Medigy: Coding/Billing And Claims


Care planning and coordination provides the ability to create and implement integrated care plans and ensuring access to a host of services such as assisting in the development of care plans, health, and wellness recovery plans, matching the type of services to consumers’ needs, providing patient navigation services, and implementing disease management programs for patients and their families. Effective advance care planning and coordination services involve the participation of a health care team that creates a care plan and advance care directive for meeting specific needs and goals of patients.

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Medigy: Coding/Billing And Claims Topic Insights

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AltaPoint Medical

AltaPoint Medical Fast, user friendly, affordable, altaPoint is the PM solution for your growing practice. Everything Is Accessible from One Place Multi-Provider Scheduling Insurance billing Patient billing e-Prescribe

Vincari

Vincari Vincari is Computer Assisted Physician Documentation (CAPD) for surgeons and proceduralists. Vincari offers integrated, rule-based, post-operative documentation workflows designed to streamline the documentation and coding process. The rules around surgical documentation are constantly evolving.Vincari’s integrated workflows adapt to keep surgeons up to date with documentation requirements. With Vincari, surgeons can be more efficient by leveraging their historic usage and existing clinical information to reduce duplicate documentation. Use Cases Vincari gives surgeons integrated, rule-based workflows designed to capture the appropriate diagnostic and procedural specificity necessary for appropriate care and reimbursement When a patient encounter takes place, whether bedside or in a procedure room, Vincari captures all required patient information to generate clinical documentation and charge data in a single pass Key Features Intuitive Surgical Workflows Vincari Surgical CAPD offers integrated workflows that have been designed to flow the way surgeons have documented for years, making physician adoption more natural.

TRAKnet

TRAKnet is a charting and practice management system developed and supported by podiatrists specifically for podiatrists. Its fully integrated Charting, Scheduling, Billing, e-Prescribing, and Management Platforms. Our total practice solutions bundle include advanced tools to provide essential data helping to insure a successful practice.

WRS Health

WRS Health provides fully integrated, cloud-based electronic medical record and practice management solutions for medical practices. Our certified Cloud-Based EHR Software and practice management solutions are designed to help your practice and specialty realize its full potential.

WebPT Software

WebPT is the Most-Trusted Software in Outpatient Rehab. You can have it all: compliant documentation, accurate claims, maximized payments, and more time with patients. WebPT has evolved from a web-based documentation software into an all-encompassing business solution for any outpatient rehab organizationregardless of specialty, setting, or practice size.

Kareo Medical Billing Software

With Kareos medical billing experts and best in class software and services working for you, you can be sure your billing and claims are being taken care of. Add to this our entire network of knowledge and experience, and you’re way ahead. When you sign up with our Medical Billing Services, you get more than just billing expertise you get a team of specialists dedicated to your success.

Independent and Hospital-owned Laboratories Billing Services

Reduce costs and improve margins with medical billing and coding services for Independent and Hospital-owned Laboratories. For 40 years, Change Healthcare has been an industry leader in medical billing and accounts receivable (A/R) management services for hospital-based (outreach) and independent (reference) laboratories. We understand the challenges laboratories face today like data collection and ever-changing reporting requirements, and we have developed one of the industry’s most comprehensive revenue cycle management solutions dedicated solely to helping clients optimize revenues, control costs, mitigate regulatory risks, and differentiate themselves in the market.

Patient Billing & Statements

Expedite Patient Billing and Collections: Deliver prompt and accurate patient statements to help expedite patient payments. Drive your customers to make payments by sending them clear and concise statements that are easy to understand. Increase customer satisfaction and improve the patient billing experience with personalized print and digital statements. Lower your inbound customer service calls by sending accurate and concise financial statements.

Psyquel

We offer web-based practice management software with the option of a full-service billing company. For providers who need additional help with the back office support. We will verify any new patients insurance benefits. If the provider has a claim that has been rejected or denied, our office will correct and update the claim and resubmit it. Psyquel will post all insurance payments to the patient records. For providers using our mental health billing software who will be submitting claims to insurance.

Anesthesia Medical Billing Software

While anesthesia is a complex medical billing category, the industry demands consistent responsibility, reliability, security, and compliance review to identify upcoming challenges and problems. PHI Medical Office Solutions built our anesthesia medical billing software, PhyGeneSys, to provide you with the most value, customizing it with the latest technology and the unique requirements of anesthesia medical billing. PHI’s team of experienced and knowledgeable staff consistently: Evaluate concurrency against all cases in the system.

