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Netsmart's term for an electronic health record, which handles billing, scheduling and clinical workflows. The CareRecord strengthens the care delivery process across all levels of care.
An electronic health record that handles billing, scheduling and clinical workflow.
Software de cuentas por cobrar que ofrece gestión del rendimiento del ticket, datos demográficos del paciente, depósito de cargos para prácticas médicas.
Software de cuentas por cobrar que ofrece gestión del rendimiento del ticket, datos demográficos del paciente, depósito de cargos para prácticas médicas.
Clinic Essentials is a leading clinic management solution designed with a comprehensive menu of features so that you can manage and enhance every aspect of your clinic. Our easy-to-use features and intuitive interface simplify your daily tasks, such as scheduling, invoicing, reporting, and managing inventory.
A clinic management solution designed with a comprehensive menu of features so that you can manage every aspect of your clinic.
Software for medical offices and healthcare practices with one or more providers. Functionality includes specialized claim submissions.
Software for medical offices and healthcare practices with one or more providers. Functionality includes specialized claim submissions.
The IMO Medical Necessity solution enables clinicians to begin early in the process and employ automatic checks on each clinical order to reconcile if the ICD-9-CM or ICD-10-CM coded diagnosis justifies the CPT or HCPCS-coded order. If the documented diagnosis does not adequately support the patient's care, the solution warns the clinician to reassess accuracy or print an Advance Beneficiary Notice. The IMO Medical Necessity solution can also link to the specific CMS document if needed.
Technology that helps medical billers and clinicians correctly code for clinical orders and appropriate procedures for each diagnosis.
MTBC Medical Billing Service will accelerate your medical billing collections and streamline your workflow, freeing up your staff to focus on patient care. With a rules engine scrubbing your claims submissions, practice management tools to monitor denials and underpayments, and a network of support representatives throughout the medical billing process, you can expect increased collections and reduced denials.
MTBC Medical Billing Service will accelerate your medical billing collections and streamline your workflow.
HDMS is a complete patient management system providing all the necessary operational functionality required for home health care providers. Estimates and the customer service intake processes start the patient care process using a strong built in workflow engine through the entire delivery and billing cycle. Optional integrations from HDMS Mobile allow for real-time connectivity with smart devices directly into the HDMS database and application for employees on the go.
Our billing management system encompasses a wide range of tools, from Customer Service to an A/R Manager.
Modern and versatile medical billing software for healthcare providers, small, medium, large clinics and professional billing companies. MedOffice is feature-rich yet inexpensive and has low cost of ownership.
MedOffice is built with solid technology using .NET programming, MS SQL Server 2014 Database Engine, and Crystal Reports.
Modern and versatile medical billing software for professional billing companies.
MedSuite, an abeo Technology Solution, delivers quality and compliant solutions aimed at the business of anesthesiology. We pride ourselves with the ability to vastly improve the financial and operational performance of private practices, hospitals and ASC clients. MedSuite is the most widely used anesthesia billing and practice management software in the U.S. among anesthesiologists, CRNAs, AAs and anesthesia business professionals.
Web-based anesthesia medical billing solution that is improving the way anesthesiologists and surgery centers process their billing.
About Bonafide Management Systems
Bonafide Management Systems provides a complete billing service and software solution for DME businesses and medical practices.
Bonafide delivers a combination of billing expertise, and easy-to-use proprietary software. Our software is included with our billing service, because we know that the best way to make sure you get every dollar you deserve is to maximize your performance through technology.
Cloud-based platform that allows healthcare providers to streamline workflow processes with billing, patient portal, and more.
Dr. Bill is the fastest and most reliable medical billing application in Canada. It makes billing for your in-patient work easier than ever. When you see a patient, simply snap a photo of their hospital label and add a billing. Skip the paperwork, boost productivity and earn more. Available in Ontario (OHIP), British Columbia (MSP) and Alberta (AHCIP).
- 1,500+ physicians use Dr. Bill Canada-wide
- 97% payout success rate
- 8 billing experts
- $250 million billed on our platform
Dr. Bill is most reliable medical billing application in Canada. Bill on your smartphone skip the paperwork and boost productivity.
