Alternatives to Valer

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.

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.

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

Veradigm AccelRx is a free, automated, comprehensive solution that helps you streamline specialty medication fulfillment for patients. You will have better outcomes and medication adherence, and your staff will receive fewer phone calls or faxes. AccelRx combines electronic enrollment, consent authorization, prior authorization and script into one system that can significantly reduce time-to-fulfillment for specialty drugs with any payer. With a click, automatically populate patient data on enrollment forms and other forms. One platform that simplifies specialty medication management. You can now manage most specialty drugs from one place, including electronic prior authorisation (ePA). Your existing electronic health record (EHR), will allow you to access your enhanced specialty medication management.

Use intelligence and automation to increase reimbursements for patient care and overcome revenue cycle and patient access challenges. Despite the advances AI and automation are making in automating patient access, revenue cycle processes, and staff with RCM, compliance, and clinical expertise, staff still need to be able to bill and reimburse patients accurately. Our clients receive complete technology and team coverage, as well as deep knowledge of complex reimbursement landscape. Our technology and team have learned from billions of transactions for top healthcare providers and 1400 payers in the United States. Our patient access platform allows for faster financial clearance for patients prior to care. It also provides complete coverage for obtaining eligibility verifications and benefit checks, patient estimates, and prior authorization approvals.

The Cohere Unify platform supports our intelligent prior authorization solutions, including touchless and predictive technology, evidence-based clinical information, and other advanced features. Our technologies reduce or eliminate the manual steps to create a fully automated process from end-to-end. This predictive capability allows health plans to virtually eliminate the prior authorization workflow steps. Instead, the system can automatically create specific care plans based upon patient and population auth data and claims, including multiple services which can be pre-approved before they are requested. Our touchless and predictive technology is based on clinical criteria that are based on evidence for certain specialties. Single sign-on functionality with Availity NaviNet and other common portal technologies. The rules configuration and deployment has been proven to scale across millions of transactions.

Prior Authorization with AuthParency Prior authorization is becoming a greater administrative burden for healthcare providers. AuthParency™, our automated prior authorization system, is powered by AI and Machine Learning (ML). This advanced system can reduce your team's time for prior authorization by half. It is compatible with all EHRs and practice management systems AuthParency can help: Analyze payers' tendencies Reduce the number of days patients spend in care Improve patient outcomes Stopping losses from non-reimbursable service Identify financial toxicity burdens Analyze population health data Track disparities Pharmaceutical companies

Providers can lose thousands to millions of dollars each year due to medical necessity denials. This is in addition to the time and effort required to appeal denials and respond to patient concerns. Payers face the same problem at the other end of claim management. They have to pay for unnecessary medical procedures and treatments, as well as the time spent on denial appeals. This increases costs but doesn't improve outcomes. Patients can also be subject to unnecessary copays or other out-of pocket costs. This can lead to poor patient experiences and costly care that they don't need. ABN Assistant™, a Valenz®, Assurance product, provides the prior authorization tools providers require to validate medical necessity, create Medicare-compliant ABNs and estimate cost. This allows them to stop more than 90 percent of medical necessity denies by verifying that the patient is in need of the care.

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.

You are dealing with staff shortages and rising costs - interest rates, salaries, systems. Everywhere you look, you'll see struggling practices. It doesn't have be this way. We have the answer. OmegaAI can help you solve your staffing problem. After creating an account, Omega AI can be used immediately. A clearer, more focused interface saves time and eliminates unnecessary clutter. Facilitate interconnection between facilities and organizations. Blume, our integrated patient portal, allows patients to take control of their own health. Patients can access the entire medical imaging journey using their smartphone. They can upload prior images, insurance information, history and prior images, verify eligibility, make payments, schedule appointments, view their images and reports, as well as share their images with family and friends.