Software for Medical Billing Companies

PHI Medical Office Solutions offers an innovative solution for your specific billing service needs. Because PhyGeneSys utilizes sound practices and the latest technology, your practice is assured greater accuracy and a consistent increase in revenue. PHI has a proven track record of knowledgeable staff who promotes collaboration and integrity. PhyGeneSys stands out with the following features: Automated Processes: Minimize expenses for routine work allowing the medical billing service to compete effectively in a very competitive environment.

Reimbursement Optimization

SCIO® provides advanced predictive analytics that incorporates a deep knowledge of industry coding rules, risk adjustment, quality measures, and regulations and clinical & claims review expertise. Our products allow precise selection and the ability to spot weaknesses in payer systems, data flow, and processes that contribute to errors. The following are the key components of our reimbursement optimization programs: Payment Integrity: Ensuring that claims are paid correctly assists payers in controlling costs associated with fraudulent claims, and reducing overall payment discrepancies, adjudication, and reimbursement expenditures.

Flywires Payment Platform

Just like every patient’s visit is personal, their billing and payment experience should be too. Trusted by hundreds of provider clients, including 4 of the top 10 health systems in the US, with over 30% of households served. Flywire’s analytics-driven payment platform engages patients at every stage in the financial journey with easy-to-understand, affordable payment options. Whether you’re looking to increase collections, reduce costs, or make your payment experience friendlier, Flywire can help.

Medical & Pharmacy Claims Auditing

For over 14 years, SCIO® has partnered with Payers, Health Plans, and PBMs to optimize reimbursement. Through a blend of audit services, workflow technology, payment analytics, and clinical reviews, we help clients detect, prevent, and recover improper payments across the payment lifecycle. Clients benefit from our platform versatility, sophisticated analytics, operational expertise, and clinical knowledge. Medical Claims Auditing: Our medical claim auditing services ensure our client’s control costs most often associated with incorrect billing and overpaid medical claims, improving both administrative and medical loss ratios.

Kareo for Billing Companies

Kareo’s intuitive, the cloud-based platform puts billing companies in control of their business and the practices they serve. Kareo was built with the biller’s daily workflow in mind. It began as a software solution for billing companies. As a medical biller, your day is filled with much more than submitting claims to insurance companies. It includes revenue management activities, claims submissions and review, coding, insurance verifications, payment processing, etc. Built for Every Business Size:

Kareo Billing - Practice Management Software

With Kareo Billing, there’s no better software to support your in-house billing process. Our web and mobile applications help your practice easily manage patients and the complications that come with billing insurance. Go Paperless: Streamline your process with Kareo. Use electronic charting, patient scheduling, billing, and reporting as part of your digital office. Get Paid Faster: We have the tools and reports you need to get paid faster the first time, with less effort.

Kareo Managed Billing Service

Medical billing is not a one size fits all solution. Finding the right partner that understands your practice, specialty, and billing needs can be difficult. Kareo matches you with a trusted independent billing company that knows the industry and will optimize your reimbursements. Kareo helps you find the best-managed billing partner for your practice. Outsourced Medical Billing for Your Independent Practice: Specialty Focus: Through Kareo’s network of trusted billing companies, we have selected high-performance partners that will help you achieve your revenue goals.

OpenEMR-Pro RCM

What Makes OpenEMR-Pro RCM Better? Analytics & Reporting: Medical Billing software provides users with timely, meaningful and actionable financial analytics & customized reports such as claim reports, copay details, Monthly / Weekly Reports, etc., making healthcare management more convenient, productive and intuitive. Insurance Eligibility: Copays, coverage, and deductibles are auto-verified before each visit. On-demand verification tools lets you do on-the-spot checks. Claims Scrubbing: Automatically validate a claim and check for accuracy at ease.

Anesthesia Practice Revenue Cycle Management

Our suite of anesthesia medical billing services enables you to select the level of support your practice requires, whether you need help on an ongoing, periodic, or one-time basis. Our Services Include: Anesthesia Billing and coding services and accounts receivable management. Underpayments, denials and appeals management. Self-pay collections and insurance follow-up. Reporting and analytics. Whether improving operations, growing your practice, or evaluating opportunities driven by value-based care, we offer the strategies and support you need.