Fast and focused billing, coding, scheduling, & credentialing exclusively for hospitalists, Claimocity is AI-enhanced mobile practice management and revenue cycle software that blends time-saving smart automation tools with 24/7 concierge-level support and end-to-end industry-best billing metrics. Key features include: Smart Census, EHR, Accelerated Mobile Charge Capture, Claim Tracker, Code Assist, Proprietary Rules Engine, and Practice IQ Reporting.
The First and Only Practice Management Software Exclusively for Hospitalists. Save 10+ Hours/Week and Drive Relentless Revenue Growth!
Clarus RCM caters to providers throughout the healthcare industry.
Clarus RCM caters to providers throughout the healthcare industry.
EBS is a management solution provider for medical practitioners which streamlines the workflow. Its comprehensive modules and automation effectively addresses all the vital processes. Its single point of administration and working integrates all the major processes like patient Charting, Billing, Prescription writing, Scheduling, Scanning and Imaging, Support for Speciality EMR suites and word processing. Software packages starting at $995.00!! Ask us about our subscription program!
Management solution that integrates all the major processes like charting, billing, prescribing, scheduling, scanning, and imaging.
ClinixPM es un software de gestión de la consulta basado en la nube para las consultas de los médicos y las empresas de facturación respaldado por una asistencia destacada basada en los Estados Unidos. Prospera en sistemas multiespecializados y multioficina, ofreciendo opciones de personalización y servicio sin precedentes cuando lo necesites. La programación intuitiva, el portal para pacientes accesible, la creación de informes personalizados, las remesas automatizadas, la verificación de elegibilidad del seguro en tiempo real y la presentación electrónica de reclamos son solo algunas de sus características de eficiencia y aumento de flujo de efectivo.
ClinixPM es un software de gestión de la práctica basado en la nube comprobado y potente para las consultas de los médicos y las empresas de gestión del ciclo de ingresos.
Prodata provides medical billing services and practice management solutions designed for healthcare providers to manage their practice's administrative and billing responsibilities. Unique to the healthcare information systems industry, Prodata offers a true web-based system with extensive back-end services that empowers medical practices to improve practice revenue. Includes offloaded claim and statement processing, comprehensive reporting, and accounting management.
Subscription-based patient relationship management solution with accounting management, offloaded claim and statement processing.
Web-based electronic medical records solution that enables physicians to record patient encounters and test interpretations quickly.
Web-based electronic medical records solution that enables physicians to record patient encounters and test interpretations quickly.
Los servicios de Health Care Practice Enhancement de Claritee pueden convertir tus datos en información valiosa que te permite ganar control, aumentar la eficiencia y mejorar tus reembolsos. El servicio de auditoría de pagos evalúa la precisión de los reembolsos del pagador. Al comparar los pagos reales recibidos de proveedores con las listas de tarifas contractuales de los pagadores, Claritee puede indicar pagos insuficientes a la línea de facturación y presentar el reclamo ante el pagador.
Plataforma de datawarehouse o de atención médica preconfigurada y personalizable que utiliza Microsoft SQL Server, Analysis Services y Excel.
Medical Billing Assistant (MBA) is a medical billing and practice management software package. MBA provides an extensive range of features including electronic billing, scheduling, advanced accounts receivable management, and real time reporting capabilities. Designed with user needs in mind, MBA can enhance your office billing, collecting and scheduling productivity. Our cost efficient approach makes MBA the perfect choice. It's not what you bill, it's what you collect.
Windows based medical billing and practice management software that includes scheduling, accounting, and real time reporting.
VisiClaim is an easy-to-use, yet affordable medical billing software that's been designed to get you up and running in no time - just download, install and you're on your way! VisiClaim makes data entry simple and intuitive through an on-screen CMS-1500 form. HIPAA compliant claims are sent electronically through VisiClaim's secure web service, and are "pre-edited" so you'll always send clean claims. Claims can also be printed, and secondaries can be billed and patient statements can be printed.
Practice management and billing solution that enables you to improve your cash flow and office efficiency.
Numerous reporting options and electronic claims processing to meet the needs of any practice.
Numerous reporting options and electronic claims processing to meet the needs of any practice.
Medical necessity denials cost providers thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. With ABN Assistant, staff can validate medical necessity, print Medicare-compliant ABNs with estimated cost, and stop over 90% of medical necessity denials.
Allows providers to minimize medical claim denials by getting a signed ABN form.
