Alternatives to TruBridge

Compare TruBridge alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to TruBridge in 2024. Compare features, ratings, user reviews, pricing, and more from TruBridge competitors and alternatives in order to make an informed decision for your business.

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    Service Center

    Service Center

    Office Ally

    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.
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    OpenPM

    OpenPM

    OpenPractice

    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.
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    MedEvolve

    MedEvolve

    MedEvolve

    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.
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    Azalea EHR

    Azalea EHR

    Azalea Health

    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.
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    Virtual Examiner

    Virtual Examiner

    PCG Software

    Virtual Examiner®, PCG Software’s flagship product, monitors the internal claims process of an organization to trend provider data for fraudulent and abusive billing patterns, and maximizes financial recoveries. PCG Software’s Virtual Examiner® allows healthcare organizations to enhance their current claims adjudication system with more than 31 million edits per claim. The software solution monitors an organization’s internal claims process to identify unclean claims and reduce payment for improper or erroneous coding to conserve premium dollars. Virtual Examiner® is more than a claims review solution with a focus on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.
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    Cognizant

    Cognizant

    Cognizant

    Reimagine your Revenue Cycle. Powered by intelligent automation, proven methods, and experienced professionals, our RCM solutions are purpose-built to help you improve performance. Through partnership with Cognizant, you can improve your financial results quickly and advance every aspect of your business office with digital. With a strong business office and trusted partner, you can focus on delivering amazing care. Are rising costs, increasing patient responsibilities and changing regulations creating new challenges for your organization? Cognizant creates customized end-to-end solutions to fit your needs to help achieve optimal operations and financial success. Utilizing innovative solutions and services combined with industry expertise, we help clients transform their business to drive growth and prepare for the future of healthcare. Learn how we help hospitals, health systems and physician practices drive intelligent automation to simplify business processes.
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    Clarus RCM
    Transform your revenue cycle with Clarus RCM. Clarus RCM specializes in risk adjustment coding solutions namely retrospective & prospective HCC coding, commercial risk adjustment coding, HEDIS abstraction, RADV audits, chart review & data validation, and revenue cycle management services. Our certified coders guarantee 95%+ accuracy & faster turn around time. Clarus RCM Inc provides comprehensive revenue cycle management (RCM) services through a robust, innovative technology suite. By integrating RCM services with healthcare consulting services, Clarus RCM can help hospitals and physicians increase their existing revenue stream, uncover new payment opportunities and elevate RCM performance. Clarus is certified with ISO/IEC 27001:2013 industry laurels. Our operations are 100% HIPAA and ISMS (information security management system) compliant. We have been assessed by UL-DQS (American accreditation) to deliver the highest quality of healthcare services.
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    Quadax

    Quadax

    Quadax

    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.
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    I-Med Claims

    I-Med Claims

    I-Med Claims

    I-Med Claims provides top-tier medical billing and revenue cycle management (RCM) solutions, trusted by healthcare practices across the U.S. We handle all aspects of RCM, from eligibility verification to denial management, helping practices streamline operations and maximize reimbursements. With billing plans starting at just 2.95% of monthly collections, we offer affordable solutions that enhance financial workflows, maintain compliance, and improve cash flow. By outsourcing billing to us, practices can focus on patient care while benefiting from reduced claim denials and faster payments.
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    MediFusion

    MediFusion

    MediFusion

    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.
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    ImagineBilling

    ImagineBilling

    ImagineSoftware

    The industry’s first intelligent, multi-specialty medical billing software. Streamlining billing and patient collections for over 75,000 physicians across the country. Globalized data eliminates the need for duplicate entry. Visit-driven to allow for large volume and complex information. Flexible data structure accommodates requirements across multiple practices and specialties. Helping you get paid faster. Post payment manually or through electronic remittance. Automatically scrub claims for errors and missing information. Automatically refile insurance claims based on selected criteria. Fast review to evaluate and approve charges. Audit charges by modality, procedure, insurance, user, doctor or date of service. Intuitive reports for tracking the financial health of your front-end and back-end billing. Never lose another charge again. Integrates with your preferred clearinghouse or statement vendor.
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    Altruis

    Altruis

    Altruis

    Revenue cycle management touches so many aspects of healthcare that the term means different things to different audiences. But at the core—at the heart—it’s about capturing the revenue needed to power a healthcare organization’s mission. Altruis never loses sight of that simple fact. The revenue cycle management services we offer translate to more patients served, new and expanded services for those patients, and a more reliable, robust pool of resources to enable strategic planning, talent retention, and community-health investments. Whether you find yourself in need of a temporary billing solution, assistance with unresolved AR in a previously used system, or help successfully appealing denied claims, Altruis can help. We resolve backlogged AR by conducting in-depth forensic investigations of both isolated and systemic issues. Through root-cause analysis, we identify ways to help providers realize immediate financial benefits.
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    EMedPro

