Alternatives to HGS Healthcare

RXNT's cloud-based, ambulatory healthcare software empowers medical practices and healthcare organizations of all sizes and most specialties to launch, succeed, and scale through innovative, data-backed, AI-powered software. Our integrated, ONC-certified healthcare software system—including Electronic Health Records, Practice Management, Medical Billing and RCM, E-Prescribing, Practice Scheduling, Patient Portal, and more—will streamline clinical outcomes, practice management, and revenue cycle management for your medical organization. RXNT is trusted by over 60 thousand providers and medical professionals across all 50 states in the U.S.A. to drive business growth, optimize operations, and improve the quality of patient care. All of our SaaS-based software products can be purchased standalone, but you can run you entire practice—from encounter to billing—with our unified Full Suite system. It utilizes a secure, central database so your data passes through every product in real-time from anywhere. Using our software, more than 125MM prescriptions have been transmitted and over $7B in claims have been processed. Our predictable, transparent subscription pricing model includes free setup & training, support, mobile apps, and more.

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.

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.

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.

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.

Introducing the inaugural unified automation™ solution tailored exclusively for the management of healthcare revenue cycles. Establishing trust within healthcare starts with enhanced revenue cycle practices. It's time for RCM to undergo a transformation, and it should be a comprehensive one. Our conviction is that every dollar allocated to healthcare is significant. This belief inspired the creation of AKASA (previously known as Alpha Health), designed to harness advanced technology to tackle the obstacles in revenue cycle management. These obstacles ultimately have financial repercussions for everyone involved. The current methods in RCM hinder the reduction of administrative expenses in healthcare and fail to enhance performance, while existing solutions tend to complicate matters further and inflate costs. The intricacies surrounding medical reimbursements in the United States contribute to rising hidden expenses that affect us all, diminishing the trust individuals have in the healthcare system's ability to meet their needs effectively. In fact, in 2019, the United States incurred an estimated $500 billion in medical billing and insurance administrative costs, highlighting the pressing need for reform. Addressing these challenges is essential for creating a more efficient and reliable healthcare environment.

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.

Platform for revenue cycle management that includes payment processing, claims management and patient access. Nextech's specialty-focused technology solutions are tailored to meet the unique workflow needs of specialty providers. This allows practices to increase efficiency across their clinical, administrative and financial functions through a single platform. Nextech is the leading single provider of electronic medical records (EMR/EHR), practice and revenue management software and services. It serves more than 9,000 clients and 50,000 staff members. Nextech provides intelligent healthcare technology to physicians. Nextech focuses its efforts on the success of specialty practices by providing consultative guidance and implementing solutions that are tailored to individual providers' workflows.

For the past decade, Cube Healthcare Systems has been at the forefront of transforming the healthcare landscape in the United States, offering innovative solutions that gather client data while enhancing both administrative and clinical management processes for greater efficiency. In addition to this, Cube Healthcare Systems is expanding its telemedicine expertise on a global scale, further establishing its impact. Our extensive experience in Revenue Cycle Management, acquired through partnerships with numerous medical centers across the U.S., enables us to differentiate our brand from competitors. By leveraging cutting-edge technology and predictive analytics, we are able to boost productivity, making processes more manageable and significantly increasing profitability. Furthermore, our comprehensive solutions, crafted through in-depth industry research and practical experience, promise to initiate a revolution in the U.S. healthcare market, fostering both efficiency and advancement in the sector. As we continue to innovate, we remain committed to redefining healthcare delivery for a better future.

Transcure is a healthcare solutions provider aimed at empowering hospitals, group practices, and independent practices. We enable healthcare providers to attain high-performing revenue cycle management. Similarly, our team of revenue cycle experts helps medical practices to optimize their financial and clinical outcomes. As a result, providers achieve a healthy revenue cycle management and get faster and on-time reimbursements. Further, we offer medical billing services across 32 specialties. Embark on a transformative journey with Transcure, where innovation converges with excellence in healthcare IT solutions. Established in 2002, we have proudly stood at the forefront of providing comprehensive Revenue Cycle Management (RCM) solutions in the USA. We are dedicated to empowering hospitals, group practices, and solo practices. We have grown to a team of +1100 highly qualified billers and coders strategically headquartered in Woodbridge, New Jersey, and Dallas, Texas. Our customized approach ensures providers achieve a strong revenue cycle process with timely reimbursements in the healthcare industry.

