Finding software can be overwhelming. Software Advice has helped hundreds of medical practices choose the right medical billing services to process claims efficiently and enhance patient care.
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athenahealth recently named 2020 Best in KLAS: Small Practice Ambulatory EMR/PM, athenaClinicals, for 10 or fewer physicians, and Ambulatory RCM Services, athenaCollector, is providing cloud-based services for electronic health re... Read more
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
DrChrono’s iPad and iPhone compatible EHR and medical billing platform allows medical practices and healthcare providers to manage patient intake, patient care, clinical charting, billing and revenue cycle management. It includes ... Read more
RXNT’s integrated suite of EHR, Practice Management, and Medical Billing software optimizes clinical outcomes and revenue management and includes free setup, training, and ongoing support. RXNT’s affordable pricing is predictable,... Read more
Kareo is a web-based medical billing and practice management solution used by medical practitioners and physicians across the United States. The system suits small practices and billing companies. With Kareo, practices can schedul... Read more
Kareo is a Web-based EHR, medical billing, and practice management used by thousands of physicians across the United States. This system suits small practices and billing companies. With Kareo, practices can schedule patients, con... Read more
PrognoCIS EHR and PrognoCIS Telemedicine have earned a reputation for fast, flexible individual provider workflow. The software package offers a full suite of highly desirable features and functions. PrognoCIS provides a cloud-bas... Read more
Elation Health is a cloud-based clinically focused electronic health record solution for physicians looking for an ONC-ATCB certified EMR along with patient scheduling, a patient portal, e-prescribing and e-faxing. The solution ca... Read more
Compulink Healthcare Solutions
Compulink Healthcare Solutions is an integrated hybrid medical solution that provides medical service providers functionalities such as electronic health records (EHR), practice management, revenue cycle management, inventory mana... Read more
Euclid is a medical management solution that helps hospitals and healthcare providers streamline various clinical operations such as claims processing, scheduling, billing and more. With its administrative dashboard, professionals... Read more
patientNOW is a hybrid integrated Practice Management (PM) and Electronic Medical Records (EMR) solution for aesthetic medical practices like plastic surgery, medical spas and cosmetic dermatology. The solution can be deployed eit... Read more
ChartLogic offers an ambulatory EHR suite that includes electronic medical record, practice management, revenue cycle management, e-prescribing and patient portal. The solution caters to primary care, surgical care and other compl... Read more
NextGen Healthcare offers NextGen Office—a cloud-based EHR – specifically designed for private practices. NextGen Office is a fully integrated practice management solution that includes specialty-specific content, a claims clearin... Read more
Remedly is a cloud-based medical solution designed for plastic and cosmetic surgeons and medical spas. It is an integrated solution that encompasses functionalities such as practice management, electronic health records, patient p... Read more
Modernizing Medicine offers an integrated telehealth platform within its specialty-specific EHR system, EMA. Called modmed Telehealth, it offers synchronous audio and video telemedicine capabilities for specialty physicians as wel... Read more
AdvancedMD is a medical office software suite with cloud-based, integrated physician-patient workflow solutions including: practice management/medical billing, electronic health records, telemedicine, patient engagement, practice ... Read more
CareCloud Charts is an integrated electronic health recording (EHR) solution offering collective benefits of EMR, practice management and medical billing services. The solution helps physicians to streamline clinical operations an... Read more
ChiroTouch is an electronic health records (EHR) and practice management system designed specifically for small to midsize chiropractic practices. It combines electronic health records, billing, patient scheduling, outcomes assess... Read more
Benchmark Systems' suite of healthcare solutions offers clinical, financial and administrative tools for healthcare providers in a variety of specialties. It is suitable for physicians and large group practices and can be installe... Read more
WebPT is a cloud-based, multi-product platform for outpatient physical, occupational, speech therapy, and chiropractic clinics. At its core, WebPT is an electronic medical records (EMR) system that enables therapists to produce an... Read more
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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.
Here’s what we’ll cover:
What are medical billing services?
Common offerings of medical billing services
What type of client are you?
Benefits of medical billing services
Key considerations
What are medical billing services?
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:
| Claims management | Capture, organize, bill, and file medical claims related to patients’ diagnosis, treatment, and medication. |
| ICD-10 compliance | Manage the intricacies of ICD-10 cataloging and maintain proper coding compliance. |
| Payment processing | 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. |
| Insurance verification | 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.
Key considerations
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.