Alternatives to GoRev

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.

Mercury One Plus is an intermediate billing solution for Medical Practice Management that provides the fundamentals of Revenue Cycle Management. It acts as a stepping-stone from standard billing to intermediate billing. Mercury One Plus is only available on the cloud. It offers the highest level security and you can access it anywhere, 24/7. Mercury One Plus is a complete product with a lot of functionality. It includes patient demographics inputter, 100 plus reports to choose from, charge input, full history patient activity, ERA posting and credit card acceptance, among other things. Mercury Products are HIPAA-compliant and have a connection guaranteed to any clearinghouse or insurer. Mercury One Plus will help you tune up your system daily with its automated job system. This includes: housecleaning, folder maintenance, daily backups, 837 exports and 835 imports. All subscriptions include expert support from CrisSoft.

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

The Avalon Laboratory System, which is sophisticated and HIPAA compliant, was specifically designed to manage production and billing requirements for clinical, esoteric and toxicology labs. Computer Service & Support (CSS) developed this modular laboratory information system that offers a variety of features for reference laboratory automation. This solution also includes modules for microbiology and pain management, toxicology, scheduling, remote laboratory, SQL Access and electronic medical records. It also offers pharmacogenomics and revenue cycle management.

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

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 LigoLab LIS & RCM Laboratory Operating Platform™, a comprehensive enterprise-grade platform, includes modules for AP and CP, MDx and RCM. It also supports Direct-to-Consumer. This allows laboratories to be more competitive in the marketplace, scale up their operations and become more profitable. The RCM module integrates with the LIS and automates ICD/CPT coding. The billing process begins at order inception and includes verification, eligibility and scrubbing components. This increases claim submissions and revenue and decreases claim denials. TestDirectly is a portal for patient engagement that allows labs and collection facilities scale collection, testing, reporting, and reporting workflows. This reduces friction and eliminates errors that can be caused by manual labor and paper forms.

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.

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

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.

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

Acusis delivers a comprehensive and effective strategy for Revenue Cycle Management (RCM) that ensures an exceptional experience for its clients. The company boasts an experienced team of RCM professionals, including experts in billing, coding, Clinical Documentation Improvement (CDI), risk adjustment, Hierarchical Condition Category (HCC) management, account receivables, and denials handling. By merging advanced technology with skilled documentation services, Acusis simplifies clinical documentation management in a cost-efficient manner. Their eCareNotes speech recognition platform empowers physicians to save valuable time, allowing them to concentrate on patient care, while the Acusis professional services team enhances the experience for Health Information Management (HIM) professionals by providing top-notch editing support. From capturing dictation to implementing state-of-the-art voice recognition solutions, Acusis presents a diverse range of cloud-based products designed to streamline the transcription workflow for Managed Transcription Service Organizations (MTSOs). The flagship technology platform, eCareNotes, not only assists MTSOs but also benefits in-house transcription teams at hospitals, helping them lower documentation expenses and maintain compliance with industry standards. Ultimately, Acusis stands out for its commitment to innovation and customer satisfaction in the realm of healthcare documentation and management.

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

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

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

The corporate-grade rooms dashboard allows the front office staff to warmly welcome visitors and doctors, effortlessly directing them to their designated rooms. Additionally, the RMO and PRO can access a comprehensive live summary of the hospital's occupancy on a single screen. With Surge HIMS, your front office team can efficiently and confidently complete the admission process through minimal and one-time data entry, as well as checking room availability. The rooms dashboard not only provides insights into all patient services but also facilitates billing processes. From this centralized dashboard, staff can easily access a patient’s EMR, charts, and billing information, allowing for quick application or collection of charges. Furthermore, the front office can monitor room availability in real-time, manage advance bookings, and transfer patients to preferred rooms, all while Surge HIMS ensures that billing is handled accurately and efficiently. This streamlined approach enhances overall operational efficiency in the hospital setting.

Utilize the specialized EMR designed specifically for urgent care settings to enhance your practice. This system features streamlined charting and user-friendly templates that facilitate rapid and precise documentation, optimizing workflow and fostering superior experiences for both patients and staff alike. Access the urgent care EMR software that equips you with essential tools to efficiently manage center visits. Clinicians can confidently document urgent care encounters thanks to its intuitive interface and tailored documentation templates. The system accelerates patient processing with swift registration, real-time insurance checks, an integrated EMR/PM database, and scheduling queues driven by workflow, enabling patients to move from check-in to discharge in the shortest time possible, thereby enhancing overall satisfaction. Furthermore, accurate CPT autocoding and intelligent E/M code suggestions guarantee comprehensive documentation for every visit and improve claim accuracy. With a comprehensive library of relevant standard reports available to support strategic decision-making, your clinic's performance can be easily monitored and continuously improved, ultimately elevating the quality of care provided.

