Alternatives to Infinx

Service Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status online, and receive remittance advice. Accepting standard ANSI formats, data entry, and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers.

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.

RXNT's cloud-based integrated Electronic Health Records (EHR), software with E-Prescribing and Patient Portal optimizes patient treatment and streamlines workflows in practices of all sizes and specialties. Providers have access to the most current patient health information and prescription history from one database, accessible from any device. Integrated communications allows providers to share real-time clinical information with patients and clinicians, allowing for better care coordination. The use of "smart keys" and intake forms allows for customization and eliminates redundancy. Your practice will enjoy the Patient Check-In feature and integrated Electronic Prescribing. HIPAA compliant, ONC certified, EPCS-certified and meets MACRA/MIPS requirements. RXNT also offers Practice Management (PM), which includes Medical Billing, Scheduling, and standalone E-Prescribing. You can choose a solution by the piece with predictable pricing or you can implement our Full Suite for one, integrated platform.

Azalea is a leader in interoperable cloud-based healthcare services and solutions. Azalea's platform offers electronic health records with integrated telehealth functionality, revenue cycle management, and analytic software. Azalea's integrated platform is focused on customer success and can be used by all practices and hospitals ambulatory strategies. It instantly improves cash flow and clinical outcomes through care coordination innovation and revenue cycle performance.

Experience a streamlined workflow with real-time transactions integrated into current technology platforms. This approach enables providers and payers to cut down on time and effort by as much as 90% when it comes to benefits and utilization management. By eliminating the opaque nature of the existing benefits and utilization management system, confusion is significantly reduced for patients, providers, and payers alike. With self-learning automation and fewer clicks required, more time can be dedicated to patient care, allowing providers and payers to concentrate on what truly matters. Myndshft addresses the complexities of multiple point solutions by offering a cohesive, end-to-end platform that facilitates immediate interactions among payers, providers, and patients. The platform not only dynamically updates its automated workflows and rules engines based on real-time feedback from provider-payer interactions but also continually adapts to the specific rules utilized by payers. As usage increases, the system becomes increasingly intelligent, drawing from a comprehensive library of thousands of regularly updated rules tailored for national, state, and regional payers, thereby enhancing efficiency and effectiveness in the healthcare landscape. Ultimately, as the technology evolves, it fosters an environment where care delivery can be optimized, benefiting all stakeholders involved.

MediFusion offers a comprehensive suite of software that delivers cutting-edge EHR and medical billing solutions aimed at optimizing clinical, administrative, and financial functions within healthcare practices. Our dedicated team is always just a phone call away to provide continuous EHR training and support whenever you require assistance. Accelerate your clinical workflows and streamline your operations with our all-in-one integrated solution. This system effectively oversees the entire revenue cycle, encompassing everything from Eligibility Verification to Claim Processing and ensuring timely payments. Our cloud-based Electronic Health Record (EHR) software serves as a scalable and integrated solution, empowering your practice to enhance the quality of care delivered to patients. Designed for ease of use, this web-based EHR platform allows you to document, access, and monitor your clinical and financial data from any internet-enabled device, regardless of your location, ensuring you remain connected and efficient in your practice.

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.

Utilizing our cutting-edge, cloud-driven technology platform, XIFIN RPM offers a robust and highly automated Revenue Cycle Management solution that enhances efficiency, streamlines medical billing processes, boosts cash collection, and elevates financial precision. Diagnostic providers require financial management solutions that not only enhance cash collection but also offer insight and control over their financial operations while ensuring connectivity both internally and externally. As the demands on these providers grow more intricate, traditional billing systems often fall short, lacking the necessary financial and referential integrity to provide precise and verifiable data. Consequently, it is essential for these providers to have a technology framework grounded in solid financial and accounting principles, granting comprehensive visibility into the financial status of each diagnostic activity throughout every phase, from the submission of orders to the final payment. This approach ensures that providers can navigate the complexities of revenue management with confidence and clarity.

PracticeAdmin Scheduling enhances patient engagement and minimizes no-show rates by delivering essential data right when you need it. Our innovative rules-based framework allows customization of preferences for various providers, whether you operate solo, manage a small to medium-sized organization, or oversee multiple locations. You have the flexibility to design unique scheduling templates for countless locations and automate patient reminder notifications. The billing component serves as a comprehensive solution for managing patient registrations, claims, and payments seamlessly. You can keep a meticulous record of all patient data and prior authorizations, ensuring that everything is organized. Additionally, it integrates smoothly with your EHR system, aiding in the maintenance of your Meaningful Use certification. Billing also alerts you to any claim errors before submission, allowing for expedient re-submission without penalties while you keep track of all EDI rejections effectively. This streamlined approach ultimately empowers healthcare providers to optimize their administrative tasks and enhance the overall patient experience.

