Alternatives to Remittance360

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.

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.

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.

Virtual Examiner®, PCG Software’s flagship product, monitors an organization's internal claims process to track provider data for fraudulent or abusive billing patterns and maximizes financial recovery. The Virtual Examiner®, a PCG Software product, allows healthcare organizations to improve their claims adjudication system by allowing for more than 31,000,000 edits per claim. The software monitors an organization's internal claim process to identify and reduce payments for incorrect or erroneous code to save premium dollars. Virtual Examiner®, is more than a claims management solution that focuses on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.

Audit Manager simplifies medical auditing by combining audit management, education, and reporting into a single web-based solution. Audit Manager was created by auditors for auditors. It allows you to audit on terms. You can access immediate reporting, customize templates, and have total control over your entire audit program. Audit Manager will increase your auditing efficiency up to 40%, reduce denials, and identify up to 10% missed revenue. Now included — Audit Manager features built-in Tableau integration to provide in-depth analytics and reporting.

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.

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.

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.

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.

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.

RevCycle Engine utilizes integrated, customizable rules alongside AI-driven automation to rectify coding and charge inaccuracies at their origin, guaranteeing the precision of billing data prior to claim submissions. By effortlessly merging with EMRs and practice management systems, it processes claims data in real-time, implements established rules that cater specifically to the unique requirements of each organization, and automatically rectifies errors, which significantly minimizes avoidable denials and expensive rework. The platform enhances workflow efficiency by prioritizing only complex or exceptional claims for human oversight, thereby alleviating team workload and preventing burnout. Furthermore, with its AI-enhanced charge accuracy, it boosts clean claim rates, reduces the cost associated with collections, and stabilizes cash flow, all of which can be monitored through intuitive dashboards and immediate insights. Its scalable automation is capable of managing high volumes of claims without necessitating overtime or late-night work, while also including functionalities such as charge accuracy validation, denial prevention strategies, optimization of coding reviews, and support for payment collection, among others. The comprehensive nature of these features ensures that health organizations can maintain operational efficiency and financial health.

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.

PDS Cortex enhances the efficiency of your practice by offering comprehensive tools for overseeing patient appointments, billing, collections, and much more. It simplifies the intricacies of the current health insurance landscape, making it easier for practices to adapt. Some of its standout features include medical billing, which serves as the core of Cortex with dynamic cash flow management, reduced accounts receivable, and efficient data retrieval and analysis. It also provides robust insurance management tools that allow you to effectively track, manage, and report while saving valuable time. Additionally, it enables monitoring of bad debts and collection agency performance, enhancing accounts receivable efficiency. The appointment scheduling feature is user-friendly, offering customizable layouts and a powerful workflow to streamline operations. Furthermore, electronic remittance distribution allows for better control through the electronic posting of insurance payments, optimizing your insurance transaction processes. Lastly, the platform offers over 270 standard reports, providing you with the flexibility and control needed to make informed decisions based on comprehensive data insights.

ClinicAid streamlines your workflow by utilizing our cloud-based medical billing software to handle the more labor-intensive tasks, allowing you to concentrate on what truly matters: patient care. By minimizing administrative burdens with state-of-the-art billing and coding solutions, you can focus more on your patients. Our software automatically populates claims with your practice and patient information, simplifying complicated processes. ClinicAid's physician billing software keeps your practice organized and efficient by offering robust reporting features, all developed with input from our users. This ensures you have immediate access to essential reports, including Remittance, Rejection, and Efficiency, all at the touch of a button. The reporting capabilities of our medical billing software are adaptable to the evolving needs of your practice, enabling you to create and save personalized reports that encompass up to 46 different data points for enhanced insights into your operations. With ClinicAid, you are equipped to make informed decisions that improve the overall performance of your practice.

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.

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.

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

ediLive! is a versatile claims processing solution compatible with any NSF, ANSI, or printed claim image, enabling HIPAA-compliant transmission of claim files from various practice management systems. Users of ediLive! enjoy the advantages of real-time connectivity along with efficient management of claim collections workflows. The software integrates all status messages from payers directly into the claim, simplifying follow-up and corrections while consolidating incomplete claims into a single, easily navigable worksheet for quick edits and resubmissions. For those utilizing ediLive!, we also offer a remarkable tool called the claims scrubber, designed to expedite and enhance the payment process for your claims. We invite you to contact our office for a complimentary online demonstration, during which we can scrub the first 100 claims for free as a trial. Remember, every coding mistake can lead to financial losses for your practice, so take advantage of this opportunity to optimize your claims processing.

