Best Revenue Cycle Management Software for Nonprofit - Page 2

Our PCI compliant payment vault securely stores your patient's payment information. With their consent, you can automate and collect payments of a pre-authorized amount post-claim adjudication. Practices can accept patient copays pre-care with estimates to support financial management and plan activation or pre-authorized payments post-care. A fully customizable portal for your practice allows patients to make payments online or set-up payment plans and securely stored payment types. For a more transparent experience, estimate your patients' out of pocket expenses with greater accuracy and discuss payment plans early to improve treatment acceptance.

Approved Admissions is a secure platform that automates tracking of coverage changes for Medicare, Medicaid, and commercial payers bundled with real-time eligibility verification and coverage discovery. The platform's primary goal is to help providers minimize the number of claim denials due to a missed insurance coverage change and accelerate the billing cycle. Approved Admissions Features: - Automated eligibility verifications and re-verifications - Email or API notifications if any coverage changes are detected - Real-time verifications - Batch eligibility verification - Seamless integration with RCM, EHR platforms (PointClickCare, MatrixCare, SigmaCare, DKS/Census, FacilitEase, and many others) - RPA-powered cross/platform synchronization

The intricacies of medical billing for healthcare providers have made traditional billing approaches outdated, given the rising demands for thorough documentation, compliance, and diminished reimbursements. Utilizing advanced technologies such as artificial intelligence, machine learning, and robotic process automation, RevvPro effectively addresses the critical shortage of certified medical billing professionals while offering essential visibility into real-time data like claim statuses and denials through automation. Accessible via both smartphones and desktops, RevvPro presents a promising solution for revenue cycle management, tackling reimbursement challenges head-on. Healthcare facilities have the flexibility to continue using their preferred practice management and EMR/EHR systems if they find them satisfactory. RevvPro operates as an overlay on existing systems, extracting necessary information to enhance provider transparency. Additionally, it enables various members of the revenue cycle team to effortlessly collaborate and manage their specific workflows and processes, ensuring a more efficient billing environment. This integrated approach not only simplifies operations but also helps healthcare providers adapt to the evolving landscape of medical billing.

Introducing EVOLVE, the latest and most advanced platform from HybridChart, marking the fourth generation of our technology. The ease of use in our rounding and workflow solution has reached unprecedented levels, setting a new standard in the industry. Crafted by healthcare professionals specifically for their peers, HybridChart’s EVOLVE enables users to seamlessly manage their entire workflow through a straightforward and intuitive interface. This innovative desktop and mobile application empowers doctors to prioritize patient care directly at the point of service. By transitioning away from paper, HybridChart streamlines billing processes and optimizes time efficiency by integrating multiple features into one cohesive solution. You can now capture a charge in just three seconds, ensuring that you never overlook a charge with our robust protective measures in place. Enhance teamwork and experience a remarkable boost in productivity while communicating securely and confidently. Your entire practice can operate in harmony on this protected platform, bridging the gap between inpatient and outpatient care, and simplifying the management of patient dispositions and follow-ups in the process. EVOLVE redefines how healthcare professionals approach their daily tasks, making it an essential tool for modern medical practices.

The DENmaar Guardian provides users with the ability to monitor their status and access a variety of features. This platform presents a comprehensive array of services aimed at enhancing financial performance and delivering quantifiable results. Our advanced automated revenue cycle management (RCM) and insurance credentialing services ensure that behavioral and mental health providers achieve optimal financial outcomes. Efficient patient scheduling is essential for maintaining operational effectiveness, minimizing missed appointments, and ensuring timely patient care. When evaluating a patient scheduling system, the DENmaar scheduler includes several important features that can significantly improve quality. Additionally, DENpay enables practitioners to collect payments while adhering to HIPAA regulations, ensuring the confidentiality of patients' medical, financial, and personal data. As patients face increasing responsibilities for deductibles and medical costs, it's vital to have robust solutions in place. Furthermore, our medical EHR software is not only advanced but also user-friendly, tailored specifically to meet the needs of behavioral healthcare professionals, ultimately enhancing their workflow and patient interactions.