Managing prior authorization has become an increasing challenge for healthcare providers. Our innovative solution, AuthParency™, utilizes artificial intelligence and machine learning to streamline this process. By implementing this state-of-the-art system, your team can significantly reduce the time spent on prior authorizations by 50%. Furthermore, it seamlessly integrates with all electronic health records (EHR) and practice management platforms. AuthParency is designed to assist in various ways: - Evaluating the tendencies of payers - Shortening the time patients wait for care - Enhancing overall patient health outcomes - Preventing financial losses from services that lack reimbursement - Identifying the burdens of financial toxicity - Analyzing health data across populations - Monitoring health disparities - Supporting pharmaceutical companies in their efforts

Waystar offers market-leading technology that streamlines and unifies revenue cycle. Their cloud-based platform streamlines workflows, improves financials for all healthcare providers and provides more transparency to the patient's financial experience. Waystar has been ranked best in KLAS for Claims & Clearinghouse every year since 2010. It has also received #1 rankings in Black Book™, surveys since 2012, and the Frost & Sullivan North America Customer Valu Leadership Award for ambulatory RCM service in 2019. Waystar is used by over 450,000 providers, 750 hospitals and 5,000 plans. It integrates with all major HIS/PM systems. Waystar.com and @waystar on Twitter provide more information.

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.

Revolutionize your revenue cycle management with Oracle Health RevElate Patient Accounting, a solution that is not tied to any specific EHR and aims to enhance financial performance through integrated, cloud-based billing processes featuring automation and flexibility. With RevElate Patient Accounting, you can: Minimize redundancy in workflows by leveraging interconnected processes and analytics that enhance efficiency. Focus on recovering outstanding accounts receivable by utilizing built-in business rules that streamline task assignment and prioritization. Create a flexible and adaptable framework that facilitates workflows across Oracle Health solutions, third-party systems, and large organizations. Enhance compliance and optimize reimbursement efforts with integrated payer regulations. RevElate Patient Accounting provides a comprehensive perspective on both clinical and financial data, ensuring you gain greater insight into patient interactions and their corresponding accounts, ultimately leading to improved operational effectiveness. This solution empowers healthcare organizations to achieve their financial goals while maintaining high standards of patient care.

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

The Cohere Unify platform enhances all of our intelligent prior authorization solutions through the integration of touchless and predictive technologies, clinical content grounded in evidence, and various advanced features. By leveraging these technologies, we significantly minimize or completely remove the manual processes involved in achieving a comprehensive, fully automated prior authorization workflow. This predictive functionality allows health plans to nearly eradicate the traditional steps associated with prior authorization processes. Consequently, the system can autonomously generate tailored care plans utilizing patient and population authorization and claims data, which includes the ability to pre-approve multiple services before any requests are made. We employ evidence-based clinical criteria for specific specialties that complement our touchless and predictive technologies. Additionally, our platform features reliable single sign-on capabilities with widely used portals such as Availity and NaviNet. Furthermore, the configuration and implementation of rules have been validated to effectively manage transactions involving millions of cases, showcasing the scalability of our system. Ultimately, this innovative approach streamlines healthcare operations while enhancing efficiency and accuracy.

Veradigm AccelRx offers a complimentary, automated, all-encompassing solution designed to optimize the fulfillment of specialty medications for your patients. By reducing the time it takes to initiate therapy, this system can improve medication adherence and patient outcomes, while also minimizing the administrative burden of phone calls and faxes on your team. AccelRx integrates electronic enrollment, consent, prior authorization, and prescriptions into one seamless platform, enabling your practice to greatly decrease the fulfillment time for specialty drugs across all payers. With just a click, patient information is automatically filled in on enrollment forms and other necessary documents. This user-friendly platform serves as a transformative tool for managing specialty medications effectively. Furthermore, it enhances your ability to oversee a wide range of specialty drugs, including features for electronic prior authorization (ePA), all within your current electronic health record (EHR) system. This comprehensive approach not only streamlines processes but also supports better patient care and operational efficiency.

Valer’s innovative technology streamlines and accelerates the processes of prior authorization and referral management by facilitating automated submissions, status checks, verifications, reporting, and EHR synchronization, all from a single platform that caters to mid-to-large-sized healthcare facilities, various specialties, and multiple payers. Designed to meet the specific needs of users, Valer stands out as a comprehensive solution that accommodates all specialties and payers, in contrast to generic products that often restrict specialties and service lines and lack automation for submissions. The platform's user-friendly interface boosts staff productivity, simplifies the training process, and monitors both staff and payer performance across diverse service lines, fostering an environment of ongoing enhancement. Valer goes beyond merely connecting with a handful of payers; it integrates seamlessly with all payers, ensuring compatibility across all specialties, service lines, and care environments, and provides real-time updates on payer rules to keep your operations current. With Valer, healthcare organizations can experience a revolutionary shift in how they manage prior authorizations and referrals, paving the way for improved efficiency and patient care outcomes.

