Alternatives to PrognoCIS Practice Management

Elation Health is the leading platform for primary care, empowering 32,000 clinicians to deliver personalized care to over 16 million patients. With a clinical-first EHR, integrated billing, and AI-powered tools, Elation simplifies care workflows to help independent practices thrive.

Amazing Charts Practice Management serves as an all-encompassing platform aimed at improving the workflow and operational efficiency of independent medical practices. Created by a physician with firsthand experience, this solution automates a variety of tasks, including the collection of patient demographics, appointment scheduling, and pre-registration of patients while verifying their insurance eligibility. Additionally, it generates insightful analytical reports and assesses patient financial obligations right at the point of care, while also managing insurance payer lists to facilitate timely and accurate billing processes. This aids practices in collecting payments more efficiently. Among its notable features are tools to monitor unpaid claims, a dedicated claims manager to analyze submissions and minimize denials, and an integrated secure connect clearinghouse that provides robust support and quick adjustments to changes from payers. Moreover, the system boasts intelligent, interactive dashboards tailored to specific roles, which automatically prioritize tasks across various departments, thereby enhancing overall productivity in the medical office. This comprehensive approach ensures that practices not only operate smoothly but also remain agile in responding to the evolving challenges in healthcare administration.

OpenPM offers a fully integrated billing and claims management system that automates accounts receivables management while producing extensive reports to help you better manage your organization. As a browser-based application, OpenPM provides a level of access to your system never before possible. Our real-time claims management features will improve your cash flow and streamline billing and claims follow-up processes. We welcome you to explore OpenPM further and contact us for a customized demonstration for your practice. Medical billing software, revenue cycle management solutions, practice management software, practice management system, medical practice management, EMR integration, EHR integration, practice management scheduling, patient scheduling, online patient billing, patient billing, automatic patient billing and payments, patient payments, electronic patient payments

Enhance the efficiency of your acupuncture practice using Jasmine, a cloud-based management system that offers features such as patient relationship management, scheduling, customizable treatment notes, and intake forms that support eSignatures, along with tools for receipting, Superbills, insurance billing, and comprehensive reporting. With Jasmine, you can simplify your workflow and improve patient interactions while ensuring that all aspects of your practice are seamlessly integrated.

Steer clear of practice management software that locks you into an electronic health record system. At BrickMed, our primary goal is to enhance the success of your business. Enjoy the flexibility of scheduling patient appointments, including the management of recurring visits and the option to export data to third-party reminder systems. Improve the efficiency of front desk payments and checkouts by utilizing integrated credit card and check processing support. Regardless of whether you operate a fully insurance-based practice, an ambulatory surgery center, or a cosmetic practice that occasionally provides reconstructive services, the landscape of consumer-driven healthcare necessitates a practice management solution that equips your team to adeptly manage everything from retail operations and product sales to conventional insurance billing. In today's environment, billing centers must evolve past mere claim processing to become reliable consulting partners for healthcare providers, especially amid the rapid transformations in the medical industry. BrickMed solutions are designed to empower billing centers with the tools they need to succeed. Our commitment is to ensure that your practice thrives in a competitive marketplace.

Swift, user-centric, and budget-friendly, AltaPoint serves as the perfect practice management solution for your expanding organization. It allows seamless access and management of schedules for all team members and resources. You can efficiently bill primary, secondary, and even tertiary insurance providers. Select your own claims clearinghouse or opt for one of our esteemed partners. With customizable statements, you can design attractive and professional patient invoices by adjusting the layout, fonts, logos, labels, and dunning messages to suit your needs. The platform also offers an extensive array of managerial reports that encompass transaction journals, patient ledgers, client and insurance aging, practice analysis, and much more. Starting at just $79 per month for the first provider and $29 per month for each additional user, it provides excellent value. Moreover, all essential information is conveniently accessible from a single interface, including patient data, billing and ledgers, notes, documents, family member details, reminders, appointments, and images, ensuring that managing your practice is as efficient as possible. This comprehensive system not only enhances productivity but also improves the overall experience for both staff and patients alike.

