Top ResolvMD Alternatives

Office Ally's Service Center is relied upon by over 80,000 healthcare practitioners and service organizations to effectively manage their revenue cycles. The platform offers functionality for verifying patient eligibility and benefits, as well as the ability to submit, amend, and monitor claims statuses online while also facilitating the reception of remittance advice. By supporting standard ANSI formats, data entry, and pipe-delimited formats, Service Center significantly enhances administrative efficiency and optimizes workflows for healthcare providers. Furthermore, this comprehensive tool empowers organizations to focus more on patient care by reducing the time spent on administrative duties.

OpenPM delivers a comprehensive billing and claims management system that streamlines accounts receivables while generating detailed reports to enhance organizational oversight. Being a browser-based application, OpenPM offers unprecedented access to your system from anywhere. With its real-time claims management capabilities, this software is designed to boost your cash flow and simplify the billing and claims follow-up processes. We invite you to delve deeper into OpenPM and reach out to us for a personalized demonstration tailored to your practice's needs. Additionally, our solutions encompass a wide array of features including medical billing software, revenue cycle management, practice management systems, EMR and EHR integration, and efficient patient scheduling, ensuring that every aspect of your practice is effectively managed.

Speedy Claims stands out as the leading CMS-1500 software, renowned for delivering exceptional customer support to our vast clientele throughout the United States. While medical billing may not be the most thrilling task, it is an essential duty that must be undertaken. Despite the inherent monotony of the job, it doesn’t have to be overly complicated or take up too much time. With Speedy Claims CMS-1500 software, completing the billing process is streamlined and efficient, freeing up your schedule for more fulfilling activities, like caring for patients. This software is widely regarded as the best HCFA 1500 solution available, featuring an intuitive interface coupled with robust functionalities designed to minimize repetitive tasks. Additionally, it includes advanced error-checking mechanisms to ensure that your HCFA 1500 forms are accurately filled out and comprehensive, significantly reducing the likelihood of CMS-1500 claims being rejected. By choosing Speedy Claims, you empower yourself to focus on what truly matters in your practice.

The Virtual Examiner®, developed by PCG Software, serves as a comprehensive tool for overseeing an organization’s internal claims process, efficiently tracking provider data to identify fraudulent or abusive billing practices while enhancing financial recovery. This advanced software enables healthcare organizations to optimize their claims adjudication systems, processing over 31 million edits per claim, which significantly streamlines operations. By meticulously monitoring the internal claims processes, it effectively pinpoints and mitigates payments made for incorrect or erroneous codes, ultimately preserving premium dollars. Beyond mere claims management, the Virtual Examiner® acts as a robust cost containment solution that analyzes claims for not only abusive billing patterns but also those that may require attention to third-party liability coordination, case management opportunities, physician billing education, and various other valuable cost recovery insights. Its multifaceted approach provides healthcare organizations with the tools they need to navigate complex billing landscapes and improve overall financial health.

AZZLY Rize stands out as the leading clinical and business platform tailored for organizations focused on addiction treatment and mental health. This innovative technology platform is designed to grow alongside your needs, allowing you to utilize a variety of features according to the specific requirements of your program and staff. For OUTPATIENT Programs, essential features include e-check-in, scheduling, appointment reminders, Zoom telehealth, treatment plans, progress notes, assessments, and surveys, while RESIDENTIAL Programs benefit from functionalities like census management, medication oversight, bed board tracking, withdrawal management, DrFirst e-prescribing, EPCS, PDMP integration, and laboratory services. Across all types of programs, users can rely on alerts, robust patient engagement tools, exceptional implementation and support services, and efficient electronic billing and claims submission. As a comprehensive all-in-one solution, AZZLY Rize empowers treatment centers to enhance their compliance, manage revenue cycles effectively, and meet reporting obligations with ease. This platform is specifically designed for mental health and substance use disorder initiatives, enabling organizations to adopt a flexible pricing model that replaces outdated technology seamlessly. Additionally, users can take advantage of our compliant Master Library of Forms, or we can customize your documentation forms to align with your current practices. With the added security of being hosted on the Microsoft Azure Private Cloud Network, we ensure HIPAA privacy standards are upheld throughout all operations. Ultimately, AZZLY Rize not only streamlines processes but also significantly enhances the overall efficiency of treatment centers.

bestPT provides an all-encompassing, cloud-based platform dedicated to billing and practice management, specifically crafted for physical therapy providers. This innovative solution caters to private practices of all sizes, enabling both solo therapists and franchise owners to manage payments and revenue effectively while keeping track of claims processing. By integrating seamlessly with popular EHR systems like webPT and Cedaron, bestPT greatly optimizes the billing process, leading to improved operational efficiency throughout the entire clinic. Furthermore, this software streamlines administrative responsibilities, allowing practitioners to devote more time and attention to their patients' needs. As a result, clinics can achieve a harmonious balance between administrative efficiency and quality patient care.

Enter revolutionizes the payment process for healthcare providers, ensuring they receive reimbursements faster than any other company in history. By processing insurance claims and disbursing payments within a mere 24 hours, Enter enhances efficiency and streamlines communication with patients regarding their financial responsibilities through an advanced white-label collection system that accommodates payment plans. This innovative approach makes Enter 30 times more effective at securing claim payments and 45 times faster at billing patients, all while maintaining costs comparable to traditional medical billing services. Over the course of a single year, Enter successfully managed over $150 million in claims, demonstrating its impactful presence in the healthcare financial landscape. Additionally, providers have the advantage of accessing a substantial $100 million credit facility, further supporting their operational needs. Partnered with United Healthcare Nevada for revenue cycle management, Enter caters to a diverse array of specialties, including Ambulatory Surgery Centers (ASC), Orthopedics, Neurology, Dermatology, Emergency Rooms, Behavioral Healthcare, Pain Management, and many others. The company collaborates seamlessly with all government and commercial health insurance carriers and ensures compatibility with all EMR and practice management systems, eliminating both monthly and integration fees. Backed by venture funding, Enter is poised for continued growth and innovation in the healthcare industry.