Cohere helps health insurance plans automate the prior authorization process in-house and end-to-end using clinical intelligence. Health plans can license Cohere’s PaaS intelligent authorization directly to their internal utilization management staff. Our client health plans are able to achieve significant administrative efficiencies as well as faster and better patient outcomes. Cohere offers a modular and configurable suite of solutions for health plans. Digitizes prior authorization requests and combines them into a single automated workflow. Automates prior approval decisions using policies preferred by health plans and accelerates manual reviews. Using AI/ML and automated capabilities, it helps clinical reviewers to adjudicate complex requests. Utilizes AI/ML, advanced analytics and clinical intelligence to improve utilization management performance. Innovative, specialty-specific programs improve patient and population outcomes.

Securely and easily access multiple endpoints with one API connectivity. This allows you to avoid creating one-offs for disparate healthcare systems. A single point of access is all that is needed to bridge the gap between multiple systems, data sets, and standards. Consensus Harmony provides universal healthcare APIs and cloud fax APIs for electronic signatures. It also connects to other EHR partners and leading industry cloud marketplaces. Flexible interoperability options allow programmatically integrating digital faxing and secure messaging, patient records requests, esignatures and more into key workflows such as payments, prior authorizations and referrals. Partnering with community providers that are already integrated will allow you to expand your capabilities and gain access to new information networks. Don't limit your network, let technology dictate the mode of communication.

We are accelerating the development of innovative solutions to benefit all healthcare stakeholders. This will help to increase access to therapy, decrease prescription abandonment, and improve patient outcomes. We are committed to removing healthcare access barriers, whether that's by resolving prior authorization issues or increasing awareness about support services. Healthcare is becoming more expensive than ever. Assist your patients with their prescribed therapy by finding affordable solutions that will help them with high-deductible plans, increased copays, and lack of visibility. Some patients find that staying on their therapy is the most difficult part of their healthcare journey. This could be because they don't know how to take their medication or remember to do it at the right time. These adherence challenges should be addressed with people-first solutions.

Benchmark PM transforms patient engagement, covering everything from initial intake to final encounter. Key features include streamlined patient onboarding, hassle-free appointment scheduling, customizable reminders, comprehensive reporting, and user-friendly dashboards. On the billing side, Benchmark PM offers integrated claims management, a connected clearinghouse, electronic billing, insurance verification, and a versatile payment portal, simplifying the entire process. Benchmark Solutions provides a complete management solution for healthcare practices with Benchmark EHR software, Benchmark PM software, and Benchmark RCM services. This robust electronic toolset streamlines daily operations, boosts revenue, and enhances the patient experience. Each component of the Benchmark Solutions' suite is modular, ensuring easy integration with your existing systems. With Benchmark Solutions, you can focus on delivering high-quality care while we take care of the operational and administrative aspects, ensuring your practice runs smoothly and efficiently.

Logix runs in the background and completes tedious but important workflow tasks such as refill requests, prior authorizations refill too soons, refill too quicklys, fax escalates, and documentation for phone calls. Other tasks like email and fax can also be automated. You can also reduce human error in repetitive tasks. You can also create notifications to ensure you don't forget anything and allow you to redirect your time to better serve patients. Every click and keystroke counts! Logix processes can be used to reduce document handling and processing times by an average 1-4 minutes per document. Logix can be used with DocuTrack to help reduce keystrokes and improve efficiency for your pharmacy staff. For some processes, you can reduce the number of keystrokes required to complete a process by as much as 80. Logix can help you save up to 80 keystrokes per process. You can use the calculator to see for yourself.

XIFIN RPM, powered by our cloud-based technology platform is a comprehensive, highly automated Revenue Cycle Management Solution that maximizes efficiency, refines billing and cash collection, and increases financial accuracy. Financial management technology is essential for diagnostic providers. It must not only improve cash collection, but also provide visibility and control over financial operations and connectivity within and outside the organization. Diagnostic providers have increasingly complex needs and traditional billing systems are not able to meet them. They lack the financial integrity and referential requirements to provide accurate, auditable information. They need a technology infrastructure that provides full visibility into the financial status of all diagnostic activities performed by providers, from order submission to payment.

