Practice Management  Software

Designed to enable practice managers run their clinics efficiently, PrognoCIS Practice Management Software brings efficiency to any modern medical practice. 

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Medical Practice Software with Integrated EMR Software

  • Designed for multi-location, multi-provider, or multi-group practices
  • Identify and confirm patient insurance benefit eligibility level and copay quickly

  • Implement your choice of the many clearinghouses that our software integrates with

  • Receive patient payments faster with integrated online patient payments

  • Customize patient statements generation by Locations, Business Units, Rendering Doctors, or Attending Providers on a specific day of a month

  • Post EOBs/ERAs quickly and efficiently

  • Streamlines communication, simplifies administrative and financial tasks, and enhances physician and staff productivity

  • Provides tight integration with a best-in-class EHR Software, eRx, scheduling, automated appointment reminders, etc. and is fully customizable.
  • Time-proven implementation methods for successful transition

  • Free software with packaged solution including EHR Software and medical billing services

See what the best Practice Management Software looks like with a quick demo.

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Why RevenueXL

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Features of Medical Practice Management Software

Electronic Claim Submission Submit Your Claims Electronically to Reduce Errors and Track Claims Submitted

Manual claim processing often results in unnecessary errors. Electronic claims mitigate those errors and enable medical practices to use software to transmit corresponding data to payers for processing and reimbursement. By electronically submitting them, practices can track and monitor claims and better understand what’s being done to get them paid.

 

Denial Features in Practice Management Software Powerful claim denial management features Increase the productivity of your billing team.

Claim denial occurs when a claim is processed and then repudiated by a payer. All rejected claims are put into a bucket that can be monitored daily for refiling. The denied claims area within our Practice Management Software gives you the ability to sort, and group denied claims to work. Templates are available for appeals, which can be faxed directly from the claim screen. The clearinghouse functions incorporated in our Practice Management Software give you the ability to refile claims at the clearinghouse level versus logging into the payer’s website.

Certified_Certified Enhanced detailed Management and Financial Reporting improves front office efficiency and collection performance.

Quick and easy access to necessary reports and documents is an essential part of the management of financial reporting, which helps optimize practice operations by identifying revenue cycle trends and proactively addressing them. These reports are utilized for customized decision support and advanced denial management processes and cover front office, revenue cycle management and financial reporting.

Here are some reports that provide actionable, up-to-date practice information, measures and trends can that impact the revenue cycle. These reports help practices identify and respond quickly to revenue cycle problems. They also illuminate long-term trends and enables performance bench marking against peer organizations.

  • Daily Collection by User
  • Average Reimbursement by Code by Insurance
  • Charge Reimbursement Report
  • Daily Collection Report
  • Groupable Billing and Collection YTD
  • Waterfall Report (15:25) and AR Rollover Report
  • Denial Report
  • Copay Deductible Collection vs. Resp-Detail
  • Insurance Paid less than Contract Amount
  • Claims holds reports
  • Open chart reports
  • Outstanding AR reports

Appointment Scheduler Electronic patient appointment scheduling streamlines practice processes, improves outcomes and billing practices besides saving time and money.

Besides the traditional appointment scheduling feature wherein the patient calls in for a schedule and speaks with the front-desk to schedule an appointment, PrognoCIS also provides for online medical appointment scheduling that ensures top-notch outcomes for both the business and clinical sides of the practice.

PrognoCIS patient portal allows patients to connect from any device – tablets, smartphones, PCs - and request appointments. This integrated technology simplifies and manages patient flow, improves billing practices thereby saving time and money in many ways.

Appointment Reminders Send Automated Reminders from Your Practice Management Software to enhance productivity and reduce no shows by up to 60%

Missed healthcare appointments cost the United States an estimated $150 billion annually. Automated appointment reminders allow physicians’ practices to easily communicate with patients, saving time and money while also reducing cancellations and decreasing no-shows.

PrognoCIS provides an optional text message based appointment reminder system – this convenient, time and money saving feature enables office staff to communicate easily with the patients while at the same time avoiding the phone tag between the patient and practice staff.

Patient Portal_Patient Portal Patient Eligibility, Insurance, and Copay Management

Practice staff can electronically view and verify patients’ demographics and allowable health benefits, including access to insurance, deductible, co-pays, and other vital billing information. This task can be completed when the patient’s appointment is scheduled, thereby improving efficiency in managing patient eligibility.

Appointment Reminder or Scheduler_Appointment Reminder or Scheduler Billing Code Sets (ICD-10, CPT)

A code set is defined by the Centers for Medicare & Medicaid Services (CMS). This shared list of codes is used in place of longer names or explanations. The World Health Organization (WHO) created the International Classification of Diseases, a diagnostic tool utilized globally for epidemiology, health management, and clinical purposes. ICD-10 consists of more than 70,000 procedure codes and 69,000 diagnosis codesCurrent Procedural Terminology (CPT) refers to a set of medical codes used by physicians, allied health professionals, non-physician practitioners, hospitals, outpatient facilities, and laboratories to describe the procedures and services they perform.