TherapyNotes is an intuitive and all-encompassing practice management software specifically designed for professionals in the behavioral health sector. It integrates sophisticated scheduling capabilities, comprehensive patient documentation, electronic billing solutions, and a customizable patient portal. Furthermore, the platform is compliant with HIPAA and PCI regulations, which guarantees that both practice and patient data are safeguarded effectively. The challenges of overseeing a practice often result in overwhelming paperwork that can interfere with patient engagement. By offering features like efficient electronic claim submissions and streamlined ERA payment postings, users can significantly reduce errors in data entry and minimize tedious paperwork. TherapyNotes™ brings together all aspects of your practice, ultimately improving the level of care delivered to patients. Emphasizing patient-centered documentation and providing easy access to searchable diagnoses, this software empowers practitioners to spend more time with clients during sessions, ensuring that individuals receive the focused support and care they genuinely deserve. With its robust functionality, TherapyNotes not only simplifies administrative tasks but also fosters stronger therapeutic relationships.

PlanXpand™ is a cutting-edge transaction processing engine crafted by Acero, designed to support all products tailored for health benefits administrators. This innovative system empowers clients to adopt Acero’s solutions either in full or incrementally, providing them with the versatility to fit their unique operational needs. In addition to choosing from a comprehensive selection of standard products, administrators are encouraged to leverage PlanXpand™ to develop customized solutions that enhance their existing system functionalities. Acero stands out with its distinctive, integrated offerings that utilize a Service-Oriented Architecture, allowing health benefits administrators and insurers to seamlessly expand their current adjudication platforms with added features and capabilities. The sophisticated design and engineering behind our solutions enable real-time adjudication for all types of claims, which directly interfaces with the core claims system, enhancing processing accuracy, boosting customer satisfaction, and minimizing the need for claims adjustments. This remarkable adaptability and meticulous precision in claims processing not only enhances operational efficiency but also reinforces Acero’s position as a frontrunner in the health benefits administration industry. Ultimately, our commitment to innovation ensures that clients can navigate the complexities of health benefits management with confidence and ease.

With over 30 years in the field of revenue cycle management and medical billing, Coronis Health is well-equipped to navigate the complexities of new legislation affecting medical facilities. As we delve into the implications of the No Surprises Act, it’s essential to understand how this regulation might influence your financial outcomes once it is implemented. As a prominent player in the global healthcare revenue cycle management sector, Coronis Health provides tailored solutions and extensive international capabilities. By merging cutting-edge technology with a focus on fostering strong relationships, we empower healthcare providers and institutions to prioritize patient care while achieving financial independence and overall success. This dual approach not only enhances service delivery but also supports long-term sustainability in the ever-evolving healthcare landscape.

At the point-of-care, processes for authorization, claim processing, and payment are efficiently integrated. By enhancing care coordination, we aim to achieve improved health outcomes while reducing medical expenses and simplifying administrative workflows. Engaging providers directly at the point of care allows for immediate data sharing and collection, facilitating an unparalleled flow of health information. Our collaboration with clients focuses on developing risk management strategies that lead to superior outcomes at reduced costs. We strive to enhance the experience for all participants within the healthcare ecosystem. To maximize the effectiveness of our clients' resources, we ensure a minimum return on investment of 3:1. Conexia has developed a versatile core technology platform known as ONE, which can be tailored to align with the varying regulatory needs and operational workflows of each client in different regions. Typically, our initial implementation serves as an enhancement to the existing technology framework of payers, enabling real-time operational capabilities that significantly improve efficiency. Ultimately, our goal is to create a seamless integration that benefits all stakeholders involved in the healthcare process.

Boost the efficiency of your healthcare establishment by adopting DrChrono’s all-in-one platform, which integrates practice management, electronic health records, and medical billing into a cohesive system. With its modern and intuitive interface, coupled with a wide range of advanced features, DrChrono empowers healthcare providers to enhance the quality of patient care. Medical professionals can easily manage patient appointments, update and assess medical charts, and process billing tasks with minimal effort. This comprehensive solution simplifies workflows, enabling healthcare teams to dedicate more attention to patient needs rather than administrative duties. As a result, the overall experience for both providers and patients is significantly improved, fostering better health outcomes.

User-friendly practice management software designed specifically for chiropractors facilitates online appointment scheduling, billing management, and access to electronic health records (EHR). zHealth also offers fully adaptable SOAP notes that can be created by clicking, typing, or dictating, ensuring that practitioners can document patient information efficiently. This versatility streamlines the workflow for both practitioners and patients, enhancing the overall experience in chiropractic care.

Claimocity was meticulously crafted for healthcare professionals with hectic routines who deliver care in Acute Care or Step Down settings. This cutting-edge platform is recognized as the first PM and RCM software specifically designed for hospitalists. Functioning as a comprehensive mobile application for both billing and practice management, it caters to those overseeing patients in these vital environments. Its distinctive features permit the replication of prior notes in a manner that traditional solutions like EHRs and EMRs are unable to achieve. By skillfully integrating and streamlining two separate daily documentation and billing workflows, Claimocity drastically cuts down the time needed for these tasks. The note capture functionality can seamlessly fill in notes with essential vital signs while drawing necessary information directly from the patient chart. Additionally, it accommodates a wide range of complex templates tailored to various practice needs, including calibrated encounter notes, procedure-specific documentation, straightforward text notes, or any combination of pre-structured context-driven formats. Users have the flexibility to copy and paste large data sets from external sources into any text area, simplifying the documentation process prior to finalizing and submitting. This holistic approach not only boosts operational efficiency but also significantly allows clinicians to devote more attention to patient care instead of administrative responsibilities. Overall, Claimocity represents a substantial advancement in the intersection of technology and healthcare management.

