Alternatives to TruBridge

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

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.

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.

Healthcare cannot be approached with a one-size-fits-all mentality, so why should electronic health records (EHR) be any different? Drawing on our extensive experience, we aim to tackle known challenges and frustrations associated with existing EHR systems while embracing an adaptable platform that prepares you for the evolving healthcare environment. Historically, the goal of electronic health records was to streamline patient care and reduce the burden of paperwork; however, modern EHRs may have removed the physical documents but have introduced their own complexities. For many practitioners, navigating care delivery remains far from straightforward. Each day, we strive to transform the EHR landscape, enhancing current offerings and unlocking new possibilities for creating intelligent, adaptable solutions. Join us in our mission to restore authority to healthcare providers, as Juno EHR introduces health & care perspectives, an innovative online hub designed to share transformative insights that will drive healthcare toward a more promising future. This initiative is a commitment to not only improving the present but also to shaping a more efficient, patient-centered approach for all.

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.

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.

Introducing the first-ever intelligent medical billing software that caters to multiple specialties. It simplifies the billing process and enhances patient collections for over 75,000 healthcare providers nationwide. With its global data capabilities, there's no longer a need for entering information multiple times. Designed to handle large volumes and intricate data, it features a flexible data structure that meets the diverse needs of various practices and specialties. This software ensures that you receive payments more quickly. You can input payments manually or utilize electronic remittance options. Claims are automatically scanned for errors and any missing details, ensuring accuracy. Additionally, the software can automatically resubmit insurance claims based on predetermined criteria. The rapid review feature allows for swift evaluation and approval of charges. You can audit charges by various metrics, including modality, procedure, insurance, user, or date of service. The intuitive reporting system provides insights into the financial well-being of both front-end and back-end billing processes. You’ll never miss a charge again. Furthermore, it seamlessly integrates with your chosen clearinghouse or statement vendor, making it a versatile choice for healthcare billing. With its user-friendly interface and comprehensive features, this software is set to transform the way medical billing is handled in practices.

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.

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

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.

Remittance360 is a valuable tool that can be leveraged by all entities within the healthcare revenue cycle industry. When organizations receive standard 835 files, staff members across various departments will benefit from this resource in making informed decisions related to cash flow and accounts receivable processes. The user-friendly nature of Remittance360 allows for a quick setup, with the 835 data upload process taking just a few seconds. By employing the standard 835 data set, organizations can effortlessly upload relevant information with very little need for IT support. This platform capitalizes on existing data to provide insightful reporting on denials, emerging trends, and activities of individual payers. Such insights are crucial for pinpointing specific workflow requirements. Additionally, users will find the data querying feature straightforward, and they can conveniently save common queries for future use. For instance, analyzing denials based on remark codes and departmental performance can help uncover and address underlying issues effectively. Ultimately, Remittance360 empowers organizations to enhance their revenue cycle management by enabling informed decision-making and targeted improvements.

We recognize that not every piece of software needs to cater to every possible requirement, particularly when it comes to diverse fields such as specialties, practices, clinics, and hospitals. This understanding has led us to design modular systems tailored specifically to meet YOUR needs. The user interface is streamlined and user-friendly, while the underlying technology employs state-of-the-art database engines to keep your information safe and secure. This ensures that you receive your payments accurately and promptly! With over 1,200 physicians, billing agencies, and clinics of various sizes across Ontario utilizing our services, QuickClaim has gained a reputation as a meticulously crafted tool. QuickClaim serves multiple functions and seamlessly integrates with other systems, including QuickReq, QuickDOCs, and third-party solutions through HL7 and flat file formats. Moreover, QuickClaim can function as an offline alternative to HYPE Medical, ensuring continuity in the rare event of an Internet outage, operating independently without needing a connection. This flexibility makes QuickClaim a reliable choice for healthcare providers.

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.