Eligible offers robust APIs that seamlessly integrate insurance billing functionalities into your applications. Our certifications provide reassurance to patients and healthcare providers that Eligible adheres to the highest standards of privacy and security while managing millions of healthcare cases monthly. We recognize the importance of a well-established information security framework in fulfilling both Eligible's and our clients' objectives. We are pleased to share that we have successfully completed our Type II SOC2 audit, which reinforces our commitment to safeguarding protected health information. This achievement not only underscores our dedication to security but also builds trust with our customers and partners regarding our obligations to protect sensitive data. With our APIs, you can effortlessly enhance the patient insurance billing experience for your users, allowing you to run estimates, verify insurance, and submit claims for patients seamlessly. Experience the ease and efficiency that our technology brings to healthcare billing processes.

OptiMantra is an established EMR and practice management platform focused on integrative and wellness practices. The platform is highly adaptable and robust - it includes online appointments, patient messaging and email reminders, a patient portal, intake forms and customizable charting, integrated payment processing, integrated labs and imaging, insurance billing, in-program tele-health, inventory management, and more. It's easy to get set-up! OptiMantra offers tailored onboarding support.

For over three decades, Prime Clinical has been offering expert services alongside their proven practice management software tailored for healthcare providers. Their ICD-10 compliant system, Intellect, efficiently handles various administrative processes including appointment setting and insurance claims, allowing healthcare teams to dedicate their efforts to providing exceptional patient care. Furthermore, Intellect seamlessly integrates with electronic health records (EHR), ensuring secure and smooth data transfer across all patient management systems within healthcare organizations. Users can send appointment notifications through various channels such as email, phone, or text, and meticulously track reimbursements for each CPT code on every invoice. The software also facilitates the generation of comprehensive reports on a monthly, quarterly, or yearly basis, which can be scheduled at any chosen time. Additionally, it supports shared scheduling and billing tasks across multiple practice locations, enhancing collaborative efficiency among healthcare teams. With such features, healthcare providers can maintain a high level of organization and patient engagement.

Pysquel represents a cutting-edge solution for insurance billing, collections, and practice management tailored specifically for mental health professionals. This robust software platform not only enhances the efficiency of mental health practices but also significantly boosts their profitability through its extensive range of features. Among its primary functionalities are claims management, appointment scheduling, Electronic Data Interchange (EDI), billing and invoicing, as well as tools for creating assessment and treatment plans, progress notes, and a patient portal. Additionally, Pysquel includes personnel management capabilities, making it a comprehensive tool for mental health service providers looking to streamline their operations. Overall, Pysquel stands out as an essential resource for practitioners aiming to improve both administrative tasks and patient care.

Our state-of the-art system provides instant patient financial and clinical results to private small and medium healthcare providers. This allows for a seamless, seamless integration of technology into daily operations. Docta makes it easy to work with computers, regardless of how big or small your practice is. It has a simplified interface that allows you to browse your patients and find records much faster. It's easy to keep track of your patients, consults, vital signs and prescriptions. Get paid faster! You will get paid faster, regardless of whether you submit claims electronically. Use the right office tools to communicate with patients and potential patients.

ClinicPro's medical practice management system offers an all-inclusive solution featuring detailed patient records, insurance information, an appointment scheduling tool, various management reports, and the capability to handle both electronic and paper insurance claims, as well as patient statements delivered via email or printed on plain paper. This robust software suite includes all the functionalities of our unlimited package, along with reliable billing technology designed specifically for independent clinics, streamlining the medical billing process while allowing practitioners to maintain oversight of their operations. While Clinic Pro EMR does not hold Medicare certification, it remains an outstanding resource for generating daily encounters tailored to commercial insurance providers, such as Blue Cross Blue Shield, as well as personal injury cases, utilizing touchscreen devices or tablets for enhanced usability. Additionally, its user-friendly interface ensures that medical professionals can easily manage their practice's needs with efficiency and accuracy.