Modular electronic medical records (EMR) software with integrated medical billing system for small and medium sized physician groups.
Modular electronic medical records (EMR) software with integrated medical billing system for small and medium sized physician groups.
Visual Private Office provides your agency with a completely integrated software solution for all of your needs and is your gateway to scheduling appointments, documenting clinical services, client data management, claims management, insurance and accounting integration. Our products are designed to make you work more efficiently by assisting you with managing integrated systems of care and maximize your revenue (private pay, insurance agencies, and other third party payers).
Software that provides accounting integration, client billing, clinical records, scheduling, medication, and claims management tools.
Amber Clinic Manager is a robust, full-featured medical office billing and management package accessible to physicians and their staff from virtually any internet-connected computer. Featuring simple, easy to use, patient billing, statements and reporting; you'll have access to the information you need, when you need it, where you need it.
Online practice management featuring secure scheduling, reporting and automated electronic claims and remittance.
Software de facturación, inventario y programación de consultorios médicos diseñado para llenar reclamos de seguros de manera electrónica, producir declaraciones de pacientes, entre otros.
Software de facturación y programación de consultorios médicos diseñado para llenar reclamos de seguros de manera electrónica, producir declaraciones de pacientes, entre otros.
Software de gestión y facturación para consultorios que incluye procesamiento electrónico de reclamaciones y conciliación de pagos electrónicos.
Software de gestión y facturación para consultorios que incluye procesamiento electrónico de reclamaciones y conciliación de pagos electrónicos.
CLIN1 Web Portal for Patients: Patient Registrations, Insurance information, History, Current problems appointment scheduling, requests, medications, patient reminders for appointments, reminder for follow ups and medication alerts. Appointment alerts through portal emails and text message. New service offerings or practice announcements. Health and Medication alerts for follow up.
Patient Statments and Bill Pay options.
Makes patient healthcare information available in a flexible manner without tying up man-power for filing and retrieving.
Medical billing software for physicians and health care clinics in British Columbia, Canada. Direct insurance billing of provincial and extended health insurance plans: MSP, WorkSafeBC, ICBC, Great West Life, Sun Life Financial, Manulife and others. Patients invoicing. Custom simplified functionality based on specialty: acupuncturists, registered massage therapists, physiotherapists, chiropractors, optometrists, midwives, family doctors, surgical assistants,anesthesiologist, psychiatrists, etc,
Medical billing software with integrated direct insurance billing of public and private insurance plans for GPs and clinics in BC.
Medical practice management and billing solution with optional automated bad debts / collection agency tracking functionality.
Medical practice management and billing solution with optional automated bad debts / collection agency tracking functionality.
A complete billing solution with comprehensive medical records implementation, contact management, scheduling and report functions.
A complete billing solution with comprehensive medical records implementation, contact management, scheduling and report functions.
Los sistemas de facturación médica de Billworx proporcionan las soluciones de facturación médica más completas disponibles para servicios de facturación, prácticas médicas y hospitales y agencias de cobro. Este sistema de facturación abarca todos los aspectos del proceso de facturación y brinda opciones incalculables para la personalización según tus necesidades específicas.
Paquete de facturación automatizado para gestionar una sola práctica o un servicio de facturación nacional.
Una solución integral de gestión de reclamaciones que ayuda a los hospitales a aumentar la precisión en las reclamaciones.
Una solución integral de gestión de reclamaciones que ayuda a los hospitales a aumentar la precisión en las reclamaciones.
A web based solution for generating medical claims complying with the HIPAA transaction and code set standards.
A web based solution for generating medical claims complying with the HIPAA transaction and code set standards.
ClaimAction can automate your entire claims process, all the way to the creation of claim records in your back-end data systems--in a HIPAA-compliant 837 data format.
ClaimAction medical claims processing software provides pre-configured workflows with embedded intelligence for data extraction and validation to eliminate manual claims document handling and data entry.
ClaimAction automatically captures data field from HCFA-1500/CMS-500 medical claim forms for accurate processing with no data entry.
F1RSTAnesthesia is a comprehensive billing solution for anesthesia practices, designed to meet the needs of today's anesthesia practitioners while making the best use of Oracle technology. Save time with automatic CPT surgical and ASA coding as well efficient workflow and internal quality edit checks, freeing you to focus on delivering outstanding customer service. F1RSTAnesthesia allows for a variety to interface options and data access platforms, incorporating years of practical experience.
