Practice Managers and Medical Billing Company owners are consistently surprised by their PracticeSuite experience - great software at a great price! Tackle all aspects of revenue management from flexible appointment scheduling, to patient self-pay, to complicated insurance billing and denial management. Leverage advanced reporting and dashboards to monitor and improve financial performance.
Centricity™ Practice Solution is a fully integrated Electronic Medical Record (EMR) and Practice Management solution designed to help you enhance the clinical and financial productivity of your ambulatory practice. Though designed to work as a single fully integrated unit, if desired, the modules may be used independently.
Valant is a completely new platform built on modern technologies including an elastic and infinitely scalable data model, mobile app-inspired experience, and an on-demand ability to respond to change without additional investment in time, money, or training. Our platform isn’t an EHR, it’s the technology partner community mental health deserves.
drchrono EHR is a patient care platform that offers customization at the point of care and on the go. In addition to EHR, drchrono also includes scheduling, billing and patient reminders. It is available on iPad, iPhone and Apple Watch. Healthcare providers can utilize all the applications, technology and back-office functions they need. This platform automates patient check-ins, patient scheduling, triaging, clinical documentation, e-Prescribing, lab orders, doctor referrals, medical billing and more. The patient personal health record app (PHR) and patient check-in apps guide patients through registration; at their next visit they simply confirm their information with a tap. M*Modal lets providers tap, speak and document patient visits on the software's built-in forms, all of which can be customized. drchrono has additional tools for quick note taking such as text expanding macros and reactive templates. FreeDraw is an available feature that lets providers and office staff notate diagrams, X-rays or other files. They can also use the iPad's built-in cameras to take pictures and embed them in the patient's record. Any Prescription including those of Controlled Substances (EPCS) can be sent electronically via iPhone, iPad, and the Internet; software can offers e-fax capabilities.
AdvancedEHR is the revolutionary way to manage patient health. Every click, feature workflow is designed to increase clinical quality, reduce costs, improve staff efficiency promote patient satisfaction. Customize the charting templates to fit your specialty integrate AdvancedEHR with AdvancedBilling so your data is automatically shared between systems.
Kareo is a leading medical billing and technology program for an independent practice. With a variety of medical billing and practice marketing tools, this cloud-based software documents and assists clinical processes - from consultation to treatment and follow-up care.
ChartLogic Practice Management (PM) delivers everything you need to accurately and efficiently manage administrative and financial tasks, including registration and scheduling; eligibility and verification; claims, billings and collections; user dashboards and reports. ChartLogic PM automates a variety of routine tasks, and alerts you to probable errors. We provide hundreds of specialty-specific templates, patient education materials, and pre-configured superbills, all of which you can tailor to meet your needs.NEW: Connect Patient PortalOn any device or browser, easily engage with your patients through a convenient portal to improve the overall patient experience and quality of care.
ChartLogic Billing Revenue Cycle Management services use accurate billing practices to increase financial performance.ChartLogic’s Medical Billing Services takes the billing burden off the medical office, liberating providers and staff to concentrate on patient care. Your staff never needs to touch the billing system again. Our combination of expertise and leading-edge technology improves your performance without increasing costs, saving money for patient care.NEW: Connect Patient PortalOn any device or browser, easily engage with your patients through a convenient portal to improve the overall patient experience and quality of care.
Drive revenue with ease. AdvancedBilling features all the tools you need to manage your A/R and claims processes in one convenient database. The robust clearinghouse automates manual processes, auto-generated worklists improve productivity expedite reimbursements automatic claims scrubbing gets you an almost-100% first-pass claim acceptance rate. This software is just as powerful as what our 500+ billing service partners use.
Because we know you have more important things to do than flip through a calendar. AdvancedScheduling helps you see more patients speeds up scheduling processes with recurring appointment, waitlist management, patient room tracking appointment reminder tools. A faster front desk lets your front office team focus on checking in patients, collecting copays scheduling your clinicians facility to full capacity.
The philosophy behind the Praxis EMR electronic medical records platform is that no two doctor’s offices are alike, and EMR software needs to be customizable and versatile in order to support today's healthcare industry. By bringing this innovative approach to health record management, this EMR system is supporting healthcare providers in key ways. One way to describe the utility of Praxis EMR as a cloud-based EHR and EMR system is as a self-learning resource. By accumulating and presenting data, Praxis EMR can help doctors to look at real trends and establish the commonality of various kinds of presentations. By using this intuitive software, doctors can figure out how to most efficiently document common cases, and how to tackle the more rare cases that emerge in their offices.
Transform your practice with CureMD’s Cloud-based Electronic Health Record in a way you never imagined before. With a powerful knowledgebase, CureMD EHR version 10g is built for usability, performance and reliability. It delivers the unthinkable – an enterprise grade Specialty-specific solution for a fraction of the cost compared to the competition.