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.

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.

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.

Benchmark PM transforms patient engagement, covering everything from initial intake to final encounter. Key features include streamlined patient onboarding, hassle-free appointment scheduling, customizable reminders, comprehensive reporting, and user-friendly dashboards. On the billing side, Benchmark PM offers integrated claims management, a connected clearinghouse, electronic billing, insurance verification, and a versatile payment portal, simplifying the entire process. Benchmark Solutions provides a complete management solution for healthcare practices with Benchmark EHR software, Benchmark PM software, and Benchmark RCM services. This robust electronic toolset streamlines daily operations, boosts revenue, and enhances the patient experience. Each component of the Benchmark Solutions' suite is modular, ensuring easy integration with your existing systems. With Benchmark Solutions, you can focus on delivering high-quality care while we take care of the operational and administrative aspects, ensuring your practice runs smoothly and efficiently.

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.

ReLi Med EMR offers a user-friendly interface that is simple to learn and quick to become proficient in. Its consistent design enhances efficiency throughout the patient journey, from initial intake to charting and follow-up care. The platform is highly customizable to suit the specific needs of each provider. Information is organized in a detailed, quantifiable manner, which simplifies reporting and analysis. At ReLi Med Solutions, our commitment extends beyond just technological advancements; we prioritize equipping healthcare professionals with essential tools that enhance patient care. The system is specifically designed to help physicians achieve Meaningful Use objectives effectively. Moreover, our solution surpasses typical program features, offering customizable options that cater to a range of services, from managing complex care requirements to conducting wellness checks and supporting both concierge and traditional healthcare clinics. By providing real-time alerts and triggers based on a patient's health history, we aim to prevent errors, streamline workflows, and significantly elevate the quality of care delivered. Ultimately, our goal is to empower providers to deliver the best possible health outcomes for their patients.

Janus Health is revolutionizing the landscape of revenue cycle management through our innovative, comprehensive artificial intelligence platform. With a deep-rooted background in both healthcare and technology, we possess an intrinsic understanding of the complexities that revenue cycle management presents to healthcare organizations. Our solutions, grounded in operational intelligence and intelligent automation, empower revenue cycle teams to streamline their processes, allowing them to achieve greater outcomes with fewer resources while maximizing cash collections. Our all-encompassing revenue cycle platform delivers insightful, data-driven analyses of your operations and facilitates the implementation of workflow automation that enhances team productivity. Uniquely focused on revenue cycle management, Janus Health stands out as the sole process improvement platform tailored specifically for RCM. We offer a distinctive blend of operational intelligence tools and automations designed to be easily integrated, ensuring that healthcare organizations can seamlessly enhance their revenue cycle processes for better performance and financial results.

PatientPay provides an all-encompassing, adaptable, and secure billing and payment technology aimed at improving revenue cycle management for healthcare providers. By seamlessly integrating with current practice management or health information systems, PatientPay simplifies the payment experience, minimizing administrative workload and speeding up cash flow. The platform accommodates a variety of payment options, such as credit cards, HSA/FSA, eCheck/ACH, and digital wallets like Apple Pay, Venmo, PayPal, and Google Pay, thereby appealing to a wide array of patient preferences. Importantly, PatientPay's solution adheres to HIPAA and TCPA regulations, facilitating effective communication with patients through their chosen channels, including text and email, which enhances engagement and satisfaction levels. Furthermore, PatientPay features a sophisticated dunning engine that guarantees timely and appropriate interactions with patients, resulting in quicker payments, averaging under 14 days in comparison to the typical industry timeframe of 45 to 60 days. This commitment to efficiency not only boosts the financial health of practices but also reinforces positive patient relationships.

