AKASA Alternatives

NextGen Healthcare provides ambulatory practices of all sizes award-winning solutions along with dedicated support and professional services. We align with your goals to achieve the success that results in healthier patients and happier providers. NextGen® Enterprise EHR offers your practice configurable clinical content, intuitive workflows, and an integrated patient experience platform that incorporates telehealth. With NextGen® Mobile, your providers’ smartphones become an extension of your EHR, which saves valuable time. Managed cloud hosting keeps your practice secure and makes upgrades easy, though on-premise options are also available. NextGen® Office is a cloud-based EHR designed to support your practice growth, save staff time, and increase patient volume. This fully integrated clinical and billing platform features specialty-specific EHR content, mobile accessibility, a revenue cycle management system, and a convenient patient portal.

Service Center by Office Ally is a trusted revenue cycle management platform used by over 65,000 healthcare organizations processing more than 350 million claims annually. With it, providers can verify patient eligibility and benefits, upload and submit claims, correct rejected claims, check claim status, and obtain remits. With multiple claim types and submission options, providers can easily submit claims to any payer from any practice management system. Transactions are secure, ensuring the confidentiality of sensitive patient information. With no needed implementation, providers can quickly and effortlessly streamline their billing processes, increase their financial performance, simplify medical billing, and reduce claim rejections for faster reimbursements.

Open Practice is pleased to present OpenPM, our cloud-based RCM platform that has propelled the company through 17 consecutive years of double-digit growth. OpenPM connects all the disparate elements of the revenue cycle including; Scheduling & Registration, Billing, Clearinghouse, and Patient Payments/Collections. The result is highly automated accounts receivables management for optimized cash flow, and extensive reporting to help you proactively manage your organization. All of this control is securely hosted and delivered through the browser you already have, providing the perfect combination of security and availability. Medical billing software, revenue cycle management solutions, practice management software, practice management system, medical practice management, EMR integration, EHR integration, practice management scheduling, patient scheduling, online patient billing, patient billing, automatic patient billing and payments, patient payments, electronic patient payments.

XpertCoding is an AI-powered medical coding software by XpertDox that uses advanced AI, natural language processing (NLP), and machine learning to code medical claims automatically within 24 hours. It automates the coding process, enabling faster and more accurate claims submissions to maximize financial gains for healthcare organizations. Features include minimal human supervision, easy EHR connectivity, flexible cost structure, a significant reduction in denials and coding costs, a HIPAA-compliant business intelligence platform, risk-free implementation with no initial fee and a free first month, and higher coding accuracy. XpertCoding's autonomous coding solution helps healthcare providers and organizations get paid faster, accelerating the revenue cycle and allowing them to focus on patient care. Opt for XpertCoding for a reliable and accurate medical coding software solution for your practice.

MedEvolve Practice Management (PM) software provides unmatched transparency, automation and accountability for the healthcare revenue cycle. Built in automation and advanced analytics solutions reduce administrative burden and ensure staff are not only productive, but effective in the work effort they put in and that they are achieving the expected results. Additionally, MedEvolve’s effective intelligence solutions enable a remote workforce with task management, tracking and virtual communication tools that integrate directly with the practice management software. Increase margin, improve net collection rate and reduce overhead costs with effective intelligence. MedEvolve PM integrates with over 40 different EHR systems. We believe physician practices should be able to choose the best EHR for their clinicians, and the best practice management software for their administrative and billing staff.

Azalea Health Innovations (Azalea) is changing the way health IT platforms connect community-based healthcare providers and patients across the care continuum. Offering a 100% cloud-based, interoperable solution, Azalea delivers an electronic health record that is fully integrated with telehealth, revenue cycle management, and analytic solutions designed for rural, community, and urban practices and hospitals. Quick to deploy and intuitive to use, Azalea's EHR ensures better care coordination and communication, and the “one patient, one record” approach provides care teams the agility to achieve better outcomes. The Azalea platform also delivers tools and resources to help providers meet their Meaningful Use requirements, and informs their strategies to navigate accountable care and alternative payment models.