Real-time transactions within existing technology platforms enable seamless workflow. Providers and payers can save up to 90% on benefits and utilization management by reducing time and effort. Eliminate the current benefits management black box and eliminate confusion for patients, payers and providers. Patients, providers, and payers will have more time to focus on their care with self-learning automation and fewer clicks. Myndshft eliminates the quagmire of point solutions by providing a unified, end-to-end platform for in the moment payer-provider-patient interactions. Myndshft dynamically updates the automated workflow and rules engines based upon actual responses and results from provider/payer interactions. Our technology adapts to the rules used by payers. It gets smarter the more you use it. A library of thousands of rules that are constantly updated for all payers, whether they be national, state, or regional.

Southern Scripts makes it easy to navigate the complex world of Pharmacy Benefit Manager by giving employers complete freedom, control and choice in how they structure their plans.

MedicsRIS, a radiology information system, allows radiologists to easily manage their practice and get paid for all diagnostic exams. MedicsRIS was developed by Advanced Data Systems. It accepts inbound orders from a referring physician's stage 2-certified electronic medical record (EMR). This allows the doctor to avoid costly HL7 interfaces and also gives incentives and avoids penalties. MedicsRIS' core features help increase business productivity. They include a referring physician portal, automated billing with EDI and multi-modality scheduling. Insurance eligibility verification is also included.

MediFusion is an integrated suite of software that offers innovative EHR solutions and medical billing to healthcare practices. It also enhances clinical, administrative and financial processes. We are available to help you with any questions or concerns you may have. Our all-in-one integrated system will automate and speed up your clinical processes. A system that manages all revenue cycles from Eligibility Verification through to Claim Processing, and finally getting paid. Our cloud-based Electronic Health Record software is a scalable and integrated solution that will help you improve the quality of patient care. This web-based EHR allows you to document and access your Clinical and Financial data from any internet-ready device, no matter where you are.

PracticeAdmin Scheduling helps reduce no-shows, improves patient interactions, and provides the data you need on a timely basis. Our proprietary rules-based architecture allows you to set your preferences, whether you are a single provider, small or medium-sized provider, or a provider with multiple locations. You can create your own scheduling templates and set up automated reminders for patients. Billing is your single-stop tool to manage patient registrations, claims, and payments. You can keep track of all your patient information and authorizations. It can be integrated with your EHR and helps you keep track of your Meaningful use certification. Billing allows you to see if your claim is incorrect before it is sent. You can quickly resubmit your claim without penalty and keep track of all EDI rejections.

You can save time by using templates and patient charts in the cloud-based EHR. These templates can be customized to meet your specific needs. Browse through a collection of medical charting templates created by practices like yours. Manage prescriptions, including controlled substances and those that require prior authorization, efficiently. You can easily exchange information with local pharmacies and laboratories, imaging centres, and other tools integrated into EHR platform. You can choose from over 500 imaging and lab centers to order tests and share the results with patients. Flexible billing options with industry-leading partner companies that help you get paid quicker. You can monitor your progress using insightful dashboards. You can also submit data directly to CMS through your EHR. Access customizable dashboards that allow you to track your progress in quality initiatives such as MIPS. To navigate the complexities and complexities of quality measures, you can find extensive education and training resources.

Practice Mate by Office Ally is a comprehensive HIPAA-compliant practice management solution used by over 25,000 healthcare organizations. Its user-friendly interface simplifies revenue cycle and billing management and streamlines booking to increase administrative workflow efficiency. It seamlessly integrates with other Office Ally solutions to provide patient intake, reminders, and e-prescriptions. You can get started today at no cost, commitment, or implementation to reduce administrative tasks, enhance job satisfaction, and improve the overall patient experience.