A data-driven solution for managing claims and remittances specifically designed for healthcare providers looking to streamline their workflows, enhance resource efficiency, minimize denial rates, and expedite cash flow. Boost your initial claim acceptance rate significantly. Our all-inclusive edits package ensures you remain compliant with evolving payer guidelines and regulations. Increase your team's efficiency with user-friendly, exception-based workflows and automated procedures. Your personnel can conveniently utilize our adaptable, cloud-based platform from any device. Effectively manage your secondary claims volume through the automated creation of secondary claims and explanations of benefits (EOB) derived from the primary remittance advice. Leverage predictive artificial intelligence to identify and prioritize claims that require attention, allowing for quicker error resolution and minimizing denials before submission. Achieve a more efficient claims processing experience. Additionally, print and distribute primary paper claims, or compile and send collated claims along with EOBs for secondary submissions. This holistic approach not only enhances operational efficiency but also promotes better financial performance for healthcare providers.

Dr. Bill streamlines the billing process, making it effortless and efficient. You can add a new patient in just three seconds and submit claims with a few taps on your device. Say goodbye to the hassle of manual data entry, paper documents, and outdated software. Simply take a photo of a patient's label, and your claims can be logged in a matter of seconds. With real-time alerts and practical suggestions, we empower you to optimize your billing experience. There's no need to remember complex codes; you can either select from your favorite options or search using keywords. Our user-friendly app makes managing billing straightforward and accessible. As new patients arrive, Dr. Bill seamlessly adapts to keep your workflow smooth. Just snap a picture of a patient’s label to instantly add their information to your account. Finding the right codes is a breeze, as Dr. Bill allows you to search easily and save frequently used codes for quick access. Stay informed with helpful tips that can enhance your claims process. By keeping you updated with useful advice, Dr. Bill ensures that you never miss a beat when it comes to maximizing your billing potential. The simplicity and convenience of this app make it an essential tool for any healthcare provider.

Clinical Info Solutions provides comprehensive and integrated medical billing services that cater to all your needs. Recognized as one of the leading medical billing firms in the United States, we specialize in a range of services including medical billing, coding, revenue cycle management, and medical credentialing. Our mission is to optimize your collections while alleviating the burden on your financial and human resources, allowing you and your team to concentrate on exceptional patient care. We pride ourselves on offering cutting-edge medical billing solutions that surpass industry standards in efficiency and cost-effectiveness. Our unique approach allows us to remotely access the client's server, utilizing their software to handle all billing tasks seamlessly. This arrangement ensures that all data and documents remain on the client’s server, granting them full oversight of the billing process, which is crucial for maintaining transparency and control. By partnering with us, you can expect a streamlined billing operation that enhances both your revenue cycle and patient experience.

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.

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

Safeguard the reliability of your health plan while pinpointing precise pricing with the Context4 Health Plans Suite, our versatile and cloud-centric technological framework. Experience immediate and actionable insights for detecting Fraud, Waste, and Abuse (FWA), developed by our skilled team of certified experts in clinical, dental, and health benefits. By leveraging accurate data and state-of-the-art cloud technology, we deliver a robust and defensible Medicare reference-based pricing (RBP) solution. Our platform comprises over 100 healthcare data sets, complemented by professional guidance to enhance operational efficiency and ensure regulatory compliance. Additionally, our sophisticated medical coding software is tailored to streamline claim submissions and reduce the likelihood of denials. Furthermore, the cloud-based Payment Integrity Platform harnesses our unique analytics engine to uncover coding mistakes, assess medical necessity, address unbundling, detect fraud, waste, and abuse, evaluate audit risks, and identify pricing discrepancies, all of which can significantly influence your organization's performance. This comprehensive approach not only safeguards your financial health but also positions you for sustainable success in the ever-evolving healthcare landscape.

Experience seamless accessibility and top-notch security without any trade-offs. Work from anywhere, consult with patients, and maintain connectivity through an all-inclusive cloud suite that encompasses both office and remote care technologies. Since its inception in 1999, our medical office software has remained unique as the only solution built entirely on a 100% cloud framework. We are excited to provide our complete range of software and data storage on the Amazon Web Services (AWS) cloud hosting infrastructure. The collaboration between AdvancedMD and AWS results in an unparalleled experience characterized by swift and dependable access to your information, steadfast data security, and effortless storage with automatic backup features. No other ambulatory software solution matches this level of hosting quality, ensuring that starting or expanding your practice in the cloud is both simple and budget-friendly. With our software being hosted and managed on AWS, your monthly subscription includes exceptional reliability, security, and performance. Furthermore, our cloud platform facilitates easy access to our software across various devices and operating systems, enhancing the convenience of your practice even further. This combination of cutting-edge technology and user-friendly design sets a new standard in the medical software industry.