F1RSTAnesthesia offers a complete billing and accounts receivable solution for anesthesia practices.
Converts paper forms into an electronic file, matching the output with billing files, then generating a post ready payment file.
Converts paper forms into an electronic file, matching the output with billing files, then generating a post ready payment file.
Automated, real time verification of the critical fields of a patient's insurance eligibility data.
Automated, real time verification of the critical fields of a patient's insurance eligibility data.
Web based collection & follow up application designed to maximize cash conversion from payers by 3-5% in a 90 day timeframe.
Web based collection & follow up application designed to maximize cash conversion from payers by 3-5% in a 90 day timeframe.
Billing, reporting and document management for anesthesiologists.
Billing, reporting and document management for anesthesiologists.
Our Hosted PAR Billing program has been written for Windows with the added convenience of hosted on the Medinet server it can be accessed from Mac's.
Additional benefits of Hosted PAR Billing include:
Remote access to your billing program from any location
Guaranteed, restorable backup
Automatic updates of Fee Schedules and BC Doctors
Lower annual license fee
Accurate Clinical, Statistical and Financial Reports
Imports from several Hospital Scheduling Programs
Medical billing solution that helps businesses manage payment reconciliation, invoices, accounts receivables, and more.
837Direct currently supports Institutional and Professional 837 transactions. The Institutional 837 transaction (837i) is a reflection of the paper UB-04 and the Professional 837 transaction (837p) is a reflection of the paper CMS-1500.The current version of the 837 transactions is 5010 with the former being 4010A1. 837Direct is capable of handling import/export of your claim data in either version. In addition, it includes over 7,000 built-in business rules to catch claim errors.
Software application for healthcare providers designed to bill and create HIPAA compliant medical claims.
A solution that includes accounting reports, audit trail, electronic CMN transmission, clearinghouse capabilities.
A solution that includes accounting reports, audit trail, electronic CMN transmission, clearinghouse capabilities.
Cloud-based medical billing platform that includes account management, real-time error checking, patient scheduling, claims processing.
Cloud-based medical billing platform that includes account management, real-time error checking, patient scheduling, claims processing.
A medical billing solution that assists with digital signatures, remittance, attendance tracking, claims processing, and more.
A medical billing solution that assists with digital signatures, remittance, attendance tracking, claims processing, and more.
Billing and claims management system with accounts receivables management and payment processing for anatomic pathology laboratories.
Billing and claims management system with accounts receivables management and payment processing for anatomic pathology laboratories.
Powerful functionality for all types of specialties, Pro Health Billing will maximize your reimbursements by processing your claims accurately, a medical practice management software that increases insurance collections.
Claim Scrubbing
No-Show Tracking
Track Claim Status
Revenue Cycle Management
e-prescribing - Increase In Revenue
Appointment Reminder - 20% Drop in No-Shows
Streamline Reports and Graphs
CMS-1500 and UB-04
Patient Scheduling
ICD-10 Ready
Patient scheduling, medical billing and claims processing solution for all medical specialities.
GET PAID MORE. AND FASTER.
Our Essential medical billing and collection service tracks, measures and collects more of the money youre owed in less time than you thought possible, so you can see more patients and less paper work. Let our experts take the pain out of getting paid. We've been successfully growing our clients' revenue since 1981.
We increase physicians' revenue and improve their operational efficiency, enabling them to focus on patients, not paperwork.
Flash Code, featuring ICD-10 Smart Search provides 24/7 online access to the complete ICD-9 and ICD-10 coding systems. Search for ICD-9 and/or ICD-10 codes, see the relationships (mapping) between the two coding systems, determine sequencing, and drill down to specific billable diagnosis codes. Flash Code search results are "Code-Centric," meaning the user sees code numbers and descriptions with each search, which is the end point for their workflow.
Flash Code, featuring ICD-10 Smart Search provides 24/7 online access to the complete ICD-9 and ICD-10 coding systems.
Improves collections, simplifies billing processes and provides unprecedented productivity monitoring. Our medical billing software allows you to automate and customize your RCM billing workflow for boosted reimbursements and measurable results in staff efficiency.