Upfront collection and cost estimates for patients. Instantly understand patient responsibility with automatic eligibility verification and benefit verification checks. Your practice data provides hyper-accurate estimates, which can lead to better care and a healthier company. Send estimates via email or text conforming to HIPAA. It's time for 2020 to be treated like 2020. Mobile patient payments upfront can help you collect more than ever. Reduce patient AR by getting rid of the write-offs

EMR Datacenter is a comprehensive billing software tailored specifically for healthcare settings that prioritize the careful organization of patient appointments. This software is particularly beneficial for clinics with a high volume of visits or those that feature multiple providers across various specialties. The appointment management system is seamlessly woven into the very structure of EMR Datacenter, rendering it "appointment-centric" and ensuring that appointments are either honored or rescheduled as needed. When appointments are attended, the subsequent tasks of entering procedure codes and processing payments naturally follow as outcomes of these appointments. The system accommodates an unlimited number of insurance policies for each patient, which facilitates the management of both active and inactive insurance payers, thus providing the capability to reprint or resubmit insurance claims as often as necessary. Additionally, it offers convenient options for generating patient letters, whether on demand or through mass mailings, all while utilizing filtered searches for precise targeting. This multifaceted approach not only enhances operational efficiency but also improves patient engagement within the healthcare practice.

InsureBill serves as an all-encompassing billing solution tailored to effectively oversee the revenue aspects of insurance companies. It accommodates both individual and multiple policy accounts, facilitates various payers for policies, and includes non-premium billing elements such as deductibles, claim payments, recoveries, and subrogation. The platform boasts an extensive range of features that enhance cash flow while delivering timely, comprehensive, and seamless reports that boost overall efficiency and productivity levels. With its remarkable flexibility and user-friendly design, InsureBill streamlines operational cycles, resulting in increased productivity among internal staff and lowered operational expenses. The system enables teams to manage a greater volume of transactions without increasing headcount, achieving a higher level of efficiency in the process. Furthermore, InsureBill's exceptional scalability and adaptability ensure that it can grow alongside organizations, making it a crucial consideration when assessing potential returns on investment. This adaptability not only meets current demands but also prepares businesses for future challenges in the ever-evolving insurance landscape.

MTBC offers comprehensive solutions that extend beyond traditional medical billing services. Our focus is on assisting healthcare providers in streamlining their previously manual operations. With PracticePro™, we enhance every facet of practice management and medical billing, starting from the initial appointment scheduling all the way through to delivering exceptional service and handling remittance tasks after each patient visit. These innovative medical billing solutions take care of your office’s time-consuming activities, enabling you to dedicate more attention to patient care instead of administrative responsibilities. By automatically filling in claim fields and supplying essential tools like diagnosis and CPT code lookups, we alleviate the burden of claim preparation. Additionally, our system includes a sophisticated set of billing rules and real-time error notifications within the workflow to minimize errors, facilitating the swift and precise preparation of claims. Moreover, it offers immediate verification of insurance eligibility to enhance efficiency further. This holistic approach not only streamlines operations but also improves the overall patient experience.

Stage 4 MD® represents the latest advancement in EMR and practice management software, designed by a practicing plastic surgeon. This HIPAA-compliant, cloud-based platform allows users to access it from any device with internet connectivity, ensuring flexibility and convenience. Its features include a user-friendly interface, integrated telehealth options, automated appointment reminders, adaptable charting, photo management, customizable quotes, digital consent forms, a patient portal, ePrescribing capabilities, comprehensive reporting, and CRM consult follow-ups, among others. Additionally, insurance billing will be implemented this summer. Users can take advantage of a complimentary 30-day trial with no initial costs, alongside free remote training, technical support, and assistance in migrating existing data. During the ongoing coronavirus situation, all monthly fees are waived while your office is closed. Subscriptions operate on a month-to-month basis, requiring no long-term contracts or annual maintenance fees, and the first doctor can access the service for just $650/month with unlimited users and devices. Now is the perfect opportunity to transition while your office is temporarily shut down; reach out to us for a demonstration of the software. By doing so, you can ensure a smoother and more efficient operation for your practice moving forward.

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.

Insurance Discovery enhances financial outcomes by uncovering previously unrecognized billable coverage that providers may not be aware of, thereby minimizing underpayments and uncompensated care. By employing advanced search functionalities, this solution reveals instances where patients possess multiple active payers, which can significantly improve reimbursement prospects. Additionally, it helps to prevent delays in reimbursement and accelerates revenue collection by ensuring that claims are submitted to the correct payers on the first attempt, thanks to more precise coverage details. When utilized with verified demographic information, Insurance Discovery provides reliable coverage and eligibility insights. This modern approach replaces outdated manual methods of insurance discovery with a swift and thorough search that queries numerous databases in mere seconds, yielding detailed and accurate coverage information. Furthermore, it enhances the overall experience for patients and residents by facilitating accurate estimates of out-of-pocket expenses, ultimately contributing to a more favorable financial journey for them. By streamlining these processes, providers can focus more on patient care rather than administrative tasks.