Leverage automation and intelligence to overcome patient access and revenue cycle challenges and increase reimbursements for patient care delivered. Despite the progress AI and automation is making in automating patient access and revenue cycle processes, there still remains a need for staff with RCM, clinical and compliance expertise to ensure patients seen were financially cleared and services rendered are accurately billed and reimbursed. We provide our clients with complete technology plus team coverage with deep knowledge of the complicated reimbursement landscape. Our technology and team learn from billions of transactions processed for leading healthcare providers and 1400 payers across the United States. Get quicker financial clearance for patients before care with our patient access plus a platform that provides complete coverage for obtaining eligibility verifications, benefit checks, patient pay estimates, and prior authorization approvals, all in one system.

Medical billing for healthcare providers is complex, and the old billing methods are now obsolete, with increased demands around documentation, compliance, and reduced reimbursements. Powered by ai, machine learning, and robotic process automation, RevvPro has addressed the severe shortage of certified medical billing staff and provides the missing transparency into real-time data such as claim status, denials using automation. All from a smartphone or desktop. The future of RCM, with RevvPro, answer your issues for proper reimbursement. Facilities are currently using different systems for practice management and EMR/EHR. They can continue to do so if they are comfortable using their current software systems. RevvPro sits like a blanket on top of their existing systems and extracts the needed information to provide transparency to the providers. RevvPro can be accessed by different functions with your revenue cycle team to seamlessly manage their respective workflows and processes.

Transcure is a healthcare IT company offering EHR solutions and medical billing services to practices in the USA. We offer advanced EHR solutions, medical billing solutions and practice management making healthcare practices thrive. Our products and services help providers to ensure effective practice management and improve revenue cycle management. Embark on a transformative journey with Transcure, where innovation converges with excellence in healthcare IT solutions. Established in 2002, we have proudly stood at the forefront of providing comprehensive Revenue Cycle Management (RCM) solutions in the USA. We are dedicated to empowering hospitals, group practices, and solo practices. We have grown to a team of +1100 highly qualified billers and coders strategically headquartered in Woodbridge, New Jersey, and Dallas, Texas. Our customized approach ensures providers achieve a strong revenue cycle process with timely reimbursements in the healthcare industry.

Revolutionizing the Healthcare Systems in the US since last 10 years, Cube Healthcare Systems is the name that promises a paradigm shift when it comes to collating the clients data and streamlining their administrative as well as clinical management processes into a more effective outlay. More so Cube Healthcare Systems helps us extend the telemedicine expertise on the global level. Our astounding experience in Revenue Cycle Management gained by serving countless medical centers in the US market helps our brand to stand out against all known competitors. Our technologically advanced systems and predictive analytical techniques helps instill productivity in the processes, making them easily manageable and highly profitable. Our dynamic solutions, developed with thorough industry research and tried/tested experience promises a breakthrough in US healthcare market, bringing forth efficiency and progression.

Whether you are a single outpatient wound care center or a multi-facility organization, edgeMED’s expert revenue cycle management service and integrated clinical, financial, and regulatory tools enhance performance and patient care. Get ready to boost quality and outcomes. Our expert revenue cycle management service governs the entire revenue cycle process so wound care specialists can enjoy higher, and more timely, reimbursement. Coupled with our healthcare software, you can operate a competitive, quality-centered practice and be confident in the documentation for MIPS and other value-based payment programs. In addition to our extensive medical billing experience in the wound care specialty, we incorporate telehealth into your workflow with secure, remote communications with patients. Wound care providers can easily conduct virtual visits, and online messaging and give patients access to their health record information.