Scanner Interface Multiple types of scanner interface to improve productivity and reduce errors

Cards such as Business Card, Medical Card, Driver License, Identity Card etc. can be scanned using Card Scanners. When a card is scanned via a card scanner configured with PrognoCIS, the Card Scan feature in PrognoCIS automatically pulls all the information of the card into the application. However, details can be entered manually as well.

In addition, the software also provides for the following:

  • Document List Scanning (for documents that have been scanned locally and needs to be attached to a chart)
  • Patient Registration Scanning
  • OCR Card scanning (Optical Character Recognition Card Scan)
  • One-Touch scanning (used to directly attach the document or image to the desired patient chart)

Practice Management EHR Integration Free Practice Management Software and Customized EHR Software with our Outsourced Medical Billing Services.

When you implement PrognoCIS EHR and Practice Management system it provides interoperability, optimized clinical workflows, charting efficiency gains and patient engagement tools to medical practices.

EHR Integration improves clinical efficiency by allowing physicians to have a comprehensive overview of their patients' conditions. It also helps reduce over-utilization of services and redundancies, resulting in lower healthcare costs for patients and physicians.

At RevenueXL, our goal is to help your practice maximize and accelerate revenue through improved, efficient billing and follow-up processes at the most affordable rates. Our medical billing services include:

  • RCM and medical billing service with optimized returns and shortened payment cycles
  • Unique workflows including Employer Billing, HSA, IPA and Capitation, Collection Agency, and Patient Payment Plans
  • Patient letters, advanced accounts receivables management, and more

When you pair our state-of-the-art revenue cycle services with our scalable, customizable, fully-integrated EMR and Practice Management Software, you’re eligible to receive both these medical software solutions at no cost to you.

Contact us for more details about how you can take advantage of this free EMR and Practice Management Software option.

Customizability_Customizability Select your own Clearinghouse with our practice management software.

clearinghouse interface helps verify patient eligibility in real-time and offer advanced search options for data access. Aligning an intuitive interface with the clearinghouse reduces training time and allows the billing processes to run smoothly.

Our software integrates with multiple clearinghouses: Trizetto, Waystar (Zirmed), Daisy Bill, Jopari (among others - some of which may be free). Click here to select your clearinghouse.

Auto Patient Update Function feature enables providers to instantly synchronize their patient records with demographic information received from clearing houses. Four clearing houses currently support this function: Trizetto, Navicure, Assertus, and Inmediata. This allows the records of new and existing patients to be filled out quickly and automatically.

 

How You Benefit by Implementing PrognoCIS Practice Management System

  • Easy and quick implementation of your new or replacement software which offers increased productivity, improved patient flow, automated billing, and strict compliance with ever-changing healthcare industry regulations and requirements
  • Integrated with Specialty EHR fully customized to meet your individual needs and configurable workflow designed for practice efficiency
  • Integrated Practice Management and Medical Billing Software that saves time and minimizes errors. The software allows updated user data and information to be entered in a single input and accurately updated across all programs.
  • The streamlining of insurance verification when a patient schedules an appointment enables speedier payment processes and quicker reimbursement.
  • Cloud-based, HIPAA compliant Software.
  • Increased reach and availability to care for patients across wide geographic distances via telemedicine
  • All-in-one solution for small practices including all of the above features and medical billing services for one low cost
 

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 demo.

 

Request My Free Demo

FAQ - Practice Management Software

Frequently Asked Questions_Frequently Asked Questions What is Practice Management Software?

Practice management software is a comprehensive solution that enables medical offices to automate processes that track patient data and manage appointments, eligibility, billing, payments and reporting more efficiently. It is designed to streamline the administrative and operational tasks of healthcare organizations and reduce the workload of practice managers. 

Purpose of Medical Practice Management Software What are the benefits of Medical Manager Software?

Medical management software is the lifeline of Practice Managers in any practice - whether small or large and accomplishes a lot of functions. Listed below are some of the uses of medical management software.

1. Streamline Workflows and Processes

The most valuable, and most widely reported, benefit of medical practice management software is added efficiency; specifically, in regard to workflows and processes. In a fast-paced, dynamic care environment, adding efficiencies and streamlining processes has a direct impact on throughput and the clinic’s ability to achieve quality patient outcomes.

Medical practice management system offers a standardized system for maintaining peak performance – minimizing errors and redundancies to help staff operate smoothly and efficiently and reduce patient wait times. The software’s monitoring and reporting capabilities also help in the early identification of issues for troubleshooting and proactive interventions.