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

EMCsoft's Claims Management Ecosystem guarantees that healthcare providers and billing companies submit accurate claims to insurance payers for effective claim processing. This system combines our adaptable claims processing software, Claim Agent, with a comprehensive methodology known as the Four Step Methodology, seamlessly integrating into your claim adjudication workflow. By implementing this strategy, we enhance, facilitate, and automate your processes to optimize claim reimbursements. For an insightful overview of Claim Agent's features and its integration into your claims process, you can request our complimentary online demonstration. Claim Agent efficiently manages the scrubbing and processing of claims, ensuring a smooth transition from provider systems to insurance payers in a timely and cost-effective manner. The software is designed to be compatible with any existing system, ensuring a swift and straightforward implementation. Furthermore, we offer tailored edits, bridge routines, payer lists, and workflow configurations that cater specifically to each user's requirements, enhancing the overall claims management experience. This personalized approach enables healthcare providers to focus more on patient care while we take care of the complexities of claims processing.

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 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.

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

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

Revolutionize your Revenue Cycle with our specialized RCM solutions that harness the power of intelligent automation, established strategies, and a team of seasoned professionals to enhance your operational performance. By collaborating with Cognizant, you can rapidly boost your financial outcomes and modernize every facet of your business office using digital innovations. A robust business office, paired with a reliable partner, allows you to concentrate on providing exceptional patient care. Are escalating expenses, heightened patient obligations, and evolving regulations presenting new difficulties for your organization? Cognizant offers tailored end-to-end solutions designed to meet your specific needs, ensuring optimal operational efficiency and financial prosperity. By leveraging cutting-edge solutions and services, along with our extensive industry knowledge, we empower clients to transform their businesses, fostering growth and equipping them for the future of healthcare. Discover how we assist hospitals, health systems, and physician practices in implementing intelligent automation to streamline their business processes effectively and efficiently. Additionally, our commitment to innovation positions your organization to tackle the challenges of tomorrow’s healthcare landscape confidently.

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

During your trial period, you will start to grasp the incredible capabilities of QuickPractice, and we firmly believe that once you try it, you'll be eager to continue using it. You'll notice how the tedious nature of paperwork transforms into straightforward processes on your computer. Boca Medical Therapy, a mid-sized multi-specialty practice in Boca Raton, FL, has been providing services in Physical Therapy, Chiropractic, Medical, and Neurology for over a decade. After adopting QuickPractice in March 2007, they observed a significant reduction in administrative workload, saving more than two hours daily. Additionally, by switching to QuickBilling, their payment turnaround improved to 7-10 days, a stark contrast to the previous 30+ days required for paper billing and 20-30 days when using another electronic billing service. Now, with this streamlined approach, you can easily manage, monitor, and control every facet of your healthcare practice through one remarkably efficient program. Embracing QuickPractice not only enhances productivity but also leads to a smoother and more efficient workflow overall.

Enter gets Providers (doctors and practices & hospitals) paid faster that anyone in history. Enter processes insurance claims and pays within 24 hours. It also automatically communicates and collects patient responsibility using a white label collection engine that includes payment plans. Enter is 30x more efficient at getting claims paid, and 45x quicker at getting patients billed at the exact same cost as existing medical billers. In just one year, we processed over $150 million in claims. Providers have access to a $100mm credit facility. United Healthcare Nevada - Revenue Cycle Management Partner Enter supports a wide range of specialties, including ASC, Orthopedics and Neurology, Dermatology. Emergency Rooms, Behavioral Healthcare, Pain Management, and many more. - Enter works with all government and commercial health insurance carriers. - Enter integrates all EMR/practice management systems. No monthly fees No integration fees. Venture backed by Enter

Revenue Cycle Management is crucial for organizations facing escalating staffing expenses and overhead, necessitating a skilled partner who can adeptly handle intricate billing demands while delivering a significant return on investment. Our comprehensive CHC billing management services eliminate uncertainties associated with revenue collection, as our knowledgeable team specializes solely in CHC billing, ensuring a steady flow of income for your organization. We offer a wide range of Revenue Cycle Services, with our experienced staff utilizing their extensive background in CHC revenue cycle management to provide precise and efficient billing preparation. The Visualutions RCM Health Check offers an in-depth visual analysis of your revenue cycle, encompassing a multi-year Transaction Analysis, an evaluation of payer mix trends, accounts receivable trends, E/M coding assessments, and additional insights. By implementing an effective RCM workflow alongside robust policies, we guarantee seamless and dependable billing operations, leading to enhanced collection rates for the services provided. With our commitment to excellence, organizations can trust that their revenue cycles are in capable hands.