Elevate your claims management approach while minimizing denials through exceptional edits and an outstanding clean claim rate. Healthcare providers must leverage cutting-edge technology to guarantee accurate claim submissions and prompt payments. Claims Director, the innovative claims management platform offered by SSI, streamlines billing processes and enhances transparency by guiding users through the entire electronic claim submission and reconciliation experience. As reimbursement standards from payers evolve, the system diligently monitors these adjustments and modifies its operations accordingly. Additionally, with a wide range of edits at industry, payer, and provider levels, this solution enables organizations to optimize their reimbursement strategies efficiently. By embracing such a robust tool, healthcare systems can witness a remarkable improvement in their financial performance, ensuring sustainability and growth in an increasingly competitive landscape.

PayorLink solutions offer a comprehensive platform that transcends basic medical claims management for employers, with the goal of improving employee benefits while reducing healthcare costs, promoting healthy habits, and enhancing overall workforce productivity. The rising expenses associated with employee healthcare present a significant challenge worldwide, prompting concerns from both payor organizations and healthcare providers. Tailored specifically to minimize health-related spending for payors, PayorLink™ encourages higher employee productivity and enhances the quality of claims submitted by providers through efficient information sharing between payor entities and their partner healthcare facilities, including clinics, hospitals, and medical centers. Furthermore, it features tools for creating Employee Health Profiles and conducting Assessments, which are instrumental in achieving staff wellness and productivity. By prioritizing these key areas, PayorLink not only tackles pressing financial issues but also cultivates a more vibrant and health-conscious workplace, ultimately contributing to a more sustainable healthcare ecosystem. This holistic approach to employee health represents a significant advancement in how organizations manage and optimize their healthcare resources.

Venue ™ Claims Management for Independent Adjusters delivers a comprehensive solution for managing the entire workflow of claims processing. This innovative system caters to a diverse range of users, including adjustment firms, third-party administrators, insurance companies, and self-insured entities. Users benefit from a highly adaptable interface that allows for extensive customization of the claims management system to suit their unique requirements. The platform features an integrated web service interface, which enables both real-time and batch data imports, updates, and exports to nearly any external source of claim-related information. Additionally, it ensures smooth integration with policy and billing systems, allowing for the real-time synchronization of crucial policy-related data, including key policy dates and alerts such as ongoing fraud investigations and assumed policies. The system is equipped with robust functionalities for every aspect of claims processing, encompassing claim payments, recovery processes, reserves monitoring, contact management, trust accounts, forms templates, and comprehensive reporting tools. Ultimately, Venue ™ empowers organizations to significantly improve their claims management efficiency and overall effectiveness in handling claims. With its extensive capabilities, it stands out as a vital resource for any organization looking to optimize their claims processes.

PMS Insight stands out as a versatile medical billing service provider dedicated to offering customized claims billing and patient accounting solutions. Our expert team in Medical Billing Services prioritizes efficient and revenue-boosting billing strategies, skillfully catering to the varied needs of the healthcare industry. We take pride in extending our medical billing services to numerous cities, including Houston, Dallas, Austin, Los Angeles, New Jersey, and Boston. For healthcare organizations dedicated to providing quality patient care, the intricacies of medical billing can often become a significant distraction from their core mission. By collaborating with an experienced medical billing service like PMS Insight, healthcare professionals can ensure that all aspects of billing, authorizations, appeals, and patient follow-ups are managed with expertise. Over the years, we have continuously improved our workflows by leveraging electronic processing and integrated billing software, which enhances both efficiency and accuracy. Our unwavering commitment to excellence not only relieves the stress associated with billing tasks but also significantly improves the overall patient experience. Furthermore, we recognize that a streamlined billing process is essential for the sustainability of healthcare practices.

I-CAPS, which stands for Intelligent Claims Administration System, is a comprehensive solution tailored to address all elements of the health claims payment landscape through a cohesive structure that caters to the varied needs of payers. This includes essential functionalities such as membership management, billing, enrollment, mailroom operations, claims processing, network oversight, contracting, pricing strategies, utilization reviews, and customer support. Our I-CAPS system, combined with the Advanced Value Scale (AVS) coding compliance software, empowers clients to make well-informed decisions, aiding them in effectively managing costs. Additionally, the Advanced Network Administrator (ANA) streamlines the accuracy of provider information with high efficiency. Our innovative Resource-Based, Usual Customary, and RESPONSIBLE fee schedule (RB-UCR), grounded in RBRVS and NCCI frameworks, stands out as a market leader. To thoroughly evaluate your plan or provider’s performance, we recommend our Cost Containment Audit and Recovery Services (CCARS), which deliver a careful and non-disruptive analysis of claims efficiency. This comprehensive strategy not only boosts operational performance but also fosters increased transparency in the health claims sector, ultimately benefiting all stakeholders involved. By implementing our solutions, organizations can significantly improve their overall claims management processes while enhancing service delivery.