Harmony Medical stands out as a reputable provider of software solutions for electronic health records, practice management, and revenue cycle management. Designed specifically for independent medical practices, their comprehensive platform is fully integrated and HIPAA compliant, aimed at optimizing practice efficiency to boost patient care and financial performance. This solution includes a wide range of features that facilitate seamless scheduling, detailed reporting, thorough claims scrubbing, as well as handling insurance and patient billing, along with tracking patient history and referrals. Additionally, Harmony Medical's tools are crafted to support healthcare providers in managing their operations more effectively, ensuring that both patients and practitioners benefit from improved workflows and communication.

ACOM Health is a leading provider of superior billing services. RAPID by ACOM Health is a chiropractic office-specific solution. It offers the most comprehensive, efficient, and results-oriented solutions for electronic health records (EHR), notes and practice management. It also includes insurance billing and collections. Fully automated EHR workflow, charts and templates for chiropractors, as well as automated alerts are some of the key features. RAPID offers online patient registration, appointment reminders, self service registration kiosk, appointment reminders and many other features.

Quick-MD, a cutting-edge Professional Practice Management Software System, offers unparalleled value for your investment! It provides Office Managers with a chance to acquire a comprehensive Practice Management Software solution at a remarkably competitive price. Most importantly, you won't discover a more user-friendly, quicker, or more reliable Windows-based product available today. Quick-MD is designed to be a fully-equipped Practice Management Software System that grants you total oversight over vital tasks such as Patient Scheduling, managing demographics, submitting insurance claims both manually and electronically, processing payments, overseeing accounts receivables, creating soap notes, handling transcriptions, maintaining fee schedules, managing prescriptions, and much more. Our extensive reporting capabilities are unmatched, featuring thousands of pre-built reports within the system. You can effortlessly monitor your patients' accounts, generate reports based on user-defined categories, evaluate your aged balances through various advanced methods, and access detailed reports on all claims billed, among other functionalities. With Quick-MD, you are equipped with all the necessary tools to enhance the efficiency and effectiveness of your practice management.

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 process of posting insurance payments exemplifies the 80/20 principle, where a mere 20% of payments, typically those derived from paper EOBs, can consume a staggering 80% or more of the overall workload. However, the introduction of POWEReob changes the game entirely. This service merges free software with a pay-per-transaction model to transform the paper EOBs you still receive from various payers into electronic remittance files that comply with ANSI 835 or NSF formats. These electronic files facilitate automated payment posting to your practice management system, streamline electronic secondary claims billing, and enhance denials management. Importantly, POWEReob is compatible with any practice management software that accepts remittance files from third-party sources, not just those linked to a specific clearinghouse. For practices without such compatibility, we can collaborate with your management system or clearinghouse to ensure you reap the benefits of fully electronic remittances, ultimately optimizing efficiency and reducing labor costs in the payment posting process. By leveraging this innovative solution, practices can significantly enhance their operational workflows and focus more on patient care rather than administrative tasks.

Sift clarifies the complexities of healthcare payment processes by embedding actionable insights into revenue cycle operations, enabling healthcare organizations to enhance payment results and minimize collection costs. By providing healthcare providers with crucial information on denial management, Sift empowers them to safeguard their receivables and expedite cash inflows. It compiles insurance claims and patient financial information into a secure, HIPAA-compliant, cloud-based database, ensuring a reliable source of information regarding healthcare payments. Furthermore, Sift addresses the disconnects between a provider's electronic health records, clearinghouse, workflow management tools, and patient interaction platforms. By consolidating data from these various sources, Sift creates a distinctive and proprietary dataset that offers comprehensive oversight of payment processes. Utilizing a range of data science methods, Sift delivers thorough and cohesive recommendations for managing denials, evaluating payers, enhancing patient collections, and improving patient acquisition strategies, ultimately leading to better overall financial performance for healthcare practitioners. This innovative approach not only streamlines operations but also fosters a more efficient healthcare payment ecosystem.