Conventional medical billing systems give you just software. athenaCollector delivers more, combining our network of over 75,000 providers, our continuously updated rules engine, and our back-office teams working on your behalf. Our experts take on your most time-consuming tasks, like claim submission and follow-up, denial management, payment posting and more, getting practices paid 6% more, and 32% faster.1 By working at massive scale for our 72,000+ clients, athenahealth drives results with unparalleled accuracy and efficiency. It’s part of our proven approach.
Innovative, functional and easy to use: it’s time to experience PrimeSUITE®, the integrated electronic health record (EHR) and practice management solution from Greenway Health™. Certified for meaningful use Stage 2 and prevalidated for patient-centered medical home (PCMH), PrimeSUITE offers better solutions for organizations of all sizes.
As a competitive platform for electronic health record and practice management cloud-based software, CareCloud helps doctor’s offices to assess information and make decisions. This customized cloud-based solution looks at patient care, medical billing and all sorts of practice administration tasks with the same intuitive engineering and design. Get effective medical practice management tools for any type of office, whether it's a cardiology office, a dermatology office or a primary care provider.
e-MDs Cloud Solutions is the answer for clinicians who need the latest technology coupled with extreme high usability to help them cope with a changing, increasingly complex medical practice environment. Cloud Solutions is written from the ground up as a true browser-based Electronic Health Record (EHR). Created by a company founded and lead by a doctor, the result is a true physician’s EHR that models the excellence of e-MDs 16 years of market experience, and the advantage of the input of thousands of physicians
A versatile electronic medical record software tool helps medical provider offices to streamline clinical workflows and work efficiently in a high-stakes, high-pressure field. eClinicalWorks EHR/PM is made to accomplish key objectives in healthcare: its cloud-based EHR design assures doctors and others of competent medical billing procedures, a good interconnected EHR system, and great communications and interoperability for architectures.
Getting paid may not be everything, but it’s close. MedicsPremier enables that with a remarkable 99% success rate on first-attempt clearinghouse claims as reported by Emdeon. Add to that its CPT / DG linking, Auto-Eligibility Checking and Auto-Modifiers, patient / provider credentialing, copayment displays, and more, MedicsPremier really is the system that gets you paid!
Allscripts Practice Management (PM) and Allscripts Payerpath form a complete solution to help physician practices of all sizes overcome rising costs, shrinking reimbursements and ever-changing regulations to improve every step of the revenue cycle.
PrognoCIS Practice Management Software help you quickly identify and confirm patient insurance benefit eligibility level and copay, work with many different - clearinghouses, efficiently manage your accounting books, and to easily reconcile patient accounting and insurance billing. It is ICD-10 compliant and Meaningful Use certified.
CareCloud Central is a medical practice management solution that boosts productivity by automating the day-to-day tasks that can slow an office manager down. Central delivers much more than medical billing software. Sure, it has the tools to help generate cleaner claims and reduce denials, but our easy-to-use practice management software also streamlines your workflow to deliver seamless handoffs across departments.
ECLIPSE® is a practice management software used by over 7,000 Chiropractic, Physical Therapy, and Medical practices across the United States. ECLIPSE® has been the leader in chiropractic software technology since 1985 and has routinely topped multiple independent surveys by state associations in the past few years. Which is what you might expect from the company that created the “zero-in” user interface, invented case management, first integrated SOAP billing, introduced the very first Windows software for healthcare providers, and developed Real Time Data Flow to eliminate competition for a patient's chart in your office.
McKesson Practice Plus™ is a complete electronic office solution that connects the clinical, billing and scheduling for multiple departments and locations to enhance workflow throughout the practice. Designed to support a high volume of variable transactions, McKesson Practice Plus has helped transform thousands of physician practices by driving productivity, saving staff time and improving reimbursement, cash flow and financial performance.
Nextech empowers physicians to deliver targeted patient care through specialty-specific practice management features and functionalities. By maintaining productivity and profitability while ensuring compliance and the continuum of care, specialty providers can proficiently manage multiple schedules, for multiple locations with sophisticated scheduling, billing and reporting tools.
NextGen Healthcare provides practice management solutions that support a patient-centric revenue cycle, enabling practices of all sizes to succeed in today's complex healthcare climate. Our real-time clinical and administrative workflows help reduce physician burnout and achieve value-based reimbursement goals. Available on any device or platform, our powerful functionality helps automate patient registration, appointment scheduling, medical billing, claims processing, and reporting.
NueMD Practice Management software can help a practice deal with revenue cycles, build efficient internal practices, and more. This medical practice management software works independently as a part of an office's IT infrastructure, and streamlines operations with a web-based medical billing model allowing doctors and administrators a free hand for other kinds of work.