MDToolbox-Rx, a Certified, Award-Winning electronic prescription writer, can be used standalone or in conjunction with other office software. The e–Prescribing Software allows you to quickly and easily select drugs, find information about them, and create and send a prescription electronically. MDToolbox-Rx has been certified for e-Prescribing and Eligibility, Formulary (e-Prescribing Controlled Substances), as well as Electronic Prior Authorization. The largest drug database allows you to search for drugs by name, nicknames, generic, brand rx, OTC, or class. Lower pharmacy calls and less time spent on renewal requests lead to higher productivity.

The iMed electronic prescription system iMed eRx starts at $43/month. It can be used to write both EPCS compliant and legend prescriptions. This software is certified for e-Prescribing across all 50 states. Our software supports formulary support and electronic prior authorization. Our key features include Drug-Drug, Allergy and Disease interaction checking. Database of drug stores with frequent updates. Drug therapy monitoring. 24/7 monitoring of script delivery.

Free Market Health is an innovative healthcare technology company that aims to improve the specialty pharmacy ecosystem through a marketplace platform based on care. Free Market Health partners up with payers and specialty pharmacy of all sizes in order to streamline the opaque and complex specialty medication fulfillment process. This ensures that patients can access life-saving and life altering medications quickly. The platform is designed to address inherent challenges through automated submission pack creation and validating, transparent and equitable access of specialty drug prescriptions and real-time decision making. This dynamic marketplace empowers all stakeholders to optimize resources, maximize opportunity, and balance cost of care against value. Free Market Health manages over 200,000 claims for specialty drugs annually, which is a 400% year-over-year increase.

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.

ScriptMed Specialty is a leader in the specialty pharmacy industry, serving seven out of the top ten specialty pharmacy companies in the United States. Pre-populate patient-specific data using the largest dataset available in the industry. This will improve the quality of care and speed up the time to fill prescriptions. Automated processing across the specialty pharmacy continuum and infusion pharmacy, reducing the cost of serving by up to 17%. Reduce time and costs to fill prescriptions with real-time connectivity in healthcare, advanced analytics and automated processing. Real-time insights on the patient, prescribers, payers, medications, and more can be used to support interventions, outreach, or internal processes. The synchronized medical claim processing allows for many steps to be handled simultaneously, reducing the time and cost of medical billing. Specialty pharmacy offers unmatched functionality, connectivity, and financial benefits.

Eligibility Verification standard streamlines patient access workflows and billing workflows. Staff can assign and prioritize payers, patients/residents and tasks during eligibility confirmation. This technology goes above and beyond basic eligibility requirements, providing a dashboard that confirms, manages, and stores every inquiry. Automated enrichment of incomplete and incorrectly formatted payer transactions will speed up the eligibility verification process. Batch file uploads allow you to verify Medicaid, Medicare and commercial coverage at the same time. Assign tasks to team members easily, create eligibility documentation and apply follow-up flags. Manage patients in batches and resolve issues by using just a few mouse clicks. Save time and ensure accuracy with a cloud-based health insurance eligibility verification tool that allows staff to manage benefit inquiries in the way that works best for them.

Keep revenue flowing by using a powerful tool to speed up reimbursements. It includes eligibility checks, claims tracking, audits, appeals, remittance and remittance administration for both government and commercial claims. Use an advanced rules engine to instantly scrub claims against the latest CMS and commercial payers rules. This allows you to correct any errors before claims are sent out. Verify eligibility for all payers when uploading claims and flag errors to edit before submission. Automated workflows for audit responses and appeal submissions as well as ADR tracking will reduce days in A/R. Customize staff workflows based on claim type and action required. Automate the submission of secondary claims to prevent late filings. Automated workflows can increase revenue by increasing audit and appeal success rates.