Take a proactive approach to identify, treat, remedy, and avert errors in patient identification. Rely on the sole vendor that provides both top-tier EMPI software along with comprehensive in-house data cleansing and analytical services. Hospitals typically experience a duplicate patient rate of 8-12%, with this figure drastically increasing during mergers or acquisitions. How does your organization measure up in this regard? Consult with one of our EMPI specialists to understand how patient identification inaccuracies are affecting your healthcare system. Create a singular enterprise master person index that serves as the definitive reference throughout the entire health organization, assigning each individual a unique enterprise identifier to seamlessly connect your local medical record numbers. Employ a probabilistic search algorithm in conjunction with biometric identification methods, smart card systems, or swipes of driver’s licenses and state-issued ID cards to thwart any future instances of patient misidentification, particularly during the vulnerable phases of registration and scheduling where data entry mistakes are most likely to occur. By taking these measures, your institution can ensure a higher level of accuracy and patient safety.

SurgeHIMS stands out as the premier Hospital Information Management Software in Central India, providing dedicated services to healthcare institutions since its establishment in 2005. Its sophisticated corporate-grade rooms dashboard enables the front office staff to warmly welcome visitors and doctors while efficiently directing them to their respective rooms. With a comprehensive view of hospital occupancy available to the RMO and PRO in real time, the software enhances operational efficiency. The front office team can swiftly and accurately manage the admission process on Surge HIMS, thanks to its streamlined data capturing and real-time room availability checks. The Rooms Dashboard offers complete access to various patient services and billing applications, allowing staff to dive deeper into patient EMR, charts, and billing information to quickly apply or collect charges. Additionally, the front office can monitor room availability instantly, facilitate advance bookings, and seamlessly transfer patients to their preferred rooms, while Surge HIMS ensures proper billing management throughout the process. Overall, SurgeHIMS empowers healthcare facilities with the tools they need to enhance patient care and administrative efficiency.

The RCM Cloud® employs a "software as a service" (SaaS) framework designed to modernize the demanding processes of medical billing through digital solutions that minimize manual intervention and enhance workflow via automation. This innovative system not only boosts operational efficiency but also enables the organization to increase its service delivery capabilities while requiring only slight growth in administrative personnel. By investing in this technology, businesses can expand and thrive without the need to significantly increase their workforce. On the administration front, RCM Cloud® and its related services operate on the robust, reliable, and secure medsphere cloud services platform. The RCM Cloud® suite encompasses various modules such as patient and resource scheduling, enterprise registration, real-time payer eligibility verification, contract management, medical records handling, billing processes, claims management, collections for both payer and self-pay, point-of-sale payment processing, and bad debt management, empowering healthcare organizations to revolutionize their revenue cycles effectively. This comprehensive approach not only streamlines operations but also positions healthcare entities for sustained growth in a competitive market.

Introducing the 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.

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

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.

From managing schedules to generating reports, coding to collecting payments, and everything else in between, Simplify’s comprehensive digital software platform combined with revenue cycle management offers a hassle-free, one-stop solution that brings peace of mind. This holistic approach is a source of comfort for many. The cornerstone of Simplify’s success lies in our deep understanding of your business, enabling us to enhance your workflows effectively. With decades of experience in Ambulatory Surgery Centers (ASCs), we truly comprehend the challenges you face because we have navigated them ourselves. Our unique technology and revenue cycle solutions are essential for your center’s vitality — they operate in harmony, maintaining constant communication. All the necessary tools and support for your center work in unison, ensuring that you can not only survive but thrive! Optimizing the revenue cycle for ASCs demands a strategic perspective that goes beyond simple task management. Simplify focuses on creating and implementing proactive, cohesive revenue cycle strategies aimed at boosting cash flow and ensuring ASCs are well-positioned for sustainable profitability in the future. With our expertise, you can rest assured that your financial health is in capable hands.

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.