Anatomy's suite of financial automation solutions can support any healthcare organization that bills insurance, including medical or dental practices, MSOs/DSOs, billing/revenue cycle management companies, and digital health providers. Anatomy brings all your data together for automated financial reconciliation and insights. Stop manually typing EOBs into your practice management system. Anatomy’s proprietary AI solution saves time by automatically converting EOBs to ERAs. Stop downloading and tracking bank deposits in Excel. Anatomy ensures data is available to the right person on demand. Stop wondering why the dollars in your bank and practice management system vary at the end of the month. Anatomy provides clarity with real-time dashboards and reporting. Anatomy is on a mission to automate financial operations for healthcare and enable providers to focus on quality patient care. With Anatomy, you can modernize your financial operations.

The RCM Cloud® “software as a service” (SaaS) model strives to replace resource-intensive medical billing processes with digital solutions that reduce manual processes and optimize workflow thru automation. This approach significantly improves operational efficiency and further allows the business to expand service delivery capacity with only minor increases in administrative staff. Leverage your investment in technology to grow and sustain your business as opposed to increasing the headcount necessary to expand. On the administrative side, RCM Cloud® and associated services are delivered via the powerful, proven and secure medsphere cloud services platform. RCM Cloud® modules include patient/resource scheduling, enterprise registration, in-stream payer eligibility checking, contract management, medical records, billing, claims, payer and self-pay collections, POS payment posting and bad debt which enable all types of healthcare entities to truly transform their revenue cycles.

Revenue cycle management platform with payment processing, claims management, patient access, and denials management. Nextech’s specialty-focused technology solutions are personalized to meet the unique workflow requirements of specialty providers, helping practices increase efficiencies across their clinical, administrative, financial and marketing functions using a single platform. Offering all-in-one, ONC-certified electronic medical records (EMR/EHR), practice management, revenue management, and patient engagement software and services, Nextech is recognized as the top single solution provider for ophthalmology, plastic surgery and dermatology, serving a client base of more than 9,000 providers and 50,000 office staff members. Offering physicians intelligent healthcare technology, Nextech focuses on the success of its specialty practices through consultative guidance and implementation of solutions tailored to the speed and workflows of individual providers.

How well you manage the challenges of your revenue cycle has a direct effect on your bottom line and the success of your entire organization. It doesn’t matter how many patients seek your care if it’s taking months to receive the expected payments for the services you provide. And, you shouldn’t have to spend hours each day tracking down the payments you’ve worked hard to earn. There’s a better way to maximize healthcare reimbursement. Let Quadax be your guide to creating a comprehensive, sustainable and orderly strategic plan, and select the right technology solutions and services that best fit your business model. With us as your partner, you can achieve operational efficiency, optimize financial performance and enhance the patient experience. The goal for every claim going out the door is to avoid a denial and get paid as quickly as possible.

SYNERGEN Health’s revenue cycle automation solutions can execute repetitive, manual processes saving hundreds of hours of manpower and eliminating countless data entry mistakes. Even more, SYNERGEN’s digital workforce tools actually “learn” on the fly the most efficient and effective way to achieve the desired outcome, thereby continually improving toward your organization’s goals. The financial exchange and reimbursement landscape in healthcare continues to increase in complexity each year. Organizations are now faced with two distinct choices, add more resources or automate key processes. SYNERGEN Health’s tools allow your organization to take the next step toward the power of robotic process automation, machine learning and artificial intelligence. SYNERGEN Health can help improve your digital transformation initiatives with automation.

MediFusion is a fully integrated suite of software designed to offer innovative EHR and medical billing solutions to healthcare practices and enhance clinical, administrative and financial operations. Our team is just a phone call away to provide ongoing EHR training and be there for you whenever you need help and support. Speed-up your clinical processes and automate your workflow with our all-in-one integrated solution. A system that manages the entire revenue cycle from Eligibility Verification to Claim Processing and getting paid. Our cloud-based Electronic Health Record (EHR) software is an integrated and scalable solution to enable your practice to improve the quality of care provided to patients. This easy to use web-based EHR platform allows you to document, access and track your Clinical and Financial information on any internet-ready device no matter where you are.