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

E-COMB, or EDI Compatible Medical Billing, serves as a web-based platform designed to create medical claims that adhere to the HIPAA transaction and code set standards mandated by the US Government in accordance with the guidelines established by the American National Standards Institute (ANSI). This solution facilitates the generation, submission, and reconciliation of claims directed towards insurance companies, guarantors, and patients, making it an essential resource for healthcare providers to optimize their revenue by significantly shortening the claims reimbursement process. Additionally, all pertinent information related to the operational context of a Doctor’s Office or Hospital is compiled as Master Data, which is often utilized for claims processing and tends to remain stable over time. This Master Data encompasses critical details regarding Procedures, Diagnoses, Doctors, Payers, and Billing Providers, among others, and is initially created during the setup phase, with the flexibility for updates as necessary. Consequently, E-COMB not only streamlines the billing procedure but also ensures that healthcare professionals have easy access to the most current and relevant information for their operations.

Cvikota Medical Business Services – Your trusted ally for effective medical billing outcomes. Based in the USA, Cvikota MBS has specialized in revenue cycle management for more than half a century. Over these fifty years, we have meticulously honed our best practices to deliver personalized, boutique-level billing services while ensuring exceptional value. As a recognized expert in medical billing and complete practice management, we apply our distinctive experience and established billing methodologies to every partnership we cultivate. Independent physicians, hospitals, and outpatient facilities consistently turn to us as their reliable, all-encompassing revenue cycle management partner. Are you ready to leverage our expertise in practice management and medical billing to enhance your results? We are proud to serve as a USA-based medical billing company dedicated to helping independent physicians achieve remarkable success in managing their accounts receivables.

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.

NovoClinical is a comprehensive EMR system created by doctors to enhance the efficiency and profitability of medical practices. NovoMedici offers a complete suite of solutions aimed at transforming the practice environment. We believe that physicians should concentrate on delivering care rather than managing financial tasks. With NovoClinical’s revenue cycle management, healthcare providers can eliminate concerns about payment collections, enabling them to prioritize patient care and medical services. Chronic Care Management (CCM) not only significantly benefits the health of patients but also helps boost the financial performance of medical practices. The telemedicine feature facilitates remote consultations for patients who have difficulty visiting in person or scheduling appointments. Utilizing the 20015 level 3 certified NovoClinical system allows practices to avoid penalties and qualify for a 7 percent incentive. Additionally, the NovoClinical portal empowers patients to enter their demographic details and medical history online while providing an option to electronically sign required documents. This streamlined process enhances patient engagement and improves overall practice efficiency.

"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."

Medical Office One is a comprehensive medical billing software solution that adheres to HIPAA and NPI compliance standards. It is designed for speed and ease of use, facilitating the generation of new CMS 1500 02/12 or UB-04 claims. The software boasts extensive customization options, robust reporting capabilities, and seamless integration with widely-used applications like Microsoft Word, Excel, and Outlook. Users can input claim data directly or retrieve it from the software’s Electronic Medical Records (EMR) system. Additionally, it allows for the printing of CMS 1500 and UB-04 forms, as well as electronic submission of claims to clearinghouses. Medical Office One also features QuickBooks® integration, an advanced SOAP Notes module, and a dynamic chart generator. It enables users to create multiple databases for an unlimited number of providers and practices, all accessible from a single interface. By utilizing this software, you can launch a successful medical billing business from home while efficiently managing both the billing and clinical aspects of your healthcare practice. Furthermore, it serves as a powerful tool for filling out CMS 1500 and UB-04 forms with ease.

TIMS Software is a cutting-edge platform designed specifically for HME|DME enterprises. It allows you to oversee your revenue cycle comprehensively and offers the insights necessary for informed decision-making by granting complete visibility into your business information. With TIMS Software, you receive a tailored solution that accommodates your unique business needs, ensuring that the appropriate personnel are addressing the correct claims promptly, which ultimately accelerates your payment process. This innovative approach not only streamlines operations but also enhances the overall efficiency of your business.