Payment Automation

Streamline your healthcare payments and remittance management by integrating key processing functions into a single solution. Get faster cash applications with a less manual effort by using Funds Verification to automatically match payments with remittance items from any paper or electronic source. Increase revenue cycle accuracy by standardizing your remittances from a payer format to the provider-based format that your systems require. Improve efficiency by using our private Healthcare Lockbox solution that sorts and processes inbound paper documents, including payments, remittances, zero-pay denials, and correspondence.

AHIMA Code-Check™

AHIMA Code-Check™, which was designed with physicians, coders, coding managers, CDI Specialists, Revenue Cycle Managers and more in mind, features: Expert interpretation and guidance on necessary pathways for accurate code assignment; Nomenclature and terminology relationships vital to correct coding paths; Solutions with cited sources; Guidelines for when to query for necessary documentation; Identification of patient care variables that affect CPT and HCPCS codes. Especially important to organizations, AHIMA Code-Check™ offers the ability to purchase larger quantity subscriptions.

NextGen® Practice Management and Medical Billing Software

NextGen® medical practice management solutions allow you to capture your practice’s true revenue potential. Our solutions are easy to learn, simple to use, and sophisticated to help you meet today’s complex billing challenges Web-based option Manage your business in the cloud, from anywhere, on any device or platform, with only an internet connection. Choose a cost-effective, easy-to-use solution popular with small physician practices. Enterprise option Connect and share information across systems.

ModuleMD Software Solution

Designed by practicing physicians and office staff so you can spend less time documenting patient care and more time caring for patients. Too often physicians rely on multiple systems to address multiple needs in carrying out day-to-day activities. ModuleMD WISE™ offers a seamless single sign-on solution with EHR. Most EHRs are based on a “one size fits all” model, ModuleMD offers a flexible process-driven solution that maximizes workflow distribution to enhance usability and overall efficiency of documentation.

AnesthesiaValet™

AnesthesiaValet™ helps you capture required quality measures, avoid CMS penalties under MIPS (part of MACRA), prepare for Value-Based Payment Models, report seamlessly to the ASA® NACOR QR and QCDR, and supports billing processes. Access to the full-service ASA Quality Concierge™ is also provided, integrating with most major anesthesia billing services and can be utilized in non-integrated environments.

Charge INFUSION from MedAptus

Charge INFUSION from MedAptus is an app that automatically pulls infusion information including start/stop times and the drugs utilized and runs them through a propriety rules engine that codifies them into appropriate and accurate billing codes. The codes can then be sent directly to the billing system with no human intervention required.

Medical Billing Software by DrChrono

We know medical billing is critical to the financial health of your practice, and our medical billing software is expertly integrated with our EHR, practice management system, and clearinghouses to address all your practices billing needs. DrChrono is here to be your strategic partner in achieving higher payment collection, low denial rates and higher clean claims rates. Address all your billing needs in a seamless, efficient system and take ownership of your financial health today.

Revenue Cycle Management with DrChrono

DrChrono’s Revenue Cycle Management (RCM) can help you maintain income stability while simultaneously giving you more time to focus on patients. Our team of dedicated billing experts, in-house coding compliance officers, and certified medical coders handle your medical claim’s complete lifecycle. With this expertise in your corner, you will see an improvement of clean claim rates, speedy turnaround on denials, and improved cash flow. DrChrono works to take over time-consuming tasks while providing high-quality services at a fraction of a cost of in-house billing, to allow you to practice medicine, not administration.

Innovaccer's Bundled Payments

An end-to-end solution for bundled payment excellence. Target bundled payments for 35+ CMS-defined episodes of care, reduce costs, and streamline care delivery. Supercharge your returns from the CMS Bundled Payments for care improvement (BPCI) program. Remove the guesswork from bundle selection with historical comparisons, performance estimates, and scenario testing. Minimize financial risk at the very beginning. Extend care coordination beyond the provider facility. Run a comprehensive risk assessment and determine whether patients have the right support system at home to promote recovery and address social determinants of health.

CMSgov MIPS - Claims-to-Quality Analyzer

MIPS - Claims-to-Quality Analyzer - Open-Source - Architecture C2Q Analyzer repository read provider data and filter on quality codes, for each of 74 claims-based quality measures and for each provider, filter to relevant claims and calculate measures and aggregate for each provider. Measure Definitions Measure Classes The 74 measure definitions can be split into 5 main measure classes and a few measure specific classes: DateWindowEOCMeasure IntersectingDiagnosisMeasure MultipleEncounterMeasure PatientProcessMeasure PatientIntermediateMeasure ProcedureMeasure VisitMeasure CTScanMeasure Measure46 Measure407

Are there any products that should be added for evaluation? Click here to add/suggest.

