Medical Billing Software

Our intuitive and comprehensive online insurance and patient billing software for medical offices gets claims paid faster.

 

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Cloud-based, Efficient, and Integrated with award-winning EHR

Effective medical billing is the linchpin of your healthcare practice's financial health. In today’s digitized healthcare landscape, having efficient, robust, and intuitive medical billing software is essential—it forms the foundation for seamless and successful operations.

Our medical billing software streamlines billing operations and enhances cash flow by managing claims processing and provides comprehensive features such as electronic claims submission, reporting and analytics, insurance eligibility verification, online payments, and coding assistance.

Fully compliant with HIPAA, HITECH, and PCI standards, it allows healthcare providers to focus on delivering excellent patient care.

Elevate your practice's efficiency and patient care by integrating our top-tier medical billing software. Experience for yourself how our software can revolutionize your practice management and financial outcomes.

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EMR_Software
EMR Program

 

Streamlines Claim Submission

1. Streamline the claims process, reduce errors, and speed up reimbursements from optimized claims management

End-to-End Claims Management: Automates the entire claims process from submission to resolution, reducing manual effort and accelerating the revenue cycle.

Claims Scrubbing and Error Detection: Automatically identifies and corrects errors in claims before submission, increasing the likelihood of first-pass approvals.

Real-Time Status Tracking: Provides real-time updates on the status of claims, enabling prompt follow-up on denials and ensuring timely reimbursements.

Automated Denial Management: Streamlines the handling of denied claims by identifying reasons for denials, suggesting corrective actions, and automating resubmissions.

Integration with Practice Management Systems: Seamlessly integrates with electronic health records (EHR) and practice management systems to ensure accurate and efficient claims processing.



Revenue Cycle Management-1

2. Streamline revenue cycle, ensure accurate billing, and faster reimbursements from optimized revenue cycle

Automated Claims Processing: Streamlines the submission and tracking of insurance claims, reducing errors and ensuring timely reimbursements.

Revenue Integrity and Compliance: Ensures adherence to coding standards and regulatory requirements, minimizing the risk of audits and penalties.

Real-Time Eligibility Verification: Verifies patient insurance coverage before appointments, reducing the likelihood of claim denials and improving patient satisfaction.

Advanced Analytics and Reporting: Provides insights into financial performance, allowing practices to identify trends, optimize operations, and make data-driven decisions.

Payment Posting and Patient Billing: Automates the posting of payments and the generation of patient statements, improving cash flow and reducing administrative workload.

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3. Reduce errors and ensure accurate, timely reimbursement from seamless integration with your EHR

Unified Patient Records: Consolidates patient information into a single, accessible record, improving care coordination and reducing duplicate data entry.

Seamless Practice Management Integration: Integrates scheduling, billing, and other practice management functions, enhancing overall practice efficiency and workflow.

Improved Clinical Decision Support: Offers tools like alerts, reminders, and evidence-based guidelines to support clinicians in making informed decisions.

Interoperability: Facilitates the exchange of health information with other systems and providers, ensuring continuity of care and comprehensive patient histories.

Patient Portal Access: Provides patients with secure access to their health records, appointment scheduling, and communication with their healthcare providers, improving patient engagement and satisfaction.

Code Modifiers

4. Enhance accuracy, ensure compliance, and reduce claim rejections with advanced coding and compliance support

Automated Coding Assistance: Provides real-time coding suggestions and validation to ensure accurate and compliant coding practices.

Regulatory Updates: Automatically updates coding standards and regulations (e.g., ICD-10, CPT, HCPCS) to ensure ongoing compliance.

Audit Trail: Maintains a detailed log of all coding and billing activities for transparency and audit purposes.

Compliance Alerts: Issues alerts for potential compliance issues, such as upcoding or undercoding, helping to mitigate risks.

Documentation Support: Assists with proper documentation by providing templates and guidelines that adhere to regulatory requirements.

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5. Improve patient engagement & reduce no-shows with appointment scheduling and reminders

Automated Appointment Booking: Allows patients to book appointments online through a user-friendly interface.

Customizable Reminders: Sends automated appointment reminders via SMS, email, or phone, reducing no-shows.

Real-Time Availability: Displays real-time appointment availability to both staff and patients, streamlining the scheduling process.

Recurring Appointments: Supports the scheduling of recurring appointments for ongoing treatment plans.

Waitlist Management: Manages patient waitlists and automatically fills canceled slots, optimizing appointment schedules.

Analytics & Reporting

6. Ensure accurate, timely payments and reduce administrative burdens from seamless patient billing and payment tracking

Electronic Statements: Generates and sends electronic billing statements to patients, reducing paper use and improving efficiency.

Online Payment Portal: Provides a secure online portal for patients to view and pay their bills, enhancing convenience.

Payment Plans: Offers the ability to set up and manage patient payment plans, improving collections and patient satisfaction.

Automated Payment Posting: Automatically posts payments to patient accounts, reducing manual data entry and errors.

Insurance Reconciliation: Tracks and reconciles insurance payments with patient accounts, ensuring accurate billing.

Analytics & Reporting

7. Gain actionable insights from advanced reporting and analytics

Financial Reports: Generates detailed financial reports, including revenue, expenses, and profitability analysis.

Operational Metrics: Provides insights into operational metrics such as patient flow, appointment utilization, and staff productivity.

Customizable Dashboards: Offers customizable dashboards that display key performance indicators (KPIs) in real-time.

Trend Analysis: Analyzes historical data to identify trends and patterns, aiding in strategic decision-making.

