Best Government Revenue Cycle Management Software

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.

Running a successful therapy & rehab organization takes dedication, effort, and time. Hours spent on administrative tasks, billing, and planning can add up quickly, leaving you with little time to focus on the most important aspects of your practice. Taking on an Electronic Medical Records (EMR) system can help alleviate some of the burden and make the management of your practice more efficient. Raintree's EMR is the perfect solution for streamlining your practice's administrative duties while allowing you to focus on providing quality care to your clients. With Raintree's EMR, you can easily manage patient information and data, quickly generate reports, and easily access patient records. With our all-in-one solution, you’ll get the tools you need to streamline your therapy and rehab practice, improve patient care, and get back to doing what you love. Our electronic medical records solution is the most comprehensive and user-friendly EMR on the market.

Mercury One Plus is a Medical Practice Management solution that puts the fundamentals of Revenue Cycle Management at your fingertips; it acts as a stepping stone from standard billing to intermediate billing. Mercury One Plus is offered exclusively on the cloud, with the highest level of security- you can access your data anywhere 24/7. A complete product with big functionality, Mercury One Plus includes: patient demographics input, 100 plus reports to choose from, charge entry, full history of patient activity, ERA posting, credit card acceptance, and much more. Mercury Products are HIPAA compliant with a guaranteed connection to any clearinghouse or insurance company. Mercury One Plus's automated job system will facilitate a daily system tune-up: housecleaning; folder maintenance; daily backups; 837 exports; 835 imports;HL7. All subscriptions come with the expert help of CrisSoft Support. Willing to partner/intergrate with all EMR's through REST.

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.

Our human services software offers full functionality for case management, client tracking, electronic health record (EHR), and homeless information management (HMIS) all under one roof. We work with agencies across the spectrum of human services: including developmental disabilities, mental health, substance use disorder, homelessness, supportive housing, HCBS, and much more. Foothold is HIPAA-compliant mental health software, federally certified as an EHR, and offers full interoperability as you navigate the new landscape of care coordination and value-based care. Transform the way you provide care with nimble software and a partnership guided by experience.

RXNT's integrated, cloud-based Electronic Health Records (EHR) software with E-Prescribing and Patient Portal optimizes patient care and streamlines workflows for practices of all specialties and sizes. Providers can access up-to-date patient health and prescription history using a single database, from any device. With integrated communications, providers can share real-time clinical data with patients and clinicians for better care coordination and next step support. Intake forms and "smart" keys enhance customization and eliminate redundancy. Your practice will benefit from the ease of the Patient Check-In feature, as well as integrated Electronic Prescribing (eRx). HIPAA compliant, ONC-certified, EPCS-certified, and satisfies MACRA/MIPS requirements. RXNT also offers Practice Management (PM) with Medical Billing and Scheduling and standalone E-Prescribing. Pick a solution a-la-carte with predictable pricing, or implement our Full Suite for a single, integrated platform.

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.

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.

Awarded among the Top 10 MPM and RCM solutions, Mercury Medical is a robust medical billing solution. With over 400 customizable reports, built in Scheduler and Patient Portal, Mercury Medical is the perfect solution for major billing, suitable for multiple specialties and RCM processes Mercury Medical is a reliable, proven professional Accounts Receivable solution that will reduce processing times, shorten payment cycles and increase cash flow. Mercury Medical is fully configurable to any vertical or process including: Anesthesiology, University, Physical Therapy, and more. Mercury Products are HIPAA compliant with a guaranteed connection to any clearinghouse or insurance company. Mercury Medical’s automated job system will facilitate a daily system tune-up: housecleaning; folder maintenance; daily backups; 837 exports; 835 imports; HL7. All subscriptions come with the expert help of CrisSoft Support.

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.

Increase the efficiency of your medical practice with an all-in-one practice management, electronic health records, and medical billing platform from DrChrono. With its modern and simple interface and dozens of advanced features, DrChrono empowers medical practitioners to better serve their patients. Users can easily schedule patient appointments, check and edit patient charts, and manage billing with ease.

At Modernizing Medicine® we empower our customers with an integrated suite of software and services that enable physicians and staff to do their best work while we support the clinical, operational, and financial aspects of their practice. Our flagship product EMA®, a cloud-based electronic health records system, adapts to each doctor’s style of practice, remembering preferences and automatically suggesting exam notes and suggested billing codes. When used on a tablet, EMA offers special touch and swipe gestures to rapidly build patient profiles, diagnoses, treatment programs and billing. EMA works seamlessly with our other products and services including Practice Management, Revenue Cycle Management, Telehealth, Inventory Management, patient engagement tools including payments and more. When combined, this all-in-one solution breaks down departmental silos and enables the team to work side-by-side, enhancing visibility and collaboration. By Doctors for Doctors

ViSolve specializes in providing cloud hosting services through AWS to healthcare organizations with low-cost ways to deliver their websites and web applications securely. We are one of the leading contributors of OpenEMR and has a team of expert professionals at customizing OpenEMR to allow your practice to get the most benefit from it. ViSolve is specialized in providing Health Information Exchange (HIE) through interoperability FHIR/Mirth.It includes seamless data exchange between disparate systems. The electronic medical records software that lets you chart your way in, because one-size doesn't fit all! It's a highly personal way to create optimal workflows that lets you consult more patients in an environment that fits your style. By Offering customisable solution, OpenEMR Pro is helping to fulfill vision of truly connected office, in which patients, providers and technology are connected seamlessly and exchange data with other hospitals, when required, through Mirth Connect.