WRS Health

WRS Health provides fully integrated, cloud-based electronic medical record and practice management solutions for medical practices. Our certified Cloud-Based EHR Software and practice management solutions are designed to help your practice and specialty realize its full potential.

Independent and Hospital-owned Laboratories Billing Services

Reduce costs and improve margins with medical billing and coding services for Independent and Hospital-owned Laboratories. For 40 years, Change Healthcare has been an industry leader in medical billing and accounts receivable (A/R) management services for hospital-based (outreach) and independent (reference) laboratories. We understand the challenges laboratories face today like data collection and ever-changing reporting requirements, and we have developed one of the industry’s most comprehensive revenue cycle management solutions dedicated solely to helping clients optimize revenues, control costs, mitigate regulatory risks, and differentiate themselves in the market.

Patient Billing & Statements

Expedite Patient Billing and Collections: Deliver prompt and accurate patient statements to help expedite patient payments. Drive your customers to make payments by sending them clear and concise statements that are easy to understand. Increase customer satisfaction and improve the patient billing experience with personalized print and digital statements. Lower your inbound customer service calls by sending accurate and concise financial statements.

Psyquel

We offer web-based practice management software with the option of a full-service billing company. For providers who need additional help with the back office support. We will verify any new patients insurance benefits. If the provider has a claim that has been rejected or denied, our office will correct and update the claim and resubmit it. Psyquel will post all insurance payments to the patient records. For providers using our mental health billing software who will be submitting claims to insurance.

Anesthesia Medical Billing Software

While anesthesia is a complex medical billing category, the industry demands consistent responsibility, reliability, security, and compliance review to identify upcoming challenges and problems. PHI Medical Office Solutions built our anesthesia medical billing software, PhyGeneSys, to provide you with the most value, customizing it with the latest technology and the unique requirements of anesthesia medical billing. PHI’s team of experienced and knowledgeable staff consistently: Evaluate concurrency against all cases in the system.

Software for Medical Billing Companies

PHI Medical Office Solutions offers an innovative solution for your specific billing service needs. Because PhyGeneSys utilizes sound practices and the latest technology, your practice is assured greater accuracy and a consistent increase in revenue. PHI has a proven track record of knowledgeable staff who promotes collaboration and integrity. PhyGeneSys stands out with the following features: Automated Processes: Minimize expenses for routine work allowing the medical billing service to compete effectively in a very competitive environment.

Reimbursement Optimization

SCIO® provides advanced predictive analytics that incorporates a deep knowledge of industry coding rules, risk adjustment, quality measures, and regulations and clinical & claims review expertise. Our products allow precise selection and the ability to spot weaknesses in payer systems, data flow, and processes that contribute to errors. The following are the key components of our reimbursement optimization programs: Payment Integrity: Ensuring that claims are paid correctly assists payers in controlling costs associated with fraudulent claims, and reducing overall payment discrepancies, adjudication, and reimbursement expenditures.

Flywires Payment Platform

Just like every patient’s visit is personal, their billing and payment experience should be too. Trusted by hundreds of provider clients, including 4 of the top 10 health systems in the US, with over 30% of households served. Flywire’s analytics-driven payment platform engages patients at every stage in the financial journey with easy-to-understand, affordable payment options. Whether you’re looking to increase collections, reduce costs, or make your payment experience friendlier, Flywire can help.

Kareo for Billing Companies

Kareo’s intuitive, the cloud-based platform puts billing companies in control of their business and the practices they serve. Kareo was built with the biller’s daily workflow in mind. It began as a software solution for billing companies. As a medical biller, your day is filled with much more than submitting claims to insurance companies. It includes revenue management activities, claims submissions and review, coding, insurance verifications, payment processing, etc. Built for Every Business Size:

Kareo Billing - Practice Management Software

With Kareo Billing, there’s no better software to support your in-house billing process. Our web and mobile applications help your practice easily manage patients and the complications that come with billing insurance. Go Paperless: Streamline your process with Kareo. Use electronic charting, patient scheduling, billing, and reporting as part of your digital office. Get Paid Faster: We have the tools and reports you need to get paid faster the first time, with less effort.