The Personal Billing Assistant (PBA) serves as a versatile online billing platform for OHIP that is accessible from any internet-enabled device. With its user-friendly design and extensive billing functionalities, it provides a robust solution for healthcare professionals. Security is prioritized through SSL encryption, which safeguards sensitive data. Automatic calculations take care of premiums, while time units for anesthetists and surgical assistants are generated effortlessly. Users receive unlimited phone support, making it an ideal choice for individual practitioners, AFPs, group practices, and billing services. Billing tasks can be completed in just moments, and the system supports the creation of various financial and statistical reports. The PBA is designed to integrate smoothly with CAIS Scheduler and allows for easy migration of data from the Desktop PBA to its web-based counterpart. It also enhances productivity by auto-filling new patient information obtained from the MOH. Additionally, the platform offers a customizable quick selection list for frequently performed procedures and premiums, alongside an aesthetically pleasing interface that allows for color personalization. Contact us today to learn why the PBA is regarded as the leading billing solution in Ontario's healthcare sector, and rest assured that our dedication to user satisfaction will provide you with unwavering support throughout your experience. This commitment ensures that our users can maximize the benefits of the PBA without any hassle.

HEALTHsuite offers an all-encompassing benefit management system along with claims processing software tailored for health plans that oversee Medicare Advantage and Medicaid benefits. As a rules-driven auto adjudication solution, HEALTHsuite streamlines every facet of enrollment and eligibility, benefit management, provider contracting and reimbursement, premium billing, care coordination, claim adjudication, customer service, and reporting, among other functions. By integrating these processes, HEALTHsuite enhances efficiency and accuracy for health plan administrators. This comprehensive approach ensures that all stakeholders can manage their responsibilities with greater ease and precision.

Evolent Care Partners, a healthcare provider based in the Midwest, has achieved notable progress in both clinical and administrative performance, securing the impressive position of third nationally for total shared savings and the percentage of savings relative to benchmarks. By equipping independent primary care physicians with vital resources and capital, Evolent Care Partners enables them to successfully navigate and flourish under two-sided payer contracts, thus reducing their financial risks. In the realm of oncology and cardiology, New Century Health improves cost-effectiveness and care quality by utilizing clinical evidence to guide treatment decisions, an approach that garners support from both payers and providers. Additionally, Evolent Health Services enhances the efficiency of health plan operations with a comprehensive suite of services built on a modern, integrated platform and a commitment to strategic partnership. The organization also promotes the exploration of insights and updates related to value-based care, population health, and health plan management, reflecting its dedication to healthcare transformation. Overall, through these collective efforts, Evolent aspires to create a more streamlined and effective healthcare environment for all stakeholders involved.

Introducing a groundbreaking intelligent medical billing software tailored for various specialties, this innovative tool streamlines the billing process while boosting patient collections for over 75,000 healthcare providers across the country. By eliminating the need for repetitive data entry through its global data capabilities, it simplifies operations significantly. Capable of managing substantial data volumes and complexities, the software's adaptable data structure caters to the unique requirements of different practices and specialties, ensuring faster payment processing. Users can enter payments manually or take advantage of electronic remittance options, while claims undergo automatic error checks to guarantee accuracy. Additionally, the software can refile insurance claims automatically, based on pre-set conditions, enhancing efficiency. Its rapid review functionality enables quick assessment and approval of charges, and users can perform audits based on various metrics such as modality, procedure, insurance type, user, or date of service. An intuitive reporting system offers valuable insights into the financial health of both front-end and back-end billing operations, ensuring that no charge is overlooked. Moreover, the software integrates effortlessly with preferred clearinghouses or statement vendors, making it an adaptable solution for healthcare billing needs. The user-friendly interface, combined with its extensive features, positions this software to revolutionize medical billing practices significantly, promoting efficiency and accuracy in every transaction.

iNtelli-Bill provides an exceptionally skilled medical billing team that takes the load off your shoulders by handling the intricate and time-consuming back-office tasks critical for managing your practice's revenue cycle efficiently. Our in-depth expertise in physician medical billing sets us apart, enabling us to significantly enhance your revenue potential and ensure that you receive every dollar owed to you. By outsourcing your billing functions to iNtelli-Bill, you free up valuable time that can be redirected toward your primary focus—patient care. We offer not only professional medical billing services but also practice management solutions custom-designed for a variety of specialties, including General Practice, Primary Care, Pediatrics, Neurology, Urology, Cardiology, Psychiatry, Pain Management, Anesthesiology, and Surgery, thereby providing numerous physicians with access to our specialist knowledge. Our unwavering dedication to improving your practice’s financial well-being allows you to flourish while prioritizing both patient care and their overall satisfaction. In a rapidly changing healthcare environment, our services ensure you remain competitive and profitable.

CGM DAQbilling significantly lowers operational costs while increasing revenue for small to mid-sized medical practices, billing companies, and laboratories. In contrast to numerous other practice management systems that often come with hefty price tags and complications, CGM DAQbilling offers these benefits without the financial strain. Its pay-as-you-go model removes the requirement for additional licensing fees for each physician or workstation, permitting unlimited users, providers, locations, and access points. You are charged solely for the encounters or claims processed each month, making it a cost-effective solution. This practice management tool not only integrates smoothly with lab management and EHR software but is also designed with user-friendliness in mind. Furthermore, CGM DAQbilling operates as a web-based system specifically designed to simplify billing and payment workflows in your office, ensuring easy setup and management. By prioritizing efficiency, it allows practices to devote more attention to patient care instead of administrative tasks, ultimately enhancing overall service delivery. Additionally, its adaptability makes it suitable for a diverse range of healthcare settings.