DuxWare is a software for medical practice that's designed for doctors, practice administrators, billing services, and integration partners. DuxWare allows medical professionals to stay organized, secure, and get paid quicker with DuxWare. It is simple to use and includes automated appointment reminders, onhold messages and messaging, real time claim scrubbing and more.

Ensure a steady stream of revenue by utilizing a robust platform that accelerates reimbursements through eligibility verification, tracking claims status, conducting audits and appeals, and managing remittances for both government and commercial claims, all integrated into one cohesive system. Take advantage of a sophisticated rules engine that promptly cleanses claims in accordance with the latest CMS and commercial payer regulations, enabling you to rectify any inaccuracies prior to submission. During the claim upload process, confirm eligibility across all payers and identify any flagged issues, allowing for necessary edits before the claims are sent. Reduce the days in accounts receivable by implementing automated workflows for handling audit responses, submitting appeals, and tracking administrative dispute resolutions. Tailor staff workflow assignments based on the specific claim type and required actions. Additionally, automate the submission of secondary claims to prevent timely filing write-offs. Ultimately, enhance your claims revenue through automated workflows that facilitate quicker and more successful audits and appeals, ensuring your organization remains financially healthy. Furthermore, this comprehensive system can adapt to your evolving needs, providing long-term benefits as your operations grow.

Revenue cycle management encompasses various dimensions within healthcare, leading to its diverse interpretations among different stakeholders. At its essence, however, it revolves around securing the financial resources essential for fulfilling a healthcare organization’s mission. Altruis remains committed to this fundamental principle. The revenue cycle management solutions we provide not only increase the number of patients treated but also lead to the introduction of new services and enhancements for existing patients, ultimately establishing a stronger foundation for strategic planning, talent retention, and investments in community health. Whether you require short-term billing support, help with unresolved accounts receivable from a prior system, or expertise in challenging denied claims, Altruis is ready to assist. We tackle backlogged accounts receivable through comprehensive forensic reviews that address both individual and systemic challenges. By employing root-cause analysis, we uncover opportunities that enable providers to achieve immediate financial advantages while ensuring ongoing sustainability. Additionally, our dedication to continuous improvement helps clients adapt to the ever-evolving healthcare landscape.

Improve the quality of patient care, streamline office operations, and boost profitability with ChartLogic, a comprehensive Electronic Health Record (EHR) software solution tailored for private medical practices. This software is crafted to seamlessly align with a practice's workflow, catering to various specialties and individual preferences, enabling physicians to efficiently document patient interactions while securely and affordably managing data. The ChartLogic EHR suite encompasses tools for Electronic Medical Records (EMR), practice management, and medical billing, ensuring a holistic approach to healthcare administration. With its user-friendly interface, ChartLogic empowers physicians to enhance their productivity and focus more on patient outcomes.

You deserve to spend your time on more important tasks than being glued to your phone. That's why our real-time eligibility tool enables you to swiftly confirm your patients' benefits, no matter their insurance plan. The era of incurring transaction fees for claims, attachments, and eligibility checks is over! Our comprehensive plan offers all features for a single monthly payment. By subscribing to Vyne Trellis™, you will benefit from the expertise of our dedicated industry professionals. With our platform, you can track claims that contribute to your firm's revenue. Whether your practice is large or small, our system is equipped to manage any volume of claims seamlessly. Vyne Trellis™ is designed to work with the claims administrators and clearinghouses you rely on. Our user-friendly dashboard provides rejection reasons, status updates, and smart notifications, ensuring your claims keep progressing smoothly. Should you encounter any challenges with a claim, our support team is always ready to assist you! Forget about juggling multiple tabs or windows; now you can conveniently access a wealth of data and documents, including ERAs and attachments, all in one place. Embrace the efficiency and ease that Vyne Trellis™ brings to your practice.

