Alternatives to Rivet

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

Service Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status online, and receive remittance advice. Accepting standard ANSI formats, data entry, and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers.

AdvancedMD is the all-in-one cloud-based medical office software trusted by thousands of independent practices to run smarter, faster, and more profitably. It unifies practice management, EHR, and patient engagement into a single seamless platform — eliminating the inefficiencies of disconnected systems. The AI Clinical Assistant is at the core of the modern AdvancedMD experience. It powers ambient listening and auto-transcription, capturing patient conversations and turning them into structured chart documentation in moments — reducing note-writing from 15 minutes to seconds. AI-generated chart action items, pre-visit summaries, and insurance card capture further eliminate manual data entry, so your staff spends less time on paperwork and more time with patients. AI Narrative Insights continuously analyzes practice performance data, surfacing trends and opportunities you can act on directly from your dashboard. On the financial side, AdvancedMD strengthens your bottom line with robust revenue cycle management, a multi-clearinghouse model including a Waystar partnership for cleaner claims, and computer-assisted coding to maximize reimbursement. The result: faster payments, fewer denials, and healthier cash flow. Built on secure AWS infrastructure with Password Breach Detection, AdvancedMD keeps your practice protected and compliant — accessible from any device, anywhere, anytime. Whether you're a solo provider or a growing multi-specialty group, AdvancedMD scales with you — delivering an intelligent, unified experience that lets you focus on what matters most: your patients. The future of independent practice isn't just surviving — it's thriving. AdvancedMD gives you the technology to do both, without the complexity.

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.

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.

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.

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.

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.

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.

InvisaClaim stands out as the premier all-in-one revenue platform, leveraging AI to enhance Revenue Cycle Management by streamlining denial management, appeals, prior authorizations, and compliance with the No Surprises Act for billing companies and RCM teams. Users can upload or utilize a live feed to submit denial letters or 835 ERAs, allowing the AI to swiftly extract essential patient information, CARC/RARC codes, CPT/ICD-10 codes, amounts, and deadlines, subsequently generating tailor-made appeal letters for over 30 payers in just one minute. The system comprises various modules, including a Denial Workbench, NSA/IDR for eligibility verification and QPA capture, Prior Authorization, Pre-Check AI, A/R aging, NPPES NPI verification, deadline alerts, and a comprehensive audit trail. In addition, InvisaClaim seamlessly connects with your clearinghouse and EHR systems, boasting integration partnerships with notable entities such as Change Healthcare/Optum for features like ERA, eligibility checks, claim status, and prior authorizations, while Availity integration is currently underway and Waystar facilitates Provider Access Requests. Furthermore, strategic EHR collaborations with Athenahealth are in the works, alongside the implementation of a FHIR R4 layer for interoperability with Epic and Cerner systems, ensuring a robust and flexible service. With a commitment to security, InvisaClaim adheres to HIPAA compliance and holds SOC2 certification, demonstrating its dedication to maintaining the highest industry standards.

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.

NeuralRev is an innovative Revenue Cycle Management (RCM) platform powered by artificial intelligence that streamlines and enhances comprehensive financial processes within the healthcare sector, leading to a decrease in manual labor and mistakes while boosting cash flow and operational productivity. By integrating with clearinghouse networks, it automates the insurance eligibility verification process, allowing for immediate patient intake and coverage checks. The platform also manages prior authorizations by gathering the necessary clinical and payer information, electronically submitting requests, and monitoring approvals to minimize denials and delays effectively. Additionally, it provides real-time cost estimates for patients by merging eligibility details with payer regulations, which enhances transparency and facilitates upfront collections. Furthermore, NeuralRev simplifies medical coding, claim submission, processing, post-claim follow-up, and recovery, enabling teams to dedicate more time to patient care rather than administrative tasks. Overall, this comprehensive solution represents a significant advancement in managing the financial aspects of healthcare efficiently.