    EMedPro

    Medical Data Technologies

    In July 2012, Medical Data Technologies officially released Version 6 of it flagship product, E Med Pro. This new version uses Microsoft technology combined with a SQL database to even further enhance the user experience. To enable Physicians, Dentists and Billing Center to realize that full reimbursement potential using HIPAA Compliant claim processing software. Empower healthcare professionals with the most unique software and data processing solutions. Communicating with our customers, understanding their needs and how they use technology, and providing value through software, hardware and support to help them realize their potential. Broadening choices for clients by identifying new areas of healthcare technology; designing new products; and integrating our products into existing businesses. Enabling our customers to process claims, secure their computer systems and protect patient privacy with HIPAA compliant hardware, software and operating systems.
    Starting Price: $750.00/one-time
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    Availity

    Availity

    Availity

    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.
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    Enter

    Enter

    Enter, Inc

    Enter gets Providers (doctors, practices & hospitals) paid faster than anyone in history. Enter processes health insurance claims and pays in 24 hours while automatically communicating and collecting patient responsibility with a white label collection engine, complete with payment plans. Enter is 30x faster at getting claims paid and 45x faster at getting patients billed at the same cost as existing medical billers. - $150mm+ of claims processed in just 1 year of operations. - $100mm credit facility actively being deployed for providers. - Revenue Cycle Management Partner for United Healthcare Nevada. - Enter supports a wide variety of specialties including ASC, Orthopedics, Neurology, Dermatology, Emergency Rooms, Behavioral Health, Pain Management and more. - Enter works with all commercial and government health insurance carriers. - Enter integrates with all EMR / practice management systems. - No monthly fees. No integration fees. - Enter is venture backed
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    eClaimStatus

    eClaimStatus

    eClaimStatus

    eClaimStatus provides simple, practical, efficient and cost effective real time Medical Insurance Eligibility Verification system and Claim Status solutions that power value added healthcare environments. At a time when healthcare insurance companies are reducing reimbursement rates, medical practitioners must monitor their revenue closely and eliminate all possible leakages and payment risks. Inaccurate insurance eligibility verification causes more than 75% of claim rejections and denials by payers. Furthermore, refiling rejected claims cost an organization $50,000 to $250,000 in annual net revenue for every 1% of claims rejected (HFMA.org). To overcome the revenue leakages, you need a no-fuss, affordable and effective Health Insurance Verification and Claim Status software. eClaimStatus was designed to solve these specific challenges.
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    Transcure

    Transcure

    Transcure

    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.
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    TIMS Software

    TIMS Software

    Computers Unlimited

    TIMS Software is an innovative solution developed for HME|DME businesses. It enables you to manage your revenue cycle from end-to-end and provides the clarity you need to make smart business decisions by giving you total access to all your business data. TIMS Software provides a customized solution to fit your business and the peace-of-mind knowing that the right people are working the right claims, at the right time, so you get paid faster.
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    Medcare MSO

    Medcare MSO

    Medcare MSO

    Medcare MSO is a US-based medical billing company that has been helping healthcare practitioners to overcome revenue collection challenges for 10+ years. We are an industry-leading outsourcing medical billing company and provide professional services. With great expertise, our medical billing team rigorously follows up on your claims, account receivables, and never leaves any amount of your revenue to stay uncollected.
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    Centauri Health Solutions

    Centauri Health Solutions

    Centauri Health Solutions

    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.
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    NovoClinical

    NovoClinical

    NovoMedici

    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.
    Starting Price: $100 per month
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    Cvikota MBS

    Cvikota MBS

    The Cvikota Company

    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.
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    OmniMD

    OmniMD

    OmniMD

    We are a leading provider of all-in-one electronic health records (EHR), practice management (PM), and revenue cycle management (RCM) solutions and services for medical practices. We have partnered with large and small medical practices, medical management organizations, and medical billing companies to improve patient and provider experience, optimize operations and maximize financial health OmniMD Features:- Appointment Scheduling Charting, Claims Management Compliance Tracking E-Prescribing EMR/EHR HIPAA Compliant Insurance Eligibility Verification Inventory Management Meaningful Use Certified Medical Billing, Multi-Location Multi-Physician ONC-ATCB Certified Patient Intake support : 24/7
    Starting Price: $250.00/month/user
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    eClinicalWorks

    eClinicalWorks

    eClinicalWorks

    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.
    Starting Price: $499.00/month/user
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    ZOLL Billing

