Alternatives to Rivet

Ensora Health’s Mental Health EHR offers an all-in-one solution for mental health practices, streamlining tasks like scheduling, billing, and documentation. With automation tools for appointment reminders, billing processes, and clinical notes, the platform reduces administrative burdens and saves therapists valuable time. Designed for ease of use, Ensora allows mental health professionals to prioritize client care while ensuring compliance with industry standards and security regulations.

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.

Over 25 years ago, one of our founders was working as the IT Director of a large behavioural health and residential services agency in New York. Sensing a need for a better way to track and report on their services, he developed a case management system for his agency. Over time, two other agencies joined in and helped expand the software so that it could serve the needs of virtually any human services agency in the country. Today, Foothold’s team and our software support hundreds of agencies across the nation, in Guam, and in Puerto Rico. With our technology expertise and roots in human services, we continue to empower agencies to focus on their missions.

This powerful tool allows you to practice medicine anywhere and anytime. The athenaOne mobile application allows you to do meaningful clinical work wherever and whenever you want. Access patient records to create and sign orders, respond and prepare for exams, and to document them. The app allows you to catch up on work or get ahead of it during your free time. You can log in to the app with touch or face ID to see a quick overview of your day. You can view your schedule, see the patients you have prepared for, and manage your inbox. With customizable patient summaries, it takes just a few minutes to get up-to date on the patient's history. To review all that has happened since their last visit, you can access full charts. Access the clinical inbox for critical work from anywhere and at any time. AthenaClinicals makes it easy to create and sign orders, view test results and respond to patient cases.

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.

NextGen Healthcare is a leader in healthcare software and services that enables the transformation of ambulatory health care. NextGen Office (1-10 doctors) and NextGen Enterprise (10+ doctors) are smart electronic health record solutions that help ambulatory practices reduce the burden of documentation, improve clinical outcomes, connect to other health systems, increase provider and patient satisfaction, streamline revenue cycles, and foster healthier communities.

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

Mercury Medical has been ranked among the Top 10 RCM and MPM solutions. It is a robust medical billing system. Mercury Medical offers over 400 customizable reports that can be customized, including a Scheduler and Patient Portal. This makes Mercury Medical a great solution for major billing. It is also suitable for multiple specialties and RCM processes. Mercury Medical is a proven professional Accounts Receivable solution. It will reduce processing times and payment cycles, increase cash flow, and improve cash flow. Mercury Medical can be configured to any vertical or process, including Anesthesiology and University, Physical Therapy, and many others. Mercury Products is HIPAA compliant and can be connected to any clearinghouse or insurer. Mercury Medical's automated job program will allow you to perform a daily system check-up. This includes folder maintenance, daily backups, and 837 exports and imports. All subscriptions include CrisSoft Support's expert assistance.

SimplePractice provides an all-in-one EHR and practice management solution for health and wellness professionals, including therapists, dietitians, and counselors. The platform includes tools for scheduling, billing, documentation, and telehealth services, all within a HIPAA-compliant framework. With a focus on user-friendly design and comprehensive support, SimplePractice aims to simplify the operational aspects of private practices, allowing professionals to focus more on client care. ​

Practice-Web is a desktop software for dental offices of all sizes. The solution allows users to view progress notes, plan treatments, and make appointments. It also provides billing, imaging, charting, billing, patient scheduling, practice management modules, and billing and imaging. Practice-Web provides a variety of features, including automated reminders, mobile forms to patient registration and consent, COVID19 bilingual screening form, customizable prescriptions and lab slips, text messaging for patients, multi-page scanning, and referral slips.

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.

To ensure the well-being of both patients and providers, independent practices require comprehensive solutions. Each product offered by Tebra is specifically designed to enhance and streamline the entire patient-practice experience, and when integrated into a unified platform, it functions as a complete operating system that benefits both providers and patients. By utilizing this connected system, practices can effectively attract new patients while retaining existing ones through enhanced digital visibility. Furthermore, patients are empowered at every communication point, fostering a seamless experience that promotes trust and contributes to a healthier practice environment. A state-of-the-art, certified EHR solution tailored to meet the demands of today’s healthcare providers is also included, equipping practices with essential features such as advanced charting, efficient documentation processes, a holistic view of patient histories, electronic prescriptions, lab integrations, telehealth capabilities, and much more, enabling providers to maintain control over their care delivery methods. With these innovative tools at their disposal, practices can thrive in an increasingly competitive healthcare landscape.

