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The athenaOne Suite which includes athenaCollector a revenue cycle management solution and athenaClinials an EHR (electronic health records) recently ranked #1 in 2023 Best in KLAS for athenaClinials Ambulatory EMR for 11-75 physicians and athenaIDX practi...Read more about athenaOne
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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 customizable medical forms...Read more about DrChrono
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RXNT’s cloud-based, ONC-certified medical software—Billing, Practice Management, EHR, and more—improves clinical outcomes & revenue cycle management. Simple, transparent pricing includes free setup and training, free data transfer, free in-house support, f...Read more about RXNT
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Looking to harness the full power of the Tebra platform? Our practice success platform includes a certified electronic health record solution built to empower today’s providers with robust clinical charting, streamlined documentation, telehealth, & more. ...Read more about Tebra
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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 records, medical billing, pat...Read more about AdvancedMD EHR
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Elation Health is the most trusted technology platform for high-value primary care. Since 2010, the company has delivered clinical-first solutions — built on a collaborative EHR platform — that help practices start, grow, communicate, and succeed in delive...Read more about Elation Health
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PatientNow provides integrated EMR, practice management, marketing, and before & after photo management solutions for today’s modern medical spa or cash-based aesthetic practice. Manage your entire practice from A-Z with one vendor partner that does it all...Read more about PatientNow
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CureMD is a certified cloud-based EHR, practice management, patient portal and revenue cycle management. CureMD helps physicians and office staff manage their practice operations. It also helps practices adopt Meaningful Use - driving subsidy payments that...Read more about CureMD
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Compulink Advantage is an all-in-one database EHR solution for specialty practices such as optometry, ophthalmology, orthopaedics, ENT, mental health, podiatry, and more. Available cloud-based or server, Advantage includes smart features to help speed docu...Read more about Compulink Healthcare Solutions
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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 approximately 7,000 prov...Read more about Nextech EHR & PM
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Nexus EHR is an ONC Certified 2015 Edition Cures Update cloud-based ambulatory EHR and PM platform. It is designed for small to midsize practices and various specialties including orthopedics, neurology, podiatry, cardiology, general surgery, pain manageme...Read more about Nexus EHR
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CharmHealth 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. To that effect, CharmH...Read more about CharmHealth
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Established in 2008, WebPT is the nation’s most trusted outpatient rehab therapy software platform in the country, helping more than 150,000 rehab therapy professionals from all practice sizes and specialties run successful and efficient practices to impro...Read more about WebPT
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NextGen Healthcare is a leading healthcare software and services company that empowers the transformation of ambulatory care. Our smart, electronic health record solutions - NextGen Office (1-10 physicians) and NextGen Enterprise (10+ physicians) - help am...Read more about NextGen Office
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NextGen Healthcare provides ambulatory practices of all sizes award-winning solutions along with dedicated support and professional services. We align with your goals to achieve the success that results in healthier patients and happier providers. NextGen ...Read more about NextGen Enterprise
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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-based solution will all US Go...Read more about PrognoCIS
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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 user-friendly, with an int...Read more about CollaborateMD
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Valant’s Behavioral Health EHR and Practice Management Software includes all the tools you need to provide exceptional individual and group care while running a successful private practice. Unlike other non-specialized EMR software, Valant is built exclus...Read more about Valant EHR Suite
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Fusion is an EMR (electronic medical record) system designed for OT, PT, and SLP clinics of all sizes. Occupational therapists, physical therapists and speech-language pathologists are able to manage the entire practice from a single platform, with feature...Read more about Fusion
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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, general surgery, internal me...Read more about HARMONY Medical
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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 areas of medicine. ...Read more about ChartLogic EHR
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AllegianceMD is a cloud-based medical software system that is designed to serve the needs of small and midsize practices, as well as ambulatory surgery centers. The solution includes practice management functionality for billing and scheduling and an elect...Read more about AllegianceMD
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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 software. Centra...Read more about HENO
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RevolutionEHR is a cloud-based electronic health record (EHR) solution built specifically for optometry practices. RevolutionEHR includes a complete EHR, medical billing, patient scheduling, medical accounting and a picture archiving system. RevolutionEHR ...Read more about RevolutionEHR
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MDConnection is a web-based solution for medical practice management. The system serves the needs of small practices consisting of just one physician or a small group of physicians. The core functions include scheduling, medical billing, code scrubbing, pa...Read more about MDConnection
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This detailed guide will help you find and buy the right web-based medical billing software for you and your business.
Last Updated on March 16, 2023Online medical billing programs use a Web-based interface to provide many of the essential functions medical practices need in order to maximize their invoicing efficiency and/or revenues. Depending on the needs of the practice, this provides several advantages over traditional on-site system installations. This guide will provide an overview of the market and to help buyers in their decision-making process search for the right solutions.
We'll discuss the following topics:
What Is Online Medical Billing Software?