Improves cash flow, simplifies processes and provides unprecedented real-time productivity monitoring by streamlining the workflow
SydaMED is modern, powerful, feature-rich & inexpensive medical billing software. SydaMED Medical billing and practice management software comes with accounting system, document scanning, and appointment scheduling. Let go of the past... The future of medical billing software is here!
SydaMED is Comprehensive & Multi-Platform! SydaMED handles the CMS-1500 and CMS-1450 (UB) as well as ERAs. It has multiple modules that can be easily integrated within.
Medical billing and practice management software that comes with accounting system, document scanning, and appointment scheduling.
Medical billing solution that helps businesses with reporting, analysis, electronic health records, practice management and more.
Medical billing solution that helps businesses with reporting, analysis, electronic health records, practice management and more.
Analyze and understand payer remits, organize and intelligently work denial issues and optimize workflows to manage overall results.
Analyze and understand payer remits, organize and intelligently work denial issues and optimize workflows to manage overall results.
theBillingBridge by BillingParadise - an app for physicians, office managers, Hospital CFOs or anyone else in the Healthcare Organization to know their revenue Performance. It has great features like Reimburse Velocity, Top Payers, Top Denials, Live Claims Status etc..,At a glance this can tell you the Top CPTs, Units billed, Total Billed, and Key Insights of your healthcare Organization. This is so convenient to have when meeting with insurance representatives for the purpose of re-negotiating.
EMR integrated Medical Billing Reporting and Revenue Analytics App.Track Your Billing Firm & Know Your Hospital's Revenue Insights..
Corral has all of the tools you need to improve and shorten the revenue cycle
Corral has all of the tools you need to improve and shorten the revenue cycle
MDBilling.ca provides fast, accurate, and reliable medical billing software and services for Ontario physicians. Our platform offers a web-based OHIP billing software that is easy to use while accessible from any computer with internet access. Our Billing Agent Services offers a unique system that helps physicians save time, while earning more.
Cloud-based solution that helps physicians manage billing operations, track payment cycles, monitor revenues and generate reports.
Aplicación de facturación OHIP basada en la web que puede acceder a reclamos desde cualquier computadora para automatizar la facturación, la programación y el flujo de trabajo.
Aplicación de facturación OHIP basada en la web que puede acceder a reclamos desde cualquier computadora para automatizar la facturación, la programación y el flujo de trabajo.
PMS Insight is a cloud based medical billing software built to streamline everything from scheduling to reporting and is easy to access from anywhere.
Cloud-based Medical Billing software offering security, accessibility, and ease of access from anywhere.
Noble*Direct billing and claims management Software system streamlines the overall billing process and makes it manageable.
Noble*Direct billing and claims management Software system streamlines the overall billing process and makes it manageable.
Sistema de facturación médica y gestión de oficinas que incluye capacidades de tratamiento de reclamaciones de seguros.
Sistema de facturación médica y gestión de oficinas que incluye capacidades de tratamiento de reclamaciones de seguros.
eClaimStatus is the work of technologists with 20+ years of experience in the medical billing Services. We understand the challenges for patients, front desk personnel, Practitioners and Billing Companies when it comes to eligibility benefit verification and claim status.
We wanted to eliminate the tedium and frustration for all thats how eClaimStatus came to be born. Single login to 700+ payers across the nation.
Insurance Eligibility Verification Software : Single Login to 700+ Insurances - 15 Day FREE Trial
Payment processing platform that enables users to manage eBills, payment plans, patient financing, staff payment, and more.
Payment processing platform that enables users to manage eBills, payment plans, patient financing, staff payment, and more.
A SaaS-based denial management system that provides reporting, workflow, appeals and contract performance analysis.
A SaaS-based denial management system that provides reporting, workflow, appeals and contract performance analysis.
Provides addiction treatment and behavioral health providers with cutting edge claims billing software.
Provides addiction treatment and behavioral health providers with cutting edge claims billing software.
An OHIP medical billing solution, allowing Ontario doctors to bill from their phone, with billing agent support.
An OHIP medical billing solution, allowing Ontario doctors to bill from their phone, with billing agent support.
HIPAA compliant automated medical billing system with an integrated dashboard to handle customer disputes and payments easily.
HIPAA compliant automated medical billing system with an integrated dashboard to handle customer disputes and payments easily.
