Your Guide to Software Selection

Best Web-Based Medical Billing Software

An apple a day may keep the doctor away, but the billing process shouldn’t! Medical billing can be confusing and frustrating, but it doesn’t have to be. Medical billing software or billing modules within EMRs and EHRs can make the process a breeze. Plus, advances in cloud-based technology, you can have access to your software any time, anywhere. We’ve compiled the best web-based medical billing software programs to help you in your search.


CureMD

CureMD Medical Billing Service supports payer management, electronic claims tracking and submission, electronic remittances, automatic charge capture, clean claim checks, and electronic payment posting. It segregates claims under complete and incomplete charge entries. This supports claims reconciliation functionality that enables users to process claims falling under the complete category.

The solution has an inbuilt electronic remittance advice (ERA) tab that allows users to view explanation of benefits (EOB) or ERA information filtered by primary, secondary or tertiary level insurance providers. Additionally, CureMD Medical Billing Service provides a complete log of claims processed or rejected through the claim history menu with the option to search for specific data such as the total number of claims submitted, pending claims, claims waiting to be billed, etc.

CureMD supports excellent billing and collection functionality. The solution helps users perform routine billing tasks such as viewing appointments, creating electronic superbills, assigning charges, generating bills and posting payments. It lets users assign correct CPT and ICD codes for diagnosis and procedures performed on the patient and send eStatements to patients on demand.

This cloud-based medical billing service includes an inbuilt rule engine for denial management that helps users track denials, identify reasons, resolve denials and reduce future denials with the feature to send payment reminders via text/email to patients for outstanding payments. Additionally, CureMD enables batch payments with the option to create batches to group multiple payment transactions together.

CureMDs Billing Dashboard

CureMD Medical Billing Service provides a centralized database for storing patient information on the cloud that can be accessed from both mobile and web platforms. The solution enables patients to enter demographic details online based on predetermined parameters. This online medical billing platform provides resources for patients by integrating with the Specialty EHR module. The solution provides access to the CureMD Patient Portal enabling patients to update records, book online appointments and securely communicate with the providers.

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Company Size Suitability: S M L

EpicCare EMR

Epic Billing provides strong claim management functionality built on an ANSI ASC X12N interface. The solution allows users to track claim status and report any errors as well as supporting claim reconciliation. Users can scrub all claims using the code editor to correct claim codes before processing. Additionally, it enables users to send electronic claims to primary and secondary payers from the centralized pool of insurance providers.

EpicCare’s billing module allows users to consolidate all payment-related information in a single statement from a central billing office. Then they can print electronic superbills and send statements to patients in print or email forms. The solution automates the coding charges and billing process to reduce A/R days and manage collections efficiently.

EpicCare’s EMR enables users to manage outstanding payments or write-offs for all inpatient and clinic bills in a single statement. The solution provides online bill payment support to patients, enables multiple claim submission and helps the practice speed up A/R and collectibles.

Screenshot of EpicCare EMR

This web-based medical billing solution provides comprehensive patient information for the benefit of both the patients and physicians. Users can gain insight into patient health information including details on any chronic disease, surgery, ICU monitoring and other crucial updates.

Users can also find information on patient appointments, visits and insurance. The solution enables patients to access information on their health through the myChart tool available on the patient portal. It also enables patients to stay connected to their physicians through mobile devices and access personalized education materials to manage their health.

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Company Size Suitability: S M L

AdvancedBilling

AdvancedBilling provides a centralized cloud-based medical billing solution. This dynamic solution integrates with AdvancedMD’s scheduling, front office and clearinghouse solutions for automated payment management. It provides an inbuilt list of insurance payers, processes claims and displays status updates in real time. The claim inspector scrubs each claim resulting in an average 95% first-pass acceptance rate.

This saas medical billing software solution provides EMR/EHR integration which automatically transfers claims data and copay charges into a patient’s electronic health record. This eliminates the need for the manual entry process and reduces duplicate data entry. It also enables users to post ERA information and track remittances.

Credit card capture screen from AdvancedBilling

AdvancedBilling provides comprehensive billing and collection support. The solution connects billing, A/R, EHR and labs into one interface. This enables users to send patient statements, track any outstanding balances and send automated payment reminders, including collection letters, to the patients. The A/R control center speeds up the collection process, tracks claims and manages denials or claim rejections.

The solution also offers a centralized claims management platform and automatically builds an actionable worklist enabling users to quickly identify and fix claim errors, exclusions or denials. It also provides a strong patient billing module that uses patient payment plans to stay on top of outstanding patient balances.