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.

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.

Introducing the groundbreaking EHR software designed to truly comprehend your needs. Engage with talkEHR through Alison, an AI-driven voice assistant, revolutionizing the way electronic health records are managed. This innovative software allows physicians to minimize their time on screens, enabling them to prioritize meaningful interactions with their patients. Whether you operate a solo practice or belong to a multi-specialty group, talkEHR is tailored to meet your requirements. Our platform is ONC-ACB Certified to the most current standards, ICD-10 compliant, and ready for MACRA/MIPS, ensuring seamless integration among patients, payers, labs, and the broader healthcare team. Enhance the core functionalities of talkEHR by selecting from an array of integrated mobile health applications, helping to eliminate repetitive tasks in your practice. talkEHR is designed to emulate the natural workflows of healthcare professionals, making it extraordinarily user-friendly and intuitive. Built on state-of-the-art technologies and architecture, talkEHR boasts impressive responsiveness, significantly enhancing the user experience in medical practices. With talkEHR, you can finally focus on what truly matters – providing exceptional care to your patients.

Zeus represents our latest cutting-edge technology specifically designed to streamline your healthcare billing operations. By taking over the repetitive tasks associated with revenue cycle management, Zeus frees your staff from these burdensome duties. As leaders in revenue cycle management solutions, we have developed a distinctive methodology that merges machine learning with robotic process automation to solve our clients' most challenging issues. With our comprehensive solutions, we aim to enhance your clean claims rate and optimize your revenue, all while reducing your overall operational costs. Unlike human employees, your robotic assistant doesn't require sleep, bathroom breaks, or meal times, allowing Zeus to work continuously to keep your medical billing tasks current and efficiently processed. Given that human error is a major contributor to claim denials, Zeus stands out as an ideal solution, tirelessly operating without distractions or mistakes. Embracing Zeus in your practice means a more reliable and efficient billing process, ultimately leading to greater financial stability and peace of mind.

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.

Coronis Health has more than 30 years experience in revenue cycle management and medical billing. We understand the impact that new legislation can have on medical facilities. We're breaking down the No Surprises Act and how it could impact your bottom line as the No Surprises Act goes into effect. Coronis Health, a global healthcare revenue cycle management and medical bill company, offers specialized solutions and global capabilities. Coronis Health combines industry-leading technology with high-touch relationships building to allow healthcare professionals & facilities focus on patient care, financial independence, and financial success.

Smart, simple solution that enables innovation for HME/DME professionals. We simplify everything, from order intake & distribution, scheduling, inventory control and billing, to reporting and reporting. Our goal is to challenge your existing processes and make healthcare easier for everyone. The administrative process of filling orders, communicating and getting patients what they want when they need it, can be improved. Where Workflow Happens To manage your business, download the NikoHealth mobile delivery software. Electronic documentation management allows you to go paperless, including scheduling, inventory control, and workflows. HME DME software is intuitive and easy to use to engage your team and reduce the learning curve while increasing productivity. Expert support and services to assist you in your digital transformation journey. Our reliable implementation supports your business goals while fostering best practices.

At Pulse, we focus on streamlining workflows to enhance patient care and ensure that physicians receive timely compensation. Our flexible revenue cycle management (RCM) models are designed to meet the specific needs of your practice, facilitating effective administrative and clinical functions. We adopt a customized approach that aligns with your business goals and can adapt our solutions to boost your profitability. In terms of financial performance, we aim to enhance your RCM key performance indicators, improve revenue and cash flow, and minimize write-offs as well as days in accounts receivable. Our personalized service ensures that a dedicated team of experts is assigned to your practice, committed to simplifying workflows and increasing profitability. We offer exceptional value through comprehensive and adaptable RCM solutions backed by highly trained professionals, streamlined processes, automation, infrastructure, and cutting-edge technology. As a prominent Electronic Health Record (EHR) and Practice Management (PM) company, Pulse is proud to be part of the Amazing Charts and Harris Healthcare family, with a rich history of providing technology and value-added services to medical practices. Our commitment to innovation and excellence continues to shape the future of healthcare management.