How to Select the Best Medical Practice Management Software
By: Evan Frankel, SelectHub Consultant and CEO of 4ealth.org
Medical Practice Management (aka Practice Management or PM) software for clinical locations are the foundation on which a successful medical practice is built. Without accurate billing, scheduling, reminders and outreach functionality, a healthcare facility cannot run at maximum efficiency and won’t be able to treat a full population of patients. In the most recent iterations of practice management applications, vendors have expanded functionalities beyond just revenue-cycle and scheduling focused capabilities.
Now these PM systems offer everything from basic clinical documentation to paperless check-in solutions. Despite the expansive breadth of offerings that now seem commonplace, clinical practices and providers in search of a practice management system must continue to evaluate these applications looking primarily at the core offerings of the application, as the provider comfort, usability, and reliability of these functions of the application are paramount.
Increasingly, practice management applications have built out more features focused on population health that aim to enhance a provider’s revenue and their ability to treat more patients successfully. As the US healthcare market pivots to a value-based payment model, in lieu of the traditional fee-for-service model, new opportunities are now available to ensure that revenue opportunities are maximized and the coordination of care for patients is shared both within and outside the confines of the physical clinical location.
What is Population Health and why does it matter to Practice Management?
Population Health is an emerging concept wherein the care of patients is managed by a provider, group or health system in a more multi-faceted and comprehensive way. Commonly, population health is seen as managing patients outside of the clinical moments where they are present with a healthcare provider.
Compensation models from government (Medicare, Medicaid) and commercial payers are adapting to the population health model. The compensation for providers is now moving towards outcome-based and standards-based reporting on the management of patients, regardless of the number of times a patient has been seen. This is dynamically different from the traditional model of providers charging for each visit to a clinic by a patient regardless of their chronic disease or other identifying factors. With the growth of population health, new tools are required to ensure that patient care is effectively coordinated and that providers monitor quality and utilization benchmarks.
A new practice management application should be able to support population health activities and goals with a variety of tools and support to ensure patients are adequately identified, billed and scheduled for routine and acute moments of care.
Shared Savings, Value-based Care, MACRA, MIPS, Meaningful Use and More
In recent years, the United States government has created and implemented a variety of metrics with which they are beginning to measure the success of a provider with regards to the care being delivered to their patients. What began as an incentive program (Meaningful Use) to acquire and adopt Electronic Medical Records (EMR) systems has matured into a variety of programs that are changing the way healthcare providers are measured and compensated for their treatment of patients.
Important to selection of a new Practice Management application is the ability to accurately and adequately schedule, bill and identify patients that are covered by a contract with shared savings opportunities. This includes patients that are covered by government-subsidized health insurance (Medicare, Medicaid), those that have elected to purchase supplemental insurance (Medicare Advantage) as well as those that are on commercial insurance that have value-based care components.
Things to look for in Practice Management software
Accurate billing features are a vital aspect of a Practice Management application. The International Classification of Diseases, version 10 (ICD-10) was rolled out in the United States in 2016, and it is imperative that selected Practice Management systems support billing ICD-10 codes. More and more payers, including Medicare / Medicaid (CMS) are offering value/risk-based contracts that must meet specific requirements in order to be eligible for shared savings and enhanced payments. Though much of this will be contained within an EMR system, it will be important to make sure that patients can be identified that present to a clinical location that are covered by the contracts that have specific quality, utilization, and preventative care metrics. This functionality maximizes organization’s potential participation in these financial instruments being offered by commercial and government payers. In many cases, that means greater compensation for the work providers are already doing.
A new practice management application should be able to support population health activities and goals with a variety of tools and support to ensure patients are adequately identified, billed and scheduled for routine and acute moments of care.
In order to effectively decrease days in accounts receivable, and improve cash flow, it is imperative that practices have the ability to verify a patient’s insurance eligibility before the patient is seen. Practice Management systems allow clinic staff to verify insurance eligibility for either a flat-monthly fee or billed by transaction. Insurance eligibility checks should be real-time and the output should be easy to read and understand to ensure there is no ambiguity for reception or billing staff.
Practice Management applications can be paired with a variety of supporting applications and functions. When selecting a practice management application, consider other toolsets that would be valuable for businesses. Many other useful functions can be included within the same application suite. Some commonly used tools include: patient outreach and communication, self-scheduling for patients, web-based form completion (clinical and financial), reminder calls/texts, patient portals, online bill-pay and connections to EMR applications.
