Medical Billing reviews by real, verified users. Find unbiased ratings on user satisfaction, features, and price based on the most reviews available anywhere.
Medical organizations use medical billing software to create and manage invoices for the services they provide. Health care institutions require certain industry-specific billing features, as medical invoicing varies according to patient diagnostic, treatment, and health care coverage. Medical billing software includes support for compliance with health care regulations such as the Health Insurance Portability and Accountability Act (HIPAA). In addition, medical billing solutions can increase the accuracy and speed of the billing process for health care organizations. Some advanced solutions also provide functionality for revenue management or profitability analysis.
Medical billing software needs to integrate with medical practice management software, which holds patient information, as well as with accounting software, which processes payments. Integration with benefit carriers is also required for electronic invoices or claim submissions.
To qualify for inclusion in the Medical Billing category, a product must:>
Kareo makes it easier and more rewarding for you to run an independent medical practice. We offer the only cloud-based, clinical and business management technology platform dedicated to serving the unique needs of independent practices. Our software helps you find and engage with patients, run a smarter business, provide better care, and get paid faster. From the front office to your back-end billing, Kareo Practice Management streamlines the way you work. It’s easy to use and proven powerful
With more than 65,000 members at 9,000 clinics, WebPT is the leading rehab therapy platform for enhancing patient care and fueling business growth. Ideal for outpatient organizations of all sizes, WebPT makes it easy for therapy professionals to transition from paper and outdated software to a user-friendly, cloud-based solution. With WebPT, therapists, directors, owners, billers, and front office staff have access to patients’ medical records anywhere, anytime, from any web-enabled device. We
athenahealth is providing cloud-based services for electronic health records (EHR), revenue cycle management and medical billing, patient engagement, care coordination, and population health management, as well as Epocrates and other point-of-care mobile apps. Our suite of integrated, network-enabled services works to deliver measurable financial and clinical results for providers. The billing module can be used in tandem with the EHR or on its own, and features a patented and continuously upd
TherapyNotes™ is the most trusted online practice management and EHR software for behavioral health practices of all sizes. With over 60,000 users, we're considered the largest platform for mental health professionals, offering the most intuitive software and best customer support in the industry. Our streamlined scheduling, notes, billing, and a custom client portal — plus unlimited support and superior security — can help optimize how you manage your practice, letting you focus less on adminis
CareVoyant for Home Care is an integrated, cloud-based software platform specifically designed for Home Health Care Agencies offering multiple services – Private Duty Nursing, Non-Medical, Personal Care, and Home Health - under ONE Patient and ONE Employee making it a Single System of Record. CareVoyant functions - Intake, Scheduling, Clinical, Financial, Secure Messages, Alerts, Reports and Dashboards – eliminate duplicate data entry, streamline workflow, meet comprehensive regulatory require
NextGen Healthcare’s private practice solution, NextGen®️ Office, helps practices simplify, automate, and unify clinical care—in person and virtually—so practices can save time and focus on what matters most: patient outcomes. As a HIPAA compliant, cloud-based EHR, patient data is accessible from any device with an internet connection; virtual visits are embedded directly into clinical workflows; revenue cycle management tools facilitate optimal reimbursement; and a state-of-the-art patient port
At the forefront of interoperability, Brightree’s cloud-based business management software and integrated solutions help HME/DMEs to generate new cash flows, share data seamlessly with referral sources, dramatically streamline operations and improve profitability. Through a combination of software, services, training and consulting, HME providers can simplify their business processes and dramatically improve their financial performance.
CentralReach is a leading Electronic Medical Record (EMR), practice management, and clinical platform for Applied Behavior Analysis (ABA) therapy providers who treat autism and related disorders. The web-based, HIPAA compliant system integrates critical workflows such as scheduling, billing, claims management, clinical data collection, clinical programming, progress monitoring, a mobile app and more. Additional cutting-edge solutions include precision teaching, a robust staff training and learni
Phreesia is committed to supporting healthcare organizations during COVID-19 and beyond by giving them the tools to stay open and keep their patients and staff safe. Our innovative platform enables medical practices and health systems to screen patients for self-reported COVID-19 risk factors, capture important information for telehealth visits and offer patients contactless intake workflows, including checking in from their home or car. These convenient options engage patients in their care, wh
RXNT is a fully-integrated, cloud-based healthcare software provider, offering a Practice Management (PM) solution with Medical Billing and Scheduling tools for practices and billing companies of all sizes and specialties. RXNT was founded in 1999 in Annapolis, MD; named to Inc. Magazine list of America’s 5000 Fastest-Growing Private Companies in 2019 and 2020, and a Gartner 'Software Advice FrontRunner' in 2017, 2018, and 2019. Our trusted solutions will help your practice thrive at a reasona
NextGen Healthcare delivers a comprehensive, integrated technology and services platform tailored to fit the needs of ambulatory and specialty practices of all sizes. The company powers national interoperability that lets users easily exchange patient data across disparate systems, access health information regardless of where patients are treated, and personalize and streamline patient communications. The company’s analytics offerings enable population health management and risk stratification
NueMD is an easy-to-use, cloud-based medical billing system that shortens the reimbursement cycle and increases efficiency in practices. Serve your clients better with NueMD's detailed reports on revenue trends, collection aging, and payment status. With an established client base of over 24,000 users in 50 states, NueMD is the secure choice for medical billing.