The eligibility checker ensures comprehensive verification of patients' financial eligibility, conducting insurance analyses and monitoring for inconsistencies. Should any inaccuracies arise in the submitted data, our advanced scrubber utilizes deep AI and machine learning algorithms to rectify issues, including coding mistakes and incomplete or incorrect financial details. This robust software currently boasts 3.5 million pre-loaded edits, enhancing its efficiency in error correction. Additionally, automatic updates from the clearing house are provided to keep stakeholders informed about the status of claims in progress. The system comprehensively addresses all aspects of billing, from confirming patient financial information to managing denied or lost claims, and features a thorough follow-up process for appeals. Moreover, our intuitive platform not only alerts users about potential claim denials but also implements corrective measures to avert issues, while maintaining the capability to track and appeal lost or rejected claims. Overall, this integrated approach ensures a smoother and more efficient claims management experience for healthcare providers.

Symplast offers an all-in-one solution tailored for Plastic Surgeons, Medical Spas, and similar practices. Featuring an easy-to-use Patient App, robust Marketing Analytics, a top-tier EHR system, a comprehensive Practice Management System, and efficient Insurance Billing, Symplast ensures your practice flourishes! Enhance patient interactions through straightforward and efficient charting methods. Accelerate your workflow by composing or dictating EHR notes using customizable templates, or even creating your own. Save countless hours in your practice with features like online appointment requests, a digital portal for new patient intakes, and secure automated appointment reminders that comply with HIPAA regulations. Your patients will appreciate the reassurance of staying connected via real-time, two-way messaging, media sharing, appointment reminders, and additional features that enhance communication. Additionally, doctors, patients, and staff can conveniently share images, videos, and files with just a click, while easily tagging media for marketing initiatives and maintaining organization through a global catalog. With Symplast, managing your practice becomes not only efficient but also more connected than ever before.

Freddie Med offers a cloud-based, user-friendly practice management solution that prioritizes patient care, allowing you to oversee your clinic seamlessly from appointment scheduling to billing within a professional network. Why choose Freddie Med? You can efficiently manage your entire clinic operations, whether by integrating your team or opting for remote management in collaboration with our partners. E-invoicing is a breeze, enabling you to verify and submit invoices to UK insurance providers in under a minute. Our system automatically generates invoices for all your payers and facilitates direct credit card payments from your patients for added convenience. Additionally, you can easily create and manage consultation notes and documents, utilizing specialty-specific templates and automated reports that can be shared with patients upon authorization. Freddie Med also takes care of your legal documentation, ensuring that patients have accepted the most current versions through the patient portal, on tablet devices, or in printed form. Collaborate with your peers to develop virtual clinics and global pathways, and set up multi-departmental clinics within moments to fully leverage the capabilities of our platform. With Freddie Med, the complexities of clinic management become significantly simplified, empowering your practice to thrive and provide exceptional patient care.

Cortex EDI offers a comprehensive suite of services designed to enhance efficiency in medical, institutional, and dental practices. Our complimentary medical billing and claims clearinghouse software enables you to optimize your operational processes seamlessly. With user-friendly tools at your disposal, managing client billing becomes easier, allowing you to reclaim valuable time. Additionally, our solutions include essential features like patient eligibility verification for private insurance plans, Medicare, and Medicaid. We proudly provide our free medical billing software to a variety of practices without any signup fees or contractual obligations. By enrolling today, you can also access free training to master our practice management and medical claims clearinghouse tools effectively. Take the opportunity to consolidate your diverse EDI service requirements with Cortex EDI now and begin the process of refining your workplace efficiency. As a top provider of electronic medical transaction solutions, Cortex EDI is committed to supporting your practice's operational needs and facilitating your growth.

MedClarity, Medusind's RCM technology, is a turnkey RCM technology. MedClarity, a web-based software that manages medical billing and practice management, is robust. The solution includes a variety of tools that allow medical practices of any size to fully control their revenue and front-office operations. It also offers intuitive navigation and workflows. MedClarity features an advanced rules engine that allows for easy claim submission, smart scheduling, comprehensive reporting, business analytics, real time insurance eligibility verification, denial management, claim status lookup and integration with more than 30 EMR platforms.