Quanum Revenue Cycle Management (RCM) provides a comprehensive approach to overseeing the financial aspects of a healthcare practice, aiming to boost revenue streams. Developed by Quest Diagnostics, a prominent name in pre-employment drug screening for companies and risk assessment services for life insurers, Quanum RCM encompasses an all-inclusive medical billing system that includes everything from processing billing claims to managing denials and offering additional support for billing-related tasks. This solution is designed to streamline operations and enhance the overall financial health of medical facilities.

Expand your practice using CareCloud, the top-rated cloud-based EHR and practice management software. CareCloud provides a full range of resources designed for healthcare professionals and organizations of varying sizes. Among these offerings are Concierge, a thorough revenue cycle management system; Central, an intuitive practice management application; Charts, a straightforward electronic health records platform; Community, tools for patient engagement and social interaction; and Companion, a mobile application for both clinical and administrative tasks. By utilizing these tools, practices can streamline operations and enhance patient care effectively.

Clinics of all sizes and specialties can concentrate on their patients while PertexaIQ™ manages the rest of the tasks. This applies not only to primary care but also to various specialty and subspecialty practices, including neurology, obstetrics and gynecology, pediatrics, dermatology, podiatry, endocrinology, and behavioral health. By enhancing ease, speed, and accuracy, practices can significantly increase both their value and patient volume, leading to greater revenue. For hospitalists, nurses, and related groups, our platform-independent application seamlessly integrates with your device and your client’s electronic health records (EHR), ensuring that documentation is completed in real-time for every patient interaction, whether it occurs remotely, in nursing homes, rehabilitation facilities, or at home. Administrators and advisors in accountable care organizations (ACOs), patient-centered medical homes (PSOs), and independent practice associations (IPAs) can see a rise in the number of patients treated and bills processed, while experiencing faster payments and lower staffing and outsourcing costs. The auto-accurate coding feature leads to nearly 100% approval rates for claims on the first submission, alongside immediate auto-audit capabilities at the Recovery Audit Contractor (RAC) level and comprehensive compliance measures. Ultimately, this integrated approach maximizes efficiency and enhances the overall patient care experience.

Streamline revenue cycle management, care quality oversight, and workforce optimization through a unified, user-friendly portal featuring single sign-on capabilities. Over 47,000 provider locations depend on our cutting-edge tools to ease the complexities of the patient care experience. Transform the financial experience for patients while alleviating administrative and clinical challenges with the Inovalon Provider Cloud, eliminating the need for fragmented workflows. Our SaaS offerings are designed to enhance both financial and clinical results throughout the patient journey, facilitating improved revenue cycle processes for enhanced reimbursement and ensuring optimal staffing levels for high-quality care. This all-in-one portal enables your organization to elevate its performance, boosting revenue, staff satisfaction, and care standards. By enhancing operational efficiency, productivity, and overall effectiveness, you can unlock the full potential of your organization. Explore the transformative capabilities of the Provider Cloud today.

UnifiMD's electronic medical records system offers comprehensive patient chart summaries alongside tailored dashboards for physicians and practices, aiming to integrate all aspects of your medical practice, which enhances clinical outcomes and elevates the patient experience. Our dedicated team of EMR implementation specialists collaborates closely with your practice, ensuring a seamless transition to the new system. Each practice is supported by a dedicated EMR Account Manager from CHS, who develops a customized implementation strategy that prioritizes both patient workflows and staff training. This focused approach ultimately leads to improved usability for providers and greater satisfaction for patients, thanks to our exceptional implementation skills. Powered by DrFirst, our medication management platform leverages the insights gained from over 1 billion medication transactions to optimize care. Beyond just providing access to medication history, our solution encompasses e-prescribing for both legend drugs and controlled substances (EPCS), along with support for patient medication adherence, making it a comprehensive resource for enhancing patient care. Additionally, our system is designed to adapt to future technological advancements, ensuring that practices remain efficient and responsive to changing healthcare needs.

