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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AdvancedMD is a unified suite of software designed for independent laboratories, medical, physical therapy and mental health practices. Features include practice management, electronic health records, patient engagement, telemedicine,... Read more
Platforms: MacWinLinux
Deployments: CloudOn premise
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DrChrono’s iPad and iPhone compatible EHR and medical billing platform allows users to manage patient intake, clinical charting, billing, and revenue cycle management. It includes customizable medical forms, e-prescribing, scheduling... Read more
Platforms: MacWinLinux
Deployments: Cloud
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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 schedule... Read more
Platforms: MacWinLinux
Deployments: Cloud
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NextGen Office (Formerly Known as MediTouch)
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 clearinghouse,... Read more
Platforms: MacWinLinux
Deployments: CloudOn premise
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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 records... Read more
Platforms: MacWin
Deployments: Cloud
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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, confirm... Read more
Platforms: MacWinLinux
Deployments: Cloud
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PrognoCIS is a cloud-based ICD-10 compliant and MU certified EMR solution which helps medical facilities and practitioners to manage patient medical recording. The software comprises of integrated modules for EHR, Practice Management,... Read more
Platforms: MacWinLinux
Deployments: CloudOn premise
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RXNT is an integrated, cloud-based healthcare software provider, offering an Electronic Health Records (EHR) solution that optimizes patient care and streamlines workflows for practices of all specialties and sizes. Providers can... Read more
Platforms: MacWinLinux
Deployments: Cloud
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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 complex... Read more
Platforms: MacWinLinux
Deployments: CloudOn premise
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Practice EHR, a medical practice management software, was developed to accommodate the needs of small to mid-size businesses. The platform is customizable to internal medicine practices, chiropractors, physical therapists, family medicine,... Read more
Platforms: MacWinLinux
Deployments: Cloud
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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 assessments... Read more
Platforms: MacWinLinux
Deployments: CloudOn premise
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WebPT is a cloud-based, multi-product platform for outpatient physical, occupational and speech therapy clinics. At its core, WebPT is an electronic medical records (EMR) system that enables therapists to produce and store patient... Read more
Platforms: MacWinLinux
Deployments: CloudOn premise
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Developed for chiropractors, Genesis Chiropractic Software by Billing Precision is a web-based solution that offers EHR, scheduling, billing, and documentation within one integrated system. Genesis is ONC-certified and comes with... Read more
Platforms: MacWinLinux
Deployments: Cloud
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HENO is an integrated, cloud-based solution suitable for physical therapy/rehab and speech therapy practices of all sizes. Key features of the system include electronic medical records, medical billing software, and patient scheduling... Read more
Platforms: MacWinLinux
Deployments: Cloud
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eClinicalWorks is an integrated electronic health record (EHR) and practice management solution providing technology through every step of the patient care delivery process. Features include patient engagement, televisits, care coordination,... Read more
Platforms: MacWinLinux
Deployments: CloudOn premise
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ChARM Health is a MU certified, cloud-based EHR, Practice Management and Medical Billing solution that helps healthcare organizations ranging from large multi-specialty groups to small independent medical offices function efficiently.... Read more
Platforms: MacWinLinux
Deployments: Cloud
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For more than 20 years, Nextech has provided a full-featured EMR and Practice Management solution within a single database. This system is a fit for dermatologists, plastic surgeons, ophthalmologists, and physicians, and is used by... Read more
Platforms: MacWinLinux
Deployments: CloudOn premise
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InSync Healthcare Solutions EMR/PM enables healthcare professionals to provide healthcare that is in compliance with regulatory requirements. This ONC-ATCB certified and CCHIT certified ambulatory EMR and practice management (PM) product... Read more
Platforms: MacWinLinux
Deployments: CloudOn premise
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iPatientCare offers a cloud-based EHR system with integrated medical billing and practice management services. It helps physician offices, rural health clinics (RHC) and community/federally qualified health centers (CHC/FQHC) with... Read more
Platforms: MacWinLinux
Deployments: CloudOn premise
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Eyefinity EHR and Eyefinity Practice Management
Eyefinity® EHR and Eyefinity Practice Management are a cloud-based, electronic health record and practice management solution designed to meet the unique needs of the optometric industry for single and multi-location practices. Eyefinity... Read more
Platforms: MacWinLinux
Deployments: Cloud
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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.