Medical organizations use medical billing software to create and manage invoices for the services that they provide. Healthcare institutions require certain industry-specific billing features as medical invoicing varies according to patient diagnostic, treatment, and health care coverage. Medical billing software includes support for compliance with healthcare regulations such as the the Health Insurance Portability and Accountability Act (HIPAA). Medical billing solutions can increase the accuracy and the speed of the billing process for healthcare organizations. Some advanced solutions also provide functionality for revenue management or profitability analysis.
Medical billing software needs to integrate with medical practice management software which holds patient information, as well as with accounting software which processes payments. Integration with benefit carriers is also required for electronic invoices or claim submissions.
To qualify for inclusion in the Medical Billing category, a product must:
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With more than 65,000 members at 9,000 clinics, WebPT is the leading rehab therapy platform for enhancing patient care and fueling business growth. Ideal for outpatient organizations of all sizes, WebPT makes it easy for therapy professionals to transition from paper and outdated software to a user-friendly, cloud-based solution. With WebPT, therapists, directors, owners, billers, and front office staff have access to patients’ medical records anywhere, anytime, from any web-enabled device. WebPT’s web-based application alleviates any large, upfront investments; costly IT support; or bulky, in-office servers. It provides an integrated method to manage patient documents and progress as well as clinic schedules, analytics reporting, and billing. WebPT has an intuitive workflow, allowing therapists to efficiently create compliant and consistent documentation. In addition to documentation, WebPT offers a front office package that includes the tools necessary to run an organized clinic, including a multiuser scheduler with appointment reminders and the ability to upload external patient documents. Through WebPT’s suite of reporting tools, therapists and staff can track productivity, cancellations, and no-shows as well as referrals. Therapists can also benchmark and track patient progress through WebPT’s outcomes tracking product. Lastly, WebPT’s billing options—including the WebPT Billing Service and integrations with several certified billing partners—ensure clinics receive reliable, accurate claims submission and processing as well as speedy, maximized reimbursements. With WebPT, rehab therapists have a modern, intuitive platform that’s well-suited to their needs, empowering them to be better in business—and more importantly, enabling them to spend less time on documentation and more time with their patients. Headquartered in the historic Warehouse District in downtown Phoenix, WebPT has a 99.9% uptime rate and a 99.5% customer retention rate. It was named to the Inc. 5000 list of the nation's fastest-growing companies four years in a row.
NextGen Healthcare delivers a comprehensive, integrated technology and services platform tailored to fit the needs of ambulatory and specialty practices of all sizes. The company powers national interoperability that lets users easily exchange patient data across disparate systems, access health information regardless of where patients are treated, and personalize and streamline patient communications. The company’s analytics offerings enable population health management and risk stratification to help practices accurately identify gaps in care and achieve clinical and financial value. Their clinical care solutions simplify and integrate provider workflows and lessen administrative tasks to free clinicians to focus on care and optimize the caregiver experience. By leveraging their financial management offerings, the company aligns financial and clinical solutions including end-to-end revenue cycle management (RCM) to better align with practices’ goals, improve their competitive position, and lower their cost of health IT ownership.
At the forefront of interoperability, Brightree’s cloud-based business management software and integrated solutions help HME/DMEs to generate new cash flows, share data seamlessly with referral sources, dramatically streamline operations and improve profitability. Through a combination of software, services, training and consulting, HME providers can simplify their business processes and dramatically improve their financial performance.
AdvancedBilling: Drive revenue with ease. All the tools you need to manage your A/R and claims processes in one database. Our robust clearinghouse automates manual processes and improves workflow. ClaimsCenter gives you auto-generated worklists, claims tracking & centralized billing. Easily identify issues with ClaimInspector that automatically scrubs claims for potential errors. Results are astonishing with nearly 100% first-pass claim acceptance. Healthier practice = healthier patients.
NueMD is an easy-to-use, cloud-based medical billing system that shortens the reimbursement cycle and increases efficiency in practices. Serve your clients better with NueMD's detailed reports on revenue trends, collection aging, and payment status. With an established client base of over 24,000 users in 50 states, NueMD is the secure choice for medical billing.
TherapyNotes™ is the most trusted online practice management and EHR software for behavioral health practices of all sizes. With over 60,000 users, we're considered the largest platform for mental health professionals, offering the most intuitive software and best customer support in the industry. Our streamlined scheduling, notes, billing, and a custom client portal — plus unlimited support and superior security — can help optimize how you manage your practice, letting you focus less on administrative tasks and more on your clients' needs. We offer: • Streamlined scheduling and a personal to-do list that automatically generates tasks based on past activity • Powerful form-based notes, designed specifically for behavioral health • Electronic insurance claims, ERA payment posting, and credit card processing • HIPAA compliancy, keeping your data encrypted, secured, and backed up regularly To learn more about TherapyNotes™, visit TherapyNotes.com, and receive your first month completely free.