Centauri Health Solutions is a company specializing in healthcare technology and services, motivated by our commitment to enhance the efficiency of the healthcare system for our clients while offering compassionate assistance to those in need. Our software, powered by advanced analytics, supports hospitals and health plans—including Medicare, Medicaid, Exchange, and Commercial sectors—in effectively managing their fluctuating revenue through a bespoke workflow platform. Moreover, our personalized support for patients and members grants them access to vital benefits that can significantly improve their quality of life. Our array of solutions encompasses Risk Adjustment (including Medical Record Retrieval, Medical Record Coding, Analytics, and RAPS/EDPS Submissions), management of HEDIS® and Stars Quality Programs, Clinical Data Exchange, Eligibility and Enrollment services, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, and both Referral Management & Analytics, as well as addressing Social Determinants of Health to further bolster healthcare outcomes and accessibility. Each of these components is designed to work in harmony, ultimately creating a more effective and compassionate healthcare experience for everyone involved.

Introducing the first-ever intelligent medical billing software that caters to multiple specialties. It simplifies the billing process and enhances patient collections for over 75,000 healthcare providers nationwide. With its global data capabilities, there's no longer a need for entering information multiple times. Designed to handle large volumes and intricate data, it features a flexible data structure that meets the diverse needs of various practices and specialties. This software ensures that you receive payments more quickly. You can input payments manually or utilize electronic remittance options. Claims are automatically scanned for errors and any missing details, ensuring accuracy. Additionally, the software can automatically resubmit insurance claims based on predetermined criteria. The rapid review feature allows for swift evaluation and approval of charges. You can audit charges by various metrics, including modality, procedure, insurance, user, or date of service. The intuitive reporting system provides insights into the financial well-being of both front-end and back-end billing processes. You’ll never miss a charge again. Furthermore, it seamlessly integrates with your chosen clearinghouse or statement vendor, making it a versatile choice for healthcare billing. With its user-friendly interface and comprehensive features, this software is set to transform the way medical billing is handled in practices.

The way you tackle the obstacles in your revenue cycle significantly influences your profitability and the overall effectiveness of your organization. The influx of patients seeking your services means little if receiving the payments for those services takes an excessive amount of time. You shouldn’t be burdened with dedicating countless hours to chase after payments that you rightfully deserve. Fortunately, there are more effective strategies to enhance healthcare reimbursement. Let Quadax assist you in developing a thorough, sustainable, and well-organized strategic plan while also helping you choose the most suitable technology solutions and services aligned with your business model. By partnering with us, you can not only attain operational efficiency but also improve your financial outcomes and elevate the patient experience. Ultimately, the aim for each claim submitted is to prevent denials and secure prompt payment. Additionally, implementing robust processes can further streamline operations and ensure financial stability for your organization.

Whether you need assistance with grasping the intricacies of the CMS and ONC final regulations, crafting a strategy to meet compliance deadlines, or executing a practical solution, we are here to assist you. As a frontrunner in the field of interoperability, Edifecs possesses the necessary expertise to guide you in achieving adherence to the latest mandates while unlocking the potential of secure and dependable electronic health data exchange. Edifecs provides top-tier Smart Trading and Encounter Management solutions specifically designed for small to medium-sized health plans. By leveraging financial, clinical, and administrative data, organizations can advance their business strategies and facilitate automation in administrative tasks. Improve encounter management processes and enhance first-pass rates for managed Medicaid and Medicare Advantage through a hosted solution model that Edifecs offers. Additionally, Edifecs presents COTS-based modular solutions aimed at optimizing data quality and supporting payment reform initiatives. By utilizing these innovative tools, health plans can ensure a proactive approach to compliance and data management, ultimately leading to improved outcomes.

All-in-one solution for your medical practice. Cloud-based online electronic health records (EHRs) that allow you to create and manage patient records securely from your browser. You can create and manage patient appointments, schedule resources such as rooms, IV chairs, etc. Use a color-coded calendar. Patients can book appointments through your website and patient portal. Upload and store patient and practice documents such as consent forms, handouts, x-rays, etc. Go paperless. To make it easy to find documents, group them into folders and tag them. Securely exchange messages with your care team regarding your treatment. Patients will be able to access their medical records via portability. They can also allow secure access to a local specialist when they visit abroad. You can discuss complicated cases while sharing images/videos, without having to pull doctors from clinics or wards.

