. Our EHR software and RCM solutions have been designed with industry-leading practices and tangible solutions to address clinical obstacles. Our team, composed of experts in coding, billing, and medical compliance, boasts two decades of experience and has successfully supported over 16,000 users. ClinicMind's offerings are adaptable for any specialty or integrated practice, including those in chiropractic and mental health. We leverage our extensive software development and industry knowledge to effectively tackle the distinct operational challenges faced by each specialty, ensuring tailored support for every practitioner’s needs. By choosing ClinicMind, you are not just opting for software; you are selecting a partner committed to your practice's success.

MDLand’s array of products is designed to enhance workflow efficiency for both medical professionals and their support teams, ultimately saving time and reducing redundant tasks. The iClinic® offers a comprehensive and certified electronic health record (EHR) system that streamlines processes, minimizes time dedicated to data entry, and equips you to fulfill quality payment program standards and earn additional incentives, allowing you to concentrate more on patient care. As an ONC certified EHR vendor, MDLand supports healthcare providers in achieving meaningful use, adhering to MACRA/MIPS, and participating in various value-based payment initiatives. This software package includes a user-friendly EHR, electronic billing, payment processing, and an assortment of patient engagement tools all conveniently accessible. Transitioning from a fee-for-service model to a value-based reimbursement system means that healthcare providers have the opportunity to increase earnings by delivering high-quality care. By leveraging MDLand’s innovative solutions, you can focus on what truly matters—enhancing patient outcomes and satisfaction.

The cost of medical billing software can differ significantly between various providers. Our company, which specializes in HIPAA-compliant medical billing, utilizes software that is not only reliable but also free of errors. It's important to note that not all source codes are suitable for the complexities of medical billing and coding; hence, we opt for software that is both credible and has proven its reliability over time. This software is designed with the user in mind, offering virtual assistance to resolve billing issues efficiently. It excels in managing financial data, reimbursement calculations, and sophisticated revenue cycle management with a high degree of accuracy. Furthermore, it provides comprehensive tracking of the entire medical billing process, encompassing everything from appointment scheduling to reimbursement processing. Ultimately, these key functions encapsulate the essential role that medical billing software plays in the healthcare industry. Additionally, its ability to streamline operations ensures that healthcare providers can focus more on patient care rather than administrative burdens.

Our web and mobile solutions, which are easy to implement, assist physician practices and health systems in extracting deeper insights from healthcare data, synchronizing workflows with value-based care initiatives, and enhancing revenue integrity. Achieving excellence goes beyond just having superior technology. Become one of the many satisfied practices and health systems that trust Ingenious Med as their partner, benefiting from our dedicated and experienced support team along with ongoing product updates that cater to changing demands. Ingenious Med provides mobile and web solutions that enhance physician productivity and hospital efficiency directly at the point of care. We empower health systems and physician groups to boost their revenues, enhance data intelligence, align care with quality standards, and streamline workflows throughout the healthcare landscape. With over two decades of experience collaborating with providers and organizations, we are well-equipped to meet the diverse needs of the healthcare industry. Our commitment to innovation ensures that we remain at the forefront of healthcare technology advancements.

Flash Code™ is an innovative coding solution tailored specifically for the healthcare sector. Our mission is to deliver outstanding, user-friendly, and affordable software, complemented by unparalleled customer support. As part of Practice Management Information Corporation, the foremost independent publisher of coding literature, we have the capability to offer a comprehensive approach to fulfill your coding and compliance requirements through both our software and printed materials. We appreciate you taking the time to discover the benefits Flash Code can offer you. Additionally, this merger allows MCCS to enhance its offerings, providing advanced electronic coding and compliance tools for the healthcare market. Whether it’s a physician verifying medical necessity codes during patient care, an insurance manager ensuring accurate diagnosis codes, or a benefits analyst examining health insurance claims for compliance with correct coding initiatives, MCCS is equipped to streamline and improve these essential processes. Ultimately, our goal is to empower healthcare professionals with the tools they need to navigate the complexities of coding and compliance effectively.

The PulsePro practice management system integrates automated workflow logic to seamlessly connect financial, clinical, and administrative operations within a single platform. This user-friendly solution simplifies implementation and features advanced tools for scheduling, patient registration, medical billing, coding, and claims processing. With a rapid implementation process, your team can quickly become proficient, enabling them to start managing daily operations in just hours instead of days or weeks, all while utilizing a top-tier practice management system. Pulse stands out as a prominent EHR/PM provider and is part of the esteemed Amazing Charts and Harris Healthcare network. Our longstanding commitment to enhancing medical practices with innovative technology and additional services showcases our dedication to the healthcare industry. We are passionate about empowering healthcare professionals to deliver exceptional care through our comprehensive solutions.

Become a part of our network to enhance care coordination throughout various communities. Watershed Health offers a comprehensive care coordination platform that enables healthcare providers to deliver integrated care, ultimately leading to better patient outcomes. With our system, you can access vital patient information all in one place, facilitating more informed clinical decisions. Receive timely updates on patient data from all members of the care team as it is generated. Identify crucial insights into significant patient demographics to promote value-based care and improve population health management strategies. As healthcare providers collaborate and share information, Watershed Health employs clear, real-time quality metrics to evaluate and motivate care coordination efforts. Additionally, our platform allows for screening of social determinants of health (SDOH) and connects patients to local resources that can help meet their specific needs. Our solution seamlessly fits into existing tools, systems, and workflows, significantly reducing the time and effort required for implementation. By joining Watershed Health, you're not just enhancing care; you're also fostering a community dedicated to improving health outcomes for everyone involved.