SKYGEN’s Provider Data Management is a solution on-demand that helps healthcare payers improve provider network management. PDM improves payers' abilities to build effective provider networks, improves member and provider satisfaction, and lowers administration costs. It's an intelligent solution that helps payers meet the needs of today’s tech-savvy healthcare constituents. Reduced contract acquisition costs through fast, efficient and paperless provider recruitment, as well as supplemental network rental. Online credentialing reduces credentialing costs while improving provider satisfaction. Automating provider self-verification, and ensuring accurate provider data for online directories, will eliminate expensive outreach. SKYGEN provides dental and vision connectivity services that empower clients to confidently move into the future.

Our automated solutions will give you back hours of your day, and millions in your pocket. You can access the key players - providers, payers and partners - as well as the real-time accurate data that you need to ensure that care delivery is never missed. We handle all the complicated connections across thousands payers. Here you will find all the information you need for a fast and easy registration to any payer. Cloud computing has never looked so good. Central command to manage and store provider data in real time, connected everywhere. Provider verification made simple. Our platform will process your request quickly.

Software that is specifically designed for Early Childhood Programs. We focus on function so you can focus on families. Manage data for clients and providers, as well as referral sources and staff. Generate dynamic, custom reports and flags. Access schedules, prescriptions, insurance authorizations and more easily. You can create and submit electronic, paper, and custom claim files. Generate statements and invoices for families. Upload and track electronic and manual responses from Payers.

RCM Cloud®, "software-as-a-service" (SaaS), aims to replace resource-intensive medical billing processes by digital solutions that reduce manual processes, optimize workflow via automation, and optimize workflow. This approach greatly improves operational efficiency and allows the business to expand its service delivery capacity without increasing staff. Instead of increasing your headcount to expand, leverage your technology investment to grow and sustain your company. RCM Cloud®, and associated services, are delivered via the secure, reliable and powerful medsphere cloud service platform. RCM Cloud®, modules include enterprise registration, patient/resource scheduling and in-stream payer eligibility screening. Contract management includes medical records, billing and claims, payer and Self-Pay collections, POS payment posting, and bad debt. This allows all types of healthcare entities the opportunity to transform their revenue cycles.

VerifyRx, a real-time, compliance driven prescriber verification solution, is specifically designed for pharmacies. It seamlessly integrates with existing workflows. VerifyRx processes millions upon millions of transactions per day, updating comprehensive prescriber information in real-time. This includes Drug Enforcement Administration (DEA), State data (when possible) and daily National Technical Information Service data (NTIS). VerifyRx is part of the pharmacy workflow and processes millions of transactions per day. It updates comprehensive prescriber data in real time, including Drug Enforcement Administration and State data (when possible) and daily National Technical Information Service data (NTIS). This highly configurable and responsive tool allows for real-time compliance checks of all prescription transactions before they are sent to payers. This helps retail and specialty pharmacies reduce regulatory risk. It detects potential errors in claims submissions before dispensation.

Our Provider Enrollment & Credentialing services allow practice providers to be enrolled for the services that they provide. We ensure that payers have the data required to process your claims. New Provider Enrollment. To maximize revenue opportunities, establish relationships with new payers or those who are not yet listed. Re-credentialing Hospital applications and commercial payers Annual Maintenance. Annual Maintenance. CAQH Maintenance and Attestation. Re-validations for Medicaid. Expirables: DEA. License. Malpractice. Expert Credentialing Services for Healthcare Physicians. It can be time-consuming and costly to manage and understand the requirements of your healthcare center's credentialing. We understand the impact provider credentials can have on your cash flow as a full-service revenue cycle management company. Our provider credentialing service offers options for both new and established providers.

Strong marketing targeting specialties, patient volumes, payer mixes, CPT codes and other criteria can help you attract providers. Engage physicians with streamlined provider onboarding and insight into relationships in unified provider profiles. Digital referrals and automated service scheduling workflows can increase patient appointments. For seamless care collaboration, engage physicians. MazikCare offers a range of healthcare-ready business solutions to improve healthcare operations across the care continuum. This allows healthcare teams to spend more time doing what they do best: treating patients. MazikCare unifies every patient record, reducing vendor bloat and allowing care providers to save time. MazikCare is the only platform that is ready for healthcare businesses right from the beginning. Get a demo today and find out how MazikCare’s healthcare cloud platform can help your company.