Regardless of whether you operate as an independent reference lab, a pathology practice, an outreach lab, or a public health laboratory, TELCOR RCM billing software equips you with essential tools to tackle complex billing obstacles and enhance your profitability. This comprehensive revenue cycle management solution facilitates claim submissions, monitoring, remittance processes, accounts receivable management, and billing for both clients and patients, all while accommodating multiple NPIs. By leveraging the right technology, you can reduce the need for extensive billing staff and significantly boost productivity in your revenue cycle by automating daily tasks such as claims submissions and patient information collection, along with generating detailed financial reports. Additionally, you can streamline the handling of payments by automating the processing of electronic payments received from payers through 835 ERAs or bank lockbox payment files, thereby eliminating cumbersome manual adjudication tasks. Moreover, improving billing communication with patients can simplify their experience, making payment processes quicker and more intuitive, ultimately fostering a smoother revenue cycle. This holistic approach to billing not only enhances efficiency but also contributes to a better overall experience for both healthcare providers and patients.

With more than 40 years’ experience in receivables management, nobody understands the business of getting paid better than Finvi. Finvi’s all-in-one revenue acceleration platform allows clients to automate repetitive tasks and focus on high–potential accounts. Our clients can drive outreach with consumer-preferred digital contact methods with the utmost intelligence for improved outcomes. Simplifying and streamlining revenue cycle management, Finvi’s payment solutions have enabled faster collection rates, shorter recovery time, and increased agent productivity

We strive to deliver exceptional support, expertise, and services that empower our clients to reach their highest potential. Our innovative "Practice made Perfect" software stands out as one of the most adaptable and user-friendly billing solutions available today. This ensures a consistent billing process, which in turn stabilizes your cash flow. Our objective is to enhance your cash flow while minimizing expenses. We provide specialized consulting services to equip your staff and faculty with the skills needed to effectively manage your business and maximize your profits. With over 36 years of industry experience, K & K has established itself as a prominent leader in the field. As the developers of our proprietary software, we are able to offer unparalleled customer support tailored to your needs. Our commitment to your success is reflected in every feature of our program, ensuring that you have the best tools at your disposal.

PracticeAdmin Scheduling enhances patient engagement and minimizes no-show rates by delivering essential data right when you need it. Our innovative rules-based framework allows customization of preferences for various providers, whether you operate solo, manage a small to medium-sized organization, or oversee multiple locations. You have the flexibility to design unique scheduling templates for countless locations and automate patient reminder notifications. The billing component serves as a comprehensive solution for managing patient registrations, claims, and payments seamlessly. You can keep a meticulous record of all patient data and prior authorizations, ensuring that everything is organized. Additionally, it integrates smoothly with your EHR system, aiding in the maintenance of your Meaningful Use certification. Billing also alerts you to any claim errors before submission, allowing for expedient re-submission without penalties while you keep track of all EDI rejections effectively. This streamlined approach ultimately empowers healthcare providers to optimize their administrative tasks and enhance the overall patient experience.

GoRev offers advanced functionality tailored for enterprise use within an affordable Health Information System. Our features are shaped by direct feedback from clients, providing us with a distinct edge over our competitors. Every tool we offer is crafted to enhance the profitability of your practice by automating tasks that typically consume valuable employee time. With a comprehensive selection of reports, visual data representation, and a robust grading system, you gain vital insights and resources necessary for achieving success. Additionally, our dedicated team of data analysts is on hand to help create any custom reports you require, often at no extra cost. GoRev also includes expedited registration processes, a complete scheduling module, real-time eligibility checks, electronic outreach campaigns for patients, and bar-code charge capture capabilities. These features work together to streamline your operations, elevate user satisfaction, and enhance the effectiveness of your revenue cycle management. Furthermore, our commitment to continuous improvement ensures that we adapt to the evolving needs of your practice.