HM Health Solutions provides a detailed end-to-end service tailored specifically for health plans. By utilizing the Enterprise Health Solution, you gain access to essential support, enabling you to reach your business objectives through a unified, all-in-one health plan administration platform. This comprehensive suite encompasses various functionalities, which include sales, enrollment, billing, claims processing, provider management, clinical oversight, and customer support. What sets the Enterprise Health Solution (EHS) apart is its designation as the only verified end-to-end system that guarantees a seamless experience for members, guiding them from the enrollment process right through to claims payment. Although other providers may claim to offer a fully integrated solution, they often neglect to mention that achieving genuine integration typically involves the stepwise acquisition of multiple modules. In contrast, the Enterprise Health Solution is singularly dedicated to health plan administration, showcasing our unparalleled expertise in the payer landscape. Therefore, selecting EHS means you are choosing a platform that is committed to addressing the specific requirements and enhancing the operational efficiency of your health plan. This dedication ensures that your organization can navigate the complexities of health plan management with confidence and ease.

Flash Code™ presents a cutting-edge coding solution specifically designed for the healthcare industry. Our objective is to provide exceptional, intuitive, and cost-effective software along with unmatched customer service. Being a part of the Practice Management Information Corporation, the leading independent publisher of coding resources, we can deliver a holistic approach to meet your coding and compliance needs through our software and printed publications. We value your interest in the advantages that Flash Code can bring to your operations. Furthermore, this collaboration enables MCCS to broaden its offerings, providing sophisticated electronic coding and compliance tools tailored for the healthcare sector. Whether it's a physician confirming medical necessity codes during patient interactions, an insurance manager verifying the accuracy of diagnosis codes, or a benefits analyst scrutinizing health insurance claims for adherence to correct coding standards, MCCS is well-equipped to enhance these critical processes. Our ultimate mission is to empower healthcare professionals with the necessary tools to effectively manage the complexities of coding and compliance, ensuring that they can focus on delivering high-quality patient care with confidence. Through our commitment to innovation and support, we aim to be a trusted partner in your coding journey.

DuxWare is a specialized software solution tailored for medical practices, catering to the needs of physicians, practice managers, billing services, and integration collaborators. This platform helps healthcare providers maintain organization, enhance security, and expedite payments effectively. With its user-friendly interface, DuxWare features automated appointment reminders, on-hold messages, messaging capabilities, and real-time claim scrubbing among other functionalities. Additionally, its comprehensive tools streamline administrative tasks, allowing medical professionals to focus more on patient care.

An innovative and straightforward approach designed specifically for HME/DME professionals facilitates significant advancements in their operations. We streamline every aspect, from order processing and distribution to scheduling, inventory management, billing, and comprehensive reporting. Our mission is to rethink traditional workflows and enhance the overall healthcare experience for all stakeholders. The administrative tasks of order fulfillment, patient communication, and timely service delivery can definitely be optimized for better efficiency. To effectively manage your operations, consider downloading the NikoHealth mobile delivery application. This electronic documentation system allows for a completely paperless environment, covering everything from scheduling to inventory oversight and workflow management. The HME DME software is user-friendly, making it easy for your team to adapt quickly and boost productivity. Additionally, we offer expert support and services to guide you through your digital transformation process. Our dependable implementation not only aligns with your business objectives but also promotes industry best practices for sustainable growth. By investing in these solutions, you position your organization for success in the evolving landscape of healthcare delivery.

ClaimBook optimizes the insurance claims process by enabling faster settlements, improving accountability, and minimizing rejection risks. It offers a range of features that address every element of claims management and evidence submission comprehensively. In addition, ClaimBook supports international patient care through tailored workflows, thereby encouraging medical tourism. The platform's built-in Rules Engine ensures that incomplete submissions are flagged, requiring all relevant information and documentation to be included, which results in submissions that are accurate, complete, and pre-approved. Moreover, ClaimBook utilizes Smart Data Extraction technology to analyze uploaded documents and extract crucial information from an affiliated Hospital's Information System, removing the necessity for manual data entry. Another noteworthy aspect of ClaimBook is its Integrated Emailing feature, which establishes a virtual inbox right on the dashboard, allowing users to draft emails in a layout reminiscent of Microsoft Outlook. This integration not only boosts productivity but also facilitates uninterrupted communication during the claims process, ultimately making it more efficient and user-friendly. By providing these advanced tools, ClaimBook significantly enhances the overall experience of managing insurance claims.

Our team comprises specialists in medical billing and technology who work together to create efficient and affordable business strategies tailored to various healthcare environments, including Nursing Homes, Long-Term Care Facilities, Home Health, Internal Medicine, Family Medicine, Urgent Care, Emergency Rooms, Pediatrics, Cardiology, Mental Health, Infectious Diseases, Dental, Physical Therapy, Pain Management, Chiropractic Care, Durable Medical Equipment, General Surgery, Infusion Services, Gynecology, Podiatry, Telemedicine, Hospitals, and Workers' Compensation. Health Care Systems Corporation boasts a legacy that began 43 years ago in 1975 when it was founded as a service bureau through a collaboration of several long-term care providers. Throughout the last four decades, we have effectively delivered medical billing services to a wide array of clients, adjusting to their specific requirements, whether they need short-term help or long-term partnerships, irrespective of their software preferences. If your Business Office Manager is unavailable due to vacation, illness, or feeling overwhelmed, we stand ready to offer the essential support needed to maintain seamless operations. Our dedication to high standards has established us as a reliable ally in the healthcare sector, and we eagerly anticipate assisting you in overcoming your billing obstacles while fostering lasting relationships in the process.

Enhance patient care quality, optimize office procedures, and increase profitability with ChartLogic, an all-in-one Electronic Health Record (EHR) software designed specifically for private medical practices. This innovative software is developed to integrate seamlessly with the workflow of different specialties and personal preferences, allowing physicians to effectively document patient interactions while securely managing data at a competitive cost. The ChartLogic EHR suite features comprehensive tools for Electronic Medical Records (EMR), practice management, and medical billing, promoting a well-rounded approach to healthcare administration. With a user-friendly interface, ChartLogic not only boosts physician productivity but also allows them to concentrate more on improving patient outcomes. By leveraging this technology, medical practices can ensure smoother operations and a better overall experience for both providers and patients.

