Best Healthcare Claims Management Software - Page 3

PDS Cortex makes your practice more efficient by providing tools for managing patient appointments, billings, collections and more. It makes it easy to navigate the complexities of today’s health insurance environment. Here is a look at a few of the features: Medical billing – The heart of Cortex; dynamic cash flow, reduced A/R, efficient retrieval and analysis of information. Managing insurance – Robust tools you need to manage, track, report and save time. Bad debts/collection agency tracking – Monitor collection agency activity and effectiveness; improve A/R efficiency. Appointment scheduling – Intuitive scheduling, with custom layouts and a powerful workflow. Electronic remittance distribution – Take control with electronic posting of insurance payments and streamline your insurance transactions. Reporting – Flexibility and control in the more than 270 standard reports

All organizations across the healthcare revenue cycle sector can utilize Remittance360. If an entity receives standard 835, business office staff of all levels will find this tool useful in making actionable decisions regarding cash and accounts receivable workflow. Remittance360 is simple and easy to use, start-up time is minimal, and the uploading process of 835 data takes seconds. Utilizing the standard 835 data set, information upload is obtainable for all organizations, with minimal IT involvement. Remittance360 takes advantage of the data organizations have, but delivers relevant reporting of denials, trends, and individual payer activities. Gaining insights into this information can determine specific workflow needs. The ability to query data is simple in Remittance360, and common queries can be saved for easy user functionality. Querying denials by remark code and by department can assist in identifying and fixing root cause issues.

From hassle-free hosting, to exclusive integrated features to a mobile OPIE experience, you can get more from your practice management software. The ultimate tool every O&P business owner should have to track trends from patient satisfaction to financial reports. Get insight on time spent during the episode of care along in the episode of care and learn how to reduce errors and maximize cash flow. Visualize the payment process and access all the details to fine-tune your insurance verification and authorization process. Following the OPIE Workflow provides a defined plan for the way you work – from collecting patient data and defining L-codes for a patient, to ordering products and billing a claim electronically.

Give your front desk staff the flexibility they need to manage patient visits smoothly. Before, during, and after each appointment. MicroMD’s Practice Management scheduling capabilities help manage your busy workday with simplicity and precision. Easily search for an open slot according to patient needs and staff availability, attach notes and assign appointment classes. Intelligent patient waiting lists that match the correct duration, physician, time and location help maintain productivity and patient satisfaction. Use template-based displays to view appointment schedules by week, day, location and provider. Color-coded views, determined time slots and repeating schedules make scheduling smooth and precise. Allow patients to schedule appointments or create appointment requests using the Henry Schein Secure Chart Patient Portal. Patients with an account can log in and see what appointment times are available with what providers and schedule their appointment right then.

The FINEOS Platform provides clients the only complete end-to-end SaaS core product suite that includes FINEOS AdminSuite enabling quote to claim administration as well as add-on products, FINEOS Engage to support digital engagement and FINEOS Insight for analytics and reporting. The foundation of your digital insurance strategy. The FINEOS Platform seamlessly blends FINEOS AdminSuite + FINEOS Engage + FINEOS Insight + Platform Capabilities to create the most modern single core insurance platform for Life, Accident and Health. Legacy core systems utilized a ‘one size fits all’ business technology approach that no longer fits the needs of an agile business. Today, consumers, employers and brokers have access to powerful SaaS computing platforms and software tools that set a much higher bar for an insurer’s digital strategy. Monolithic insurance software models of the past focused solely on details of the insurance contract.

EMCsoft’s Claims Management Ecosystem assures that healthcare providers and billing companies deliver clean claims to insurance payers for proper claim adjudication. It is the integration of our versatile claims processing software Claim Agent and comprehensive fitting process called the Four Step Methodology into your claim adjudication process. This approach enables, supports, and automates your work process to maximize claim reimbursement. Request our free online demo for a great introduction into the functionality/features of Claim Agent and how it fits into your claim adjudication process. Claim Agent scrubs and processes your claims from the provider system to the insurance payers in a efficient, cost effective, and timely manner. The software is compatible with any system making implementation process quick and simple. We provide custom edits, bridge routines, payer lists, and work flow settings that are unique to each user.

Manage your members' healthcare and networks with a cloud-based healthcare delivery system. Automate claims processing for managed care organizations. Includes eligibility, referral and authorization processing, provider contracting, benefit administration, auto claims adjudication, capitation (PCP and Specialty), EOB/EFT check processing, and EDI transfers and reporting. Deploy as a cloud solution or an in-house system. Ideal for managed care organizations (MCOs), independent physician organizations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. Streamline the complexities of administrating eligibility, referral authorization and claims processing. Features and functions maximize data integrity while reducing data entry.

A powerful tool that lets you practice medicine anywhere, anytime. Get meaningful clinical work done whenever and wherever you are with the athenaOne mobile app. Access patient records to prepare for and document exams, create and sign orders, respond to patient cases and more. The app gives you the flexibility to catch up on or get ahead of work during free moments throughout your day. Easily log into the app using touch or Face ID and access a glanceable view of your day. See your schedule, the patients you've prepped for, and review and manage your inbox. A few moments are all you need to get up-to-speed on a patient's history with customizable patient summaries. Access full charts to review everything that's happened since their last visit. Use the clinical inbox to get critical work anywhere, any time. Create and sign orders, view test results, respond to patient cases and more, all with the speed and security of athenaClinicals.