    ZOLL Billing

    ZOLL Data Systems

    Progressive revenue cycle management is, in many ways, the backbone of a thriving medical services operation. Controlling costs, increasing productivity, and accelerating reimbursements are essential activities that keep EMS agencies rolling. Yet efficiently progressing a claim through its lifecycle has traditionally been labor-intensive and prone to delays caused by documentation and coding inaccuracies. ZOLL® Billing is a cloud-based solution that enables revenue cycle professionals to turbo-charge billing performance and deliver more revenue. By automating workflows and eliminating billing errors, ZOLL Billing helps you process more claims with fewer resources and address compliance risk at the same time. Increase productivity and revenue with automated workflows that enable you to process more claims.
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    Coronis Health

    Coronis Health

    Coronis Health

    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.
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    WRS Health

    WRS Health

    WRS Health

    We’ve automated and systematized the billing process so your medical practice will get paid correctly the first time and that you will collect the maximum for all services performed. Our cloud-based EHR Software and practice management system provides billers and clinicians with business intelligence and payor rules unrivaled in the industry. Many practices make little effort to market their services. This translates into lost opportunities and flat revenue. WRS provides scalable and sustainable marketing plans for practices of all sizes, specialties and budgets. Now more than ever, physicians are under increased pressure from new rules, increased scrutiny and ever-changing complexities in medical services. We can help remove these burdens, so that you can concentrate on patient care.
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    Eligible

    Eligible

    Eligible

    Eligible's powerful APIs are the easiest way to add insurance billing experiences into your applications. These accreditations assure patients and providers that Eligible has accomplished the strictest compliance with privacy and security best practices while processing millions of healthcare cases each month. We fully understand the role of a mature and proven information security program in meeting Eligible and customer goals. We are happy to announce the successful completion of our Type II SOC2 review. Achieving this certification helps us assure our customers and the companies with which we interact that we understand our responsibilities in keeping protected health information safe. Instantly deliver exceptional experiences for patient insurance billing to your end users. Run estimations, perform insurance verifications and file patient's claims all with simple APIs.
    Starting Price: 3% Fee
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    Nobility RCM

    Nobility RCM

    NobilityRCM

    Nobility RCM offers full medical claims and collections services as well as a Pre-Funding model that eliminates financial hassles. It helps improve patient satisfaction and increase revenues. Nobility RCM offers full medical billing services, including claims and collection management and comprehensive billing reviews, to optimize revenue in-flow. Nobility RCM clients have exclusive access to Nobility Pre-Funding, an option that ensures guaranteed revenue for healthcare organizations. We pay your claims and then collect from the insurance companies on your behalf, giving you immediate access to capital alongside our all-inclusive billing solution. If the analysis and assessment lead to an approval, you are invited to apply for Pre-Funding and a revenue payment schedule is provided to stabilize your cash flow.
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    DuxWare

    DuxWare

    Medical Practice Software

    DuxWare is a medical practice software built for physicians, practice administrators, billing service, and integration partners. With DuxWare, medical professionals can stay organized and secure and get paid faster. The platform is easy to use and also comes with automated appointment reminders, onhold music and messaging, real-time claim scrubbing, and more.
    Starting Price: $150.00/month
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    RevSpring

    RevSpring

    RevSpring

    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.
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    ESO Billing
    Automate your workflow and integrations, and put an end to the repetitive manual work associated with revenue cycle management. ESO Billing frees your team to focus on what they do best. In today’s reimbursement world, efficiency counts. ESO Billing was built to save you time at every possible point in the billing process. Even its interface has been freshly redesigned for the ultimate in speed and ease of use. Customize your workflow based on your business process, task-based workflow moves each claim through its stages with minimal touches. It even alerts you automatically when payments aren’t on time, for the ultimate peace of mind. Our payer-specific proprietary audit process ensures that each claim contains all critical billing information prior to claim submission. The result? The lowest clearinghouse and payer rejection rate in the industry. Pair billing with ESO Health Data Exchange (HDE) and ESO Payer Insights to tap into hospital-generated billing information with one click.
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    Nexus EHR

    Nexus EHR

    Nexus Clinical

    Nexus EHR is a cloud-based EHR and PM platform for clinical healthcare providers. Our EHR works with your clinical workflow and maximizes the physician-patient encounter. Access anywhere, any time, and with any device (PC, Tablet, Mobile). Breeze through encounters via our intuitive, easy-to-use interface that allows you to practice naturally. Multi-modal data input allows for maximum flexibility. Nexus Practice Management systems help you manage all billing activities, claims, and ERAs to maximize your revenues. Nexus EHR offers telemedicine to connect with your patients remotely. Nexus's Patient portal offers great flexibility to patients to fill all the demographics, insurance information, and histories online at their convenience.
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    HARMONY