Phreesia provides a suite of robust applications to effectively manage the patient intake process. With customizable, scalable and cost-effective solutions, Phreesia engages patients in their care with a modern, consistent experience, while enabling healthcare organizations of all sizes to expand staff capacity and enhance clinical care.
CareCloud Concierge is a complete revenue cycle management solution that allows you to shift the heavy lifting around getting paid, so you can focus more on patients and worry less about collections. Modern RCM software and real-time analytics combine with our specialized back-office team to help your practice improve profitability, eliminate administrative burdens, and adapt better to industry change.
Aprima’s proven practice management (PM) solution takes care of business with smart, flexible and intuitive tools that enable advanced scheduling, patient registration, billing, coding and claims management, business analytics and more for better, faster reimbursements and improved staff satisfaction.
Azalea provides an electronic health record (EHR) platform, practice management (PM), revenue cycle management (RCM) and telehealth solutions for ambulatory and hospital care settings. Designed for efficiency, the cloud-based infrastructure drives cost savings in hardware, speeds deployment and training time, and increases application availability. Azalea is suitable for community and rural health care settings, including multiple speciality practices. Azalea EHR is 2015 ONC certified and supports Promoting Interoperability (PI). Users can document SOAP notes, send orders and capture billing from a single screen. The HIPAA-compliant telehealth platform is fully integrated and enables real-time charting. Patient records can be accessed at home, in the practice or in the hospital. Azalea also offers a fully-integrated mobile application, appointment reminders and patient portal. A data integrity validation feature will check various field entries (such as date of birth, insurance, and address) and then notify users of inaccuracies.
Valant was founded in 2005 to provide behavioral health providers with EHR technology to streamline administration and empower what’s most important: improving outcomes. Our completely new platform was born from modern, cloud architecture including an elastic and infinitely scalable data model, mobile app-inspired user experience, and an on-demand ability to respond to change without additional investment in time, money, or training.
Kareo makes it easier and more rewarding for you to run an independent medical practice. We offer the only cloud-based, clinical and business management technology platform dedicated to serving the unique needs of independent practices. Our software helps you find and engage with patients, run a smarter business, provide better care, and get paid faster. From the front office to your back-end billing, Kareo Practice Management streamlines the way you work. It’s easy to use and proven powerful by the more than 40,000 providers that trust it for their small practices. Unlike other companies that built their offering for large medical groups or hospitals, Kareo is purpose-built for the work flows and unique needs of the independent practice. The result is an affordably-priced platform without the bells and whistles that you don’t need.
XIFIN RPM embodies a unique approach to laboratory billing that goes well beyond a billing system to provide a complete Revenue Cycle Management solution. Designed for the high-speed laboratory environment, XIFIN RPM manages and automates medical claims filing, reduces the risks associated with regulatory compliance, and provides visibility into operational and financial performance.
iSALUS Billing and Scheduling Services is a billing and scheduling software that has integrated clearinghouse service that allows you to get your claims paid, as well as submit e-claims, post ERA payments, verify patient insurance eligibility, and more.
Medical Billing Software is a billing and coding software that allows you to have a customized medical billing and coding process that fits your business needs that includes outsourcing, patient balance processing, financial reports, and data migration.
ABS is a flexible, end-to-end patient accounting and billing software solution that integrates seamlessly into VistA systems. ABS helps improves the quality and efficiency of revenue cycle management workflows for healthcare organizations and independent practices.
A+ DELPHI32 is an on-premise billing, scheduling, and patient records management system designed specifically for small mental and behavioral health practices. The comprehensive program meets the needs of all types of mental health providers, including therapists, psychologists, psychiatrists, social workers, and counselors. A+ DELPHI is also used by medical billing services with a particular focus on mental or behavioral health clients.
Set up your business for success with this comprehensive set of financial solutions that enables better controls to improve cash and costs. Used in conjunction with Revenue Cycle Management, our Financial and Enterprise Management suite is easy to use, configurable to your workflows, and trusted by more than 3,000 facilities across the country.
AHT Revenue Cycle Managements integrated Revenue Cycle Management (RCM) suite helps skilled nursing organizations like yours to efficiently manage the entire revenue cycle from admissions and eligibility verification to claims submission and processing all the way through to denial management and collections. Download the brochure to learn more.
Achieving higher ROI, increasing efficiency, and locating data at a moment's notice can be your new reality with AlphaFlex. This fresh approach to behavioral health software streamlines all of your mental health, substance use, and IDD needs by using a single EHR system that is proven to deliver results with a high average collection rate.
American Medical Software is proud to be celebrating over 33 years of excellence in the electronic medical software industry. Building upon our excellent company history, AMS continues to lead the industry by providing and maintaining the greatest value in medical office software systems for physicians of all specialties. Since our beginning in 1984, we have sold thousands of systems nationwide. Our ONC HIT Certified Ultra Charts™ system includes electronic medical records, patient portal, medical billing & management, and appointment scheduling. Visit americanmedical.com for more information.