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

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

LIMS from ABI Health simplifies the growth of your laboratory business significantly. Within just a few hours, you can establish collection and processing centers, all of which are centralized on a single platform. This allows for business expansion, increased sample processing capacity, and access to immediate reports and insights. This is a fantastic chance to rapidly scale your operations! With the batch processing feature, LIMS offers a specialized batch sheet-tracking tool that assigns one barcode to a complete batch of samples. Technicians can monitor sample handling in real-time from the moment samples are collected and assigned their barcodes through the Workflow Manager, effectively reducing wasteful idle time and eliminating confusion about sample locations. Furthermore, automation plays a crucial role in enhancing efficiency; routine and time-consuming tasks can be automated, leading to improved productivity. By integrating all devices and equipment onto a unified, secure platform, you can also remove the need for manual data transfers, streamlining your entire workflow. This comprehensive approach ensures that your lab operates at peak performance, maximizing both efficiency and accuracy.

The system includes both Production and Test/Training instances of LIMS. The secondary LIMS serves the purpose of acceptance testing and later becomes an e-learning sandbox, allowing users to explore real-world scenarios freely without disrupting the production environment. Enhanced support is achieved through leveraging free online resources and engaging with community forums. Active participation in public Bika LIMS forums significantly boosts laboratory search engine rankings. We invite deserving NGOs, academic institutions, start-ups, and labs in under-resourced settings to reach out for special pricing options. Bika's sustainability is directly linked to the success of its clients. The complete implementation cycle for LIMS encompasses everything from Gap Analysis to Going Live, ensuring thorough preparation. As time goes on, in-house expertise develops, reducing the need for external support. Our preferred model consists of prepaid support buckets, which labs utilize only as needed, benefiting diligent labs that require fewer hours. This comprehensive approach to LIMS implementation guarantees a seamless transition from the initial analysis phase to full operational capability.

Our Mission To assist hospital systems in maximizing their investment in Cerner®, Millennium™. Our Vision To provide innovative solutions for complex problems. We combine industry knowledge and software to solve complex problems. This allows us to achieve greater results than either of them can on their own.

Whether you need assistance with grasping the intricacies of the CMS and ONC final regulations, crafting a strategy to meet compliance deadlines, or executing a practical solution, we are here to assist you. As a frontrunner in the field of interoperability, Edifecs possesses the necessary expertise to guide you in achieving adherence to the latest mandates while unlocking the potential of secure and dependable electronic health data exchange. Edifecs provides top-tier Smart Trading and Encounter Management solutions specifically designed for small to medium-sized health plans. By leveraging financial, clinical, and administrative data, organizations can advance their business strategies and facilitate automation in administrative tasks. Improve encounter management processes and enhance first-pass rates for managed Medicaid and Medicare Advantage through a hosted solution model that Edifecs offers. Additionally, Edifecs presents COTS-based modular solutions aimed at optimizing data quality and supporting payment reform initiatives. By utilizing these innovative tools, health plans can ensure a proactive approach to compliance and data management, ultimately leading to improved outcomes.

Soft.ProDoc, a New-Age Hospital Management Information System (Nature Age Hospital Management Information System), was designed and developed in-house. It has 750+ screens across 25+ modules that include telemedicine features. These modules can be used to cover the entire hospital's activities. Soft.ProDoc was created to give hospitals a better understanding of current and future challenges. It is based on valuable inputs from all levels of the healthcare value chain, including nurses, process consultants, pharmacists, information technologists, and clinicians. Soft.ProDoc helps its clients improve their quality of care while reducing costs by implementing the tried and true processes. Soft.ProDoc is present* in Rajasthan, Tamil Nadu, and West Bengal. It serves 3000+ beds with more than 50000 lab samples every day. Soft.ProDoc is your key to easier NABH Compliance .....

Sehat Central HMIS, a unique, standardized and secure cloud-based platform that allows healthcare professionals to streamline their practice workflow at hospitals, clinics, labs and diagnostics centers, is an intelligent, secure, secure, cloud-based platform. Integrate OPD, IPD Lab, Pharmacy, Radiology departments seamlessly.

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.