Computer-Assisted Coding, also known as medical coding, helps to boost productivity, make critical decisions quicker, and reduce denials, missed fees, and low-risk score. The AGS Computer Assisted Coding module (CAC) allows for flexible and scalable coding to increase accuracy, productivity, efficiency, and flexibility. Features: Integrated Encoder : CAC has a built-in, 'book-based encoder' that helps you select the correct code. It also includes full guideline information as well as coding clinics. Integrated References - An integrated reference guide contains detailed visuals and information on anatomy for coders during the coding procedure. Integrated and 3M grouper: DRG/MSDRG grouping comes built-in. For those who require the 3M APR grouper, it can be activated easily through an existing integration with third party (3M fees apply).

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.

F1RSTAnesthesia stands out as an innovative software platform built on Oracle technology, embodying our distinctive strategy for managing accounts receivable. Drawing from over four decades of expertise in anesthesia billing and practice management, F1RSTAnesthesia empowers ABC personnel to engage with providers, patients, and insurance companies in real-time, ensuring that client practices receive prompt and precise compensation for their essential services. The platform boasts unlimited capabilities to improve the collection of documentation, which is crucial for achieving the highest coding accuracy. Its features and functionalities are designed to navigate the intricate processes of medical billing, including vigilant oversight of payment precision and adherence to regulatory and payer requirements. Additionally, the web portal allows clients to access their practice information, enabling them to explore practice trends conveniently from their own homes. This level of accessibility not only enhances client engagement but also fosters a deeper understanding of their financial health.

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.

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.

All-in-one solution for your medical practice. Cloud-based online electronic health records (EHRs) that allow you to create and manage patient records securely from your browser. You can create and manage patient appointments, schedule resources such as rooms, IV chairs, etc. Use a color-coded calendar. Patients can book appointments through your website and patient portal. Upload and store patient and practice documents such as consent forms, handouts, x-rays, etc. Go paperless. To make it easy to find documents, group them into folders and tag them. Securely exchange messages with your care team regarding your treatment. Patients will be able to access their medical records via portability. They can also allow secure access to a local specialist when they visit abroad. You can discuss complicated cases while sharing images/videos, without having to pull doctors from clinics or wards.

Created by a medical professional, maxRVU offers a quick, user-friendly solution that allows healthcare providers, including physicians and mid-level practitioners, to streamline and reduce data entry for charge capture while on the move. It enables the real-time capture, tracking, and submission of billing charges right at the point of care. This innovative tool can shorten the billing cycle by as much as 85% by ensuring that accurate charges are communicated to billers instantly from your mobile device. Users can conveniently share images of x-rays, patient records, or screenshots of utilized codes without hassle. Additionally, it's possible to check in on the group lunch being catered, just in case you’re running late, and perhaps a colleague might hold a plate for you since everyone appreciates a complimentary meal. Furthermore, the messaging function of maxRVU is safeguarded by a HIPAA-compliant server, ensuring every communication is secure and confidential. This blend of efficiency and security makes maxRVU an invaluable asset in the healthcare environment.

Revenue cycle management plays a crucial role in the success of medical service operations, serving as a fundamental pillar for their sustainability. Essential tasks such as controlling expenses, boosting efficiency, and speeding up reimbursements are vital for the smooth operation of emergency medical services. However, navigating a claim through its entire lifecycle has often been a laborious process, frequently delayed by issues related to documentation and coding errors. ZOLL® Billing offers a cloud-based solution that significantly enhances billing effectiveness, allowing revenue cycle professionals to maximize financial returns. By streamlining workflows and reducing billing mistakes, ZOLL Billing empowers users to handle a greater volume of claims while minimizing resource expenditure, all while addressing compliance risks. With automated workflows, you can improve productivity and revenue, enabling your team to process an increased number of claims seamlessly. This innovative approach not only simplifies the billing process but also positions your agency for greater financial success in the competitive healthcare landscape.

Experience immediate efficiency with a user-friendly web-based EMR designed specifically for dental sleep medicine, TMD, and oral surgery, ensuring you are thoroughly organized for every patient. DentalWriter expertly compiles your medical necessity cases using tailored SOAP reports, which serve as valuable assets for securing medical reimbursements and facilitating physician referrals. With its intelligent cross-coding feature, DentalWriter simplifies the transition from dental to medical billing, ensuring accuracy and ease. Your dedicated billing service concierge will take care of all subsequent processes. Furthermore, DentalWriter Plus+ leverages intake and examination data to create individualized SOAP reports of medical necessity, essential for both reimbursement and effective communication with physicians. Enhance your practice's productivity and effectively promote your dental sleep and TMD services, all with just a single click. This comprehensive solution not only streamlines operations but also elevates the level of patient care you can provide.