The medical software from AdvancedBilling integrates with patient record management to let users maintain extensive patient demographic records. It also permits multiple patients such as family members to be linked to one another through its cross-indexed MPI feature. The solution provides a dynamic patient portal that ensures high service quality, minimizes patient wait periods and improves patient loyalty. The practice management solution enables physicians to share any education documents such as treatment plans through the patient portal. However, the solution does not allow users to maintain records related to patients’ past and current medication, allergy lists, and referral creation. Practices will need to integrate this billing platform with an additional EMR or EHR to get those features.

Luckily, AdvancedBilling seamlessly integrates via OpenEdge Technology which allows users to process payments online or via credit or debit card. They can also configure rules to write off balances. The solution lets users post payments for multiple claims online and automate accounts payable/receivable tasks. AdvancedBilling provides claim history to track non-submissions, balances and other transactions. Users can even generate customized strategy reports to optimize revenue cycle performance.

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drchrono EHR

The EHR and Medical Billing solution from drchrono offers comprehensive claims management functionality. This cloud-based medical billing solution allows users to file electronic claims with the insurance payers listed in the solution directory. It provides live feeds of submitted claims that help users sort and filter claim records by various categories such as appointment profiles, billing status, claims rejected or ERA denied, etc.

With drchronoEHR and Medical Billing, users can track claim history and ensure accurate claim submission by identifying and correcting claim errors before they are processed. The solution also notifies users in case of claim rejections, if any occur.

This billing software for medical practices provides a strong platform for billing and collection. It allows users to print or mail patient statements regularly as well as on demand. Through strong payment follow-ups, it helps manage payment collections, ensuring high collection volumes. With its billing rules engine, the solution assists users to correct errors in the claims denied by payers. It automatically posts denials and allows users to resubmit denied claims. The solution keeps a log of all the bills, allowing users to add and upload superbills online with an option to post multiple insurance transactions for a code through batch payments.

Billing interface from drchrono

By utilizing drchronoEHR and Medical Billing, users can centralize patient demographic information that helps users enter and access patient’s data for clinical charting, lab orders and billing easily. The solution allows patients to view electronic health records, educational material and lab results through its online portal. The portal helps patients schedule appointments online, check in, send secure messages, view electronic medical records, make ePayments and share documents with physicians.

With drchrono, medical staff can enter check-in and check-out times for better payroll management. The solution enables users to manage their A/R by providing a variety of report options such as aging reports or insurance processed reports, as well as track all outstanding claims through rejection and reimbursement analysis. It helps users optimize revenue cycle management and make intelligent business decisions.

Plus, drchronoEHR & Medical Billing lets users process multiple claims at the same time with an option to manage write-offs through the adjustment’s master screen on the solution’s dashboard.

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NextGen Healthcare

NextGen Revenue Cycle Management ensures quick and timely claims tracking and processing. The solution uses an advanced C.A.C.H.E. Rejection Management Tool to identify valid claims and scrub claims with customizable claim rules to prevent future rejections and denials. It also supports electronic remittance and 835s, allows users to post payments online, and sends payment due reminders, helping practices increase cash flow.

NextGen’s RCM provides robust billing and collections services with the option to record bills, automate bill generation and conveniently bill patients via their preferred method — call, text, print or eStatements. The solution also automates batch payments for patients with scheduled appointments and includes the ability to send payment reminders with a built-in denial prevention strategy to prevent debts.

Screenshot from NextGen Healthcare

The web-based medical billing software from NextGen is a comprehensive solution that offers access to a smart patient portal that includes a complete summary of patient demographics, referrals, insurance details, copays, deductibles, etc. The solution includes Continuity of Care Document (CCD) summaries that contain patient health records such as data on allergies, medication, family history, medical procedures, lab results, payers and other important information. It offers analytics on the pay for performance (P4P) model to enable population-based clinical care.

NextGen provides strong accounting and financial management functionality to boost revenue, increase cash flow and optimize reimbursements. The solution allows users to proactively track and monitor their A/R, insurance credits, and refunds besides flagging patients with a bad-debt history to prevent further write-offs.

The revenue cycle management solution from NextGen has an option to process multiple claims, identify any unpaid or underpaid claims and to reconcile them. Additionally, the solution provides electronic payment tools (kiosk, online payment portal) to receive payments securely with an added feature to store credit cards on file (CCOF) as per PCI guidelines.

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Navicure Total RCM

Navicure Total RCM provides an intuitive claim management solution that enables easy tracking and monitoring of every claim through its lifecycle. This online medical billing solution measures all progress on a physician’s dashboard. It also lets users print eClaims and paper claims, increase clean-claim rate with the medical necessity and CCI edits, receive electronic remittance advice (ERA) from insurance payers, and automatically post them into the system.