Save 20% of all administrative hours for your practice, check patient insurance eligibility in real-time and streamline patient check-in with our kiosks, tablets, and software. Simplify your patients’ check-in process by allowing your patients to check in before their scheduled appointment—anytime from anywhere. Patient registration is simplified, and patient intake is streamlined. Get patients through the check-in process quickly with our customizable workflow. Average check-in time for new patients is 3 minutes. Check-in for returning patients is less than a minute. Increase successful payments and cash flow to your practice. Medical practices have seen an increase their point-of-sale collections by 25% – 65%. Clearwave is the cure for patients’ impatience. Establish a digital front door that’s always open for scheduling convenience, automated eligibility verification, patient check-in and frictionless financial transparency.

The Talix platform powers intelligent workflow applications that enable risk-bearing healthcare organizations to succeed in the age of value-based care. Our workflow solutions for payers and providers require intelligent underlying technologies to work in unison and at scale. We’ve engineered the Talix Platform to support the needs of thousands of end-users, anywhere in the world simultaneously. Moreover, our platform architecture enables multiple SaaS application solutions in order to harness the efficiencies derived from being able to process millions of patient charts and encounter data. The Talix Platform is comprised of several technology components, intricately linked, to power software applications at scale for healthcare payers and providers. These components form the building blocks of artificial intelligence (AI).

The CareEco Engine - a proprietary, data-driven AI platform - scans patient medical records using AMA guidelines to identify care opportunities. CareEco automatically contacts the patient via SMS or email to schedule an appointment directly from their phone. This leads to more booked appointments, improved patient health, better patient experience, and increased practice revenue. CareEco’s automated messaging capability, scheduling portal, and payment gateway lets your patients book (and pay for) more appointments at your practice. That way, your staff can focus on patients — not paperwork. CareEco proactively engages your patients to keep them in your network. Easy scheduling for patients means less friction in accessing healthcare.

Our platform builds consistency, continuity, and scalability across our integrated portfolio, enabling our customers to improve operational efficiency, decision-making, and patient outcomes—and enabling innovation as our healthcare system evolves. With innovative data and analytics, plus patient engagement and collaboration tools, the Change Healthcare platform helps providers and payers optimize workflows, access the right information at the right time, and support the safest and most clinically appropriate care. We enable access to data and facilitate the interoperability of data between sources to support CMS patient access and interoperability rules, as well as enable real-time access to clinical documents to help better manage risk adjustment, improve HEDIS scores, and support accurate payments with faster adjudication.

EzyMed Online 4 is a fully integrated Medical Practice Management software for General Practices, Radiology and Specialists Centres. Developed for the Australian medical practice environment, EzyMed Online 4 encompasses all functions required for the Medicare Australia's Online Claiming Online process, Department of Veterans Affairs (DVA) Claims and Australian Childhood Immunisation Register (ACIR) claims. EzyMed Online is a comprehensive system designed to manage your practice efficiently with just a few clicks of the mouse. A secure database management ensures your system consistently maintains its performance even with a million or more records. From the time a patient is registered at the reception, the consultation is tracked by EzyMed Online 4 and stored in the patient’s database as paperless recording. The patient’s medical history can be retrieved at anytime even to all appointments ever recorded.

EDI Compatible Medical Billing (E-COMB) is a web based solution for generating medical claims complying with the HIPAA transaction and code set standards, regulated by the US Government following the recommendations of American National Standards Institute (ANSI). The application is designed to generate, submit and reconcile the claims to the insurance carriers, guarantors and/or patients. This is one of the most important tools for doctors in realizing their revenue by reducing the turnaround time in the claims reimbursement. All the information related to environment of the Doctor’s Office/Hospital is grouped together as Master Data. This information is frequently used for claims processing and is less likely to change quite often. Master Data contains details of the Procedures, Diagnoses, Doctors, Payers, and Billing Providers etc. This data is created as part of the initial set up and can be updated easily at any time.

The financial and administrative challenges facing healthcare providers are daunting. Waystar’s technology platform simplifies and unifies healthcare payments across the revenue cycle. We empower healthcare organizations to automate manual work, gain insight into processes and performance, and ultimately collect more revenue. At Waystar, we know there’s a better, more efficient way forward. Let’s climb the mountain ahead of us to reach new heights in healthcare. We know that adopting new revenue cycle technology can seem like an obstacle. Whatever your existing systems, our cost-effective technology is compatible and gets up and running quickly. Our single sign-on platform lets you manage commercial, government and patient payments all in one place, so you can consolidate vendors and eliminate the hassle of multiple systems. Give your staff intuitive solutions that will make their jobs easier and their workflows more productive.

You have better things to do than sit on the phone. That’s why our real-time eligibility tool allows you to quickly verify your patients’ benefits, regardless of their plan. Gone are the days of paying transaction fees for claims, attachments, and checking eligibility! Our plan includes all features for one monthly fee. Subscribe to Vyne Trellis™ and gain the benefit of our team of industry professionals. With us, you can keep a tab on claims, claims that put money back in your firm’s pocket. Regardless of the size of your practice, our platform can handle any volume of claims. Vyne Trellis™ is integrated with the claims administrators and clearinghouses you need. Our dashboard sends you rejection reasons, status updates, and other smart notifications, so you can keep your claims moving. And if you get a little stuck on a claim, our support team is here to help! No more multiple tabs or windows. You can access virtually all of your data and documents, like ERAs and attachments.

Independent practices need complete solutions to maximize patient and provider well-being. While each Tebra product is purpose-built to modernize and optimize every step of the patient-practice journey, the combined platform delivers a complete operating system that provides added value for providers and patients alike. Power your connected practice with everything you need to attract new patients and keep current ones through the power of digital presence. Empower patients through every communication touchpoint and deliver a uniquely frictionless experience and convenient access that builds trust and a healthier practice. A modern, certified EHR solution built for the needs of today’s provider, delivering everything your practice needs. This includes robust charting, streamlined documentation, a comprehensive view of patients and their history, eRx, eLabs, telehealth, and more, allowing providers control of how they deliver care.