Medical Billing Services

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AdvancedMD EHR

AdvancedMD is a unified suite of software solutions designed for mental health, physical therapy and medical healthcare organizations and independent physician practices. Features include practice management, electronic health rec...Read more about AdvancedMD EHR

3.61 (424 reviews)

173 recommendations

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CGM APRIMA

CGM APRIMA, previously known as Aprima EHR, is a market leading, award-winning EHR loved by physicians and office staff. CGM APRIMA is designed to take advantage of multiple hardware forms including the CGM APRIMA mobile app whic...Read more about CGM APRIMA

2.99 (51 reviews)

8 recommendations

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Valant EHR Suite

Valant’s Behavioral Health EHR offers tools for providers to streamline documentation, increase efficiency, and enhance productivity at their practice. The fully integrated suite includes secure patient records, documentation, sch...Read more about Valant EHR Suite

3.99 (205 reviews)

48 recommendations

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CollaborateMD

CollaborateMD is a medical billing and practice management solution that helps practices and billing services of all sizes automate and streamline billing and coding processes. The system was designed to be both comprehensive and ...Read more about CollaborateMD

4.16 (67 reviews)

9 recommendations

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MedEZ

MedEZ is an electronic health record (EHR) and billing suite suitable for most medical facilities, particularly behavioral health centers and substance abuse rehabilitation programs. On-premise and cloud-based deployments are avai...Read more about MedEZ

4.83 (18 reviews)

4 recommendations

Chiro QuickCharts

Quick Charts Complete, by DB Consultants, Inc. is a medical practice software developed for the Chiropractic industry. Chiropractic practices of small to scaling sizes can tailor the solution to accommodate their needs. Core ...Read more about Chiro QuickCharts

4.78 (99 reviews)

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RAPID

ACOM Health’s cloud-based RAPID software is your one-stop-shop in chiropractic management solutions. It combines electronic health records, practice management, billing, and patient scheduling into a powerfully robust, yet easy-to...Read more about RAPID

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athenaOne

athenahealth, recently ranked #1 by 2022 Best in KLAS for athenaClinials Ambulatory EMR for 11-75 physicians and athenaIDX practice management, provides cloud-based services for electronic health records (EHR), revenue cycle manag...Read more about athenaOne

3.72 (756 reviews)

423 recommendations

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eClinicalWorks

ClinicalWorks, an electronic health record (EHR) and practice management solution, provides technology for every step of the patient care delivery process. Clinicians access features including patient engagement, Telehealth, custo...Read more about eClinicalWorks

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HARMONY Medical

Harmony e/Notes is a hybrid integrated solution that offers functionalities for electronic medical records, practice management, billing and revenue cycle management. Specialities that the solution caters to include cardiology, ge...Read more about HARMONY Medical

4.46 (23 reviews)

13 recommendations

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WRS Health

More than just a cloud-based EHR & Practice Management software. At WRS Health, our commitment to helping physicians find balance in their roles, as healer, business owner, and human being, informs everything we do. That’s why ...Read more about WRS Health

4.46 (79 reviews)

33 recommendations

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SequelMed EHR

SequelMed is an integrated hybrid electronic health record, practice management, billing and scheduling solution from Sequel Systems that supports a wide range of specialties such as gastroenterology, podiatry, urology and more. B...Read more about SequelMed EHR

1.50 (2 reviews)

ChiroTouch

ChiroTouch is the cloud standard in chiropractic software and the only completely integrated EHR software that can be accessed any way, anytime, and on any device. Easy in Every Way - ChiroTouch is easy to get started, access, le...Read more about ChiroTouch

3.98 (811 reviews)

9 recommendations

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MedWorxs Evolution

MedWorks is a cloud-based ONC-ATCB certified, integrated electronic medical record (EMR) and practice management solution designed for midsized practices. It is suited for a variety of medical specialties such as family medicine, ...Read more about MedWorxs Evolution

4.25 (8 reviews)

CAM

Celerity’s CAM is a cloud-based, behavioral health care management solution and electronic medical records (EMR) for chemical dependency and mental health treatment providers. CAM incorporates a variety of clinical features, ...Read more about CAM

No reviews yet

1 recommendations

NueMD

NueMD offers a suite of cloud-based software and medical billing services for practices of all sizes. NueMD is an integrated practice management, medical billing, electronic health recording and appointment scheduling solution. ...Read more about NueMD

