When it comes to medical billing, there are a lot of companies to choose from. It can be overwhelming, but it doesn’t have to be.
A good medical billing service can remove the burden of managing your billing from your staff. They offer charge entry, coding, claim scrubbing, denial management, and more.
1. Kareo
Kareo offers a streamlined practice management solution that helps doctors and their staff manage appointments, telemedicine visits, and billing. It has a simple setup process, and users can get started with a customer success coach to ensure they’re up and running in no time.
It also provides a patient portal, which allows patients to pay their bills online. This saves practices money on postage and lets them collect what is owed. It also improves patient satisfaction by reducing unpaid follow-up calls or emails.
Another benefit of using Kareo is its e-Prescription feature, which makes it easier for providers to prescribe medication. The software includes templates for common medications and can send a prescription directly to pharmacies. The system also helps to reduce drug-to-drug and drug-to-allergy interactions, which can increase the risk of adverse events.
The medical software also includes tools to help providers track insurance eligibility, including verifying coverage during appointment scheduling and patient registration. This eliminates the need to re-enroll patients and lowers claim rejection rates by eliminating ineligible patients.
This is a very practical feature for any medical practice, as it saves you time and ensures your claims are paid quickly. It also prevents errors that lead to lost revenue.
In addition, Kareo’s e-Prescription feature helps you identify the best places to buy medications at discounts, saving your patients money. The company also offers a customer support team that can answer questions about your account, claims, or reporting.
It’s important for providers to have access to a variety of tools and features that can help them save time and improve their workflow. This is why we recommend Kareo to physicians looking for a user-friendly EHR and practice management system.
Besides offering an EHR, Kareo also provides practice management software and marketing services. It has an intuitive dashboard that can be accessed on desktop computers, laptops, tablets, and mobile devices.
With Kareo, you can create and save a patient profile that includes information about their insurance plans and medical history. You can then use this information to create new appointments and reschedule existing ones. You can also attach intake forms and consent forms to these appointments so that patients don’t have to fill them out in person.
2. DrChrono
DrChrono manages your practice’s revenue cycle from start to finish. The company enters and codes all your charges, scrubbing them for errors before submitting them to payers for payment. This process leads to an FPAR of 96%, far superior to the industry standard.
When you sign up for the service, you’ll be paired with a dedicated account manager who can assist you with implementation and onboarding, as well as help customize the system to fit your workflow. The person will also be your point of contact for questions or issues.
The software also includes a patient portal, where patients can access their health records and communicate with their doctors. The portal can send automated emails and text messages reminding patients of their appointments. It can also pair appointment types with intake or consent forms, so patients are sent these documents when they book an appointment.
All of the company’s tiers include e-prescribing tools, though only its highest tier, Hippocrates, has advanced features for prescribing controlled substances (EPCS). You can save each provider’s preferred prescriptions and pharmacies to make the e-prescription process easier.
In addition, DrChrono offers extensive lab ordering and EDI tools for checking insurance eligibility in real time. All but the entry-level tier, Prometheus, also gives you patient education and reminders. You can send as many text or phone reminders as your plan allows for a small monthly fee.
When you create a new claim, DrChrono’s claim scrubbing tool alerts you of any errors that could lead to rejection, and it will re-code or revise your claim before submitting it. It also has extensive pending-claim and denied-claim tools, allowing you to view claims by patient, payer, provider and value.
You can also access DrChrono’s reporting tools to create customized reports based on data stored in the company’s EMR and PMS system. These reports can be sorted by collections per payer and time frame, individual or bulk claim volume or value, and more.
DrChrono also provides extensive customer support via email, chat and ticket systems. You can reach your account manager directly, or they can help you by answering general questions and escalating more complex ones to a team member. Most of the time, you can get a response within hours.
3. CareCloud
CareCloud offers a wide array of software and services to help medical practices improve efficiency, maximize margins and optimize the patient experience. Its cloud-based platform includes practice management, electronic health records (EHR) and medical billing solutions.