Anodyne helps in efficient management of interactions between providers and patients with regards to the latters financial liabilities. It allows scheduling of regular reminders to patients through phone calls, email and text messages, fully complying with all patient communication rules and mandates and enables out-of-pocket collections and payment processing.
The Aprima Revenue Cycle Management (RCM) solution combines smart technology with healthcare billing expertise to seamlessly manage your practice’s entire revenue process - from eligibility checking, to over 20 million claim edits achieving 98% clean claim rates, to appealing denied claims, to money in your bank account!
AveaOffice is the first of its kind: a cloud-based comprehensive Revenue Management Platform designed specifically for the needs of behavioral health management facilities. We understand how billing works because thats where we started. We originally developed our software to improve our own processes and efficiency while providing transparency to our customers.
The Billworx 6 Medical Billing System is the most comprehensive and automated billing package on the market today. Whether you manage a single practice or a national billing service, with Billworx 6 you will have all the function and flexibility that you need to succeed and excel.
Startech Software's TotalEclipse product is a fully featured single-database Claims Management & Medical Bill Review Software application. Representing the culmination of over three years of development and testing, TotalEclipse™ is designed by real Claims Adjusters, Bill Reviewers, and Administration Managers who use this mission-critical software to do their jobs every day.
The expEDIum Medical Billing (eMB) comprehensive, secure Web-based Medical Billing Software and Practice Management Solution that allows medical billing companies and healthcare providers to effectively manage the practice, automate complete Medical Billing and Claims Processing workflow.
The sophisticated requirements of anesthesia billing and accounts receivable management requires a powerful, flexible data management process. ABCs F1RSTAnesthesia is just that. No other stand-alone software package or billing service system offers such an array of powerful practice management tools.
FreeMedicalBilling.net is a web based medical billing software that provides MD's, Psychologists, Counselors, Social Workers, Therapists and many more specialties the ability to do their own medical billing in house for a great price. Electronic submission of medical claims are provided free of charge and it is handled nationwide through multiple clearinghouses.
GeroPro is modulated to manage the all-important functions of healthcare organizations; Patient Demographics and Face sheets, Administration of Patient Billing, Accounts Receivables, Account Payables, Resident Trust Funds & MDS, Care Plan, General Ledger, Resident Charting, Payroll, Management dashboards and etc.
ImagineBilling Practice Management Software improves cash flow, simplifies processes and provides unprecedented, real-time productivity monitoring by streamlining the billing/collections workflow to help clients achieve peak performance and measurable results.
Designed by billers for billers, Iridium Suite by Medical Business Systems follows an intuitive workflow that makes the system extremely user-friendly while also increasing staff productivity. Iridium Suite offers fully integrated billing functionality, so billing staff never has to download files to a separate location or module.
Employee Pooling (ʺEPʺ) Healthcare Services delivers specialized, turn‐key revenue cycle management services to Independent Physicians, Physician Groups, and Billing Companies. “EP” has a team of Medical Billers and Coders helping clients with their deep insight and knowledge, propelled by strategically designed workflow processes.
Whether you choose to buy our software, or prefer that we take care of your billing for you, our cloud-based system allows you to track your submissions, held claims, refusals, write offs and remittances online, 24 hours a day, 7 days a week. We also provide over 25 different accounting reports to help you manage your business
Oneview's platform enables hospitals to embrace the growing demand for consumer-centric careand provides solutions for both inpatient and outpatient settings, including a mobile application that closes the loop between inpatient care and wellness in the home.
PCI's Hospital Information Management Systems (HIMS) are NextGen systems that are powerful, flexible, intuitive and agile. This enables hospitals to leverage international practices and deliver high-quality results.
Quantros Quality Management Solutions Suite to optimize quality data collection, processing, analysis, and submission for both chart-abstracted and electronic clinical quality measures, helping to focus on what most important improving patient care and maximizing reimbursement.
InsightCS is a patient accounting and billing solution that provides a complete revenue cycle management solution for healthcare providers seeking robust universal (inpatient, outpatient, and physician) patient and insurance billing and collections, as well as a full suite of fully integrated applications including patient and resource scheduling, patient registration, medical necessity and eligibility checking, claims resolution, contract management, denial tracking, document imaging and much more.
StrataJazz application is a single integrated software platform that includes modules for capital planning, contract modeling, cost accounting, cost management, decision support, financial forecasting, management reporting, operational budgeting and performance improvement and strategic planning.
SurgeOn is a surgery center information system that features various benefits of a practice management system with a scheduling component to handle the requirements of a surgery center, as well as includes case costing, resource management, accreditation, and variance modules
ViSolve's Medical Billing software also known as Pluggable Billing Module (PBM) is an easy to use medical office software that caters to a wide range of general and specialty practices to simplify the billing process and help providers get paid faster.