ReLi Med EMR is easy to learn, quick to master. The consistency of the design allows for improved efficiency from patient intake to charting to follow-up care and beyond. EMR is fully customizable by provider. All information is stored in a granular, quantifiable way allowing for easier, more concise reporting. We care about more than just technology. Equipping physicians with the tools and measures needed to better care for their patients is the primary focus for ReLi Med Solutions. Our system was designed to provide physicians with all of the necessary tools to meet Meaningful Use objectives. Our solution goes well beyond the standard program offerings and provides a customizable tool for providers, from managing complex care needs to wellness checks, from concierge care to traditional healthcare clinics. Real time patient care alerts and triggers based on patient’s health history prevent omissions, enhance workflow and improve overall quality of care.

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.

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.

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.

Medcubics provides a unique strategy from the front office to the back office. Saves time, facilitates process, provides flexibility, and provides rapid access. Because we are a partner for both physicians and patients, you can rely on our trustworthy software and corporate dedication to customer service. As a medical practitioner, you want to open a practice that is profitable, reliable and will allow you to handle the patients with care and respect. Whether you’re separating from your current medical practice partners or no longer want to work for another doctor, you need a plan to make sure that your business can continue to provide the same level of care you would. Patients can schedule appointments with ease and get notified when their appointment is near reducing no-show considerably.

Approved Admissions is a secure platform that automates tracking of coverage changes for Medicare, Medicaid, and commercial payers bundled with real-time eligibility verification and coverage discovery. The platform's primary goal is to help providers minimize the number of claim denials due to a missed insurance coverage change and accelerate the billing cycle. Approved Admissions is using the innovative RPA (Robotic Process Automation) Bridge solution to ensure patient data consistency across multiple systems, and benefit coverage search. Key Features: - Automated eligibility verifications and re-verifications - Email or API notifications if any coverage changes are detected - Real-time verifications - Batch eligibility verification - Seamless integration with RCM, EHR platforms (PointClickCare, MatrixCare, SigmaCare, DKS/Census, FacilitEase, and many others) - RPA-powered cross/platform synchronization

End-to-end practice management and revenue cycle solutions. From patient intake to getting paid, pMD has all the software and services you need to run your medical practice. With fewer systems involved, there's less room for errors and inefficiencies. Use all of the features pMD has to offer, or we can integrate seamlessly with your existing systems. A comprehensive and secure communication strategy means fewer gaps in care and a better patient experience. Delivering the best possible care means having a standardized communication channel to connect about and with your patients. We make sure all the important patient information is accessible in one place, saving you valuable time when you need to access it. pMD offers the comprehensive, integrated, and HIPAA-compliant telemedicine platform solution health care providers need to provide unparalleled patient care. Explore all the easy-to-use telehealth software app offers and get pMD telemedicine for your practice and patients.

The DENmaar Guardian will allow you to check on the status and explore many features. The DENmaar Guardian offers a suite of services designed to improve and provide measurable financial results. From insurance credentialing and billing to our advanced automated RCM, our behavioral and mental health providers can be assured of optimal economic outcomes. Patient scheduling is critical for operational efficiency, reducing missed visits, and ensuring that patients are seen promptly. The DENmaar scheduler offers several key features that you should look for when analyzing the quality of a patient scheduling system. Stay HIPAA compliant while collecting payment using DENpay. Practitioners must keep their patient's medical, financial, and personal information safely secured.  Patients continue to carry an increased burden of deductibles, premiums, and other medical expenses. Advanced yet user-friendly medical EHR software specifically designed for behavioral healthcare.

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.

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.

Clinics of All Sizes & Specialties: Focus on your patients and let PertexaIQ™ take care of the rest. For primary care as well as specialty and sub-specialty practices, such as neurology, OB-GYN, pediatrics, dermatology, podiatry, endocrinology and behavioral health. Ease, speed and accuracy dramatically improve value while increasing volume (and revenue). Hospitalist, Nurse & Related Groups: Our platform-agnostic app is interoperable, so it can pull in and push out data between your device and your client's EHR. This means your documentation gets done in real time with each patient you see, anywhere you see them (remote; at nursing home, rehab or other facility; in home). Administrators & Advisors (ACOs, PSOs, IPAs): Treat more, bill more, get paid faster while reducing staff and outsourcing costs. Auto-accurate coding = near 100% claims approvals at first pass; instant auto-auditable RAC level & auto-compliance.

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.

UnifiMD electronic medical records software presents patient chart summary views with physician and practice dashboards to unify all roles of your practice, improving clinical care while creating a better experience for patients. Our Team of expert EMR implementation specialists work as an extension of your practice to ensure a smooth transition. Your CHS dedicated EMR Account Manager assists in establishing a personalized implementation plan focused on patient and practice workflow as well as staff education. Ultimately provider ease-of-use and patient satisfaction goals are reached due to our unique implementation expertise. Powered by DrFirst, our medication management system is built on the experience and delivering of more than 1 billion medication transactions. In addition to medication history data access, legend drug and controlled substance e-prescribing (EPCS) and patient medication adherence support our solution includes much more.

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.

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.

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.