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AdvancedMD is a unified suite of software solutions designed for mental health, physical therapy and medical healthcare organizations and independent physician practices. Features include practice management, electronic health rec...Read more
CGM APRIMA, previously known as APRIMA EHR, is a market leading, award-winning EHR loved by physicians and office staff. Designed to take advantage of multiple hardware forms including the APRIMA Mobile app which is perfect for t...Read more
Valant’s EHR for behavioral health offers tools for providers to streamline documentation, increase efficiency, and enhance the productivity of their practice or agency.
The fully integrated suite includes secure patient reco...Read more
CollaborateMD is a medical billing and practice management solution that helps practices and billing services of all sizes automate and streamline billing and coding processes. The system was designed to be both comprehensive and ...Read more
MedEZ is an electronic health record (EHR) and billing suite suitable for most medical facilities, particularly behavioral health centers and substance abuse rehabilitation programs. On-premise and cloud-based deployments are avai...Read more
Quick Charts Complete, by DB Consultants, Inc. is a medical practice software developed for the Chiropractic industry. Chiropractic practices of small to scaling sizes can tailor the solution to accommodate their needs.
Core ...Read more
ACOM Health’s cloud-based RAPID software is your one-stop-shop in chiropractic management solutions. It combines electronic health records, practice management, billing, and patient scheduling into a powerfully robust, yet easy-to...Read more
athenahealth, recently ranked #1 by 2022 Best in KLAS for athenaClinials Ambulatory EMR for 11-75 physicians and athenaIDX practice management, provides cloud-based services for electronic health records (EHR), revenue cycle manag...Read more
ClinicalWorks, an electronic health record (EHR) and practice management solution, provides technology for every step of the patient care delivery process. Clinicians access features including patient engagement, Telehealth, custo...Read more
Harmony e/Notes is a hybrid integrated solution that offers functionalities for electronic medical records, practice management, billing and revenue cycle management. Specialities that the solution caters to include cardiology, ge...Read more
Voted #1 by PCMag in 2019, WRS Health is a cloud-based integrated electronic health records (EHR) solution that offers practice management, revenue cycle management and billing services.
The solution includes modules for charting...Read more
SequelMed is an integrated hybrid electronic health record, practice management, billing and scheduling solution from Sequel Systems that supports a wide range of specialties such as gastroenterology, podiatry, urology and more. B...Read more
ChiroTouch is the cloud standard in chiropractic software and the only completely integrated EHR software that can be accessed any way, anytime, and on any device.
Easy in Every Way - ChiroTouch is easy to get started, access, le...Read more
MedWorks is a cloud-based ONC-ATCB certified, integrated electronic medical record (EMR) and practice management solution designed for midsized practices. It is suited for a variety of medical specialties such as family medicine, ...Read more
Celerity’s CAM is a cloud-based, behavioral health care management solution and electronic medical records (EMR) for chemical dependency and mental health treatment providers.
CAM incorporates a variety of clinical features, ...Read more
NueMD offers a suite of cloud-based software and medical billing services for practices of all sizes. NueMD is an integrated practice management, medical billing, electronic health recording and appointment scheduling solution.
ClinicTracker, The Complete EHR Solution, is an ONC-ATCB certified integrated electronic health record (EHR), billing, and practice management system designed for mental health and substance abuse agencies of all sizes and types. ...Read more
MedicsPremier supports comprehensive financial/operational/workflow management and a nearly 100% success rate on first attempt HCFA/UB clearinghouse claims with a utility for workers compensation/no-fault claims/documentation.
myAvatar by Netsmart is an electronic health record (EHR) specifically designed for organizations that provide behavioral health and addictions treatment services in community-based, residential and inpatient programs. It offers a...Read more
AgilityOM, Net Health's occupational medicine electronic health record (EHR) system, offers configurable workflows, billing and management tools suitable for practices of all sizes.
Online employer portals allow employers to ...Read more
While patient care remains a top priority for all medical practices, they are still businesses that need to create profit in order to survive and compete. Being such, high efficiency of billing processes is imperative for medical practices.
Medical billing comprises complex processes involving multiple variables at various levels. These variables could be in the form of manual errors during coding, claims denials from insurers, delays in claims processing at insurer’s end etc. Consequently, this crucial operation can end up consuming resources to the extent that it impacts the top priority of any medical practice.
Fortunately, there are business organizations that take up the responsibility of handling all billing-related processes so medical practices can dedicate solely to patient care.
This Buyers Guide discusses such organizations, known as medical billing service providers, and elaborates on the basic things to know before hiring one.
Medical billing services (or medical billing service providers) are organizations that take care of billing-related processes on behalf of medical practices. These HIPAA-approved services also take over a practice’s claims management, including submission of claims to clearing houses and following up on denied or rejected claims.
Common offerings of medical billing services
The first step toward selecting the right medical billing service provider is to understand their typical offerings. According to our research, the following are the common aspects you should be aware of:
Capture, organize, bill, and file medical claims related to patients’ diagnosis, treatment, and medication.
Manage the intricacies of ICD-10 cataloging and maintain proper coding compliance.
Securely and reliably accept payments via different modes, including online and cards.
Patient visit documentation
Capture patient details during visits and document subsequent procedures such as diagnoses and prescribed treatment.
Gather patient insurance information and verify eligibility.
What type of client are you?
The next step is to understand the types of medical practices that seek out billing services. This knowledge will help you select billing services based on your practice requirements.
Here are the key benefits of medical billing services:
Integrated EHR software users: Several EHR vendors bundle billing services with their software tools. Using services from your EHR software vendor allows you to consolidate EHR functions (such as patient charting, scheduling, e-prescribing, and patient portals) with billing processes at a central point.
Standalone medical billing clients: Some medical practices have complex billing and compliance needs, such as multi-jurisdictional claims management, and they are typically fine with keeping their EHR and billing processes separate. Such buyers can go for standalone billing services from specialized providers.
Benefits of medical billing services
Here are some important points to consider before you finalize a medical billing service provider:
Specialized billing expertise: Medical billing service providers maintain specialized staff to handle billing processes specifically. Their staff undergo regular training and assessment to remain updated on new billing rules and compliances. This helps ensure billing processes with minimal errors and high claims approval rate.
Enhanced patient care: The service provider will free up resources by absorbing your workload, thus allowing you to focus on delivering better patient care.
Even though you might be hurrying to meet GDPR requirements, it is important to consider some of the below parameters when buying GDPR software.
Data ownership: Patient data is highly sensitive and protected by strict regulatory policies. Transferring billing responsibilities also means sharing the responsibility of patient data ownership. Inquire with vendors about data security measures at their end to ensure maximum possible protection of your patient data. Additionally, learn about their data storage and transfer conditions to ensure hasslefree operations in the event you decide to change the service provider at a later stage.
Service level agreements: Despite a provider promising high-quality services, there could be unexpected challenges that hamper your billing operations. Reviewing and negotiating service level agreements will help ensure that your practice is protected against the impact of such challenges.