Utilize the specialized EMR designed specifically for urgent care settings to enhance your practice. This system features streamlined charting and user-friendly templates that facilitate rapid and precise documentation, optimizing workflow and fostering superior experiences for both patients and staff alike. Access the urgent care EMR software that equips you with essential tools to efficiently manage center visits. Clinicians can confidently document urgent care encounters thanks to its intuitive interface and tailored documentation templates. The system accelerates patient processing with swift registration, real-time insurance checks, an integrated EMR/PM database, and scheduling queues driven by workflow, enabling patients to move from check-in to discharge in the shortest time possible, thereby enhancing overall satisfaction. Furthermore, accurate CPT autocoding and intelligent E/M code suggestions guarantee comprehensive documentation for every visit and improve claim accuracy. With a comprehensive library of relevant standard reports available to support strategic decision-making, your clinic's performance can be easily monitored and continuously improved, ultimately elevating the quality of care provided.

Coronis Health has more than 30 years experience in revenue cycle management and medical billing. We understand the impact that new legislation can have on medical facilities. We're breaking down the No Surprises Act and how it could impact your bottom line as the No Surprises Act goes into effect. Coronis Health, a global healthcare revenue cycle management and medical bill company, offers specialized solutions and global capabilities. Coronis Health combines industry-leading technology with high-touch relationships building to allow healthcare professionals & facilities focus on patient care, financial independence, and financial success.

Gentem Health revolutionizes the reimbursement process by efficiently managing the complete billing and revenue cycle while also providing advance payments to private medical practices. With our platform, nothing is overlooked, as it acts as a comprehensive hub for understanding billing operations and tracking essential metrics, ensuring you maintain control over your revenue. We recognize the critical importance of cash flow and access to capital to enable sustainable growth for your practice. By partnering with Gentem, you can secure working capital while we meticulously submit, review, and follow up on your claims. Our team of specialized experts, equipped with cutting-edge technology, is committed to optimizing your collections. Our innovative technology is designed to deliver impactful results. Additionally, our advanced analytical tools and AI-driven automations empower you with unprecedented control over your practice’s financial health. With real-time performance analytics and timely notifications, you will have complete visibility into your claims process, guaranteeing that every claim receives the attention it deserves and nothing is ever overlooked. Thus, by leveraging our platform, healthcare providers can focus more on delivering quality patient care while we handle the complexities of revenue management.

At Pulse, we focus on streamlining workflows to enhance patient care and ensure that physicians receive timely compensation. Our flexible revenue cycle management (RCM) models are designed to meet the specific needs of your practice, facilitating effective administrative and clinical functions. We adopt a customized approach that aligns with your business goals and can adapt our solutions to boost your profitability. In terms of financial performance, we aim to enhance your RCM key performance indicators, improve revenue and cash flow, and minimize write-offs as well as days in accounts receivable. Our personalized service ensures that a dedicated team of experts is assigned to your practice, committed to simplifying workflows and increasing profitability. We offer exceptional value through comprehensive and adaptable RCM solutions backed by highly trained professionals, streamlined processes, automation, infrastructure, and cutting-edge technology. As a prominent Electronic Health Record (EHR) and Practice Management (PM) company, Pulse is proud to be part of the Amazing Charts and Harris Healthcare family, with a rich history of providing technology and value-added services to medical practices. Our commitment to innovation and excellence continues to shape the future of healthcare management.

From managing schedules to generating reports, coding to collecting payments, and everything else in between, Simplify’s comprehensive digital software platform combined with revenue cycle management offers a hassle-free, one-stop solution that brings peace of mind. This holistic approach is a source of comfort for many. The cornerstone of Simplify’s success lies in our deep understanding of your business, enabling us to enhance your workflows effectively. With decades of experience in Ambulatory Surgery Centers (ASCs), we truly comprehend the challenges you face because we have navigated them ourselves. Our unique technology and revenue cycle solutions are essential for your center’s vitality — they operate in harmony, maintaining constant communication. All the necessary tools and support for your center work in unison, ensuring that you can not only survive but thrive! Optimizing the revenue cycle for ASCs demands a strategic perspective that goes beyond simple task management. Simplify focuses on creating and implementing proactive, cohesive revenue cycle strategies aimed at boosting cash flow and ensuring ASCs are well-positioned for sustainable profitability in the future. With our expertise, you can rest assured that your financial health is in capable hands.