Rhyme connects providers and payers intelligently within the prior authorization workflow. This allows for the return of time lost in back-and forth efforts and enables the patient to get the necessary information. Although automating manual tasks is important (that's why it does it), it is not enough. Rhyme makes it easy to collaborate between providers and payers when the complexities of clinical decision-making are involved. To replace a disjointed system with intelligent collaboration, we created the largest integrated prior authorisation network. Deep relationships and connections to EHRs and payers as well as benefits managers are all available on one platform. There is no need to scroll, screen-scrape, or search for secondhand information. We meet payers and providers right where you are in your current systems and workflows. We make it easy to connect with you so that we can adapt to your needs. Prior authorizations are not an extra to our platform. They're all that we do.

CureMD is an award-winning provider for specialty EHR and billing services that help optimize efficiency, reduce cost, and improve the patient experience. Our cloud platform allows seamless information exchange across multiple platforms, systems, or organizations. This facilitates greater collaboration, productivity, patient safety, and increased collaboration. # 1 EHR KLAS Research # 1 Billing Services - KLAS Research Top-Rated Customer Service Simple to use - integrated and customizable iPad KIOSK & iPhone EHR

Boost your bottom-line by automating the estimation of patient costs, payer underpayment detection and contract optimization all in one place. Spot patterns in insurance company underpayment. Set your chargemaster to the optimal setting. Assign investigations/appeals to staff and see task status, all in one place. Compare performance between payer contracts and renegotiate from a strong position. With high accuracy, project out-of pocket costs to give patients the confidence they need to make upfront deposits. Patients can make upfront deposits directly from the online estimate. Hold insurers responsible for the entire amount they owe. Gain the upper hand during contract negotiations. Reduce bad debt, cost-to-collect, & accounts receivable days.

Net Health®, Occupational Medicine covers all major hospital programs and independent clinics. Transform workflows and improve multi-payer billing by overcoming protocols. Integrated telehealth technology allows you to provide care anywhere. You can increase efficiency, performance, and outcomes. Only certified EHR and fully integrated software for practice management. Designed to meet the needs both of hospital-owned and independent Occupational Medicine programs. Create a culture that values being an asset to your clients. You can manage detailed employer-specific protocols. Clients have secure self-service access and access to records, reports, and invoices. Manage multiple payers (insurance and employer invoice, Workers' Compensation), feel confident in your Workers Comp documentation, and see at-a glance KPIs to help you refine your revenue strategy.

You can improve your claims management process and reduce denials with unmatched edits. Access to technology that allows for accurate claim submission and quick reimbursement is essential for health systems. Claims Director, SSI’s claims management software, streamlines billing processes and provides visibility by guiding users throughout the electronic claim submission process and reconciliation process. The system monitors changes in reimbursement criteria and incorporates them as they occur. The solution allows organizations to make the most of their reimbursement efforts by allowing them to edit at all levels: payer, industry, and provider.

Ibeza's products were developed from over 30 years of expertise in Optometry, Ophthalmology and Retail Optical Management. We understand how to simplify Vision Care. Ibeza, LLC. It is an Information Technology Solutions company that designs and implements healthcare IT solutions for both the private and public medical sector. Ibeza rules ensure service providers are aware of all procedures and tests without having to search the patient records. With ever-changing reimbursement guidelines, payer contracts are becoming more complex. Before services are rendered, you can now ensure that all documentation is accurate and that the guidelines are followed.