ARIA RCM Services provides a comprehensive solution for medical billing and revenue cycle management that aims to improve the financial performance of practices, hospitals, and laboratories. Clients have the option to use their own billing technology or adopt ARIA's systems, which come with a dedicated RCM team to ensure complete transparency. The services are customized to meet varying needs, from full revenue cycle management to targeted assistance with aging accounts receivable and coding oversight. Supported by a team of experts in regulations and payment processes, ARIA helps clients comply with the latest CMS and payer requirements, focusing on reducing denials, lowering accounts receivable, and speeding up payment timelines. The emphasis on operational efficiency is achieved through a blend of industry-leading practices and proprietary workflow technology, ultimately delivering superior outcomes at a more affordable cost. This commitment to excellence makes ARIA RCM Services a valuable partner in the healthcare sector, dedicated to enhancing financial health for its clients.

Everywhere, precise consumer engagement and payments. There are financial obligations that people can manage in life. Some they can't. It is essential to understand where consumers are on their financial journey in order to engage them effectively. RevSpring uses what we know about people in order to predict their payment outcomes and help them improve. RevSpring is a leader in financial communications and payment solutions that encourage action, from the front-office to back-office to collections. RevSpring is trusted by North America's top healthcare organizations, revenue cycle management companies, and accounts receivables management firms to maximize their financial results. RevSpring offers dynamic and personalized print, phone and text communications, as well as payment options. RevSpring solutions use proprietary data analytics to personalize the engagement workflows to suit individual circumstances and preferences. This improves the consumer's financial experience and drives better outcomes.

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.

OptiPayRCM's platform offers streamlined automation for revenue cycle management, focusing on the critical "last-mile" by seamlessly connecting with EHRs, clearinghouses, payer portals, and various other systems through adaptable interfaces, ensuring that your billing workflows are efficiently managed from start to finish. The centralized engine is designed to perform functions such as eligibility verification, claim submissions, payment postings, denial management, and comprehensive accounts receivable processes, leveraging artificial intelligence and robotic process automation to minimize manual tasks and enhance cash flow. With real-time dashboards and analytical reports, users gain insights into essential performance metrics while benefiting from customizable automation that accommodates exceptions and specific workflows. Its capabilities lead to a significant reduction in first-pass denials by as much as 63%, expedite claim status inquiries up to 50 times faster than traditional methods, and shorten payment cycles by up to 35%. Additionally, the platform is compatible with over 200 healthcare systems and facilitates direct integrations through EHRs, FHIR, EDI, and HL7, making it a versatile solution for modern healthcare billing challenges. This comprehensive ecosystem ensures that healthcare providers can optimize their revenue cycles efficiently and effectively.

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.

iCareBilling, an American Healthcare IT Company, provides Medical Billing, Practice Management, and RCM Software and Services to independent healthcare providers, medical groups, and hospitals throughout the United States. iCareBilling Practice Management Software & RCM Services are compatible with any EHR/EMR in the U.S.

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.

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.

Expand your practice using CareCloud, the top-rated cloud-based EHR and practice management software. CareCloud provides a full range of resources designed for healthcare professionals and organizations of varying sizes. Among these offerings are Concierge, a thorough revenue cycle management system; Central, an intuitive practice management application; Charts, a straightforward electronic health records platform; Community, tools for patient engagement and social interaction; and Companion, a mobile application for both clinical and administrative tasks. By utilizing these tools, practices can streamline operations and enhance patient care effectively.

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.