SpyGlass, our cutting-edge software designed for enterprise-level health claims management, offers a flexible and powerful solution for achieving precise and efficient claims processing. This platform greatly simplifies the configuration of benefits and plans. Complementing SpyGlass, BenefitDriven provides specialized features such as eligibility verification, contribution accounting, and pension management tailored specifically for the Taft-Hartley sector, which includes a thorough array of data and processes for both Participants and Employers. Our comprehensive EDI gateway and scheduler, known as HIPAA Director, serves as a pivotal hub, facilitating effortless connections with vendor partners to reduce transaction costs, optimize batch transfers, and automate the entire transfer process. With SpyGlass, you not only gain a broad overview of your population but also have the ability to easily access detailed information. The platform offers a vast array of customizable reports and dashboards, allowing you to maintain complete control over your system, ensuring that all the necessary tools for informed decision-making and operational optimization are readily available. Ultimately, SpyGlass empowers organizations to significantly boost their efficiency and effectiveness in managing health claims while adapting to the evolving needs of the industry. Through its innovative features and user-friendly interface, SpyGlass stands out as the ideal choice for organizations seeking to streamline their health claims processes.

HealthAxis delivers comprehensive solutions tailored for payers, providers, and healthcare organizations. Our offerings encompass a sophisticated claims processing system, third-party administrator (TPA) services, and insightful analytics to drive meaningful results. By streamlining operational processes, we enhance both patient experiences and client satisfaction. While the healthcare landscape is increasingly embracing technological advancements, it still faces challenges linked to outdated systems, coordination difficulties, and information management hurdles. Our mission is to introduce innovative strategies to those grappling with these obstacles. We view our clients as full business partners, firmly believing that our achievements are interconnected with their ongoing success and development. By empowering our partners, we enable them to deliver greater value to the communities they serve, fostering growth in membership and broadening their operational reach. Each member of our team understands their crucial role in supporting our partners to unlock their full potential, ensuring a collaborative journey toward excellence in healthcare delivery.

Cortex EDI delivers an extensive array of services tailored to improve efficiency within medical, institutional, and dental settings. Our no-cost medical billing and claims clearinghouse software allows you to streamline your operational workflows effortlessly. With intuitive tools at your disposal, handling client billing becomes a breeze, enabling you to recover precious time. Furthermore, our offerings encompass crucial features such as verifying patient eligibility for private insurance, Medicare, and Medicaid. We are proud to offer our complimentary medical billing software to various practices, free from any signup fees or binding contracts. By signing up today, you will also gain access to complimentary training, equipping you to effectively utilize our practice management and medical claims clearinghouse tools. Seize the chance to unify your diverse EDI service needs with Cortex EDI and initiate the journey toward enhancing your workplace productivity. As a leading provider of electronic medical transaction solutions, Cortex EDI is dedicated to meeting your practice's operational demands while fostering your growth in the industry. Embrace this opportunity to elevate your practice’s efficiency and thrive in an ever-evolving healthcare landscape.

Develop a seamless patient experience that instantly connects with your practice management system, providing a distinctive solution that can both read and write data in real-time. Our focus is on optimizing bidirectional integrations with EHR and practice management systems, which allows for the rapid launch and enhancement of your product in just weeks rather than years. Our engineering team actively employs our own API to create a doctor-facing SaaS product, guaranteeing a thoroughly tested and scalable user experience. With features like online patient scheduling, prospective clients can check your availability in real-time and easily book appointments from any device or location. The scheduling software from NexHealth is crafted to effortlessly customize your calendar right from the start. Our committed team of product specialists is here to support the integration of your calendar of record and EHR system, no matter how complex your scheduling requirements may be, ensuring a smooth and effective implementation. By refining these elements, we strive to greatly boost the overall productivity and functionality of your practice while enhancing patient satisfaction. Emphasizing both technology and user experience, we aim to revolutionize the way healthcare professionals manage their appointments and patient interactions.

Elevate your clinic's appointment coordination by obtaining enhanced insights into scheduling and provider availability. Effortlessly manage and schedule appointments across various providers, rooms, and locations to ensure a steady patient flow. Patients will benefit from receiving automatic invitations to complete their intake forms online, with customizable digital documents that can be accessed via smartphones or personal devices. This data is seamlessly integrated into their patient charts, simplifying the entire experience. Mitigate the chances of no-shows by sending timely reminders through both email and text messages. The communication process is streamlined for both patients and staff, allowing for easy confirmations or rescheduling through two-way text messaging. Generate claims directly from patient notes along with recommended ICD-10 codes, and submit them electronically after automatic checks. A full range of services is available to manage the entire billing cycle, ensuring that submissions and payment collections proceed smoothly. Furthermore, you can quickly produce clear and defensible clinical notes using documentation templates, assessment reports, and pre-filled patient information, thereby enhancing your workflow efficiency. This comprehensive strategy not only organizes operations better but also significantly boosts patient engagement and overall satisfaction. By implementing these systems, your clinic can create a more proactive and responsive healthcare environment.