 

2. Improve Practice Organization Allowing Focus on Quality Patient Care

By systematically organizing medical practices, practice management systems allow providers to focus on quality care rather than burdensome, administrative tasks. This benefit is achieved by assuming and automating processes such as scheduling, billing due dates and patient tracking. As the documentation required by the Centers for Medicare and Medicaid Services (CMS) increases, this function will become increasingly important to providers.

 

3. Enhance Automation Leading to Increase in Efficiency, Productivity and Profitability

Medical Practice Management Systems better leverage staff time by automating standard tasks. For example, PMS is often capable of automatically sending appointment reminders and maintaining sufficient supply inventories, which are triggered to automatically re-order when inventory is low.

 

4. Improve Billing Processes Leading to Faster Reimbursement

Medical management systems streamline payment processes and facilitate faster reimbursement. This added efficiency is achieved through the system’s ability to verify insurance eligibility early in the process when the patient’s appointment is scheduled. PM software also provides billers with critical access to patient records and reports, which can be searched to address questions and fill in critical gaps in claims information. Such access greatly expedites the reimbursement  process by minimizing the “back and forth” between practices and billing entities that can often result in costly delays.

Medical practice software can produce and send electronic bills and an e-commerce component allows providers to collect payments online. The software can even proactively identify claim errors that could potentially delay payment so that proactive measures can be taken.

 

5. Enhance Documentation and Fewer Errors

As healthcare technology evolves, digital systems for medical documentation have become the norm. This transition to paperless record keeping combined with a growing emphasis on documentation – both within Medicare standards and insurance practices – has established appropriate documentation as a priority within all claims and billing processes.

Enhanced documentation is a key benefit of practice management software, as the technology provides a standardized system that effectively reduces errors compared to hand-written provider notes. Documentation can often be done via mobile device, such as a tablet, at the patient’s bedside or at the point of intervention. The ability to instantly document, chart or code further helps minimize errors that may otherwise occur when lags exist between the point of care and documentation.

 

6. Comprehensive, Turnkey Compliance Solution

Virtually every PMS solution is designed around healthcare mandates and regulatory requirements, such as the Health Insurance Portability and Accountability Act (HIPAA) rules, the HITECH Act and various provisions of the Patient Protection and Affordable Care Act.

Maintaining compliance is a constant priority for medical practices, and implementing medical practice software can help ensure that all facets of your clinic are in full compliance.

 

7. More Focus on Quality Care

By streamlining and automating processes and administrative tasks, medical management systems allow providers to focus on the most important factor in the care equation – the patient. The less practitioners have to worry about standard tasks and processes, the more time and energy they are able to devote to the patient, which in turn yields better outcomes and fosters an environment in which quality care – and not documentation, scheduling or various other considerations – is the top priority.

 

8. Enable Advanced, Hassle-Free Scheduling

Practices nationwide can attest to the fact that practice management solutions take the pain out of scheduling both patients and staff. Intuitive scheduling and calendar tools allow medical personnel to input appointments and make calendar adjustments without fear of double-booking or scheduling during a time slot when a given provider is otherwise unavailable.

The scheduling module in many systems also includes alerts, such as patient balance due or authorization, which helps proactively address potential patient issues prior to the appointment and lessens the burden on front office staff.

 

9. Improve Accuracy and Better Error Reduction

Through the aforementioned billing and scheduling features, practices have the ability to quickly and easily update patient records and information. From direct links to update contact information in appointment reminder emails, to intuitive programming that auto-corrects erroneous entries by staff, medical software is a trusted tool to ensure patient information is accurate and up-to-date.

The fact that practice management systems are integrated with insurance and billing processes ensures that changes made in one system are reflected in the other components “talking to” the PMS as well.

 

10. Provide More Versatile and Scalable Technology

As demonstrated by the aforementioned uses, medical office software is equipped to manage a range of practice functions and challenges. In addition, the barriers to entry for implementing a PMS solution are few – generally all that is required is a networked system of computers and a reliable internet connection.

Medical management systems can be implemented in practices of all sizes – solutions are available for small, midsize and large offices alike. The technology is also scalable, as its storage and processing capabilities are not limited like a traditional, physical storage room. Systems exist capable of accommodating even the largest and most demanding practices with the help of massive databases and unlimited storage.

Practice Management System Implementation What are the different Practice Management Software implementation options and strategies?

As with any new process or solution to maximize practice management benefits, the selection and implementation processes of practice management software must be well-defined, carefully planned, and based firmly on research-based practice management systems best practices. Systems can be implemented in practices of all sizes. The technology is scalable. Its storage and processing capabilities are not limited, like a traditional physical storage room. Although the prospect of implementing a new technology solution and training staff on its various functions might initially be overwhelming for some, the benefits far outweigh the challenges.