Optimize revenue cycle management, care quality management, and workforce management all in one single-sign-on, easy-to-use portal. More than 47,000 provider sites rely on our innovative tools to simplify complicated operations across the patient care journey. Improve the patient financial experience and simplify administrative and clinical complexities with the Inovalon Provider Cloud – all while saying goodbye to siloed workflows. Our SaaS solutions help you strengthen financial and clinical outcomes across the patient journey, from creating front- and back-end revenue cycle processes for better reimbursement to ensuring appropriate staffing levels for optimal care. This is all managed in one comprehensive portal to take your organization to new heights improving revenue, staff equity, and care quality. Enhance your organization’s efficiency, productivity, and overall effectiveness. Discover what the Provider Cloud can do.

Zentist is a platform that uses advanced technology to simplify and automate insurance revenue cycle management (RCM) for dental practices. At a time when dental businesses lose an estimated $2.1 billion due to legacy billing systems, Zentist leverages robotic process automation (RPA) and machine learning to place otherwise tedious billing tasks on autopilot. Zentist’s platform is fully and easily scalable to meet the more complex billing needs of the modern dental industry—which has been marked by aggressive consolidation and unprecedented pressures for RCM scaling. Its software minimizes human error, maximizes insurance payout, provides advanced analytics on revenue, and improves the patient-provider relationship.

Centauri Health Solutions is a healthcare technology and services company driven by our desire to make the healthcare system work better for our clients and to provide compassionate support for individuals in need. Our analytics-powered software enables hospitals and health plans (Medicare, Medicaid, Exchange and Commercial) to manage their variable revenue through a custom-built workflow platform. While our tailored support of their patients and members provides them with access to life-enhancing benefits. Our solutions include Risk Adjustment (Medical Record Retrieval, Medical Record Coding, Analytics and RAPS/EDPS Submissions), HEDIS® and Stars Quality Program Management, Clinical Data Exchange, Eligibility and Enrollment, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, Referral Management & Analytics, and Social Determinants of Health.

Grow your practice with the number one cloud-based EHR and practice management software, CareCloud. CareCloud offers a complete suite of tools for healthcare professionals and providers of all sizes and practices. These include Concierge, a comprehensive revenue cycle management solution; Central, a user-friendly practice management tool; Charts, an easy-to-use electronic health records solution; Community, patient engagement and social tools; and Companion, a clinical and administrative mobile app.

Through our personal, high-touch service, Coronis Health can provide an unparalleled level of professionalism you won’t find anywhere else. We won’t just help you collect your revenue. We will help you financially grow while progressing this industry into the modern technological age. Coronis Health is a global revenue cycle management company offering specialized solutions to healthcare practices and facilities. By using industry-leading technology combined with high-touch relationship building, Coronis Health allows healthcare practitioners to focus on patient care, maintain financial independence, and cultivate financial success. Coronis Health is comprised of the best of the best in medical billing. Thoughts leaders and experts in every practice area utilize global resources, technology, and best practices to provide successful partnerships for customers.

EZDI is Acquired by AGS Health Company. We enable businesses of all sizes, from startups to large enterprises to use our revenue cycle management platform and APIs to bring insights out of their healthcare data. An integrated clinical documentation and medical coding platform. Fully integrated platform that gives you the ability to increase documentation and coding specialist productivity upto 45%, while growing revenue from improved case mix and risk scoring. Easy-to-use, modern clinical APIs that integrate seamlessly into your infrastructure. Trained on more than 7 million real clinical documents to provide cutting-edge accuracy. We leverage millions of knowledge graph records, deep learning, and machine learning to provide clear code and query suggestions. We’re prepared to lead the next wave of AI in healthcare. Built for coders and documentation specialists to work smarter and faster from day one.

Patient medical record retrieval is just a search away. The PRISMA health information search engine is here to bring together medical records from primary care providers, specialists, clinics, urgent care centers, and hospitals to create a searchable, timeline view of a patient’s health history. Our Customer Success Stories illustrate real-world applications of our healthcare IT. See how eClinicalWorks customers are achieving value-based care and improving healthcare. At eClinicalWorks, we are 5,000 employees dedicated to improving healthcare together with our customers. More than 130,000 physicians nationwide — and more than 850,000 medical professionals around the globe — rely upon our EHR software for comprehensive clinical documentation, along with solutions for telehealth, Population Health, Patient Engagement, and Revenue Cycle Management. Privately held, and driven by innovation and excellence, we have a single focus — providing our customers with secure, cloud-based solutions.