OpenEMR-Pro RCM

What Makes OpenEMR-Pro RCM Better? Analytics & Reporting: Medical Billing software provides users with timely, meaningful and actionable financial analytics & customized reports such as claim reports, copay details, Monthly / Weekly Reports, etc., making healthcare management more convenient, productive and intuitive. Insurance Eligibility: Copays, coverage, and deductibles are auto-verified before each visit. On-demand verification tools lets you do on-the-spot checks. Claims Scrubbing: Automatically validate a claim and check for accuracy at ease.

Payment Automation

Streamline your healthcare payments and remittance management by integrating key processing functions into a single solution. Get faster cash applications with a less manual effort by using Funds Verification to automatically match payments with remittance items from any paper or electronic source. Increase revenue cycle accuracy by standardizing your remittances from a payer format to the provider-based format that your systems require. Improve efficiency by using our private Healthcare Lockbox solution that sorts and processes inbound paper documents, including payments, remittances, zero-pay denials, and correspondence.

AHIMA Code-Check™

AHIMA Code-Check™, which was designed with physicians, coders, coding managers, CDI Specialists, Revenue Cycle Managers and more in mind, features: Expert interpretation and guidance on necessary pathways for accurate code assignment; Nomenclature and terminology relationships vital to correct coding paths; Solutions with cited sources; Guidelines for when to query for necessary documentation; Identification of patient care variables that affect CPT and HCPCS codes. Especially important to organizations, AHIMA Code-Check™ offers the ability to purchase larger quantity subscriptions.

ModuleMD Software Solution

Designed by practicing physicians and office staff so you can spend less time documenting patient care and more time caring for patients. Too often physicians rely on multiple systems to address multiple needs in carrying out day-to-day activities. ModuleMD WISE™ offers a seamless single sign-on solution with EHR. Most EHRs are based on a “one size fits all” model, ModuleMD offers a flexible process-driven solution that maximizes workflow distribution to enhance usability and overall efficiency of documentation.

Medical Billing Software by DrChrono

We know medical billing is critical to the financial health of your practice, and our medical billing software is expertly integrated with our EHR, practice management system, and clearinghouses to address all your practices billing needs. DrChrono is here to be your strategic partner in achieving higher payment collection, low denial rates and higher clean claims rates. Address all your billing needs in a seamless, efficient system and take ownership of your financial health today.

Revenue Cycle Management with DrChrono

DrChrono’s Revenue Cycle Management (RCM) can help you maintain income stability while simultaneously giving you more time to focus on patients. Our team of dedicated billing experts, in-house coding compliance officers, and certified medical coders handle your medical claim’s complete lifecycle. With this expertise in your corner, you will see an improvement of clean claim rates, speedy turnaround on denials, and improved cash flow. DrChrono works to take over time-consuming tasks while providing high-quality services at a fraction of a cost of in-house billing, to allow you to practice medicine, not administration.

Innovaccer's Bundled Payments

An end-to-end solution for bundled payment excellence. Target bundled payments for 35+ CMS-defined episodes of care, reduce costs, and streamline care delivery. Supercharge your returns from the CMS Bundled Payments for care improvement (BPCI) program. Remove the guesswork from bundle selection with historical comparisons, performance estimates, and scenario testing. Minimize financial risk at the very beginning. Extend care coordination beyond the provider facility. Run a comprehensive risk assessment and determine whether patients have the right support system at home to promote recovery and address social determinants of health.

Are there any products that should be added for evaluation? Click here to add/suggest.

Vincari

Vincari Vincari is Computer Assisted Physician Documentation (CAPD) for surgeons and proceduralists. Vincari offers integrated, rule-based, post-operative documentation workflows designed to streamline the documentation and coding process. The rules around surgical documentation are constantly evolving.Vincari’s integrated workflows adapt to keep surgeons up to date with documentation requirements. With Vincari, surgeons can be more efficient by leveraging their historic usage and existing clinical information to reduce duplicate documentation. Use Cases Vincari gives surgeons integrated, rule-based workflows designed to capture the appropriate diagnostic and procedural specificity necessary for appropriate care and reimbursement When a patient encounter takes place, whether bedside or in a procedure room, Vincari captures all required patient information to generate clinical documentation and charge data in a single pass Key Features Intuitive Surgical Workflows Vincari Surgical CAPD offers integrated workflows that have been designed to flow the way surgeons have documented for years, making physician adoption more natural.