Effortlessly unite care teams by offering a comprehensive, HIPAA-compliant platform that provides a complete view of each patient. Revolutionize your call center operations, ensuring swift access to care for patients while addressing social determinants of health to enhance outcomes. Engage, support, and attract patients throughout their healthcare journey using an efficient engagement platform that integrates people, data, and processes effectively. Elevate virtual sales interactions, strengthen provider relationships, and enhance patient engagement to increase value and drive impactful results. Attain commercial excellence by linking sales, service, marketing, and operations through essential data insights. Cater to your constituents’ needs by facilitating staff to make informed decisions based on a holistic understanding of the individuals and families they assist. Equip your team with tools for manual contact tracing, patient monitoring, and automated follow-ups, enabling prompt action during healthcare crises, while also fostering a culture of proactive communication and care.

Easy-to-use interface for doctors and staff. Automatic posting, visit entry, & self check-in/out. Cloud access, Fast SOAP Notes & front desk, billing, text appointment reminders, KIOSK, powerful tickler & patient correspondence. Excellent customer service! All this at an affordable price. You can easily manage multiple chiropractic offices, large or small. We have been providing a superior, easy-to-use patient administration system since 1980 that is unmatched by anyone else.

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.

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

Bridge is a recognized leader in patient engagement solutions designed specifically for healthcare organizations. This innovative platform empowers companies to upgrade their current EHR's patient portal, integrate various health IT systems, unify patient engagement tools, and establish a digital front door. Notably scalable and user-friendly, it boasts ONC 2015 Edition Certification and is offered as both a client-branded web application and a mobile app compatible with Android and iOS devices. By automating the entire care journey, Bridge enhances the patient experience significantly. Patients remain actively engaged through customizable electronic communications and can access their health, financial, and appointment details across multiple platforms. Key features of the solution encompass self-scheduling, secure messaging between patients and providers, mobile intake, bill payment options, telemedicine services, and a wide array of additional functionalities. Moreover, the platform includes a fully-documented and complimentary API, enabling healthcare organizations to effortlessly develop their own interfaces, incorporate additional features, and generate advanced reports tailored to their needs. This level of customization ensures that each organization can effectively meet its unique patient engagement goals.

The process we follow for setup is straightforward and efficient. We take the initiative to incorporate our HIPAA-compliant software and services seamlessly into your current workflow. This software is designed to analyze your patient population, pinpointing individuals who might be eligible for Chronic Care Management (CCM) and various preventive programs. Our combination of a dedicated care team and advanced software can handle tasks like enrollment and eligibility verification, patient outreach cycles, and meticulous record management, among other functions. With our integrated approach, we stay closely attuned to the needs of your patients, ensuring timely responses. Our user-friendly, one-click interface provides physicians with essential information about patients requiring urgent care. This is how our system operates:

You can search using demographic identifiers such as last name, first name, and telephone number, or by clinic-specific details like internal file numbers and health insurance numbers, as well as identifiers from other healthcare institutions like hospital cards or CLSC records. This module streamlines all facets of record management by removing duplicates and enabling the archiving, merging, and deactivation of patient records effortlessly. Additionally, the implementation of online appointment scheduling and electronic confirmations conserves valuable time. With just a few clicks, you can easily arrange an appointment that aligns with the availability of both the patient and the healthcare provider. MYLE empowers clinic administrators with the autonomy to manage the MYLE platform on their own. Designed as a comprehensive solution, MYLE includes a toolkit that supports the management of schedules, user accounts, access to logs, creation of templates and lists, and the ability to produce in-depth reports. Moreover, this system enhances overall efficiency in patient care and administrative tasks.

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.

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

IntakeQ is a web-based online intake management software for health professionals that eliminates paperwork. IntakeQ is HIPAA compliant and allows health professionals to share online case forms with patients. This improves client onboarding. The platform includes e-signature support and questionnaire analytics, client notes, profile, automated appointment reminders, secure messaging portal, and client notes.

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.

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

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.

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.

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

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.

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.

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

EHR 24/7 by Office Ally empowers more than 20,000 users with efficient patient care management. It has charting, real-time data, customizable forms, and integrations for patient intake and e-prescription solutions. With no implementation needed, healthcare providers can use EHR 24/7 to treat and document patients today.