AdvancedBilling: Drive revenue with ease. All the tools you need to manage your A/R and claims processes in one database. Our robust clearinghouse automates manual processes and improves workflow. ClaimsCenter gives you auto-generated worklists, claims tracking & centralized billing. Easily identify issues with ClaimInspector that automatically scrubs claims for potential errors. Results are astonishing with nearly 100% first-pass claim acceptance. Healthier practice = healthier patients.
Azalea provides an electronic health record (EHR) platform, practice management (PM), revenue cycle management (RCM) and telehealth solutions for ambulatory and hospital care settings. Designed for efficiency, the cloud-based infrastructure drives cost savings in hardware, speeds deployment and training time, and increases application availability. Azalea is suitable for community and rural health care settings, including multiple speciality practices. Azalea EHR is 2015 ONC certified and suppo
PracticeSuite is a unified, cloud-based practice management and EHR software system that helps manage front office efficiency, revenue collection, and regulatory compliance while also managing claim errors and denials.
Valant was founded in 2005 to provide behavioral health providers with EHR technology to streamline administration and empower what’s most important: improving outcomes. Our completely new platform was born from modern, cloud architecture including an elastic and infinitely scalable data model, mobile app-inspired user experience, and an on-demand ability to respond to change without additional investment in time, money, or training.
PulsePro Practice Management is a modular software solution that allows you to have a customized practice management solution with features like master patient index, scheduling, revenue management, claims management and more.
Aprima’s proven practice management (PM) solution takes care of business with smart, flexible and intuitive tools that enable advanced scheduling, patient registration, billing, coding and claims management, business analytics and more for better, faster reimbursements and improved staff satisfaction.
CMS-1500 Software allows you to submit your claims by paper or electronically, import via Excel, with features such as submitting claims electronically, type information on screen, and save and load claims anywhere on your hard drive.
Any health care organization, whether it’s a small, specialized practice or an enterprise hospital, deals with invoices, payments, insurance claims, and overall finances. Many medical practice management solutions come bundled with medical billing functionality that ranges from automating the creation and sending of invoices to thorough claims processing. However, some practice management solutions do not include medical billing functionality, and some health care practices have no need for a comprehensive, end-to-end platform to streamline their billing process.
This is where medical billing software comes in.
In a nutshell, medical billing software automates a medical practice’s invoicing and claims processes. The solution has the ability to turn an office paperless and digital, which has the happy result of reducing overall billing errors and time spent on monitoring and managing a practice’s financial processes. Additionally, medical billing solutions can be deployed as an in-office solution, be outsourced to a medical billing service, or exist as a module within a comprehensive revenue cycle management system.
What Is the Difference Between Medical Billing Software and Revenue Cycle Management Software?
Revenue cycle management software takes on both administrative and clinical functions, simplifying and centralizing the overall patient revenue management process. Revenue cycle management systems leverage patient data, helping businesses uphold financial best practices, as well as effectively track the treatment and reception of patient care. Revenue cycle management software facilitates interoperability within a practice and even between a practice and insurance provider. Revenue cycle management software even provides granular data analytics that will help clinics and hospitals better understand billing practices and speed up existing reimbursement processes.
Medical billing software does more than automate billing and invoicing, thereby reducing the loads of paperwork and time usually spent on creating statements, verifying insurance coverage, and processing claims.
A few of the other benefits of using medical billing software include:
A few of the common users of medical billing software include:
On a very general level, medical billing software eases the accounting needs of a medical practice. However, a user should know what distinguishes the variety of medical billing software from each other and identify the key features that will most benefit their practice. Common medical billing software features include:
Claims processing – Electronically processing and scrubbing claims enables a medical practice’s financial department to operate at higher volume, more efficiently and in a timely manner. By submitting claims to be scrubbed and processed, medical practices can avoid the time-consuming process of resubmitting them due to error.
Insurance verification – Verifying the status of a patient’s insurance coverage prior to their arrival helps minimize any uncomfortable or confrontational situations. This benefits front desk staff, especially if the chosen medical billing solution makes it an easy, simple process.
Electronic remittance – Electronic remittance advice (ERA) provides details about medical insurance payments, particularly regarding claim denials and their explanation. Many medical billing solutions facilitate importing information from ERAs so that your patient payment history can be completely comprehensive.
Invoice templates – Medical billing software provides templates that either come predefined or can be customized according to need.
Invoice generation – Invoices and statements are automatically generated and sent to patients, reducing the laborious task of creating and sending those out on a one-off basis.
Compliance – Medical billing software relieves the manual process of ensuring that practices adhere to relevant health care regulations.
Software evolves, and with that evolution, identified pain points are eased. However, issues still crop up when deploying or using medical billing software.
Lack of EHR integration — While some medical practice management solutions bundle together EHR and medical billing solutions, not all clinics have coexisting patient management and billing systems. Such disparate systems that begrudgingly communicate (if at all) with each other can severely dampen the efficiency of the medical billing solution. After all, if a health care organization can’t easily access, migrate, or share patient information, then the entire finance department gets frustrated.
Denial management — Not all claims will be okayed and processed duly. The biggest hurdles to claims denials include coding errors and value-based reimbursement policies. Providers and administrators have to constantly learn the ins and outs of factors like ICD-10 implementation and meaningful use processes so that they don’t inadvertently compromise the claims lifecycle.
Training and onboarding — Like any piece of technology, effective training and onboarding will speed up the adoption of the medical billing solution. The quicker that practitioners and administrators become comfortable with the software, the more empowered they will feel when utilizing and communicating about the solution. Regular training will also reduce any mistaken use, insufficient documentation, or miscommunication. Training will benefit staff when it comes to everyday use, as well as reducing errors in coding.