Elevate the effectiveness of value-based care through the OMS Trace Analytics® cloud platform, which specializes in the analysis and reporting of essential cardiovascular metrics. As reimbursement increasingly hinges on value, it's important to note that in the 2018 performance year, 60% of Medicare reimbursements were associated with quality metrics under the Quality Payment Program. This emphasizes the growing necessity for a precise data-driven and evidence-based quality reporting solution aimed at measuring, targeting, and enhancing your quality initiatives. The OMS Trace Analytics® cloud platform is expertly crafted to provide profound clinical insights into cardiovascular conditions, featuring dedicated dashboards that focus on key cardiovascular issues such as Hypertension, Dyslipidemia, Atrial Fibrillation, Heart Failure, Coronary Artery Disease, and Peripheral Artery Disease. With the integration of such advanced analytics, healthcare providers can better navigate the complexities of value-based care while actively improving patient outcomes.

Address the complexities of value-based care regardless of your existing EHR system. Gain a comprehensive understanding of your patient demographics through consolidated data from various sources, presented in an intuitive visual format. Leverage data-driven insights to enhance the management of chronic diseases and facilitate smoother transitions in care, while also working to prevent illnesses, reduce costs, and enhance care management initiatives. Promote effective care coordination through tools designed for a proactive mindset, including a pre-visit dashboard, risk assessment capabilities, and automated monitoring of admission, discharge, and transfer activities. Activate care management strategies to broaden the reach of healthcare providers. Encourage essential patient interactions and ensure meaningful follow-up between visits. Utilize the Johns Hopkins ACG system for risk stratification to pinpoint patients most at risk for high-cost healthcare utilization. Efficiently allocate resources to areas where they are most urgently needed. Aim to elevate performance metrics related to quality care. Engage successfully in value-based payment initiatives and maximize reimbursement opportunities as you navigate this evolving landscape. By implementing these strategies, healthcare organizations can improve patient outcomes and foster a more sustainable care environment.

PatientKeeper Charge Capture improves practice revenue and cash flow by capturing physician charges more efficiently and coding smarter. PatientKeeper Charge Capture eliminates paper-based charges from your billing process, resulting in faster submissions and a direct impact on your practice's revenue. No more manually reconciling multiple patient records with charge tickets. PatientKeeper Charge Capture drastically reduces the need to consult with clinicians about charges that were submitted weeks or days earlier. Staff can quickly resolve issues with quick access to clinical notes or communication tools without having to interrupt physicians or delay submissions.

Revolutionize your revenue cycle with Clarus RCM, a leader in risk adjustment coding solutions that include both retrospective and prospective HCC coding, commercial risk adjustment coding, HEDIS abstraction, RADV audits, chart reviews, data validation, and comprehensive revenue cycle management services. With a team of certified coders, we assure over 95% accuracy and prompt turnaround times. Clarus RCM Inc utilizes an advanced technology suite to deliver thorough revenue cycle management (RCM) services. By combining RCM with healthcare consulting services, we empower hospitals and physicians to maximize their current revenue, discover new payment prospects, and enhance RCM efficiencies. In addition to our ISO/IEC 27001:2013 certification, our operations strictly adhere to HIPAA regulations and ISMS compliance. We have undergone assessment by UL-DQS, an American accreditation body, ensuring the delivery of top-tier healthcare services while maintaining a commitment to quality and security. This dedication to excellence not only benefits our clients but also enhances the overall healthcare landscape.

Safeguard the reliability of your health plan while pinpointing precise pricing with the Context4 Health Plans Suite, our versatile and cloud-centric technological framework. Experience immediate and actionable insights for detecting Fraud, Waste, and Abuse (FWA), developed by our skilled team of certified experts in clinical, dental, and health benefits. By leveraging accurate data and state-of-the-art cloud technology, we deliver a robust and defensible Medicare reference-based pricing (RBP) solution. Our platform comprises over 100 healthcare data sets, complemented by professional guidance to enhance operational efficiency and ensure regulatory compliance. Additionally, our sophisticated medical coding software is tailored to streamline claim submissions and reduce the likelihood of denials. Furthermore, the cloud-based Payment Integrity Platform harnesses our unique analytics engine to uncover coding mistakes, assess medical necessity, address unbundling, detect fraud, waste, and abuse, evaluate audit risks, and identify pricing discrepancies, all of which can significantly influence your organization's performance. This comprehensive approach not only safeguards your financial health but also positions you for sustainable success in the ever-evolving healthcare landscape.

ThoroughCare is an all-encompassing care coordination software platform that aims to improve the delivery of care across numerous healthcare sectors, such as chronic care management, remote patient monitoring, behavioral health integration, transitional care management, annual wellness assessments, and advance care planning. This platform empowers healthcare providers to fulfill all service criteria, utilize evidence-based practices, and generate additional revenue while effectively addressing care gaps. By implementing a robust care management strategy, ThoroughCare meticulously monitors quality and performance metrics, consolidates data from various clinical locations to assess patient engagement and outcomes, and generates reports on risk stratification, claims, missed revenue opportunities, encounters, and call performance. The analytics feature of ThoroughCare equips decision-makers with visual insights into operational, financial, and patient data, thus facilitating informed choices. Additionally, the platform seamlessly integrates with electronic health records (EHRs), health information exchanges (HIEs), and remote monitoring technologies, ensuring a holistic approach to patient care. This interconnectedness not only streamlines workflows but also enhances the overall efficiency of healthcare delivery systems.