Regardless of whether you operate a standalone outpatient wound care center or oversee a network of facilities, edgeMED's specialized revenue cycle management services, along with our comprehensive clinical, financial, and regulatory tools, significantly improve both operational performance and the quality of patient care. Prepare to elevate the standards of care and outcomes for your practice. Our proficient revenue cycle management oversees the complete revenue cycle, ensuring that wound care professionals receive prompt and enhanced reimbursements. When combined with our advanced healthcare software, you can maintain a practice that is not only competitive but also focused on quality, while being assured that your documentation meets the requirements for MIPS and other value-based payment initiatives. Furthermore, leveraging our vast expertise in medical billing specific to wound care, we seamlessly integrate telehealth into your daily operations, enabling secure and remote communication with patients. This allows wound care providers to conduct virtual consultations effortlessly, utilize online messaging, and grant patients easy access to their health records, thereby improving patient engagement and satisfaction. Overall, our solutions are designed to streamline your operations while enhancing the overall patient experience.

Regardless of whether you operate as an independent reference lab, a pathology practice, an outreach lab, or a public health laboratory, TELCOR RCM billing software equips you with essential tools to tackle complex billing obstacles and enhance your profitability. This comprehensive revenue cycle management solution facilitates claim submissions, monitoring, remittance processes, accounts receivable management, and billing for both clients and patients, all while accommodating multiple NPIs. By leveraging the right technology, you can reduce the need for extensive billing staff and significantly boost productivity in your revenue cycle by automating daily tasks such as claims submissions and patient information collection, along with generating detailed financial reports. Additionally, you can streamline the handling of payments by automating the processing of electronic payments received from payers through 835 ERAs or bank lockbox payment files, thereby eliminating cumbersome manual adjudication tasks. Moreover, improving billing communication with patients can simplify their experience, making payment processes quicker and more intuitive, ultimately fostering a smoother revenue cycle. This holistic approach to billing not only enhances efficiency but also contributes to a better overall experience for both healthcare providers and patients.

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

"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."

Approved Admissions is a secure platform that automates tracking of coverage changes for Medicare, Medicaid, and commercial payers bundled with real-time eligibility verification and coverage discovery. The platform's primary goal is to help providers minimize the number of claim denials due to a missed insurance coverage change and accelerate the billing cycle. Approved Admissions Features: - Automated eligibility verifications and re-verifications - Email or API notifications if any coverage changes are detected - Real-time verifications - Batch eligibility verification - Seamless integration with RCM, EHR platforms (PointClickCare, MatrixCare, SigmaCare, DKS/Census, FacilitEase, and many others) - RPA-powered cross/platform synchronization

The process of patient access serves as the foundation for the entire revenue cycle management in healthcare. By ensuring that patient information is accurate from the outset, healthcare providers can minimize errors that often lead to additional work in administrative departments. A significant portion, between 10 to 20 percent, of a healthcare system's revenue is spent on addressing denied claims, with a staggering 30 to 50 percent of these denials originating from the initial patient access phase. Transitioning to an automated, data-oriented workflow not only mitigates the risk of claim denials but also enhances patient care access, thanks to features such as round-the-clock online scheduling options. Furthermore, patient access can be refined by streamlining billing processes through real-time eligibility checks, which provide patients with precise cost estimates during registration. Additionally, enhancing registration accuracy leads to greater staff efficiency, allowing for immediate rectification of discrepancies and errors, thereby preventing expensive claim denials and the need for further administrative corrections. Ultimately, focusing on these elements not only safeguards revenue but also elevates the overall patient experience.

MedicsRIS is an all-encompassing radiology information system designed to enable radiologists to efficiently oversee their practice and ensure proper payment for each diagnostic examination. Created by Advanced Data Systems, this innovative platform allows for the seamless integration of orders from referring physicians' stage 2 certified electronic medical records (EMR) without the need for expensive HL7 interfaces, thereby helping users take advantage of incentives while steering clear of penalties. Among the core features that enhance operational efficiency are a dedicated portal for referring physicians, automated billing with EDI, multi-modality scheduling, insurance eligibility checks, mammography tracking, and additional functionalities. Furthermore, MedicsRIS provides access to a qualified Clinical Decision Support (CDS) option through its portal for referring physicians and radiology departments that lack their own qualified Clinical Decision Support Mechanism (qCDSM). If the manual process of obtaining prior authorizations has been a challenge, our automated prior authorization feature offers a solution by facilitating this task online directly within the MedicsRIS system, thereby streamlining workflows and saving valuable time. Ultimately, the integration of these features aims to enhance the overall efficiency of radiology practices.

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

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.

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.

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

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.