Experience unparalleled efficiency with a web-based EMR tailored specifically for dental sleep medicine, TMD, and oral surgery, allowing you to maintain complete organization for each patient. DentalWriter proficiently assembles your medical necessity cases through customized SOAP reports, which are instrumental in obtaining medical reimbursements and facilitating physician referrals. Its smart cross-coding functionality makes transitioning from dental to medical billing straightforward, ensuring both precision and convenience. A dedicated billing service concierge will manage all subsequent procedures on your behalf. Additionally, DentalWriter Plus+ utilizes intake and examination data to generate personalized SOAP reports critical for reimbursement and effective communication with healthcare providers. Boost your practice's efficiency and actively promote your dental sleep and TMD services with just one click. This all-encompassing solution not only optimizes operational workflows but also enhances the quality of care you offer to your patients, allowing you to focus more on their needs. Ultimately, DentalWriter empowers your practice to thrive in a competitive healthcare environment while ensuring the best possible outcomes for your patients.

Founded in 2001, HIPAAsuite aims to deliver various HIPAA-compliant EDI solutions tailored for the healthcare sector, easing the challenges associated with EDI files. The software products we offer have been meticulously crafted by experts in the field to enhance the efficiency of electronic medical processing workflows while adhering to standard HIPAA regulations, ultimately benefiting healthcare providers and their operations.

Cvikota Medical Business Services stands as your dependable partner for achieving successful medical billing results. Operating in the United States, Cvikota MBS has spent over fifty years focusing on revenue cycle management. Throughout these decades, we have refined our best practices to provide customized, high-quality billing services that guarantee outstanding value. Renowned for our proficiency in medical billing and comprehensive practice management, we leverage our unique expertise and established methodologies in every relationship we build. Independent healthcare providers, hospitals, and outpatient centers frequently rely on us as their trusted, all-in-one revenue cycle management solution. Are you prepared to utilize our knowledge in practice management and medical billing to improve your outcomes? As a proud USA-based medical billing firm, we are committed to assisting independent physicians in successfully managing their accounts receivables and achieving exceptional results in their practices. By partnering with us, you can unlock new levels of efficiency and effectiveness in your billing processes.

Waystar delivers cutting-edge technology that enhances and consolidates the revenue cycle process. Their cloud-based solution optimizes workflows, boosts financial performance for healthcare providers, and enhances the transparency of the financial interactions for patients. Since 2010, Waystar has consistently earned the top spot in KLAS rankings for Claims & Clearinghouse. Additionally, it has been recognized as the #1 choice in Black Book™ surveys since 2012 and won the Frost & Sullivan North America Customer Value Leadership Award for ambulatory RCM services in 2019. Currently, over 450,000 providers, 750 hospitals, and 5,000 plans utilize Waystar's services. The platform seamlessly integrates with all leading HIS/PM systems, ensuring a cohesive experience. For more details, visit Waystar.com or follow @waystar on Twitter. Their commitment to innovation continues to shape the future of healthcare billing and revenue management.

EZ Office Suite is a versatile management software designed specifically for medical practices, developed by EZ Healthcare located in New Orleans, Louisiana. With a rich history of two decades within the healthcare industry, EZ Healthcare has engineered a solution that includes all the vital tools a physician requires to efficiently manage their practice. The software features a modular design, allowing users to select only the functionalities they need, which helps accommodate the changing needs of an expanding medical practice. As a medical office grows or undergoes transformations, EZ Office Suite is built to seamlessly adapt, offering steadfast support that evolves with the healthcare provider. This cutting-edge software optimizes numerous elements of a medical practice, such as billing procedures and the management of electronic health records. Furthermore, EZ Office Suite simplifies the process of scheduling patient appointments, while automated reminders keep patients updated about their upcoming visits, notably decreasing the chances of missed appointments. By utilizing these features, physicians can dedicate more time to patient care rather than getting bogged down by administrative responsibilities, thereby enhancing the overall quality of the healthcare experience. The integration of these tools helps ensure that practices can operate more efficiently and effectively in the ever-changing landscape of healthcare.

Jopari ProPay is a sophisticated cloud-based payment processing system tailored for healthcare payers, offering a variety of payment methods including EFT/ERA, virtual cards, and traditional paper checks, as well as a self-service portal for accessing Explanation of Benefits (EOBs) and remittance advice (R) delivery, all while ensuring compliance with 835 transactions for electronic billing. This innovative solution allows healthcare payers to move away from paper-dependent procedures, significantly reducing operational expenses by streamlining payment and remittance processes. By enabling payers to outsource their payment processing responsibilities, Jopari ProPay allows organizations to concentrate on their core business functions more effectively. The platform also offers healthcare providers a diverse array of payment delivery options, allowing them to choose what best meets their needs. Additionally, providers can access the self-service portal to track their EOBs and payment statuses, which enhances their overall experience. Jopari ProPay distinguishes itself as a secure and compliant payment processing choice, earning the confidence of over 50,000 ERISA health plans and fully insured groups, which underscores its dependability within the industry. Furthermore, its intuitive interface and extensive support features are key factors in its increasing popularity among both healthcare payers and providers, making it a valuable asset in the healthcare payment landscape. The platform’s commitment to innovation continues to drive its adoption and success in an ever-evolving market.

Filing claims is often a complex yet vital task that many people, more than 60%, choose to avoid due to its convoluted nature and the significant time it demands. Artivatic has developed a tailored claims platform that addresses the needs of various insurance sectors, allowing companies to provide a seamless digital claims experience, facilitate self-processing, automate assessments, and improve the detection of risks and fraud while also managing claims payments. This innovative platform is designed to meet all your claims-related needs, delivering a fully automated and thorough evaluation process. Whether you're dealing with auto, health, travel, accidental, death, fire, SME, business, or commercial claims, this solution ensures comprehensive coverage. By simplifying the claims mechanism, Artivatic seeks to boost operational efficiency and enhance overall customer satisfaction, paving the way for a more user-friendly experience in the insurance landscape. With such advancements, the future of claims processing looks significantly brighter.