The Online Medical Billing Vendor Landscape
Online medical billing solutions increase collections in medical offices in numerous ways—from ensuring proper claims coding and verifying insurance coverage to posting payments and generating reports. In addition to increasing revenues by identifying previously unbilled claims, invoicing applications automate a traditionally repetitive and error-prone task and frees up staff to focus on other activities.
Most cloud-based medical billing software is designed for the user to submit claims electronically. More advanced systems will provide coding support, and the top-of-the-line systems will scrub claims, post payments, offer alerts and provide for advanced reporting.
Billing analytics in Kareo Billing
What distinguishes Web medical billing software from other deployment strategies is that the system is available entirely online through a Web browser. This means that the information can be accessed from anywhere with an Internet connection, the user doesn’t have to worry about upgrades or coding updates, and there’s no need for a server or any other kind of IT infrastructure. And in this software-as-a-service (SaaS) model, the user pays a monthly or annual fee rather than upfront purchase cost.
Most buyers of healthcare invoicing systems fall into one of the following categories:
Integrated suite buyers. This is for buyers who are looking for one integrated suite to manage their entire practice. As well as the invoicing modules, selection will be made based on scheduling, EMR and PACS capabilities, usually with a very targeted focus to the medical specialty.
Inpatient care providers. This includes hospitals and long-term care facilities that submit claims on UB-04 forms. Since this type of form typically requires a system designed for inpatient billing, make sure the product you select has this capability.
Outpatient care providers. Most private practices that submit claims on the CMS-1500 forms fall into this category. Since these buyers are submitting electronic claims to Medicare, Medicaid and private insurance companies, they’ll need something with that level of flexibility in its invoicing and payment structure.
Cash-based providers. You fall into this category if most of your revenues come from customers paying directly with cash, check or a credit card. Since these buyers don’t submit many (if any) claims to insurance companies or to the government, their needs are much more lightweight. Chiropractors, alternative medicine providers and certain kinds of mental health providers are the most common buyers in this category.
Outsourced services. These buyers are third-party companies that submit claims on behalf of providers and receive a percentage of the collections. Typically, their functional requirements will mirror those of their clients, but they may require a very broad-based, flexible system if they bill for clients with varying specialties.
Patient billing software is a project management application that's imperative for mid- to large-size projects. Firms that implement and make use of these systems should realize the following benefits:
Better efficiency: Billing is a notoriously tedious task. Implementing an online medical billing system makes them more efficient at coding, submitting and following up on claims, vastly reducing the time required.
Improved collections and accuracy: As well as being tedious, billing is highly error-prone. Internet-based medical billing software helps users code claims correctly and check them for errors, increasing collection rates and making them better equipped to manage rejections.
Cost amortization: Compared to an on-site solution, a Web-based program will be far less expensive in terms of up-front costs. SaaS also eliminates the need for an IT infrastructure to manage upgrades and to get the product up and running when problems arise.
An important consideration when purchasing a cloud-based patient billing system is the implementation plan. Every user needs to be trained on the product, and often adoption of new technology is met with resistance from people who are comfortable doing things the old way. Therefore, it’s important to get buy-in among all users to get them excited about using it.
Since SaaS programs charge a monthly or annual fee, there is the potential that the user will pay more in the long run than they will for an on-site solution. However, this tends to be the case only for larger companies with bigger budgets and dedicated IT personnel. A more significant drawback would be limited integration to external devices (e.g., ultrasounds and MRIs). If this is a concern, many of the leading client/server systems are available in an application service provider (ASP) model, which means that the system’s server is hosted at a professional data center, which effectively hybridizes the Web-based model with the locally hosted one.
Consider the following trends as they develop and impact the market:
Mobile computing. Since healthcare providers are increasingly using tablet devices (such as the iPad) or smartphones on a regular basis, more systems are offering mobile compatibility. If your practice could benefit from this kind of mobility, ensure the system you select has strong mobile capabilities.
ONC-ATCB Certification. Government legislation requiring the use of EMRs is impacting the EMR market, but it also affects the practice management market. Since an integrated practice management system has so many benefits, it may be wise to select a program that incorporates all these features—or at the very least supports upgrades and/or integration with EMR systems to be adopted later.
While the market can appear confusing and highly fragmented, the available solutions are differentiated by their appeal to the different buyer types.
This type of buyer... | Should evaluate these systems |
Integrated suite buyers | Allscripts, MedLedger, CareTracker, SuiteMed |
Inpatient care providers | Inpatient care providers Sage Intergy, athenaCollector, NextGen |
Outpatient care providers | AllegianceMD, LeonardoMD, AdvancedMD |
Cash-based providers | MDConnection, MediTouch |
Outsourced services | Practice Admin, AdvancedMD, NueMD |
Since the purpose of a medical billing system is to increase collections and decrease the time and effort required to receive them, the traditional measures of effectiveness for SaaS-based medical billing software are average collection timeframe and the ratio of claims accepted to rejected. The biggest benefit to SaaS applications is that they require a much lower upfront cost, since the fees that covers the licensing, technical support and upgrades are all monthly. Therefore, most buyers using this deployment model find the financial return on investment to be almost immediate.