Navicure Total RCM supports bill generation and recording. It enables quick billing, invoicing and claims management through a central billing office. The solution enables users to send patient statements electronically and manage denials by using claim rejection category reports. This helps identify reasons for rejected claims, quantify the most common rejections and resolve such claims to prevent recurrence. Navicure Total RCM allows users to make batch payments and process superbills electronically through correct coding and charges.

This revenue cycle management system provides a dedicated patient portal that includes details on patient demographics, eligibility checks, etc. The solution ensures complete transparency on patients’ financial responsibility, along with monitoring the plan of patient care they can expect to receive.

Navicure’s user interface

Navicure Total RCM helps reduce A/R days, simplifies collection, manages employee timesheets and tracks multiple claims. By running proper insurance eligibility checks, the solution ensures there are no outstanding balances, limiting write-offs. The solution provides digital payment options so patients can make payments online via credit/debit cards. It lets users collect copays, unpaid balances, unmet deductibles and coinsurance quickly.

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Company Size Suitability: S M L

NueMD EHR

NueMD Medical Billing Services enables users to file claims directly with both commercial and government payers. The solution supports posting and storing ERA for copays, deductibles, etc. directly into patients’ accounts. It allows users to submit claims either individually or in batches. This billing platform provides a claims log report to quickly scrub claims by applying a series of federal, state and commercial claim edits before claim submission. This enables easy claim reconciliation as well as validation of all accepted, rejected and processed claims.

NueMD’s billing dashboard

NueMD provides comprehensive billing and collection functionality. The solution automates the payment collection process and supports both multiple claims processing and multiple patient tickets. It lets users automatically send patient statements over email or print copies broken down by each visit. Users can also send payment reminders to the patients for any discrepancy in the collection. NueMD Medical Billing enables bill generation, recording and printing of bills, as well as the management of claim denials in the same interface as active submissions. Users can even create superbills electronically.

NueMD’s solution streamlines patient information by consolidating all patient information from the very first encounter in one centralized system. The solution helps record and update all patient details including billing history in real time. It allows users to maintain records of patient’s past and current medication along with their allergies by linking NueMD EHR to its practice management software. The solution lets patients access information pertaining to appointments, prescriptions and other information through its patient portal.

NueMD Medical Billing Services enables users to apply for payments against an account and get a quick snapshot of accounts payable and receivable. The solution allows users to record, store and manage payments from multiple claims. It helps improve reimbursement rates by automating payment posting and the follow-up process for accepted, rejected or overdue claims. NueMD Medical Billing supports online bill payment and processing through credit/debit cards.

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Company Size Suitability: S M L  

Practice Suite Medical Billing

PracticeSuite Medical Billing provides complete control over claims across the practice. Users will experience the convenience of sending electronic claims quickly, and this system can validate all the claims with the insurance payers before processing. The solution includes an automated claim scrubbing feature to double-check claims for errors, reduce denials, track claim history and ensure optimized account receivables. PracticeSuite triggers alerts for any claim rejection, as well as enables users to access instant reconciliation report to review posted and unposted items.

This web-based medical billing software enables users to print and send patient statements. It provides insights into payments, procedures and the related charges, details of insurance payments received along with copay, and deductible details. This billing application allows users to record and generate bills online. The solution also maintains the workflow from a central billing office and lets users post batch payments, in addition to printing superbills, encounter forms, charge slips, fee tickets, visit slips, etc. Users can make payment entries directly from the payment posting screen.

Interface from PracticeSuite

PracticeSuite provides a patient portal that includes information on key metrics such as the patient demographics, health records, financial summaries with insights into copays, insurance claims, guarantor, physician notes, etc, all of which adheres to Meaningful Use Stage I & II. The solution allows users to share patient clinical summaries with the physician prior to the appointment with meaningful insights into medication lists, allergy lists, plan of care and patient education. Practitioners can also request communication from staff, lab results, Rx refills, referrals and so on.

PracticeSuite Medical Billing supports accounting and financial management by providing complete visibility into the revenue stream of a practice. The solution lets users manage their A/R, monitor errors in financial reporting, optimize revenue collection through proper coding and perform fee schedule analysis as well as contract negotiation. It also allows users to search encounter lines for a patient filtered by accounting date range, DOS range, provider name, patient insurance or other filters to write off individual or mass claims. PracticeSuite Medical Billing enables users to self-pay online using credit/debit cards.

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Company Size Suitability: S M L

Final Thoughts

All of these medical billing systems have excellent features, but not all will be the right fit for your practice. Get our comparison matrix to compare the top ten solutions in more detail. Already have a shortlist? Use our pricing guide to choose the perfect solution for your practice.

Did we miss a web-based medical billing solution you love? Have you used any of the solutions on this list? Let us hear from you in the comments!

Bergen AdairBest Web-Based Medical Billing Software

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