In July 2012, Medical Data Technologies introduced Version 6 of its flagship product, E Med Pro, which combines Microsoft technology with a SQL database to greatly enhance the user experience. This state-of-the-art version is specifically crafted to assist Physicians, Dentists, and Billing Centers in optimizing their reimbursement capabilities through compliant claim processing software that adheres to HIPAA regulations. Our goal is to empower healthcare professionals by offering cutting-edge software and data processing solutions that cater to their specific requirements. We emphasize open communication with our clients, striving to understand their technology usage while providing essential software, hardware, and support to help them reach their objectives. By venturing into new realms of healthcare technology, we expand our clients' possibilities, develop innovative products, and ensure our solutions seamlessly fit into their existing workflows. Furthermore, we assist our customers in efficiently managing claims, protecting their computer systems, and preserving patient privacy with dependable HIPAA-compliant hardware, software, and operating systems, ensuring they maintain a competitive edge in the healthcare sector. Ultimately, our dedication to innovation and exceptional customer service solidifies our reputation as a frontrunner in healthcare technology solutions, continually adapting to meet the evolving needs of the industry. By remaining responsive to the changing landscape, we aim to enhance the overall effectiveness of healthcare providers.

In the ever-evolving realm of healthcare, the financial and operational soundness of your organization is crucial for achieving success. To truly excel, it's imperative to establish the ideal combination of staff, products, and processes that goes beyond simply processing payments. Our revenue cycle management suite is tailored to help organizations effectively manage claims scrubbing and confirm patient eligibility. TruBridge focuses on expediting payment processes for hospitals of various sizes by utilizing a strategic mix of personnel, products, and process improvements. Our extensive portfolio of Revenue Cycle Management solutions encompasses consulting services, a product recognized by HFMA Peer Reviewed®, and thorough business office outsourcing options. For many years, TruBridge has committed itself to enhancing the operational efficiency of hospitals, physician clinics, and skilled nursing facilities in serving their communities. As we look ahead, our experienced team is equipped to tackle the unique revenue cycle challenges your organization faces on a daily basis, allowing you to dedicate your efforts to providing outstanding patient care. This commitment to excellence not only fosters improved financial outcomes but also strengthens the overall healthcare system.

The Billworx 6 Medical Billing System is distinguished as the most comprehensive and automated billing solution currently available on the market. Suitable for both solo practitioners and large billing firms, Billworx 6 provides essential tools and flexibility necessary for success and outstanding performance. The goal of Billworx Medical Billing Systems is to offer a fully integrated medical billing solution customized to meet your specific requirements. This all-encompassing strategy starts with Billworx 6, which not only delivers unmatched features and cost-effectiveness but also includes extensive system support, regular upgrades, enhancements, and optional on-site training. With Billworx 6, you can anticipate streamlined and efficient processes for managing both insurance and patient billing. Over the past ten years, Billworx Medical Billing Systems has gathered valuable insights from numerous clinics, healthcare providers, and billing agencies, leading to the creation of a medical billing system that is exceptionally effective and comprehensive. This continuous dedication to enhancement guarantees that users have access to the latest developments in billing technology, thereby making it an essential tool for modern healthcare billing. Ultimately, Billworx 6 is designed to evolve alongside the healthcare industry, ensuring that its users stay ahead of the curve in billing practices.

edgeMED's Comprehensive medical billing and collection service proficiently oversees the entire revenue cycle, guaranteeing that your organization functions at peak efficiency and profitability. Healthcare providers, such as medical practices and health systems, strive to achieve the best possible outcomes for their patients, yet this objective is closely linked to the financial well-being fostered by a well-managed revenue cycle. Collaborating with edgeMED Essential allows you to not only boost your collections but also to perform in-depth assessments of costs and profitability, monitor contract issues, and investigate new revenue opportunities, thus laying the groundwork for mutual success and long-lasting partnerships. Whether you are part of an independent physician practice, a health system, an Accountable Care Organization (ACO), or a medical home, we are equipped to serve as your revenue cycle management experts, allowing you to concentrate on your core competencies. With over 40 years of expertise in medical billing and consulting, edgeMED is committed to enhancing your revenue and securing your financial health. Our dedication to your success is steadfast, as we understand that robust financial management is essential for delivering outstanding patient care. By choosing edgeMED, you are not only investing in financial efficiency but also in the future of your healthcare practice.

EZMed Professionals is distinguished as one of the rare billing solutions that provides an extensive array of Medical Billing Services. Our dedicated team works diligently to present a complete solution for our clients, ensuring clarity and transparency at every stage of the process. We adopt a comprehensive strategy by integrating our expertise in Medical Billing with effective Project Management skills and reliable IT Support Services. In contrast to other physician billing companies, EZMed differentiates itself with a distinctive system that ensures clients benefit from exceptional service, remarkable results, and thorough reporting. Our unwavering commitment to excellence not only sets us apart in the industry but also positions us as the preferred partner for medical billing requirements. By continuously refining our approaches and staying attuned to client needs, we further enhance our reputation as a leader in the medical billing sector.

Our setup process is designed to be both simple and highly efficient. We proactively integrate our HIPAA-compliant software and services into your existing workflows without disruptions. This innovative software is tailored to assess your patient demographics, identifying those who may qualify for Chronic Care Management (CCM) and other preventive health initiatives. By combining our committed care team with cutting-edge technology, we streamline various administrative tasks such as enrollment, eligibility checks, patient outreach, and detailed record-keeping. Our holistic approach ensures that we remain responsive to your patients' needs, facilitating prompt action when required. Furthermore, our intuitive one-click interface equips healthcare providers with vital insights about patients needing immediate care, enhancing the overall efficiency of the system. Ultimately, our operation is structured to support better patient outcomes while easing the administrative burden on medical practices.