Medical necessity denials represent a significant financial burden for healthcare providers, incurring costs that can reach into the millions annually due to write-offs, along with the expensive labor involved in investigating and contesting these denials while addressing patient inquiries. Conversely, payers also face similar challenges in the claims management process, as they incur expenses from covering unnecessary medical procedures and treatments, as well as the resources dedicated to handling denial appeals, all of which do not contribute to better patient outcomes. Additionally, patients may suffer from excessive copays and other out-of-pocket expenses, coupled with a frustrating healthcare experience due to charges and services that are not warranted. To combat these issues, the ABN Assistant™ from Vālenz® Assurance equips providers with essential prior authorization tools to confirm medical necessity, generate Medicare-compliant Advanced Beneficiary Notices (ABNs) that include estimated costs, and effectively prevent over 90 percent of medical necessity denials by ensuring that the necessity is validated before any care is administered to the patient. By utilizing this system, providers can enhance their financial stability while improving patient satisfaction and care efficiency.

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

Practice Mate by Office Ally is a comprehensive HIPAA-compliant practice management solution used by over 25,000 healthcare organizations. Its user-friendly interface simplifies revenue cycle and billing management and streamlines booking to increase administrative workflow efficiency. It seamlessly integrates with other Office Ally solutions to provide patient intake, reminders, and e-prescriptions. You can get started today at no cost, commitment, or implementation to reduce administrative tasks, enhance job satisfaction, and improve the overall patient experience.

Southern Scripts streamlines the often complicated landscape of Pharmacy Benefit Managers by providing employer groups with unparalleled autonomy, control, and flexibility in designing their plans. Established by pharmacists, Southern Scripts stands out as a forward-thinking pharmacy benefits manager (PBM) that seeks to transform the conventional PBM model. Our unique pass-through PBM framework and adaptable solutions enable plan sponsors to maximize savings, minimize risk, and enhance flexibility in their plan design, fostering genuine patient-centered clinical care at the most affordable net cost. The plan sponsor only pays the exact amount that the pharmacy receives, while we ensure that all discounts and rebates obtained are fully passed on at 100% to the plan sponsor. There are no hidden fees for essential PBM services, including prior authorizations, step therapy, and data reporting. Our comprehensive clinical management programs and top-tier drug formularies are designed to provide the lowest net costs, safeguarding plans against unnecessary expenditures while promoting optimal patient health outcomes. Ultimately, the focus remains on delivering value and ensuring that plans are both efficient and effective in meeting their goals.

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.

Easily and securely access a wide range of endpoints through a single API connection, eliminating the need to create individual solutions for various healthcare systems. This approach effectively bridges the divide between different systems, standards, and data sets, facilitating interoperability through a unified point of access. Consensus Harmony offers an array of universal healthcare APIs, cloud fax services, electronic signature tools, and connections to various EHR partners as well as other prominent industry cloud marketplaces. Users can enjoy versatile interoperability features that allow for seamless integration of digital faxing, secure messaging, patient record requests, e-signatures, and additional functionalities into essential workflows such as payments, prior authorizations, and referrals. By collaborating with community providers who are already integrated, you can enhance your capabilities and tap into new information networks. Our technology ensures that the method of communication remains flexible, allowing you to reach beyond traditional limits in your network. Embrace a future where connectivity and efficiency in healthcare communication are paramount.

Logix runs in the background and completes tedious but important workflow tasks such as refill requests, prior authorizations refill too soons, refill too quicklys, fax escalates, and documentation for phone calls. Other tasks like email and fax can also be automated. You can also reduce human error in repetitive tasks. You can also create notifications to ensure you don't forget anything and allow you to redirect your time to better serve patients. Every click and keystroke counts! Logix processes can be used to reduce document handling and processing times by an average 1-4 minutes per document. Logix can be used with DocuTrack to help reduce keystrokes and improve efficiency for your pharmacy staff. For some processes, you can reduce the number of keystrokes required to complete a process by as much as 80. Logix can help you save up to 80 keystrokes per process. You can use the calculator to see for yourself.

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.

With the increasing volume of Prior Authorizations and the added complexities introduced by specialty medications, Health Plans, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs) face significant challenges in adapting while striving to enhance both operational and clinical efficiencies. PAHub is a solution that is certified by HITRUST, providing comprehensive tools designed to streamline and govern all clinical, compliance, and administrative facets of Prior Authorization directly at the point-of-care, thereby enhancing compliance and decreasing turnaround times and costs. By utilizing cutting-edge technologies in data mining, analytics, content management, and sophisticated decision support frameworks, PAHub empowers clients to fully automate the entire prior authorization workflow. This innovative approach not only simplifies the process but also fosters a more efficient healthcare experience for both providers and patients. In an evolving healthcare landscape, solutions like PAHub are essential for organizations aiming to keep pace with the demands of modern medicine.

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.

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

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.

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.

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.

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

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