Stay organized and efficient in your practice with MedicsPremier (MedicsPM), a robust practice management solution offered by Advanced Data Systems. MedicsPremier is equipped with an array of features designed to enhance operational efficiency and expedite payments. Some of its key tools include specialty-specific scheduling, automated workflows for patients, management of patient information, tax calculations, inventory tracking, specialty-focused EDI, generation of patient statements, and seamless document scanning integration. Additionally, our system provides timely out-of-network notifications during patient scheduling and features a patient responsibility estimator to help you gauge their expected payment after insurance adjustments. To further assist, the software sends reminders for copayments and conducts pre-appointment batch eligibility checks. It also offers proactive notifications for claims that are at risk of denial, empowering you to safeguard your revenue before issues arise! With MedicsPremier, your practice can thrive and maintain financial health with ease.

Utilizing our claims listing page enables you to swiftly address any errors or omissions before you submit your claims. Once all necessary information has been recorded and the relevant diagnosis and modifier codes have been applied, you can effortlessly upload a batch of claims to Trizetto Provider Solutions® in a single action. Following this, Trizetto Provider Solutions® conducts an additional round of claim scrubbing before forwarding your submissions to the appropriate payers. After payments from insurance companies are processed, you will see updates against claims that reflect allowed amounts, adjustments, copays, coinsurance, and deductibles. To maintain precision, payments are entered in groups. Statements are prepared according to your specified frequency—be it daily, weekly, or monthly—and are designed in a straightforward format that patients can easily comprehend. This clarity eliminates any prior confusion! Furthermore, a section for credit card authorization is included on the statement to facilitate the convenient settlement of any outstanding balances, ensuring a smooth payment process for patients.

For those in the medical or chiropractic field seeking top-tier practice management software, ClinicPro stands out as an ideal choice, effectively serving various specialties such as pain management, OB/GYN, chiropractic, ophthalmology, general practice, imaging centers, and pediatric care. Its versatility allows ClinicPro to seamlessly integrate with any preferred clearinghouse, ensuring a streamlined experience for practitioners. The software offers an extensive suite of features, including detailed patient records, insurance information, an appointment scheduling system, management reporting tools, and the capability to process both electronic and paper insurance claims, as well as generate patient statements that can be sent via email or printed on plain paper. With ClinicPro, healthcare providers can efficiently manage their practice while focusing on delivering quality care to their patients. This comprehensive approach not only enhances operational efficiency but also improves patient satisfaction and engagement.

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

DocVilla is an all-inclusive health technology platform that is mobile-friendly, HIPAA-compliant, and cloud-based, offering a wide range of features such as EHR/EMR, telehealth, e-prescribing, patient engagement, medical billing, analytics and reporting, direct primary care, inventory management, and remote patient monitoring, all within a single, adaptable suite. Healthcare providers can effortlessly log in to utilize a customizable electronic medical records system equipped with secure messaging, video consultations, controlled-substance e-prescriptions, and a complimentary patient portal that facilitates scheduling, payment, and secure communication. This innovative platform enhances operational efficiency by automating essential tasks like eligibility verifications, claim submissions, charge postings, insurance eligibility checks, claim filings, ERAs/EOBs, medical dictation with speech-to-text capabilities, patient consent documentation, lab integrations, electronic faxing, and automatic appointment reminders. Additionally, the integration of these diverse functionalities ensures that healthcare professionals can focus more on patient care rather than administrative burdens.

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.

Pro Health Billing's Medical Billing Software features intuitive tools designed to facilitate data entry, with automated tasks that can be set up in mere minutes and are straightforward to navigate. You can generate your initial claim in just 20 minutes! Equipped with functionalities like Auto-Codes, Repeat Last Claim, and Auto Co-Pays, Pro Health Billing makes your workflow significantly more efficient. Small medical practices particularly appreciate the software's Claim and Patient Scheduling Modules, which together create a robust system that can effectively reduce your workload by nearly half. With features such as Non-Payment and Non-Billed Alerts, your revenue is likely to see an upswing while your tasks become less burdensome! Pro Health Billing stands out as the premier medical billing software for boosting income swiftly and efficiently! Our Claim Catcher Dashboard, along with the leading 'Revenue Cycle Manager,' ensures that no alerts or claims go unnoticed, allowing you to monitor the status of all your claims effortlessly at a quick glance. This comprehensive solution not only streamlines your operations but also enhances overall productivity within your practice.