    HARMONY

    Harmony Medical

    Harmony Medical is a trusted leading provider of electronic health record, practice management, and revenue cycle management software solutions. Purpose-built for independent medical practices, Harmony is a fully integrated HIPAA compliant practice management platform that helps streamline your practice in order to improve patient care and enhance your bottom line. The solution features a variety of tools for easy scheduling, robust reporting, comprehensive claims scrubbing, insurance and patient billing, patient history, patient tracking, patient referral tracking, and so much more.
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    ImagineMedMC

    ImagineMedMC

    Imagine Software

    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.
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    FQHC RCM Management Services
    Revenue Cycle Management. With staffing costs and overhead constantly on the rise organizations need an experienced revenue cycle partner who can not only navigate complex billing requirements, but who produces a sizable return on their investment. Our fully-managed CHC billing management services take the guesswork out of getting paid. Our experience staff deals exclusively with CHC billing so we know what it takes to keep the money flowing in your direction. Services. Revenue Cycle Services. Our team of highly trained staff members leverage many years of CHC revenue cycle management experience to accurately prepare. A Visualutions RCM Health Check includes a rich visual representation of your revenue cycle including a multi-year Transaction Analysis, multi-year payer mix review, A/R trends, E/M coding analysis, and more. An efficient RCM workflow and a sound set of policies ensures smooth, reliable billing processes and a higher rate of collection on services rendered.
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    ediLive!

    ediLive!

    Texas Medical Systems

    ediLive! claims processing software works with any NSF, ANSI, or print file claim image, allowing the HIPAA complaint transmittal of any practice management software's claim file. Additionally, ediLive! customers benefit from real-time connectivity and claim collections workflow management. ediLive! attaches all claim status messaging from payers directly back to the claim for easy follow-up and correction, taking all incomplete claims and compiling them into a single on-screen worksheet for fast corrections and resubmittal. If you use ediLive!, we have a wonderful product call claims scrubber that can help you to get your claims paid – not only faster, but better! Call our office to schedule a free on-line demonstration. We can scrub the first 100 claims for you as a free trial. Every coding error you make costs your practice money.
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    Essential RCM

    Essential RCM

    edgeMED Healthcare

    edgeMED's Essential medical billing and collection service handles the complete revenue cycle to ensure your organization is running at maximum efficiency and profitability. Medical practices and health systems strive to provide the best possible outcomes among their patients. But at the heart of what allows them to provide the best quality care are the strong financial outcomes resulting from a well-managed revenue cycle. With edgeMED Essential, we increase your collections and dig deeper to analyze cost and profitability, monitor contract under and overpayments and investigate new revenue opportunities, resulting in mutual success and long-lasting partnerships. Whether you are an independent physician practice, health system, Accountable Care Organization (ACO) or medical home, we are your revenue cycle management experts so you don't have to be. At edgeMED, we utilize our more than 40 years of expertise in medical billing and consulting to achieve maximum revenue.
    Starting Price: $149 per month
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    Waystar

    Waystar

    Waystar

    The financial and administrative challenges facing healthcare providers are daunting. Waystar’s technology platform simplifies and unifies healthcare payments across the revenue cycle. We empower healthcare organizations to automate manual work, gain insight into processes and performance, and ultimately collect more revenue. At Waystar, we know there’s a better, more efficient way forward. Let’s climb the mountain ahead of us to reach new heights in healthcare. We know that adopting new revenue cycle technology can seem like an obstacle. Whatever your existing systems, our cost-effective technology is compatible and gets up and running quickly. Our single sign-on platform lets you manage commercial, government and patient payments all in one place, so you can consolidate vendors and eliminate the hassle of multiple systems. Give your staff intuitive solutions that will make their jobs easier and their workflows more productive.
    Starting Price: $100 per month
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    Gentem

    Gentem

    Gentem Health

    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.
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    Medisoft

    Medisoft

    AZCOMP Technologies

    Designed to support Independent Physicians, Medisoft is a proven practice management solution. Medisoft offers an all-in-one interface combining scheduling and billing functions as well as integrated revenue management capabilities. However, it is so much more than just a scheduling and billing program. With Medisoft EHR, you will have access to both the practice management system and an advanced electronic health record solution at a price that smaller physicians will like. In today’s ever-changing healthcare environment, delivering the best patient care while improving and growing your practice can be a huge challenge. You need technology, and partners such as AZCOMP that will help you to deliver the best patient care without sacrificing revenue, profitability, or efficiency in order to succeed. Medisoft Monthly™ is something our physician offices have been asking about for years.
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    PhysicianXpress