CareCloud’s logical arrangement of features and smooth user experience make it easy to navigate, even for new users. It also comes with a comprehensive reporting suite, which allows you to determine the factors that impact your practice’s performance. These data-heavy reports can be filtered and exported in daily, weekly or monthly formats.
In addition to its EHR and scheduling tools, CareCloud’s user experience is enhanced by a dynamic patient portal that lets patients check in, request appointments, update their demographic information and pay their co-pay or balance due ahead of time. The portal also allows you to communicate with patients and set up reminders for their upcoming visits.
The interface is a well-organized series of tabs that follow the workflow of the patient’s visit. For example, when a patient comes in for an appointment, the first tab displays the scheduler. The next tab displays the patient’s chart and notes, and the third tab shows the patient’s billing information.
With its billing module integrated into its EMR system, CareCloud’s software is fast and easy to use. After a clinical note is signed, the EMR automatically generates a claim and a bill that can be submitted directly to payers.
For clients that choose the Concierge Pro tier, CareCloud offers a full revenue cycle management service. This tier includes full charge entry, coding and submission of claims to government, commercial, and managed care payers. It also helps with Medicare Access and CHIP Reauthorization Act (MACRA) compliance and Council for Affordable Quality Healthcare (CAQH) quarterly re-attestations.
Its billing team also works with out-of-network insurers to ensure that you get paid for your services. They’ll submit claims, post payments and negotiate payment amounts, as well as follow up on unpaid claims and denials.
CareCloud’s billing system is highly customizable, with a comprehensive library of ICD-10, CPT and E&M codes. This makes it easy for your staff to create billing statements that are accurate and consistent with your practice’s policies.
4. MedicsPremier
MedicsPremier is a medical billing software program from Advanced Data Systems that offers a suite of tools for practices to streamline operations, get paid more, and stay competitive. It includes a range of features that include medical scheduling, insurance verification, and invoice history. The company offers a free trial and a quote, and it is available as a cloud-based solution.
Designed to meet the needs of healthcare organizations, Medics-Premier helps manage patient information, scheduling, tax rates, products and inventory, and other business functions. It also has a specialized EDI system for specialty-specific claims.
The company has been in the business of providing healthcare automation solutions since 1977, and it specializes in medical practice management and medical billing software. Their services can help improve the operational efficiencies of hospitals and other healthcare facilities, while also improving customer service.
Its medical biller software is suitable for a variety of specialty areas, and it has a number of features that make it easy to use and manage. It can be integrated with other applications to create a comprehensive medical billing workflow.
With MedicsPremier, practices can easily check if their patients are covered before scheduling appointments and provide an estimate of their copays. This saves time and prevents surprise charges later on. It also allows practices to track their finances, so they can avoid a bad debt situation in the future.
Besides, it helps patients manage their own health care expenses by allowing them to pay for appointments through a secure portal. It also has a deductible calculator, and it can send reminders to patients about their balance-due accounts.
The software also has an automated patient workflow that is able to accommodate all types of appointment times and modalities. It also comes with a feature that lets patients fill out questionnaires before their appointment.
MedicsPremier is an excellent option for primary care, as it has an impressive 99-percent success rate on a wide range of claims. The system can be customized to meet the needs of individual practices. It also includes a scheduler, and it is easy to learn.
5. AdvancedMD
AdvancedMD is one of the top medical billing services, offering a range of services for a variety of sizes and budgets. Its RCM service includes an integrated EHR and PM, telemedicine software, and a streamlined, easy-to-use phone system with great customer support.
Bottom line
Medical billing isn’t a simple task, but it’s crucial to your practice’s success. Outsourcing medical billing can help free up your team’s time so they can focus on providing patients with quality care. It can also improve your cash flow by reducing the amount of time you spend on administrative tasks.
The best medical billing services are those that offer a comprehensive RCM process and transparent support options. They should also provide you with access to real-time claims information and a window into their third-party billers’ work, so you can track progress as the process goes along.