Analytics-driven claims and remittance management software for healthcare providers. It is designed to automate workflows, increase resource utilization, prevent denials and accelerate cash flow. Your first pass claim acceptance rate will increase. Our comprehensive edits package will help you keep up to date with changes in payer rules and regulations. Automated tasks and intuitive workflows that are exception-based will increase productivity. Our flexible, cloud-based technology is available to your staff from any computer. Automated generation of secondary claims and explanations of benefits (EOB), from the primary remittance advisor, will help you manage your secondary claims volume. Predictive artificial intelligence (PAI) helps you focus on the claims that are most urgent. Avoid denials and errors before submission. You can process claims faster. Print and deliver primary paper claims. Collated claims and EOBs can be added for secondary claims.

WellSky Home Health empowers agencies to streamline operations, enhance care, & drive growth. Trusted by more home health agencies than any other, this web-based solution offers: Streamlined intake & scheduling with a unified calendar for all disciplines Collaborative charting with HIPAA-compliant messaging Tailored QA to automate documentation routing, identify OASIS issues in real-time, & ensure survey readiness Advanced billing, rev cycle, & accrual accounting tools to accelerate cash flow Interoperability for a connected care network & stronger referral partnerships Real-time insights to predict hospitalization risk, optimize care delivery, & maximize visit utilization Market intelligence to build referral & payer relationships & accelerate growth Workforce analytics to enhance staff engagement, retention, & performance Accessible on any device, WellSky Home Health integrates all your needs into one application, simplifying workflows, improving communication, & enabling better outcomes.

EZClaim, a medical billing and scheduling company, offers a feature-rich practice administration system that is specifically designed for small to medium-sized providers offices and outsourced medical billing companies. It can also be integrated with many EMR/EHR vendors. EZClaim Billing can be used by any type of person, including doctors, practice managers, and billing service owners. It simplifies your claims management, from data entry to payment posting. EZClaim supports the following specialties: General Practice, Therapy and Vision, Surgical, Medical Specialties and Home Health Care. The software can also be used to bill other specialties. EZClaim's billing program allows you to create insurance payor lists for Medicare and Medicaid, Tricare, Clearinghouse payer Is, governmental MCOs, auto insurance, worker compensation groups, and other government programs.

Veradigm Payerpath, an end-to–end revenue cycle management suite, is designed to help organizations improve revenue, streamline communications with payers, patients, and boost practice profitability for all sizes and specialties. To ensure a clean claim submission, eliminate missing information, incorrect code, and data entry errors. Make sure claims are submitted correctly coded, contain no missing information, are error-free, and have no missing information. Compare performance to peers at the national, state, and specialty levels to maximize productivity and improve financial performance. Notify patients about their appointments and confirm their benefits and insurance coverage. Automate billing and collection of patient liability. Veradigm Payerpath integrate solutions are practice management (PM-agnostic) and interoperable seamlessly with all major PM system.

Vivify Health understands that healthcare organizations don't treat every patient the same. Remote Patient Monitoring is a feature of Vivify Health that allows patients and providers to access the platform. It empowers care wherever it is most needed. The Vivify PathwaysTM solution is designed for improving the efficiency and effectiveness in disease management and post-acute healthcare programs. This is possible by using a cloud-based virtual platform that can be used by both payers and providers. Vivify Pathways collects patient data via their mobile digital devices and at-home remote monitoring systems. Clinicians can use the collected biometrics and patient information to make more timely decisions. A strong RPM program requires team leadership. This should include representatives from all departments.

Each staff member is given guidance to help them move workflows forward and capture the information they need to ensure that claims are processed quickly and reimbursements are maximized. We have you covered. From patient intake to benefit verification, through every Utilization Review, marking attendance, getting claims out of the door, collecting payment, and working denials, we've got it all. It's never been more important to work smarter in the industry. With our powerful claim rules engines and automation, we have raised the bar in terms of removing manual processes from your teams. Management of your revenue cycle is like watching the dominoes fall into a harmonious pattern. Continuous industry changes, new payer rules and declining reimbursements mean tighter margins.

CredentialMyDoc is a web-based software that makes it easy to enroll providers and create credentialing documents. It streamlines data entry and validation, reduces errors on forms, streamlines billing and increases provider satisfaction.