Medical necessity denials represent a significant financial burden for healthcare providers, incurring costs that can reach into the millions annually due to write-offs, along with the expensive labor involved in investigating and contesting these denials while addressing patient inquiries. Conversely, payers also face similar challenges in the claims management process, as they incur expenses from covering unnecessary medical procedures and treatments, as well as the resources dedicated to handling denial appeals, all of which do not contribute to better patient outcomes. Additionally, patients may suffer from excessive copays and other out-of-pocket expenses, coupled with a frustrating healthcare experience due to charges and services that are not warranted. To combat these issues, the ABN Assistant™ from Vālenz® Assurance equips providers with essential prior authorization tools to confirm medical necessity, generate Medicare-compliant Advanced Beneficiary Notices (ABNs) that include estimated costs, and effectively prevent over 90 percent of medical necessity denials by ensuring that the necessity is validated before any care is administered to the patient. By utilizing this system, providers can enhance their financial stability while improving patient satisfaction and care efficiency.

Veritable enhances the process of verifying patient insurance eligibility and checking claims status by delivering immediate results through a user-friendly interface. It facilitates real-time and batch processing of patient lists, allowing eligibility verification with over 1,000 payers, including national Medicare and state Medicaid, across various service categories. Furthermore, it provides the capability to monitor claims status from the point of submission to reimbursement, enabling practices and billing firms to swiftly pinpoint issues that could lead to payment delays or denials. Notable advantages include the automation of eligibility and claims processes, which minimizes the need for manual data entry and reduces phone inquiries, thereby enhancing the patient experience at the front desk by confirming coverage and copay amounts during check-in. Additionally, it ensures a smooth integration experience for users of all technical skill levels while maintaining robust data security protocols. Another valuable feature is the “Code Explorer,” which allows for quick reference to ICD-10-CM, ICD-10-PCS, HCPCS Level II, and CPT codes, making it easier for users to navigate coding requirements efficiently. Overall, Veritable streamlines administrative tasks within healthcare practices, ultimately leading to improved operational efficiency and patient satisfaction.

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

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

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.

Bridge provides a unified patient engagement platform built with digital empathy — designed to reduce friction across the patient experience while easing the administrative burden for physicians and staff. Rather than managing engagement through disconnected tools, Bridge creates a seamless, EHR-integrated experience that supports patients before, during, and between visits. Through a single platform, organizations can simplify access, communication, intake, and ongoing engagement without adding complexity to clinical workflows. By removing repetitive tasks, consolidating communications, and supporting proactive, ongoing patient relationships, Bridge helps provider-driven organizations deliver more compassionate, consistent digital experiences that patients trust and care teams can sustain. To learn more about how our platform delights patients and caregivers alike, visit our website.

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.

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:

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.

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

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.

MedTunnel honors the dedicated healthcare professionals on the frontline battling COVID-19. We take pride in offering our complimentary HIPAA-compliant messaging tool to aid in this crucial endeavor! MedTunnel serves as a no-cost service that ensures secure, HIPAA-compliant communication for the healthcare sector, enabling both providers and patients to share sensitive health information effortlessly via computers and mobile devices. The primary aim of MedTunnel is to deliver a free, safe, and compliant messaging platform for the transmission of private health information (PHI) online. Our product’s foundational design adheres strictly to HIPAA regulations and security standards. MedTunnel acts as a protected channel for transmitting PHI over the Internet, ensuring the utmost confidentiality. Notably, our security measures are so robust that even the highest-ranking individuals at MedTunnel, including the CEO, cannot access PHI, regardless of intent. You can communicate instantly and securely with your office staff, fellow providers, other practices, or your patients using any device, anytime and anywhere, making healthcare communication streamlined and efficient. As the landscape of healthcare evolves, MedTunnel remains steadfast in its commitment to protecting patient information while enhancing connectivity.

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.

Axora AI serves as a comprehensive claims management solution that integrates AI-driven automation with billing proficiency, overseeing all aspects from eligibility verification to payment processing. However, its capabilities extend beyond mere automation; Axora AI proactively mitigates denial risks, adjusts to changes in payer regulations, and focuses on critical tasks, enabling you to enhance revenue recovery with reduced effort. 1. Oversees the complete claims cycle from initiation to completion. 2. Identifies potential denial issues prior to submission. 3. Focuses on actions designed to boost cash flow. 4. Integrates effortlessly with your existing EHR, payer, and financial systems. 5. No need for migrations or interruptions—just more efficient and streamlined payments. 6. This ensures that your organization can operate smoothly while maximizing financial outcomes.