Medical practice management software that assists in increased productivity and cash flow for medium to large sized practices. Our Doctor's Office Control System on IBMi is a solution for anesthesiology and radiology as well as most other specialties. Medical billing service businesses are also able to take advantage of the system's flexibility and "industrial strength" processing capabilities..
Medical practice management software on IBMi that assists in increased productivity and cash flow for medium to large sized practices.
Solución de administración de atención médica en tiempo real diseñada para facilitar las tareas administrativas.
Solución de administración de atención médica en tiempo real diseñada para facilitar las tareas administrativas.
P3 Healthcare Solutions delivers and comes up to expectations of physicians and specialists looking for a hiccup-free medical billing company.
P3 Healthcare Solutions delivers and comes up to expectations of physicians and specialists looking for a hiccup-free medical billing.
Web-based A/R application that helps the medical industry streamline patient billing through live chat, multiple payment plans & more.
Web-based A/R application that helps the medical industry streamline patient billing through live chat, multiple payment plans & more.
ClaimBook is a Revenue Cycle Management (RCM) solution, built to enable effective hospital insurance claims management. ClaimBook integrates with Hospital Information Systems (HIS) and billing systems of healthcare providers and brings in all TPA communications to a single platform with a proprietary intelligent email parsing technology. ClaimBook, thus, comes with the promise of a stress-free insurance desk, improved TPA accountability, reduced revenue leakage, and positive patient experience.
ClaimBook helps hospitals by accelerating the overall discharge process of insured patients, enhances Hospital revenue collection.
The medical billing program follows regulations as well as guidelines of CMS, LMPR and HIPAA.
Maintains providers' ids, tax id, and network status with the insurance company.
View history, resubmit claims, monitor payment and create follow up dates.
Creating and managing authorization.
Electronic submission of primary and secondary claims.
Generating outstanding reports to be used as discussion material for the next office meeting.
Billing
Windows based patient management and billing operation system.
TELCOR Revenue Cycle Services (TRCS) is a billing service for labs of all types and sizes. TRCS offers unmatched control and transparency allowing labs to gain efficiencies and a understanding of its data. TELCOR billing service is flexible to meet virtually every payer requirement giving labs peace of mind that claims will be compliant. With TRCS, billing managers and lab executives have exceptional visibility to all metrics. From daily billing status to monthly profitability analysis to yearly
Created to manage the unique challenges of laboratory billing, TELCOR Revenue Cycle Services is a billing service with unmatched contro
Altruis serves providers with innovative revenue-cycle management (RCM) technologies and services that deliver on the promise of healthier revenueenabling our clients to remain focused and expand on their mission of patient care. As a leading medical billing service, Altruis manages all aspects of billing, claims, denials, AR management, and payment posting. As a true RCM partner, Altruis develops technologies that enhance reimbursement.
A comprehensive revenue cycle management system that focuses on delivering healthier revenue through all aspects of medical billing.
PaymentAccelertor from ClearGage accelerates the patient payment process from beginning to end. Improve revenue cycle management with streamlined payment workflows, save admin time, reduce statement cost, and increase patient engagement, flow, and collections. Our revenue-accelerating capabilities include estimates and eligibility, auto pay on patient responsibility balances, zero-maintenance payment plans, mobile payments, patient financing, and patient payment portal.
PaymentAccelerator from ClearGage is the leading provider in Saas-based healthcare payment solutions and financial services.
Cloud based Medical Billing, Denial and Accounts Receivable Management software automates analytics and workflow management activities.
Cloud based Medical Billing, Denial and Accounts Receivable Management software automates analytics and workflow management activities.
Helps increase patient payments and reduce costs with seamless integration.
Helps increase patient payments and reduce costs with seamless integration.
Ramp up coding accuracy and boost your bottom line by using the same billing and coding intelligence platform the payors use. iVECoder is PCG's Virtual Examiner (VE) claims review engine. This advanced rules based engine with 45 million edits is used by healthcare payors throughout the USA and abroad. VE tells payors what to deny or pend for review. KNOW what the payors know... USE what the payors use... THINK like a payor!
Code search and medical billing software that uses the same billing and coding intelligence platform the payors use.
Modern cloud-based medical billing software, providing you secure, easy and everywhere access to your practice.
Modern cloud-based medical billing software, providing you secure, easy and everywhere access to your practice.