In today's world, where paperless information management systems are gaining traction, I.C.E. Apple™ has established itself as a pivotal software solution for hospital management information systems, earning the trust of numerous clients. Feedback from users indicates that there have been significant improvements in patient care, productivity, and profitability since the software's implementation. Additionally, knowledge transfer remains a primary focus for us. We are eager to foster collaborative relationships that enhance the tool’s efficacy and ensure the entity's quality management. Our customer engagement strategies and the reliability of our services post-implementation encourage clients to refer us to potential new customers. The software also offers the ability to configure both pre-printed and real-time barcodes specific to different centers, along with features that allow for scanning and uploading patient prescriptions and panel documents. Furthermore, the automated SMS notifications sent to patients upon booking and when reports are dispatched contribute to a seamless experience. This comprehensive approach not only streamlines operations but also reinforces our commitment to excellence in healthcare management.

iHelix Hospital serves as a comprehensive solution that ensures seamless access to patient information throughout all care settings, empowering healthcare professionals to provide optimal care. Tailored specifically for small community hospitals, extensive medical clinics, and long-term care establishments, the iHelix Hospital system consists of distinct yet interconnected modules, including a sophisticated electronic medical record (EMR). This technological framework allows our clients to develop tailored health information systems that are both cost-effective and aligned with their unique IT requirements. Furthermore, our iHelix Hospital product suite is offered in two distinct delivery options – an in-house server or a web-based ASP model – providing clients the flexibility to select the approach that best aligns with their operational needs. iHelix Hospital stands as a cutting-edge, fully integrated hospital information system, equipping healthcare organizations with an extensive array of tools designed to enhance hospital management, streamline clinical processes, and improve patient administration. Ultimately, this innovative solution aims to transform healthcare delivery for both providers and patients alike.

MedsysB is an economical web-based ERP system designed specifically for hospitals and healthcare organizations to enhance systematic management. It infuses additional intelligence into the management process, ensuring the entire system operates smoothly and efficiently. This ERP solution encompasses a comprehensive suite of modules necessary for managing healthcare facilities ranging from small clinics to large hospitals. Key modules include general administration, registration for both inpatients and outpatients, investigation processes, pharmacy management, operation theatre oversight, billing, medical record management, report generation, dietary services, payroll, and an internal messaging system. Furthermore, MedsysB promotes a paperless environment within hospitals. Its user-friendly design and high degree of flexibility make it suitable for various healthcare setups. Not only is MedsysB utilized by clients in India, but it has also gained popularity among healthcare institutions worldwide. The platform is customizable to meet the unique needs of different healthcare settings, and its intuitive interface significantly reduces patient waiting times through rapid registration. Additionally, an advanced search feature allows for quick retrieval of patient records, streamlining hospital operations while ensuring the confidentiality of sensitive information is maintained. Overall, MedsysB represents a robust solution for healthcare management.

Finsol offers a comprehensive clinic management system designed to streamline every aspect of the healthcare sector. This sophisticated tool simplifies clinic operations, starting from patient registration and extending to various functions such as scheduling doctor appointments, managing consultations, generating reports, and handling billing processes. Its intuitive interface ensures that all staff members can navigate the system effortlessly, requiring minimal training. Additionally, it automates routine workflows within a pharmacy, enabling independent management with a host of advanced features. The system allows for the management of over 25,000 medications, along with tracking purchase and return orders. Furthermore, it provides the capability to document sales and sales returns efficiently. With Finsol's innovative clinic management solution, users can swiftly generate EMR prescriptions with a single click, while the system intelligently identifies the appropriate medications in no time. This not only enhances productivity but also improves the overall patient care experience.

The Electronic Healthcare Administrative Tool (eHAT) is a scalable, web-based hospital information system that operates independently of platform constraints and is built using open-source technology. This comprehensive system includes 40 distinct modules designed to optimize the administrative, operational, revenue, and clinical workflows within a hospital setting. Specifically tailored for large, multi-specialty, and enterprise-level hospitals, eHAT Enterprise serves as an all-in-one solution for hospital management needs. Additionally, the eHAT Laboratory Information System enhances lab operations by automating previously manual tasks, thereby increasing overall efficiency. This software supports the entirety of lab processes, from sample collection to reporting, which encompasses the recording, management, storage, and tracking of critical data. To ensure precise tracking, we employ barcodes for creating and updating audit logs, maintaining a chain of custody that automatically indicates the location of samples at every stage of their journey. Overall, eHAT not only streamlines hospital operations but also significantly improves the accuracy and accountability of laboratory processes.