Close the gap between cash collections and earned revenue with patented tools, on-demand resources, process expertise and support. Every dollar counts with Currance. With our team, you get sustained yield improvement on earned revenue, data-driven analysis that unveils yield improvements, and you can scale extended revenue cycle resources with reduced cost. Empower the whole team to identify, fix and resolve problems for sustained efficiency improvement. Currance AI-powered and patented tools support effectiveness collecting more earned revenue.

Quanum Revenue Cycle Management (RCM) delivers a holistic solution for managing the financial component of a medical practice with a focus on increasing revenue. Created by Quest Diagnostics, a leading provider of pre-employment drugs-of-abuse screening for employers and risk assessment services for the life insurance industry, Quanum RCM offers a complete medical billing solution, from billing claims to denial management and other billing related activities and support.

Cvikota Medical Business Services – Your partner for medical billing results. Cvikota MBS, a USA based medical billing company, has been in the business of revenue cycle management for over 50 years. Through five decades we have carefully developed our best practices in order to provide attentive, boutique-level billing services while offering outstanding value. As a proven provider of medical billing services and comprehensive practice management, we bring our unique experience and proven medical billing processes to all of our business relationships. Independent physicians, hospitals, and office based practices alike rely on us as their trusted comprehensive revenue cycle team. Can we put our practice management and medical billing expertise to work for you? We are a USA medical billing business working with independent physicians who want outstanding results in their accounts receivables.

Whether you're looking to outsource all of your revenue cycle management functions or just some of them, Precision Practice Management has the experience and expertise to help you stay on top of the constantly changing landscape in this most important area. Precision can successfully address all areas of revenue cycle management, from compliance, credentialing, coding, claims processing, clearinghouse edits and electronic lockbox to claim denial management, reporting, financial analyses and more. Your in-house staff may be doing a tremendous job in managing some or most aspects of your medical billing, but your office staff has many other important clinical functions to perform. Sometimes billing matters receive lower priority and suffer as a result. Precision's medical billing experts are focused entirely on medical billing and nothing else; that's all they do.

From large Integrated delivery networks to small facilities, Parathon has worked with a variety of providers to increase their revenue and streamline operations. Parathon’s powerful intelligence-based recovery software represents thirty years of strategic technological development and a commitment to understanding industry needs. Our progressive and continually evolving approach to RCM makes our services an invaluable and incomparable asset to providers. Our recovery services work alongside our proprietary technology. Parathon’s progressive and continually evolving approach to the revenue cycle makes it an invaluable and incomparable asset to providers. Marathon has recovered billions of dollars on behalf of hospitals, health systems, and physician groups through our first-in-class revenue intelligence services. Unlike other RCM vendors, Parathon does not rely on EMR or other legacy systems to perform revenue follow-up services.

Precise consumer engagement & payments everywhere. In life, there are financial obligations people can navigate…and some they can’t. To engage consumers effectively, it’s essential to know where they are in that financial journey. RevSpring leverages what we know about people to predict payment outcomes so we can improve them. RevSpring leads the market in financial communications and payment solutions that inspire action—from the front-office to the back office to the collections office. North America’s leading healthcare organizations, revenue cycle management and accounts receivables management companies trust RevSpring to maximize their financial results through dynamic and personalized print, online, phone, email and text communications and payment options. Using proprietary data analytics to tailor the engagement workflows to fit individual circumstances and preferences, RevSpring solutions improve the consumer financial experience and drive better outcomes.