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.

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

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.

Salesforce Agentforce Health is a comprehensive healthcare CRM designed to unify patient, provider, and operational data in one secure platform. Built on Salesforce’s deeply integrated architecture, it includes healthcare-specific workflows, compliance controls, and interoperability capabilities. The solution combines clinical and non-clinical data to deliver a 360-degree view of patients and members. AI-powered agents assist teams by summarizing records, automating document processing, and recommending next steps. Contact center teams gain real-time access to EHR data, eligibility details, and claims information to improve service speed and personalization. Care management tools enable coordinated, whole-person care with configurable care plans. Intelligent document automation reduces manual intake and accelerates case creation. Data 360 for Health enhances contextual insights across every touchpoint. Integration with MuleSoft, Slack, Marketing Cloud, and Service Cloud extends collaboration and engagement capabilities. Agentforce Health enables healthcare organizations to modernize operations, improve outcomes, and scale patient-centric care efficiently.

AlfaMD: A Game-Changing Cloud EHR Solution for Improved Patient Care Elevate your practice to new heights by seamlessly managing notes, scheduling intakes, billing, and a variety of other tasks with our all-in-one, HIPAA-compliant AlfaMD EHR system. This innovative platform is designed to streamline your operations and enhance the overall patient experience.

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.

A portal that gives patients access to their medical information, appointment scheduling, and bill payment online makes it easy for them to improve patient care and engagement. Patients can fill out forms online in advance of their appointment, which expedites check-in and clinical intake. You can generate bills directly from your patient record using codes stored in an integrated EHR. This saves you time. You can easily process payments, settle patient balances, and charge no-show fees. With the ability to securely store payment profiles, you can also run card-not present transactions. Our 360-degree approach to revenue management improves the profitability of your practice by enabling your billing staff to work more efficiently. Reduce outstanding receivables, reduce rejections and denials rates to a minimum of 5%, and maximize reimbursements. We are a software company and not a competitor to your payment processor.

Paradigm Senior Services provides a comprehensive, AI-driven revenue cycle management solution designed specifically for home-care agencies that handle billing for various third-party payers, including the U.S. Department of Veterans Affairs (VA), Medicaid, and several managed-care organizations. The platform automates and enhances each phase of the billing and claims workflow, encompassing tasks such as verifying eligibility and authorizations, managing state- or payer-specific enrollment and credentialing, submitting accurate claims, addressing denials, and reconciling payments. It seamlessly integrates with widely used agency management software and electronic visit verification systems, enabling the scrubbing of shifts, weekly authorization verifications, and efficient payment reconciliations, all of which contribute to a reduction in denials and a lighter administrative load. Additionally, Paradigm offers "back-office as a service" for healthcare providers; this means that even if agencies have their own billing personnel or scheduling applications, Paradigm is equipped to manage claims processing, functioning as a dedicated, expert billing department. This flexibility allows agencies to focus more on patient care while leaving the complexities of billing in the hands of specialists.

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.

Enhance the patient registration experience by utilizing Savance's electronic self check-in solution, which is both real-time and HIPAA-compliant, leading to faster registration, reduced wait times, and higher patient satisfaction. By gathering data on patient flow, healthcare facilities can pinpoint and resolve bottlenecks, thereby improving overall operational efficiency and effectiveness. Furthermore, the use of HIPAA-compliant waiting room display boards fosters better communication and visibility, ensuring patient confidentiality is maintained. This approach not only minimizes wait times but also streamlines interdepartmental communication by allowing healthcare teams to effortlessly monitor the status of each member. The implementation of optional RTLS technology can further optimize these processes, leading to an even more seamless experience for both patients and staff. Ultimately, these advancements can transform the healthcare environment into one that prioritizes patient care and satisfaction.

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.