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

Healthcare professionals, including doctors, receptionists, laboratory staff, administrators, and other users, benefit from a versatile and user-friendly management software. Health.NET is a desktop application developed on a SQL Server Database, compatible with Microsoft Windows 7, 8, and 10 workstations. Its web components and services utilize Java, Ajax, and HTML5 technology. This software is designed to cater to medical and healthcare facilities of all sizes. The CORE version offers functionalities such as a patient archive, medical records management, history tracking, billing management, and tools for generating professional reports, managing visits, and handling prescriptions. It is particularly suited for specialized physicians, practitioners, and medical groups. The platform enables the sharing and safeguarding of medical data and administrative tasks through a unified software solution. Furthermore, Health.NET Ultimate enhances the CORE offering by incorporating advanced modules and delivering responsive services tailored for patients, staff, and administration alike. This comprehensive software solution is not only easy to set up and maintain but also effectively supports users in every aspect of laboratory workflow, from the initial registration of samples to the management of results. Additionally, its flexibility allows customization to meet the specific needs of various healthcare settings, ensuring optimal functionality across diverse medical environments.

Thoughtful AI presents an all-encompassing, AI-powered approach to managing healthcare revenue cycles (RCM). Featuring advanced AI agents like EVA for verifying eligibility and CAM for handling claims, this platform streamlines even the most intricate and labor-intensive RCM tasks. Aimed at enhancing both efficiency and precision, it lowers operational costs, decreases denial rates, and speeds up the posting of payments. Endorsed by top healthcare organizations, Thoughtful AI ensures smooth integration, promises a return on investment, and effectively cuts down costs associated with collections, all while adhering to HIPAA-compliant security standards and offering performance-based assurances. This innovative solution is transforming the way healthcare providers manage their financial processes.

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.

Utilize automation and advanced intelligence to tackle challenges related to patient access and the revenue cycle while enhancing reimbursements for the care provided. Even with the advancements in AI and automation streamlining patient access and revenue cycle operations, there remains a critical requirement for personnel skilled in revenue cycle management, clinical practices, and compliance to ensure that patients are financially vetted and that services rendered are billed and reimbursed correctly. We offer our clients a comprehensive combination of technology and team support, backed by extensive knowledge of the intricate reimbursement landscape. Drawing insights from billions of transactions processed for prominent healthcare providers and over 1,400 payers nationwide, our technology and team are uniquely equipped to deliver optimal results. Experience faster financial clearance for patients prior to receiving care with our patient access platform, which offers a holistic approach to eligibility verifications, benefit checks, patient payment estimates, and prior authorization approvals, all integrated into a single system. By streamlining these processes, we aim to enhance the overall efficiency of healthcare delivery and financial operations.

"I-Med Claims is a leading provider of comprehensive medical billing and revenue cycle management (RCM) solutions, trusted by healthcare practices across the United States. Our services cover every aspect of the RCM process, from eligibility verification to denial management, helping practices streamline their operations, reduce overhead costs, and maximize reimbursements. With flexible and affordable billing plans starting at just 2.95% of monthly collections, we deliver cost-effective solutions that ensure smooth financial workflows while maintaining high standards of accuracy and compliance. Outsourcing your medical billing to I-Med Claims can significantly boost your practice's efficiency by reducing claim denials and refusals, while increasing reimbursements. Our team of experts handles all billing tasks, allowing you to focus more on patient care. From compiling detailed billing reports to managing claims, we take the complexity out of the process, ensuring faster payments and better revenue management for your practice."

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

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

With more than 40 years’ experience in receivables management, nobody understands the business of getting paid better than Finvi. Finvi’s all-in-one revenue acceleration platform allows clients to automate repetitive tasks and focus on high–potential accounts. Our clients can drive outreach with consumer-preferred digital contact methods with the utmost intelligence for improved outcomes. Simplifying and streamlining revenue cycle management, Finvi’s payment solutions have enabled faster collection rates, shorter recovery time, and increased agent productivity

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.

Introducing EVOLVE, the latest and most advanced platform from HybridChart, marking the fourth generation of our technology. The ease of use in our rounding and workflow solution has reached unprecedented levels, setting a new standard in the industry. Crafted by healthcare professionals specifically for their peers, HybridChart’s EVOLVE enables users to seamlessly manage their entire workflow through a straightforward and intuitive interface. This innovative desktop and mobile application empowers doctors to prioritize patient care directly at the point of service. By transitioning away from paper, HybridChart streamlines billing processes and optimizes time efficiency by integrating multiple features into one cohesive solution. You can now capture a charge in just three seconds, ensuring that you never overlook a charge with our robust protective measures in place. Enhance teamwork and experience a remarkable boost in productivity while communicating securely and confidently. Your entire practice can operate in harmony on this protected platform, bridging the gap between inpatient and outpatient care, and simplifying the management of patient dispositions and follow-ups in the process. EVOLVE redefines how healthcare professionals approach their daily tasks, making it an essential tool for modern medical practices.