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ClinicTracker

ClinicTracker integrates a fully customizable EHR, billing software, and practice management into an integrated framework that will automate your clinic workflows, boost your staff productivity and patient engagement, while shorte...Read more about ClinicTracker

4.43 (35 reviews)

2 recommendations

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MedicsPremier

MedicsPremier supports comprehensive financial/operational/workflow management and a nearly 100% success rate on first attempt HCFA/UB clearinghouse claims with a utility for workers compensation/no-fault claims/documentation. ED...Read more about MedicsPremier

4.46 (52 reviews)

4 recommendations

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myAvatar

myAvatar by Netsmart is an electronic health record (EHR) specifically designed for organizations that provide behavioral health and addictions treatment services in community-based, residential and inpatient programs. It offers a...Read more about myAvatar

1.92 (18 reviews)

Kareo Billing

Kareo a Tebra Company offers web-based medical billing and practice management solution used by medical practitioners and physicians across the United States. The system suits small practices and billing companies. With Kareo, pra...Read more about Kareo Billing

4.04 (601 reviews)

156 recommendations

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Buyers Guide

Last Updated: November 22, 2022

While patient care remains a top priority for all medical practices, they are still businesses that need to create profit in order to survive and compete. Being such, high efficiency of billing processes is imperative for medical practices.

Medical billing comprises complex processes involving multiple variables at various levels. These variables could be in the form of manual errors during coding, claims denials from insurers, delays in claims processing at insurer’s end etc. Consequently, this crucial operation can end up consuming resources to the extent that it impacts the top priority of any medical practice.

Fortunately, there are business organizations that take up the responsibility of handling all billing-related processes so medical practices can dedicate solely to patient care.

This Buyers Guide discusses such organizations, known as medical billing service providers, and elaborates on the basic things to know before hiring one.

Here’s what we’ll cover:

What are medical billing services?
Common offerings of medical billing services
What type of client are you?
Benefits of medical billing services
Key considerations

What are medical billing services?

Medical billing services (or medical billing service providers) are organizations that take care of billing-related processes on behalf of medical practices. These HIPAA-approved services also take over a practice’s claims management, including submission of claims to clearing houses and following up on denied or rejected claims.

 

 

Common offerings of medical billing services

The first step toward selecting the right medical billing service provider is to understand their typical offerings. According to our research, the following are the common aspects you should be aware of:

Claims management Capture, organize, bill, and file medical claims related to patients’ diagnosis, treatment, and medication.
ICD-10 compliance Manage the intricacies of ICD-10 cataloging and maintain proper coding compliance.
Payment processing Securely and reliably accept payments via different modes, including online and cards.
Patient visit documentation Capture patient details during visits and document subsequent procedures such as diagnoses and prescribed treatment.
Insurance verification Gather patient insurance information and verify eligibility.

What type of client are you?

The next step is to understand the types of medical practices that seek out billing services. This knowledge will help you select billing services based on your practice requirements.

Here are the key benefits of medical billing services:

    • Integrated EHR software users: Several EHR vendors bundle billing services with their software tools. Using services from your EHR software vendor allows you to consolidate EHR functions (such as patient charting, scheduling, e-prescribing, and patient portals) with billing processes at a central point.
    • Standalone medical billing clients: Some medical practices have complex billing and compliance needs, such as multi-jurisdictional claims management, and they are typically fine with keeping their EHR and billing processes separate. Such buyers can go for standalone billing services from specialized providers.

Benefits of medical billing services

Here are some important points to consider before you finalize a medical billing service provider:

    • Specialized billing expertise: Medical billing service providers maintain specialized staff to handle billing processes specifically. Their staff undergo regular training and assessment to remain updated on new billing rules and compliances. This helps ensure billing processes with minimal errors and high claims approval rate.
    • Enhanced patient care: The service provider will free up resources by absorbing your workload, thus allowing you to focus on delivering better patient care.

Key considerations

Even though you might be hurrying to meet GDPR requirements, it is important to consider some of the below parameters when buying GDPR software.

    • Data ownership: Patient data is highly sensitive and protected by strict regulatory policies. Transferring billing responsibilities also means sharing the responsibility of patient data ownership. Inquire with vendors about data security measures at their end to ensure maximum possible protection of your patient data. Additionally, learn about their data storage and transfer conditions to ensure hasslefree operations in the event you decide to change the service provider at a later stage.
    • Service level agreements: Despite a provider promising high-quality services, there could be unexpected challenges that hamper your billing operations. Reviewing and negotiating service level agreements will help ensure that your practice is protected against the impact of such challenges.