RCxRules maximizes reimbursement and coder productivity in both value-based and fee-for-service contracts. In value-based care contracts, the HCC coding software improves RAF score accuracy through improved HCC coding capture. In the fee-for-service world, the Revenue Cycle Rules detect and auto-correct billing/coding errors before a claim is created. Checking each charge against industry standard rules and custom-built rules.
RCxRules maximizes reimbursement and coder productivity in value-based and fee-for-service contracts.
FDS MedBill is the comprehensive medical billing solution that empowers your pharmacy to offer (and get reimbursed for) patient care services. Bill any insurance type for services including immunizations, supplies and medical equipment, diabetes programs, medical nutrition therapy, and diagnostic testing. Plus, get instant insurance approval with electronic eligibility verification.
FDS MedBill is a comprehensive medical billing solution designed for pharmacies that optimizes reimbursement for medical services.
GreenSense Billing software, fully integrated and combined with financial planning, claims management and reporting mechanisms, makes your practice more simplified and easier than you could have ever imagined.
The Perfect Medical Billing Software from Top Medical Billing Software Companies, to optimize your practice income.
Healthcare patient billing cloud platform for private practitioners, medical groups & hospitals that streamlines patient payments.
Healthcare patient billing cloud platform for private practitioners, medical groups & hospitals that streamlines patient payments.
Medical billing solution that helps users with medical billing, claims processing, claims scrubbing, and more.
Medical billing solution that helps users with medical billing, claims processing, claims scrubbing, and more.
Billing management tool that helps businesses with estimates, compliance tracking, practice management, and more.
Billing management tool that helps businesses with estimates, compliance tracking, practice management, and more.
Cloud-base, Private Practice Medical Software. Suitable for all specialities, completely mobile optimised, Features include, eBilling, Word Processing, SMS, Diary, Multi-Practice option, Medico-Legal compatible, option to take card payments from within the MidexPRO Fully integrated with Xero for ease with Tax. GDPR compliant to ICO standards, DSP Toolkit: standards met. Cyber Essentials assured. For a free demo and trial of the system call 0330 999 3399 or email [email protected]
The definitive Medical Software which will provide you all you need to run your private practice. Fully GDPR compliant.
Practice management software designed for ABA providers. Can handle your scheduling, billing, payroll and accounts receivable.
Practice management software designed for ABA providers. Can handle your scheduling, billing, payroll and accounts receivable.
Guía de Compra de Programas de facturación médica
Tabla de contenido
¿Qué son los programas de facturación médica?
Los programas de facturación médica ayudan a las entidades de asistencia sanitaria en sus tareas de facturación y cobros a pacientes. Estas soluciones pueden simplificar los flujos de trabajo de facturación, gestionar cuentas, facturar servicios médicos a los pacientes, codificar reclamaciones, verificar coberturas y procesar reclamaciones a los seguros, aceptar pagos, generar informes financieros y supervisar datos demográficos de los pacientes, como información de contacto y de seguro.
Ventajas de los programas de facturación médica
- Reducir los errores de facturación: para realizar una correcta facturación médica, el personal sanitario, el de contabilidad y el de otros departamentos deben conocer la terminología médica y los códigos de los tratamientos. Un pequeño error o un dato incorrecto en una factura pueden provocar el rechazo de la factura por parte del paciente o causar problemas legales a la clínica. Los programas de facturación médica ofrecen detalles completos de cada código introducido junto con los costes asociados al tratamiento. Así, las clínicas pueden codificar y facturar con precisión.
- Reducir las tareas administrativas: con los programas de facturación médica adecuados, los médicos y el resto del personal pueden optimizar los flujos de trabajo y pasar más tiempo con sus pacientes en lugar de dedicarlo a tareas administrativas. Esto es especialmente importante para pequeñas consultas en las que el mismo personal debe gestionar la carga de trabajo administrativa y la atención a los pacientes.
- Mantener el cumplimiento: el sector de la atención sanitaria es muy cambiante, igual que los requisitos legislativos y de cumplimiento. Los programas de facturación médica permiten a las clínicas mantenerse al día de las últimas normativas y cumplir los protocolos de las compañías aseguradoras en el envío de reclamaciones para su aprobación.
Funciones comunes de los programas de facturación médica
- Procesar pagos: recaudar y registrar los pagos recibidos de pacientes o sus compañías aseguradoras por los tratamientos médicos y servicios proporcionados.