Pulse believes in simplifying workflows, in order to deliver better care to patients, and help physicians get paid. Pulse offers flexible RCM models to suit your practice needs for successful administrative and clinical operations. We provide a tailored approach to your business and practice needs and can scale our solutions to increase your bottom line. Financial Performance: Improve RCM KPIs, revenue & cash flow and reduce write-offs,as well as days in A/R. Personalized Service: Your practice is assigned a team of experts working to simplify workflows and improve profitability. Exceptional Value: Complete and flexible RCM solutions with exceptionally trained professionals, process, automation, infrastructure, and technology. Pulse is a leading EHR/PM Company that is a part of the Amazing Charts and Harris Healthcare family. We have a long history supporting medical practices with technology and value-added services.

Experience a true performance management transformation in healthcare, with intelligent solutions for hospitals, health systems, and large physician practices. Med-Metrix delivers a full suite of performance management tools that combine deep subject matter expertise, robust analytics, and tailored services to help maximize performance. We work within your existing structure to enhance day-to-day operations and dramatically increase your bottom line. Whether you utilize our innovative software alone or take full advantage of one of our operational-based bundles, Med-Metrix has the real-world expertise and premier solutions needed to improve revenue, mitigate cost, realize increased margins and boost profitability. Our business intelligence suite of software grants immediate access to detailed cost accounting and valuation data at granular levels, providing actionable information to its users. This revolutionary software suite is available as a bundle, or through individual products.

athenaIDX is a revenue cycle management solution that streamlines A/R and reduces the cost of collections with powerful automation tools. A revenue cycle management solution that reduces days in A/R and your cost to collect. Get paid faster, with less work, and at a lower cost with athenaIDX. Our revenue cycle management solution is optimized for large practices, health systems, billing services, and hospitals. It reduces A/R days and drives down the cost of collections by increasing automation, reducing redundancies, and fostering best practice workflows. Why do the most complex large practices, billing services, hospitals, and health systems love working with us? Because we know you’re not a cookie-cutter organization. Our RCM experts take the time to understand your unique needs and implement a solution with the right workflows to support your goals. It’s our tailored approach to RCM that helps hospitals achieve powerful financial outcomes.

The Behave Health solution combines best-in-class electronic health records software with integrated medical billing & revenue cycle management software. We simplify your operations so you can focus on providing high quality patient care. We support facilities across the behavioral health continuum of care; outpatient, residential, and inpatient. We can support facility providers treating patients with addiction/substance use disorders and mental health disorders. Our solution is perfect for new facilities just starting up or existing facilities looking for a trusted software partner. We know you will love our software so we give you a free trial account to try it out yourself!

With a single sign-on solution for PM and EHR, our total clinic solution streamlines workflow, speeds cash flow and maximizes reimbursement. With our team of medical billing & revenue experts, practices typically see bottom-line improvements including fixed-cost reductions. Plus, partnering with our revenue services team gives you peace of mind knowing that you have more time to focus on patient care and patient engagement — what you do best! Empower your team with our industry-leading implementation, training, support, data migrations and interoperability. Proven tools to allow today’s patients and providers to better manage their health. Continued education and training based on industry requirements and guidelines. Connect quickly and efficiently with patients with built-in tools designed specifically for medical practices.

Every practice’s revenue cycle is the same. It starts when a patient sets an appointment and it ends when the practice receives payment. It sounds simple enough, but the reality is there are lots of opportunities along the way where simple mistakes can cost your practice money. At eMDs, we don’t simply process claims. That’s the easy part. Instead, we help our customers navigate the entire revenue lifecycle with our expertise understanding payer billing rules, audits, recoupments, appeals and denials, and much more. Why is this important? Your revenue cycle is like a production line. Each step has to be perfectly executed so the next one can be. One little hiccup and the production line (your revenue) comes to a screeching halt. By leveraging best practices developed over our 20+ years in business, our team of industry experts, and our proprietary technology, Aria RCM ensure your billing lifecycle is set up for maximum revenue collection.