eClaimStatus offers a straightforward, practical, and efficient real-time system for Medical Insurance Eligibility Verification and Claim Status solutions that enhance healthcare delivery environments. As healthcare insurance providers continue to lower reimbursement rates, it becomes essential for medical professionals to keep a close eye on their revenue streams and minimize any potential loss and payment risks. The issue of inaccurate insurance eligibility verification is responsible for over 75% of claim denials and rejections from payers. Additionally, the costs associated with re-filing rejected claims can reach between $50,000 to $250,000 in lost annual net revenue for each 1% of claims that are denied (according to HFMA.org). To address these financial challenges, it is crucial to have a user-friendly, budget-friendly, and efficient Health Insurance Verification and Claim Status software. eClaimStatus was specifically developed to tackle these pressing issues and improve overall financial performance for healthcare providers. With its comprehensive features, eClaimStatus aims to streamline the verification process, ultimately enhancing the efficiency and profitability of healthcare practices.

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.

Practice IQ EHR enables medical practices of every size to seamlessly adopt an Electronic Health Record (EHR, also known as EMR or Electronic Medical Record) that meets the criteria for Meaningful Use, facilitating access to federal government stimulus incentives while enhancing automation and patient care quality. This EHR software is fully integrated with Devington’s Practice Management and Clearinghouse solutions, streamlining the experience for physicians and improving functions such as registration, scheduling, claims processing, billing, and collections for staff. The user-friendly interface is robust and designed to align with your thought processes, ensuring that technology does not interfere with the patient experience. With Practice IQ EHR, you can maintain eye contact and uphold the critical patient-physician relationship that you have spent years nurturing, making each consultation feel personal and connected. Ultimately, this system empowers healthcare providers to focus more on their patients and less on administrative tasks.

At SpeedBuilder Systems, we are dedicated to creating software solutions that streamline business operations for you and your clients. Our BindExpress Suite package serves as a comprehensive policy administration system tailored for both insurance agents and their clients, offering remarkable usability, rapid adjustments, and outstanding outcomes across both personal and commercial insurance sectors. Covering all aspects from policy management to claims processing and billing, this innovative technology ensures you stay significantly ahead of your competitors in the industry. With our commitment to excellence, we aim to transform how you engage with your business.

Oracle Health Specialty Practice Management, a component of the Oracle Health suite of clinical and practice management solutions, equips medical practices with essential tools to operate effectively and generate profit. This system is highly customizable and offers seamless integration with user-friendly electronic health records (EHRs), facilitating medical document management, patient appointment scheduling, and health record oversight. With an active internet connection, it enables near real-time tracking of claim statuses. Unlike traditional paper systems, Oracle Health Specialty Practice Management is engineered to expedite the adjudication, payment, and posting of claims, often achieving these processes weeks faster with most insurance providers. Additionally, it boasts features such as patient scheduling, payment tracking, and posting, which collectively enhance overall operational efficiency. By streamlining the scheduling, monitoring, and payment workflows, Oracle Health Specialty Practice Management ultimately supports practices in delivering superior patient care while improving their financial performance.

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

AirCare is a comprehensive healthcare solution aimed at enhancing the efficiency of private practices while improving patient experiences. Starting at just $29 monthly, this platform equips independent healthcare providers with an array of convenient tools to manage their operations seamlessly in one location. Features include intelligent scheduling, self-booking options for patients, payment processing capabilities, simplified insurance claims with just three clicks, and an accessible patient portal. With AirCare, practices can streamline their workflows and elevate the quality of care they provide to their patients.

NowMD is a cutting-edge, affordable software solution tailored for healthcare practices and medical billing services. This platform facilitates billing for both insurance providers and patients regarding professional healthcare services. The Appointment Scheduler within NowMD is specifically crafted to manage patient appointments efficiently. With advanced functionalities such as appointment templates, recurring bookings, and waitlist management, this scheduler significantly enhances the billing capabilities offered by NowMD. Employees benefit from the ability to clock in and out using any computer that operates NowMD, making payroll processing straightforward with detailed employee work hour reports. Furthermore, NowMD can generate ANSI 5010 compliant electronic claim files compatible with various included clearinghouses, allowing for seamless claims submission to insurance carriers or other clearinghouses. Additionally, the software simplifies the payment process by enabling automatic creation of payments and adjustments through Electronic Remittance Advice auto-posting, ensuring a streamlined workflow for healthcare practices. Overall, NowMD stands out as a comprehensive tool that integrates essential features for efficient healthcare management.