Regulatory Reporting: Supports the generation of reports required for regulatory compliance and accreditation.

Cybersecurity_and_EHR

8. Ensure patient data security and regulatory compliance

Data Encryption: Ensures all patient data is encrypted both in transit and at rest, protecting against unauthorized access.

User Access Controls: Implements strict user access controls to ensure that only authorized personnel can access sensitive information.

Audit Logs: Maintains comprehensive audit logs of all system activity, helping to detect and investigate security incidents.

HIPAA Compliance: Adheres to HIPAA regulations, ensuring the confidentiality, integrity, and availability of patient health information.

Regular Security Updates: Regularly updates security protocols and software to protect against emerging threats.

User Interface for medical software

9. Streamline workflows, reduce errors, and enhance billing efficiency

User-Friendly Interface: Offers an intuitive and user-friendly interface, reducing the learning curve for staff.

Customizable Templates: Provides customizable templates for various clinical and administrative tasks, enhancing efficiency.

Workflow Customization: Allows practices to customize workflows to match their specific processes and needs.

Integration Capabilities: Integrates seamlessly with other healthcare systems and software, ensuring smooth data exchange.

Scalability: Scales with the growth of the practice, accommodating increasing numbers of users, patients, and data.

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Ready to see how RevenueXL can help your medical practice improve efficiency and enhance quality of patient care?

Fill out the form below to schedule your customized EMR Software demo.

 

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Frequently Asked Questions

What features does your medical billing software offer to improve RCM?

Advanced revenue cycle management automation, comprehensive claims scrubbing, powerful patient eligibility verification, and exceptional analytics and reporting tools.

How can medical billing software improve the efficiency of my practice?

By automating the claims process, reducing errors, ensuring compliance, speeding up reimbursements, and providing valuable financial reporting, thus freeing your staff to focus more on patient care.

Is our medical billing software secure for sensitive patient data?

Yes, our software is designed with robust security measures, such as data encryption and access controls, to protect sensitive patient data in compliance with regulations like HIPAA.

How does your medical billing software integrate with electronic health records (EHR) software?

When our medical billing software integrates with an EHR, it shares patient demographic details, diagnoses, and treatment information which streamlines the billing process and reduces manual data entry, leading to improved accuracy and efficiency.

How customizable is your software to suit the specific needs of my practice?

Our software offers a high degree of customization, allowing you to tailor the system to meet the specific needs of your practice, streamline workflows, and enhance overall efficiency.

What does 'web-based' or 'cloud-based' billing software mean?

'Web-based' or 'cloud-based' billing software is hosted on remote servers and accessed via the internet, rather than being installed locally.

This approach allows users to access the software from any device with an internet connection, enabling work from virtually anywhere, which is especially useful for practices with multiple locations or remote employees. The software provider handles updates, upgrades, and security, ensuring users always have the latest features and reducing the need for in-house IT support. Additionally, it is cost-effective, scalable to grow with the practice, and enhances real-time collaboration among staff. Cloud-based solutions also offer robust data security measures, including encryption and regular backups, which protect sensitive information and provide reliable disaster recovery options.

In the context of medical billing, such software streamlines the billing process, improves accuracy, and boosts overall efficiency by leveraging the benefits of cloud computing technology.

Hear from our Customers

“PrognoCIS is the perfect…system for us. This is our 3rd EMR system and by far better then [sic] then the others. We don’t have to worry about waiting til the next day to access a patient chart. Also very easy to use with [our] dictation system.”

– J. with P.B., MD

“We have been with PrognoCIS for 5 years after experiencing an epic failure with another EHR solution. Our practice is a small private medical office and flexibility is paramount to optimizing our functionality. What we like most about PrognoCIS is the adaptability or customization of the product.”

– A. from S.W. Clinic

“Streamlined, easy to use, and comprehensive! I can customize myself on the fly and I like the ability to…access on my PC, Apple (Mac or iPad at home) or via the iPhone app. After using a few other systems, I saw the designers of PrognoCIS truly understand how a clinical office functions.”

– S. Wellness Group

Fully Integrated, Award-Winning Solutions

EMR Software

Customizable workflow,templates, and content created for your specialty

Meaningful Use Support

Two service options to ensure your MU attestations are smooth and hassle-free

Medical Billing Software

Get paid faster, reduce claim denials and improve efficiency

Patient Portal

Easily share lab results, appointment reminders, statements, and prescriptions with patients

Online payments

Patients can complete secure credit card transactions from the comfort of their homes

Revenue Cycle Management

RCM services process statements and handle claims while you connect with patients

Customized for 30+ Specialties

Designed for specialty, from Allergy to Urology

E-Prescription

Quickly prescribe or refill prescriptions and send straight to the patient’s preferred pharmacy

Prescription Management

Surescripts feature allows you to monitor patient prescription usage and medication adherence

Technical Support

Friendly, knowledgeable 24/7 support staff available via support ticket, phone, email, or chat

Credentialing

Quickly enroll your practice with 3rd-party payers and begin seeing patients

 

PrognoSign

Electronically sign documents within EMR or patient portal with HIPAA-compliant e-signature feature

Compliance

HL-7 interfacing and CCHIT & ONC-ATCB-certified, conforming to critical security and functionality measures

Seamless Correspondence

Communicate with practice & labs, radiology, pharmacies, & referring doctors

Mobile for Today’s World

Convenient with iPhone & iPad

Schedule a PrognoCIS EMR Software Demo Today
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