Gentem Health is a platform that transforms the reimbursement experience by not only handling the end-to-end billing and revenue cycle processes, but also advancing payments to private medical practices. Nothing falls through the cracks. Our platform serves as a single source of truth to understand your billing operations and monitor your core metrics so you’re always on top of your revenue. We support the imperative need for cash flow and capital to fuel sustainable growth. Get access to working capital while Gentem submits, scrubs, and pursues your claims. Our specialty-focused experts — empowered by cutting edge technology — are dedicated to maximizing your collections. Technology built to drive results. State-of-the-art analytical tools and A.I. powered automations give you more control over your practice’s revenue than ever before. Gain complete transparency into your claim process with real-time performance analytics and timely alerts to ensure that no claim is left behind.

Powered by our advanced, cloud-based technology platform, XIFIN RPM is a comprehensive, highly automated Revenue Cycle Management solution that maximizes efficiency, refines medical cycle billing, improves cash collection, and increases financial accuracy. Diagnostic providers need financial management technology that not only helps improve cash collections, but also delivers visibility and control over financial operations, and provides connectivity within and beyond the organization. With these increasingly complex needs, diagnostic providers are poorly served by traditional billing systems that lack the referential and financial integrity required to deliver accurate, auditable information. Instead, they need a technology infrastructure with a solid financial and accounting foundation that delivers full visibility to understand the financial status of every diagnostic activity a provider performs, at every stage from order submission to payment.

Patient access is the starting point for your entire revenue cycle process. Ensuring correct patient information on the front end reduces the errors that cause rework in the back office. 10 to 20 percent of a health system's revenue is forced to remediate denied medical claims and 30 to 50 percent of those occur during patient access. By adopting an automated, data-driven workflow—not only are you reducing the errors that lead to claim denials, you’re also improving access to care for your patients through capabilities like online scheduling options that are available 24/7. Access is further improved by reducing the friction around patient billing by leveraging real-time eligibility verification to deliver accurate patient estimates at registration. Increase staff efficiencies by improving registration accuracy. Correct discrepancies and errors in real time to avoid costly denials and rework.

Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS.

AGS AI Platform is an end-to-end Revenue cycle management platform that provides a full suite of revenue cycle solutions that can be configured to meet the unique needs of any healthcare organization. AGS AI Platform is designed to improve healthcare systems' revenue cycle performance by automating repetitive tasks, simplifying coding, improving documentation, and optimizing billing practices to prevent denials and improve revenue flow. It provides a connected solution that blends artificial intelligence and automation with award-winning human-in-the-loop services and expert support to maximize the performance of the healthcare revenue cycle. The platform allows healthcare organizations to gain enhanced visibility into day-to-day operations and the overall performance of the revenue cycle, including intelligent worklists, productivity reports, customizable dashboards, root cause analyses, and executive reporting.

Connected technologies and unified data empower individuals and enable the health ecosystem to accelerate innovation and influence health outcomes. Oracle Health is building an open healthcare platform with intelligent tools for data-driven, human-centric healthcare experiences to connect consumers, healthcare providers, payers, and public health and life sciences organizations. With the largest global EHR market share, we are able to bring data together to enable clinicians, patients, and researchers to take meaningful action, advance health, and work to improve outcomes worldwide. Rated the largest revenue cycle management (RCM) leader by IDC MarketScape, we provide timely, predictive, and actionable health insights to automate processes, optimize resources, and drive efficiencies. Accelerate innovation, benefit from flexible infrastructure and platform resources, and drive clinical intelligence through our open, extensible ecosystem of partners and technologies.

Manage your members' healthcare and networks with a cloud-based healthcare delivery system. Automate claims processing for managed care organizations. Includes eligibility, referral and authorization processing, provider contracting, benefit administration, auto claims adjudication, capitation (PCP and Specialty), EOB/EFT check processing, and EDI transfers and reporting. Deploy as a cloud solution or an in-house system. Ideal for managed care organizations (MCOs), independent physician organizations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. Streamline the complexities of administrating eligibility, referral authorization and claims processing. Features and functions maximize data integrity while reducing data entry.