Get alerts whenever payors adjust their policies, as staying updated is crucial. Rather than sifting through countless pages of complex insurance terminology, our software identifies policy modifications and creates clear, concise notes for your billing and coding teams to use effectively. You can swiftly access policy details relevant to specific claim dates and leverage our data to strengthen your case outcomes. This streamlined approach not only saves time but also enhances your team's efficiency and effectiveness in navigating policy changes.

Flash Code™ is an innovative coding solution tailored specifically for the healthcare sector. Our mission is to deliver outstanding, user-friendly, and affordable software, complemented by unparalleled customer support. As part of Practice Management Information Corporation, the foremost independent publisher of coding literature, we have the capability to offer a comprehensive approach to fulfill your coding and compliance requirements through both our software and printed materials. We appreciate you taking the time to discover the benefits Flash Code can offer you. Additionally, this merger allows MCCS to enhance its offerings, providing advanced electronic coding and compliance tools for the healthcare market. Whether it’s a physician verifying medical necessity codes during patient care, an insurance manager ensuring accurate diagnosis codes, or a benefits analyst examining health insurance claims for compliance with correct coding initiatives, MCCS is equipped to streamline and improve these essential processes. Ultimately, our goal is to empower healthcare professionals with the tools they need to navigate the complexities of coding and compliance effectively.

Our CMS-1500 software is an outstanding option for those looking to submit claims via paper. You can easily download a free trial to explore its features. We can assist you in getting started with the software immediately! By placing an order online, our secure shopping cart will smoothly navigate you through the process, eventually providing you with an activation code that you can use at any time, day or night. You can input data directly on the screen as if filling out the form by hand, or you have the option to import data from Excel files (both xls and xlsx formats). The software allows you to print on pre-printed red Medicare forms or create an entire form in black and white. It ensures that your print aligns perfectly with any printer you choose to use. You can also save frequently used information for faster completion, which helps reduce repetitive typing. Additionally, UB-04 forms serve as medical insurance claim forms, utilized by various healthcare facilities like hospitals and clinics, to bill insurance companies for services provided. The CMS-1500 software is compatible with any Windows operating system and can operate effectively on both networked and standalone personal computers, ensuring versatility in any setting. With this software, filing claims becomes a streamlined and efficient process, making it an essential tool for healthcare providers.

Abeo’s MedSuite software stands as the leading anesthesia billing solution across the country. Designed specifically with a profound comprehension of the intricate nature of anesthesia billing, MedSuite assists both medical practices and billing services in securing appropriate reimbursements. This cloud-based platform is fully optimized for anesthesia, facilitating integrated workflows that efficiently utilize essential coding and billing personnel resources. MedSuite evolves alongside the needs of its users, reflecting its core philosophy: it is not merely a product offered for sale, but a system we actively employ every day to manage coding and billing for our anesthesia practice clients. Unique to MedSuite is its ability to cross-reference surgery schedules with billing data, ensuring that every case is accurately billed and collected. Additionally, its anesthesia-specific database provides insightful visibility into critical metrics through comprehensive and adaptable reporting, making it a vital tool for any anesthesia practice. The continuous development of MedSuite guarantees that it meets the ever-changing demands of the healthcare landscape.

The cost of medical billing software can differ significantly between various providers. Our company, which specializes in HIPAA-compliant medical billing, utilizes software that is not only reliable but also free of errors. It's important to note that not all source codes are suitable for the complexities of medical billing and coding; hence, we opt for software that is both credible and has proven its reliability over time. This software is designed with the user in mind, offering virtual assistance to resolve billing issues efficiently. It excels in managing financial data, reimbursement calculations, and sophisticated revenue cycle management with a high degree of accuracy. Furthermore, it provides comprehensive tracking of the entire medical billing process, encompassing everything from appointment scheduling to reimbursement processing. Ultimately, these key functions encapsulate the essential role that medical billing software plays in the healthcare industry. Additionally, its ability to streamline operations ensures that healthcare providers can focus more on patient care rather than administrative burdens.

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.

PlanXpand™ is the specialized transaction processing engine developed by Acero, which serves as the backbone for all products aimed at health benefits administrators. With this innovative engine, clients have the flexibility to implement Acero’s offerings either all at once or gradually over time. Beyond simply selecting from our standard range of products, administrators have the option to harness PlanXpand™ to create tailored solutions that enhance their current system functionalities. Acero’s distinctive, integrated solutions utilize a Service-Oriented Architecture, enabling health benefits administrators and insurers to augment their existing adjudication platforms with new features and capabilities. Furthermore, our advanced design and engineering facilitate real-time adjudication for all claim types, directly interacting with the core claims system, which leads to improved processing accuracy, increased customer satisfaction, and a reduced necessity for claims adjustments. This adaptability and precision in processing claims ultimately positions Acero as a leader in the health benefits administration sector.

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.

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.

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.