- Mantener un historial de facturas: crear y mantener un registro organizado de todas las facturas y consultar historiales de pago detallados por paciente.
- Comprobar la elegibilidad del paciente: verificar las reclamaciones de seguros y comprobar la elegibilidad del paciente con su proveedor de seguros.
- Gestionar reclamaciones: organizar reclamaciones y enviarlas a las aseguradoras para su aprobación.
- Introducir códigos y cargos: asignar códigos y costes de facturación a todos los tratamientos y servicios.
- Gestionar la clínica: administrar los principales aspectos de la clínica, como el registro de datos demográficos de los pacientes y la programación de citas.
- Crear avisos de remesas: documentar los datos proporcionados por los pagadores de los seguros sobre pagos, ajustes, denegaciones y/o cualquier otro cargo no cubierto en una reclamación médica.
Consideraciones a la hora de comprar programas de facturación médica
- Integración con software de historias clínicas electrónicas (EHR) y software de gestión de clínicas: las clínicas no pueden depender únicamente de los programas de facturación para funcionar de manera eficiente. También necesitan sistemas EHR y/o software completos de gestión de consultas para crear un entorno sanitario moderno y completo. Si buscas programas de facturación médica independientes, es importante que puedas integrarlos con las otras soluciones de software médico que ya usas. Así no tendrás que duplicar la introducción de datos clínicos y de pacientes.
- Implementación del software: los programas de facturación médica se encuentran disponibles con distintas opciones de implementación: basados en la nube, autoalojados e híbridos. Cada modelo de implementación tiene sus ventajas, inconvenientes y modelos de precios. Los programas de facturación médica basados en la nube suelen ofrecer suscripciones mensuales, mientras que las opciones de implementación local, más costosas al principio, son rentables a largo plazo para las grandes empresas, como hospitales y cadenas de atención sanitaria.
- Seguridad de los datos del paciente: los historiales médicos de los pacientes contienen información personal sensible. Si eliges una opción alojada en la nube, es importante que te asegures de que los datos se mantendrán protegidos. Confirma con el proveedor cómo y dónde almacena los datos clínicos, quién tiene acceso a ellos, qué estándares de seguridad se emplean, cuáles son sus políticas de copias de seguridad y durante cuánto tiempo se conservan los datos.
Tendencias relevantes en programas de facturación médica
- La codificación asistida por ordenador (CAC) será cada vez más habitual: la CAC es un proceso perfeccionado que emplea el procesamiento de lenguaje natural para leer las recetas y gráficas médicas y decodificarlas en formatos de texto digitales. Integra bases de datos ICD-10-PCS e ICD-10-CM, así como códigos CPT, para convertir las recetas en códigos universales que se pueden añadir a las facturas y enviar a los proveedores médicos para su aprobación. Esta tecnología unificará el trabajo de las clínicas y acabará con los errores de facturación debidos a codificaciones incorrectas. Dada la necesidad de una mayor uniformidad en la codificación de las clínicas, la mayoría de programas de facturación médica comenzarán a ofrecer funciones de CAC integradas en sus soluciones. Gartner prevé que los hospitales que empleen CAC en sus procesos de facturación médica obtendrán, como mínimo, un 20 % más de ROI que aquellos que no usen esta tecnología (la investigación completa está disponible para los clientes de Gartner).
- La inteligencia artificial (IA) y el blockchain revolucionarán el proceso de facturación: la adopción del blockchain crece en muchos mercados y se espera que, para 2026, alcance los 5500 millones en el sector de la atención sanitaria. Puede ser una tecnología clave para la seguridad de los historiales médicos. También ayudará a mejorar la eficiencia del intercambio de datos entre pacientes, clínicas y aseguradoras. El blockchain facilitará la protección de los historiales médicos de los pacientes y su transmisión a otros centros. Las compañías de seguros podrán aprovechar la IA para analizar grandes conjuntos de datos con registros médicos de pacientes, reclamaciones anteriores, códigos de facturación y otros datos. Esto ayudará a generar información relevante para la empresa y permitirá establecer relaciones entre las enfermedades de los pacientes, el tipo de tratamiento proporcionado y el coste del mismo. Con esta información, las compañías aseguradoras podrán detectar errores en las reclamaciones o incluso actividades fraudulentas.