Many practice-based PM systems are now offered by EMR companies. This offering of a combined and unified solution provides one code base for scheduling, coding, billing, clinical documentation, EMR functionality, registry creation and patient outreach. Replacing or acquiring both EMR and PM solutions at the same time may provide enhanced value for business operations.As more companies begin to offer combined PM and EMR functionalities there is new promise of a seamless experience for all aspects of operations, including greater insights into the financial operations of your clinic. Partnering with just one firm also streamlines contracts and partnership agreements. However, best-of-breed technology is often focused on one aspect of software functionality, not all. And, in many cases, a combined EMR/PM system may not be truly integrated as the original code base of the applications could have been produced by separate organizations and then merged through acquisition or strategic partnership. Providers must be thoughtful about which PM system they select and whether or not to choose a combined PM/EMR solution.
The Selection Process
Finding the right PM application is driven by understanding the specific features that are required to ensure a clinic runs smoothly as an efficient business. Look to local organizations and groups that best represent similar interests, (HIMSS, MGMA, AHIMA, or a specialty-specific local or regional organization) to learn more about efficient PM applications in the area. These organizations should offer relevant advice about how to maximize the efficiency of processes, which may depend on the size, ownership make-up, specialty and other factors. Once specific areas of improvement have been identified in which to focus as part of PM system selection process, engage with the resources within the organization that are responsible for those areas. Begin by identifying goals for this technological and operational investment.
Step-wise progression for selecting the right Practice Management solution for your operations
Properly structuring the selection process for an upgraded or new Practice Management system is important to keep priorities in line, timelines and budgetary constraints in check, and to ensure all important considerations are addressed during the process. Below are 6 steps to help practices select the right Practice Management solution for their organization.
Step 1: Identify Key Stakeholders to the PM selection process
Practice Management applications are critical to practice operations and the financial success of the clinic. Moreover, there are significant aspects of risk and fraud that need to be considered. Due to the nature of this acquisition, it is imperative to identify key personnel from all areas of clinical and financial operations and include them in the vetting and decision-making process.
Step 2: Assess existing workflow and revenue cycle features
The identified team for this project should prepare for the selection process by evaluating, assessing and studying the current workflow and revenue cycle process for the clinic. Understand the features and functionality that are currently in use, the processes that appear outdated or inefficient, and the areas that could benefit from automation or attention.
As well, record and understand all current Practice Management expenses. How much is it currently costing to code, bill, adjudicate and report on expenses and overhead? What do you pay for scheduling software, coding/billing software, and personnel? And, what metrics are being used to effectively evaluate the success and efficiency of current practices?
Step 3: Identify desirable features
After evaluating the workflow and current operations, determine if there are completely new functionality or feature sets that would be of interest or value to the operations. Most likely, new PM applications are available with a host of new and different features than what is currently in use today at your location(s). Without consideration of vendor, identify the features that are of interest. Remember to consider other resources and personnel as well, including the patient, as to what would make the experience of engaging with the clinic most valuable. Consider hosting a brainstorming session with the project team and identify ways to engage your entire staff to gain w wide variety of ideas and perspectives into what works.
Step 4: Identify and compare PM systems
Identifying potential PM partners can be accomplished in a number of ways. . Depending on your organization’s relationship to complementary or community resources, it may be most beneficial to catalog the vendors and products currently in use by your peers and identify the most highly respected and successful PM systems in use in your networks. As well, issuing a “Request for Proposals” will garner attention from interested vendors to submit their bids and information regarding products that could suit your needs. It is important to include all of the identified needs from Stage 3 as part of any RFP you publish. It is also worthwhile to attend a local or national conference in which PM vendors exhibit their products and offer demonstrations of their interfaces. Though these sales pitches may not accurately reflect the firm’s ability to deliver, it does give the potential buyer an easier way to learn about a lot of different products and product features in a short period of time.
Step 5: Compare a short list of vendors and conduct demonstrations and site visits
Create a formal RFP that outlines your specific requirements for a new PM solution. Include specific information vendors will need from your practice that reflects the workflow that you currently or ideally would like to create. Require vendors to detail the functionalities and features of their product in direct support of the ideal working and to include pricing information. Also request to see examples of the vendor’s work and a list of at least three references that you can call. Do additional research on these firms’ reputations and ability to deliver their work on time, within budget and as promised.
Step 6: Final selection and contracting
After a thorough review of all supporting documentation from the vendors, weigh each product's system features vs. costs and make a selection that will yield the most benefits. Make sure that your contract with the selected vendor is thoroughly vetted by a legal team to protect you and ensure that the product will be delivered as intended. Then begin to implement the new system with a thorough plan for employee training and reap the rewards of improved efficiency and functionality.
To assist with this selection process, SelectHub offers you two additional resources to get started: a requirements template and practice management leaderboard report. By requesting either, you'll gain immediate access to our software selection management tool.