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AllegianceMD - Medical Practice Management

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  • Company Size:SML
  • Features:
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Details

AllegianceMD offers a large and comprehensive suite of medical practice management solutions, one important component being its medical billing module. The solution claims to make extensive use of artificial intelligence to ensure claims are generated correctly and checked comprehensively. The solution can capture charges automatically from the patient schedule or from the EHR module. It will scrub them carefully to ensure a high first-pass claims ratio, and will also keep track of claims that are in the pipeline and follow up on those that are declined. The company claims that its scrubber typically boosts collections by up to 25%.

Details

While AllegianceMD medical billing offers a solution that allows practices to generate and handle their own bills, it also offers a billing service for practices that may want to outsource the activity. 

The medical billing solution claims to use an intelligent scrubber that is supported by artificial intelligence at the back end. This ensures that bills are accurate and all entries are correct. The bill is ready as soon as the patient encounter ends. One review, and the bill can be submitted for payment. No time is wasted.

The system generates billing statements to track every patient and the state of her bills and payment. The frequency of the statements is user definable. Statements can be emailed automatically, and in case of bills that are due beyond a user-defined number of days, they can be handed over to collection agencies automatically.

The solution has an automatic patient eligibility feature that uses the scheduler to determine the patients who are due to come to the practice in the next few days. It then checks patient eligibility directly with the insurer. The data received back is incorporated into the patient’s chart automatically, thereby speeding up patient workflow.

The system handles remittances received automatically and matches them against the claims that have been submitted. All reconciliation is automatic. A large number of actions are performed automatically in the background and artificial intelligence built into the system ensures that errors are eliminated and speed of work is improved. This ensures that staff are left free to handle more complex tasks.

Features

Pricing Model
  • Monthly subscription per user
  • Yearly subscription per user
  • Metered per minute
  • Monthly site license
  • Yearly site license
  • Flat fee
  • Monthly subscription
  • Percentage-based (% of collections or claims)
  • Fee-based (fixed $/claim)
  • Hybrid (combination of % and fixed amount/claim)
Target Company Size
  • Startup
  • Small-to-Medium Business
  • Enterprise
Service Terms Offered
  • Commitment Free
  • Free Setup
  • Free Cancellation
  • Money Back Guarantee
  • Month-to-Month Option
  • Keep Original Number
  • Customizable Plans
  • Free In-Network Calls
  • Unlimited Minutes
  • International Calls
  • Reduced Price for Multiple Users
  • Account Manager
Mobile Apps Offered
  • None
  • iOS
  • Android
Support Features
  • FAQs Section
  • Tutorials
  • Telephone Support
  • Email Support
  • 24/7 Support
  • Online Chat
  • Forum
  • In-Person Training
  • Social Media
  • Knowledge Base
  • Webinars
Compatible Operating System(s)
  • Windows
  • iOS
  • Linux
  • Mac
  • Android
Deployment
  • Hosted/Cloud
  • On-Premise
  • Mobile
Supported Devices
  • Mobile
  • Tablet
  • Touchscreens
  • Desktop
  • iPad
Targeted Users
  • Primary care (MDs, DOs)
  • Specialists (DC, OD, PT, PhD, LCSW, etc)
  • Small/private practices
  • Mid-sized to large practices
  • Inpatient care organizations (hospitals, etc)
  • Single office
  • Multiple offices
  • Outpatient care providers
  • Substance Abuse Agencies
  • Medicaid Waiver Providers
  • Medical Billing Centers
  • Outsourced Billing Services
Specialties
  • Allergy
  • Anesthesiology
  • Bariatric Surgery
  • Behavioral Health
  • Breast surgery
  • Cardiology
  • Chiropractic
  • Dentistry
  • Dermatology
  • Emergency medecine
  • Endocrinology
  • ENT
  • Family Medecine
  • Gastroenterology
  • General Surgery
  • Geriatrics
  • Hematology
  • Hospital
  • Infectious Disease
  • Internal Medecine
  • Long-Term Care
  • Nephrology
  • Neurology/Neurosurgery
  • Occupational Medecine
  • Oncology
  • Ophtalmology
  • Optometry
  • Orthopedics
  • Pathology
  • Pediatrics
  • Physical Therapy
  • Plastic Surgery
  • Podiatry
  • Psychiatry
  • Psychology
  • Pulmonology
  • Radiology
  • Rheumatology
  • Sleep Medecine
  • SurgiCenter
  • Urgent Care
  • Urology
  • Vascular Surgery
Integrated software suite
  • EMR/EHR
  • Stand-alone
  • Medical practice management
  • Medical billing
User Authentication
  • User authentification
  • Role-based access
  • Manage access permissions
Certifications
  • ONC-ATCB
  • CCHIT
  • Meaningful Use Certified
  • None
  • EHNAC Accredited
  • Microsoft Gold Certification
  • Surescripts Certification
HIPAA Compliance
  • Yes
  • No
  • In process
Billing Features
  • Payment Reminders
  • Billing Estimates
  • Automatic Payment Posting
  • Assignment of Benefits (AOB)
  • Applied to Deductible (ATD)
  • Ambulatory Payment Classification (APC)
  • Explanation of Benefits (EOB)
  • Electronic Remittance Advice (ERAs)
  • Online Bill Payment
  • Batch-process Patient Billing
  • Credit Card Processing
  • Collection Letters
  • Customizable Fee Schedules
  • EDI Rules Manager
Medical Billing Codes
  • ICD-9
  • ICD-10
  • CPT Codes
  • CPT-4
  • CPT Modifiers
  • CDT Codes (dental)
  • NDC Drug Codes
  • DRG Medicare Codes
  • Taxonomy Codes
  • Medical Diagnostic Codes
  • HCPCS Codes
  • Evaluation Codes
  • IFC Codes
  • DSM-IV Codes
  • Automatic Codes Updates
  • Automatic Payer Rules Updates
  • ASA Codes
Scheduling Features
  • Online Patient Scheduling
  • Physician Scheduling
  • Staff Scheduling
  • On-Call Scheduling
  • Facility Scheduling
  • Drag & Drop Scheduling
  • Appointment Management
  • No-Show Tracking
  • Recurring Appointments
  • Appointment Reminders
  • Notes
  • Intelligent Waitlists
  • Multi-Resource Scheduling
  • Check-In & Checkout
Document Management
  • Medical Record Management
  • EHR/EMR Integration
  • Patient Statements
  • Patient Invoices
  • Consultation Report Integration
  • Lab Reports
Patient Management Features
  • Patient Portal
  • e-Prescribing and Refills
  • Lab Orders & Results
  • Patient Medical History
  • Insurance Information Details
  • Coverage Verification
  • Patient Payment History
  • Drug Interaction and Allergies
Claim Management Features
  • Claim Scrubbing
  • Claim Processing
  • Batch Claim Processing
  • Claim Follow-up
  • Insurance Eligibility Verification
  • Denied Claims Management
  • Integrated Claims Correction
  • Collection Agency Reporting
  • Claim Status Tracking
  • Preferred Clearinghouse
  • Electronic Claim Submission
  • Paper Claim Submission
Reporting
  • Financial Reports
  • Payments Reporting
  • A/R Reports
  • Revenue Reports
  • Payer Performance Reports
  • First-Pass Resolution Rate Report
System Compliance
  • Office of Inspector General (OIG) Compliance
Deployment
  • Web-based
  • Installed (on-premise)
Price
  • 1 - Inexpensive
  • 2
  • 3 - Moderate
  • 4
  • 5 - Expensive
Features
  • 1 - Limited features
  • 2
  • 3 - Moderate
  • 4
  • 5 - Full featured

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