BHRev is an innovative platform designed specifically for revenue cycle management and automation, tailored to meet the needs of behavioral health providers, enabling them to enhance their financial operations from the initial claims submission all the way through to payment collection through the use of AI-driven automation and specialized expertise. By addressing the distinctive challenges encountered by behavioral health organizations—such as complicated payer regulations, stringent documentation demands, elevated denial rates, and changing compliance requirements—BHRev automates as much as 80% of revenue cycle management tasks, while allowing skilled professionals to manage exceptions, ensure compliance, and oversee intricate billing processes, resulting in quicker reimbursements and reduced administrative mistakes. This platform effectively merges cutting-edge automation with expert human oversight to tackle essential processes like verifying insurance eligibility, processing and scrubbing claims, managing denials, and posting patient payments, thereby alleviating the operational strain on clinics and boosting their cash flow. As a result, BHRev not only streamlines financial workflows but also empowers behavioral health practices to focus more on patient care.

Stedi is the only modern clearinghouse built for technology-forward healthcare platforms. Stedi has a particular focus in real-time eligibility and can save customers 20% on any non-direct payer connection. On the claims side, we've built a best-in-class, API-driven transaction enrollments product that allows providers to save days or weeks of processing time. In addition, we offer: - Vastly superior customer support (<10min response times) - 2-3 point increases in successful eligibility responses (leads to thousands more patient interactions and reduced delays) - Rapid provider onboarding and transaction enrollment (24-48 hours for most customers) - 100% cloud-native, HIPAA and SOC 2 Type-II compliant data infrastructure

Elevate both patient involvement and financial outcomes through a groundbreaking healthcare communication solution. As patients increasingly seek care in retail environments and utilize smartphones for bill payments, their interactions with healthcare providers are evolving significantly. Expresso® communications management software equips healthcare providers and revenue cycle management firms to adeptly adapt to these transformations by offering a user-friendly cloud-based platform for developing and overseeing patient communications. This HIPAA-compliant system not only facilitates the onboarding of new facilities but also enhances visibility and control over document management and production processes, making regulatory compliance much more straightforward. By utilizing this innovative tool, healthcare organizations can improve efficiency and foster stronger relationships with their patients.

Crafted to replicate the standard patient experience from the moment of pre-admission through to post-discharge, while also being adaptable to your specific procedures, each staff member is equipped to seamlessly advance workflows and gather essential data for secure claims and optimal reimbursements. Our comprehensive support spans from patient intake and benefits verification to every stage of Utilization Review, ensuring attendance is recorded and claims are processed efficiently while also addressing denials and securing payments. In today's landscape, it is increasingly vital to adopt smarter strategies rather than simply working harder. We have elevated expectations by freeing your teams from the encumbrance of manual tasks and cumbersome workarounds through our innovative automation and robust claims rules engines. Overseeing your revenue cycle can feel as satisfying as a perfectly executed chain reaction of falling dominoes, yet it must be navigated amidst ongoing industry fluctuations, evolving payer guidelines, reduced reimbursements, and narrowing profit margins. Our approach not only streamlines operations but also enhances the overall financial health of your organization.

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.

Elevate Your Telehealth Experience for Superior Patient Care. SynziMD is a telehealth platform that prioritizes HIPAA compliance, allowing you to seamlessly and securely engage with both patients and colleagues. With features like video consultations and messaging focused on topics such as adherence and nutrition, you can actively involve patients in their care. Monitor and manage patients' health conditions effectively between face-to-face and virtual appointments, improving their overall experience. Enjoy the flexibility of delivering care from any location that suits you, enhancing your quality of life. This innovative virtual care solution empowers providers to communicate through video, secure messaging, text, and email, ensuring seamless interactions with patients and colleagues. Facilitate connections with HIPAA-compliant video for both scheduled and on-demand check-ins, while securely sharing electronic protected health information (ePHI), including wound images and other vital patient data, in an encrypted environment. Furthermore, streamline workflows by creating, scheduling, and dispatching condition-specific communications throughout each patient's care journey. In this way, SynziMD not only simplifies telehealth but also enriches the patient-provider relationship.