From scheduling to reporting, coding to collections (plus every step in between), Simplify’s all-in-one digital software platform + revenue cycle management solution provides worry-free, one stop shopping. And that’s a relief. Simplify’s recipe for success is predicated on our ability to really understand your business and help you optimize your workflows. With decades of ASC expertise, we get it – because we’ve been there. Our proprietary technology and revenue cycle solution is the lifeblood of your center — it’s seamlessly connected, always communicating. All the tools and support your center needs, working together to ensure you’ll thrive not just survive! ASC revenue cycle optimization requires much more than a task-oriented approach. Simplify develops and executes proactive, integrated revenue cycle strategies to improve cash flow and position ASCs for long-term profitability.

Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes.

Whether you are an independent reference lab, a pathology practice, an outreach lab or a public health lab, TELCOR RCM billing software provides the tools to overcome tough billing challenges and improve profitability. Perform claim submission, claim monitoring, remittance processes, AR management, client and patient billing, and much more for multiple NPIs all in a single revenue cycle management solution. Minimize billing staffing needs and maximize revenue cycle productivity by using the right tools to automate daily billing functions such as claims submission, collecting patient information, as well as generating revenue cycle management financial reports. Eliminate labor-intensive manual adjudication processes by processing electronic payments received from your payers via 835 ERAs or from your bank via lockbox payment files. Send quick and easy-to-understand billing communication to patients, simplify your patient billing process, and make it easier for patients to pay.

NovoClinical is a fully integrated EMR system designed by practicing physicians to make the medical practice more efficient and more profitable. NovoMedici is a true 360 practice driven solutions. We Believe Doctors should Practice Medicine. Not Accounting. NovoClinical’s revenue cycle management takes the worry out of getting paid and allows the doctor the ability to focus on medicine and patient care. CCM can dramatically improve the health of affected patients. At the same time, CCM can increase the revenue for a practice. Telemedicine feature allows providers the ability see patients with limited mobility and limited ability to schedule physical visits with their provider. Using NovoClinical, a 20015 level 3 certified system can help practices not only avoid the penalty but be eligible for the 7 percent bonus. The NovoClinical portal allows provides patients with the ability to go online and input their demographic information, their medical history, e-sign mandatory.

Smart, simple solution enabling innovation for HME/DME providers Simplify everything from order intake & delivery, scheduling, inventory control, billing, reporting and more – our goal is to challenge and improve your existing processes, making healthcare simpler for all. Improve the administrative process involved with filling orders, communicating with physicians, and getting patients what they need when they need it. Where Workflow Happens! Download the NikoHealth mobile delivery solution to manage your business. Go paperless with electronic documentation management including e-signature workflows, scheduling, inventory control and more. Easy to use and intuitive HME DME software to engage your team while effortlessly reducing the learning curve and boosting productivity. Expert support and services to help your digital transformation journey. Our dependable implementation complements your business goals while nurturing best practices.

Certive’s Revenue Integrity Analytics platform is based on a unique blend of data science, clinical expertise, and administrative process knowledge. Certive Health’s experience base ensures the integrity of the hospital’s revenue and compliance of its processes. The core of Certive Health’s Revenue Solutions offering is built on its Revenue Integrity Analytics™ platform. Extended technical capabilities in analytics, workflow, and marketing automation combined with clinical and payer side experience helps our clients reduce costs, improve outcomes, and increase patient satisfaction.

Transform your revenue cycle with Oracle Health RevElate Patient Accounting. Our EHR-agnostic solution helps you optimize financial outcomes with clinically integrated, cloud-enabled billing workflows that provide automation and extensibility. With RevElate Patient Accounting you can: Limit workflow redundancies, using dynamically connected workflows and analytics to help optimize efficiencies Prioritize and collect on outstanding accounts receivable with embedded business rules to identify and assign work efficiently Establish an open and extensible framework to support workflows that flow across Oracle Health solutions, third-party technologies, and organizations at scale Help improve compliance and maximize reimbursements with embedded payer rules RevElate Patient Accounting brings together a unified view of clinical and financial information to give you enhanced visibility into patient activity and accounts.