    PhysicianXpress

    Doctor Office Management

    PhysicianXpress and the PediatricXpress E.H.R. was built from the ground up, around an independent Pediatric practice. Our team mapped out the entire revenue cycle and leveraged developers to build the Revenue Cycle Management System of PhysicianXpress. Our Pediatric EMR, PediatricXpress, was developed in an independent Pediatric Practice over 10 years ago and continues to receive enhancements. We are an independent company with over ten years in the market. We serve each and every Pediatric practice with consistent results. Our technology is up to date with continuous enhancements that help pediatric practices become more efficient and effective. The PediatricXpress system is a software-as-a-service e-business suite developed by the PhysicianXpress team. The system is used for Pediatric Practices as a complete solution for the simplification and management of their pediatric electronic health records and related pediatric practice activities.
    Starting Price: $99 per user per month
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    Precision Practice Management

    Precision Practice Management

    Precision Practice Management

    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.
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    QuickClaim

    QuickClaim

    Hype Systems

    We understand that people don't need their software to do everything. Especially not across specialties, practices, clinics, and hospitals. That is why we have created systems that are modular and will fit what YOU need. The front end (users) offers an intuitive, clutter-free interface; while the back end utilizes cutting-edge technology and database engines to ensure your data is safe and secured. And so you get paid... the first time! Used and loved by over 1,200 Ontario physicians, billing agencies and small to large multi-location clinics and hospitals. QuickClaim’s finesse has the feel of a well-thought-out tool. QuickClaim fulfills many roles. QuickClaim works with other systems like QuickReq, QuickDOCs and third-party systems via HL7 and flat files. Additionally, QuickClaim acts as the offline version of HYPE Medical during rare occasions of Internet failure. As an offline system, it runs independently of the Internet.
    Starting Price: $1400 one-time payment
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    Experian Health

    Experian Health

    Experian Health

    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.
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    Cube Healthcare Systems (CHS)

    Cube Healthcare Systems (CHS)

    Cube Healthcare Systems

    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.
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    eMedicalPractice

    eMedicalPractice

    eMedicalPractice

    eMedPractice is a cloud-based software system designed to streamline healthcare management functions. Our comprehensive solution begins with the seamless integration of our robust Electronic Health Records (EHR), Practice Management (PM) and Revenue Cycle Management (RCM) modules into one unified platform. This powerful combination of features is just the beginning. We offer a full suite of solutions and services to help you practice with efficiency and optimize workflows. Whether you're a small practice or a large healthcare organization, eMedPractice can help you save time, reduce costs, and enhance patient care. With our clinician-first software, you can manage patient data, automate administrative tasks, and improve revenue generation.
    Starting Price: $199.00/month
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    MedicsPremier

    MedicsPremier

    Advanced Data Systems

    Keep your practice on track with MedicsPremier (MedicsPM), a reliable practice management software from Advanced Data Systems. MedicsPremier comes with a wealth of tools that enables practices to streamline operations and get paid more, faster. This includes specialty-specific scheduling, automated patient workflow, patient information management, tax rates, products and inventory, specialty-specific EDI, patient statements, and integrated document scanning. With our system, get out-of-network alerts while scheduling patients. Access the patient responsibility estimator for an approximation of what they’ll owe after insurance. Remind patients about their copayments. Perform pre-appointment batch eligibility verifications. Get proactive alerts on claims likely to be denied. Yes…protect your revenue in advance!
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    Inovalon Provider Cloud
    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.
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    Remittance360

    Remittance360

    GAFFEY Healthcare

    All organizations across the healthcare revenue cycle sector can utilize Remittance360. If an entity receives standard 835, business office staff of all levels will find this tool useful in making actionable decisions regarding cash and accounts receivable workflow. Remittance360 is simple and easy to use, start-up time is minimal, and the uploading process of 835 data takes seconds. Utilizing the standard 835 data set, information upload is obtainable for all organizations, with minimal IT involvement. Remittance360 takes advantage of the data organizations have, but delivers relevant reporting of denials, trends, and individual payer activities. Gaining insights into this information can determine specific workflow needs. The ability to query data is simple in Remittance360, and common queries can be saved for easy user functionality. Querying denials by remark code and by department can assist in identifying and fixing root cause issues.