Streamline revenue cycle management, care quality oversight, and workforce optimization through a unified, user-friendly portal featuring single sign-on capabilities. Over 47,000 provider locations depend on our cutting-edge tools to ease the complexities of the patient care experience. Transform the financial experience for patients while alleviating administrative and clinical challenges with the Inovalon Provider Cloud, eliminating the need for fragmented workflows. Our SaaS offerings are designed to enhance both financial and clinical results throughout the patient journey, facilitating improved revenue cycle processes for enhanced reimbursement and ensuring optimal staffing levels for high-quality care. This all-in-one portal enables your organization to elevate its performance, boosting revenue, staff satisfaction, and care standards. By enhancing operational efficiency, productivity, and overall effectiveness, you can unlock the full potential of your organization. Explore the transformative capabilities of the Provider Cloud today.

The way you tackle the obstacles in your revenue cycle significantly influences your profitability and the overall effectiveness of your organization. The influx of patients seeking your services means little if receiving the payments for those services takes an excessive amount of time. You shouldn’t be burdened with dedicating countless hours to chase after payments that you rightfully deserve. Fortunately, there are more effective strategies to enhance healthcare reimbursement. Let Quadax assist you in developing a thorough, sustainable, and well-organized strategic plan while also helping you choose the most suitable technology solutions and services aligned with your business model. By partnering with us, you can not only attain operational efficiency but also improve your financial outcomes and elevate the patient experience. Ultimately, the aim for each claim submitted is to prevent denials and secure prompt payment. Additionally, implementing robust processes can further streamline operations and ensure financial stability for your organization.

SYNERGEN Health offers revenue cycle automation solutions that can perform repetitive tasks, significantly reducing manual labor while also minimizing the risk of data entry errors. Additionally, SYNERGEN’s digital workforce tools are designed to adapt and refine their methods in real time, ensuring that they consistently align with your organization’s objectives. As the financial exchange and reimbursement landscape within healthcare grows increasingly intricate each year, organizations are confronted with a pivotal decision: to either expand their resources or to implement automation for essential processes. With SYNERGEN Health’s innovative tools, your organization can embrace the advantages of robotic process automation, machine learning, and artificial intelligence. By leveraging these advanced technologies, SYNERGEN Health is poised to enhance your digital transformation efforts through effective automation strategies. This not only streamlines operations but also positions your organization to thrive in a rapidly evolving healthcare environment.

ViSolve focuses on delivering cloud hosting solutions via AWS specifically tailored for healthcare organizations, providing cost-effective methods to securely host their websites and web applications. We are recognized as one of the foremost contributors to OpenEMR, supported by a team of skilled professionals dedicated to customizing OpenEMR for your practice's maximum benefit. Our expertise extends to offering Health Information Exchange (HIE) through interoperable technologies such as FHIR and Mirth, facilitating seamless data transfers between various systems. The electronic medical records software empowers you to tailor your approach, recognizing that a one-size-fits-all solution is not effective! This personalized method enables the creation of optimal workflows that allow you to see more patients within an environment that suits your preferences. By providing customizable solutions, OpenEMR Pro is working towards the vision of a truly interconnected office, ensuring that patients, providers, and technology interact effortlessly and can share data with other hospitals when necessary through Mirth Connect. This commitment to flexibility and innovation positions ViSolve as a key player in enhancing healthcare delivery through technology.

"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."

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.

Achieving compliance with meaningful use can significantly enhance your practice's operations. By fostering greater transparency and efficiency, engaging with patients more effectively, and ensuring the confidentiality and security of all health-related information, you can reap numerous advantages through the use of PatientClick Certified EHR. Additionally, PatientClick's Virtual Visit TELEMEDICINE SOLUTION empowers medical practices to leverage secure web-based technology, allowing them to connect with patients regardless of distance from their physical office. We are dedicated to enhancing your practice's overall performance. As we assess your office's entire workflow, we will aid in optimizing current processes to boost both productivity and revenue. Our team of highly skilled Implementation Specialists is available around the clock to support you during the go-live phase. With our proficient training experts and other experienced staff members, we ensure a seamless transition for your practice, paving the way for improved patient care and operational success.

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.

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.