The DENmaar Guardian provides users with the ability to monitor their status and access a variety of features. This platform presents a comprehensive array of services aimed at enhancing financial performance and delivering quantifiable results. Our advanced automated revenue cycle management (RCM) and insurance credentialing services ensure that behavioral and mental health providers achieve optimal financial outcomes. Efficient patient scheduling is essential for maintaining operational effectiveness, minimizing missed appointments, and ensuring timely patient care. When evaluating a patient scheduling system, the DENmaar scheduler includes several important features that can significantly improve quality. Additionally, DENpay enables practitioners to collect payments while adhering to HIPAA regulations, ensuring the confidentiality of patients' medical, financial, and personal data. As patients face increasing responsibilities for deductibles and medical costs, it's vital to have robust solutions in place. Furthermore, our medical EHR software is not only advanced but also user-friendly, tailored specifically to meet the needs of behavioral healthcare professionals, ultimately enhancing their workflow and patient interactions.

Reduce administrative hours by 20% for your practice while verifying patient insurance eligibility instantly and enhancing the check-in experience with our kiosks, tablets, and software solutions. Make the check-in process easier for patients by enabling them to register before their appointments from any location at their convenience. The registration procedure is made simpler, and the intake process becomes more efficient. With our flexible workflow, you can expedite the check-in process, achieving an average of just 3 minutes for new patients and under a minute for returning ones. This not only accelerates patient processing but also boosts successful payments and enhances cash flow within your practice. Medical facilities have reported increases in their point-of-sale collections ranging from 25% to 65%. Clearwave addresses the issue of patient impatience effectively. By implementing a digital front door that remains accessible at all times, you can ensure seamless scheduling, automated eligibility checks, efficient patient check-in, and clear financial transparency for everyone involved. This innovative approach transforms the patient experience and ultimately leads to higher satisfaction rates.

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 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.

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

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

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.

Silna Health's Care Readiness Platform efficiently manages prior authorizations, benefit verifications, and insurance monitoring right from the start, ensuring that patients are ready to receive care while allowing providers to concentrate on delivering treatment. Powered by AI, the platform oversees the entire workflow of prior authorizations, which includes tracking future authorizations, sending weekly reminders, handling submissions, and conducting follow-ups, all while applying established industry rules and highlighting exceptions for human intervention when necessary. Benefit checks specific to various specialties confirm coverage, accumulation, authorization prerequisites, and visit limitations in real time, providing precise quotes at the point of intake. The system also performs continuous insurance monitoring to identify lost coverage, detect new insurance plans, and prevent eligibility gaps. Designed to operate without increasing staff numbers, Silna directly integrates data from EMRs and practice management systems, offers customizable rule sets and strategic frameworks, and features intuitive dashboards that present insights into incremental revenue. Overall, this comprehensive approach not only streamlines processes but also enhances the financial performance of healthcare providers.

In the dynamic landscape of healthcare, the financial and operational stability of your organization plays a vital role in its overall success. To thrive, it's essential to secure the right mix of personnel, products, and processes that extend beyond merely receiving payments. Our revenue cycle management suite is designed to assist businesses in efficiently handling claims scrubbing and verifying patient eligibility. TruBridge specializes in accelerating payment processes for hospitals of all sizes by leveraging a strategic blend of people, products, and process enhancements. Our diverse range of Revenue Cycle Management offerings includes consulting services, an HFMA Peer Reviewed® product, and comprehensive business office outsourcing solutions. For years, TruBridge has been dedicated to improving the efficiency of hospitals, physician clinics, and skilled nursing facilities in their service to communities. As we move forward, our knowledgeable professionals are prepared to address the specific revenue cycle challenges your organization encounters daily, ensuring you can focus on delivering exceptional patient care.

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.

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

To utilize our software, all that is required from your practice is a reliable internet connection along with a web browser. Indeed, there is no need to download any software or rely on third-party applications. Veracity's lab interface enables you to tailor your lab ordering process, which can significantly save you time. Orders are submitted effortlessly, and results are promptly returned for swift follow-up. The service is accessible on both Android and iOS platforms. Our fully functional mobile app empowers you to manage your schedule, prescribe medications, and refill prescriptions with ease. You can also view lab and imaging results, chart notes, phone encounters, messages, patient summary sheets, and much more. Enhance medication safety and improve patient outcomes through our streamlined system. Ensure that clinically consistent and accurate information flows seamlessly throughout your workflow. Additionally, you can set up virtual appointments that facilitate quick and efficient patient consultations, ensuring that daily life does not hinder care. This approach not only simplifies your practice but also assists those who may have difficulty visiting in person. With these tools at your disposal, both your life and your patients' lives can be made significantly easier.

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.