edgeMED's Essential medical billing and collection service expertly manages the entire revenue cycle, ensuring that your organization operates with optimal efficiency and profitability. Healthcare providers, including medical practices and health systems, aim to deliver the highest quality outcomes for their patients; however, the ability to achieve this is fundamentally tied to the financial health that comes from an effectively managed revenue cycle. By partnering with edgeMED Essential, you can enhance your collections while also conducting thorough analyses of costs and profitability, overseeing contract discrepancies, and exploring new revenue streams, paving the way for shared success and enduring partnerships. Regardless of whether you belong to an independent physician practice, a health system, an Accountable Care Organization (ACO), or a medical home, we stand ready as your specialists in revenue cycle management so that you can focus on what you do best. With more than 40 years of experience in medical billing and consulting, edgeMED is dedicated to maximizing your revenue and ensuring your financial stability. Our commitment to your success is unwavering, as we believe that strong financial management is key to providing exceptional patient care.

Utilizing advanced automation for the processing of substantial amounts of medical claims allows businesses to achieve remarkable efficiency, transcending mere cost reduction. For those companies still dependent on manual methods, the handling of medical claims documentation and data becomes a tedious and error-filled endeavor, introducing unwarranted risks into the workflow. With Artsyl's ClaimAction medical claims processing software, organizations can enhance their profit margins, lessen the number of touch points involved, and eradicate processing delays. Capture essential medical claims data effortlessly, without the necessity for intricate software coding. Automatically direct claims information and documents to the appropriate examiner, adhering to your established business rules. Additionally, adjust intricate benefits and reimbursement guidelines to facilitate smoother processing and minimize payment holdups. This innovative solution also enables rapid responses to evolving government regulations, ensuring compliance across data, documentation, and procedural aspects, ultimately leading to a more robust operational framework.

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.

CureAR is an innovative software that leverages artificial intelligence to enhance medical billing and revenue cycle management, catering to in-house billers, billing companies, managed-service providers, and DME companies. This comprehensive solution integrates various functions such as eligibility verification, charge capture, AI-driven coding recommendations, claim scrubbing, electronic claims submission, ERA ingestion, and automated payment posting into one seamless cloud-based platform. It is adaptable to accommodate specific billing rules for different specialties and allows for multi-tenant operations, making it ideal for practices that manage multiple client accounts. Notable Features: AI-driven coding assistance and claim scrubbing: The machine learning system identifies potential coding mistakes and implements payer-specific validation protocols prior to submission. Real-time tracking and notifications for claims: The software monitors claims throughout the submission and adjudication process, highlighting exceptions that require immediate attention. Automated ERA ingestion and posting: By streamlining the handling of electronic remittance advice with customizable reconciliation workflows, the software significantly minimizes the need for manual posting efforts, leading to greater efficiency. Additionally, its user-friendly interface ensures that all team members can easily navigate the system and utilize its features effectively.

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.

PayZen removes financial obstacles that prevent patients from accessing healthcare, while simplifying the payment process for providers to ensure they receive compensation efficiently. It has gained the trust of a diverse range of hospitals, health systems, and physician practices. By addressing affordability throughout the entire care journey, PayZen encourages patients to enroll in payment plans tailored to their financial situation, with no interest or fees attached. The automation and inclusiveness of these plans streamline the experience for both parties. Providers have the option to select from various financing solutions or utilize PayZen's technology and servicing features alone. Additionally, PayZen is optimized for pre-care, repeat, and extended care cycles, offering all the advantages of its product plans. With just one swipe, patients can convert their bills into manageable monthly payments effortlessly. Leveraging advanced AI and machine learning, the platform is equipped to automatically connect eligible patients with financial assistance programs, Medicaid, or aid in settlements. Ultimately, providers can depend on PayZen to enhance affordability in healthcare, making it a comprehensive solution for financial challenges. This approach not only benefits patients but also streamlines administrative tasks for healthcare providers.

Medcare MSO, a US-based medical bill company, has been helping healthcare professionals overcome revenue collection difficulties for over 10 years. We are a leading outsourcing medical billing company that provides professional services. Our medical billing team is highly skilled and follows up on all claims and account receivables. We never leave any amount of your revenue uncollected.