Integrated vs. Standalone

Because practice management and EMR software initially should work together seamlessly, selecting a fully integrated system is recommended. The combined capabilities offer

  • easy access to patient data and billing information with one secure login
  • improved workflows for better data flow
  • uncomplicated sharing of information, schedules, and claims data among the office staff

Some providers prefer to keep their practice management and EMR systems separate, but that can cause numerous problems because the two don't always work well together. A breakdown in communication may occur even among programs designed to work in sync.

Server-based vs. Cloud-based vs. Desktop-based

Practices that choose to implement a server-based practice management solution must invest in expensive servers, infrastructure, and backup systems and provide the necessary maintenance and security to store and manage the data. Plus, they need dedicated space to house their servers.

Desktop-based practice management software is sometimes less expensive, but it’s typically used on just one computer accessed by only a few people.

Cloud-based practice management software can easily be scaled to meet the needs of a growing physician’s practice and doesn’t require the purchase of new servers or complex backup systems. That not only reduces your costs but decreases your physical footprint. This software also eliminates or reduces the need for costly in-house IT support and allows upgrades and software patches to be applied automatically after the critical operating window.

Difference between Practice Management System and EHR Software What is the difference between Practice Management Software and EMR Software?

Although these two types of software appear interchangeable, they vary in numerous ways. The most significant difference is that practice management software streamlines administrative tasks, and EMR software handles the documentation and storage of patients’ medical data

Practice management and EMR software can be used individually. However, when combined, they help physicians’ practices operate with speed, accuracy, and ease and create a simplified workflow for physicians and staff members. Combining practice management with the EMR software keeps all staff members within a practice connected by providing an unbroken flow of information.

Recent Trends in Practice Management System What are the recent trends in Practice Management Software?

1. Cloud-based Practice Management Software

Because of advancements in technology and the benefits of cloud-based technologies, most applications based on client-server technology have been migrated to cloud technology. This makes it easy for practices to store, create, share, and track digital patient data, including billing and scheduling information.

2. Integrated EHR and Practice Management Software

By integrating EHR and practice management software, physicians’ practices streamline their operations and achieve better management of and easier access to electronic health records. This combination also makes it easier for practices to adapt to numerous regulatory changes and address reimbursement challenges.

3. Telemedicine Integration

Telemedicine has revolutionized medical practice by allowing both patients and providers to benefit from more personal, cost-effective, safe, and reliable methods of healthcare delivery. By integrating telemedicine services with practice management software, providers can give better quality care because they have access to a more comprehensive picture of the patient’s health and medical conditions beyond a single visit. This interoperability provides faster, more accurate diagnoses, improved efficiency in care coordination, quicker treatment, and more.

4. Mobile Support

When using practice management software, documentation can be completed using a mobile device at the patient’s bedside or the point of intervention. The ability to instantly document, chart, or code minimizes errors that may otherwise occur when lags exist between the point of care and documentation. Many clinicians want to access patient data remotely. Practice management software systems optimized for mobile use gives them the option of electronically sending patients secure, HIPAA compliant information, scheduling appointments and procedures, and communicating important insurance and billing information.

5. Patient Portal Interface

A patient portal allows providers and patients to communicate with each other safely and securely over the internet. Physicians utilize the portal to set up automatic reminders for preventive healthcare checkup reminders and procedure due dates and electronically send patient statements and lab results. This creates a competitive advantage for practices by saving time and money by reducing unnecessary provider face time, staff time, and patient follow-up calls.

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"We were looking for a better PM/EMR system and were pretty frustrated with the process because of the time it was taking to sort through the overwhelming choices. RevenueXL is a refreshing way to go, as we got a great deal and their services didn’t cost us anything”.

-Sarupinder S. Bhangoo, MD
Bakersfield, California

"We were looking for a better PM/EMR system and were pretty frustrated with the process because of the time it was taking to sort through the overwhelming choices. RevenueXL is a refreshing way to go, as we got a great deal and their services didn’t cost us anything”.

-Sarupinder S. Bhangoo, MD
Bakersfield, California

"We were looking for a better PM/EMR system and were pretty frustrated with the process because of the time it was taking to sort through the overwhelming choices. RevenueXL is a refreshing way to go, as we got a great deal and their services didn’t cost us anything”.

-Sarupinder S. Bhangoo, MD
Bakersfield, California

"We were looking for a better PM/EMR system and were pretty frustrated with the process because of the time it was taking to sort through the overwhelming choices. RevenueXL is a refreshing way to go, as we got a great deal and their services didn’t cost us anything”.

-Sarupinder S. Bhangoo, MD
Bakersfield, California

PrognoCIS Practice Management System:
A Fully Integrated, Award-Winning EMR, PM, & Billing Solution

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