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AllegianceMD Medical Practice Management Software

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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

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
  • Monthly subscription
  • Yearly subscription per user
  • Monthly site license
  • Yearly site license
  • Metered per minute
  • Flat fee
  • Percentage-based (% of collections or claims)
  • Fee-based (fixed $/claim)
  • Hybrid (combination of % and fixed amount/claim)
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)
  • Outpatient care providers
  • Single office
  • Multiple offices
  • 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
  • Stand-alone
  • EMR/EHR
  • Medical practice management
  • Medical billing
User Authentication
  • User authentification
  • Role-based access
  • Manage access permissions
Billing Features
  • Payment Reminders
  • Billing Estimates
  • Customizable Fee Schedules
  • Automatic Payment Posting
  • Batch-process Patient Billing
  • Assignment of Benefits (AOB)
  • Applied to Deductible (ATD)
  • Ambulatory Payment Classification (APC)
  • Explanation of Benefits (EOB)
  • Electronic Remittance Advice (ERAs)
  • Online Bill Payment
  • Credit Card Processing
  • Collection Letters
  • 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
  • ASA Codes
  • Automatic Codes Updates
  • Automatic Payer Rules Updates
Scheduling Features
  • Online Patient Scheduling
  • Physician Scheduling
  • Staff Scheduling
  • On-Call Scheduling
  • Facility Scheduling
  • Drag & Drop Scheduling
  • Multi-Resource Scheduling
  • Appointment Management
  • No-Show Tracking
  • Recurring Appointments
  • Appointment Reminders
  • Intelligent Waitlists
  • Check-In & Checkout
  • Notes
Document Management
  • Medical Record Management
  • Patient Statements
  • Patient Invoices
  • Lab Reports
  • Consultation Report Integration
  • EHR/EMR Integration
Patient Management Features
  • Patient Portal
  • e-Prescribing and Refills
  • Lab Orders & Results
  • Patient Medical History
  • Drug Interaction and Allergies
  • Insurance Information Details
  • Coverage Verification
  • Patient Payment History
Claim Management Features
  • Insurance Eligibility Verification
  • Claim Scrubbing
  • Claim Processing
  • Batch Claim Processing
  • Integrated Claims Correction
  • Electronic Claim Submission
  • Paper Claim Submission
  • Preferred Clearinghouse
  • Claim Follow-up
  • Claim Status Tracking
  • Denied Claims Management
  • Collection Agency Reporting
Reporting
  • Financial Reports
  • Payments Reporting
  • A/R Reports
  • Revenue Reports
  • Payer Performance Reports
  • First-Pass Resolution Rate Report
Deployment
  • Web-based
  • Installed (on-premise)
Supported Devices
  • Desktop
  • Mobile
  • Tablet
  • iPad
  • Touchscreens
Certifications
  • Meaningful Use Certified
  • ONC-ATCB
  • CCHIT
  • EHNAC Accredited
  • Microsoft Gold Certification
  • Surescripts Certification
  • None
HIPAA Compliance
  • Yes
  • No
  • In process
System Compliance
  • Office of Inspector General (OIG) Compliance
Service Terms Offered
  • Commitment Free
  • Free Setup
  • Free Cancellation
  • Money Back Guarantee
  • Month-to-Month Option
  • Keep Original Number
  • Customizable Plans
  • Account Manager
  • Free In-Network Calls
  • Unlimited Minutes
  • International Calls
  • Reduced Price for Multiple Users
Mobile Apps Offered
  • None
  • iOS
  • Android
Mobile friendly?
  • Yes
  • No
Service Terms Offered
  • Commitment Free
  • Free Setup
  • Free Cancellation
  • Money Back Guarantee
  • Month-to-Month Option
  • Keep Original Number
  • Customizable Plans
  • Account Manager
  • Free In-Network Calls
  • Unlimited Minutes
  • International Calls
  • Reduced Price for Multiple Users
Support Features
  • FAQs Section
  • Tutorials
  • Telephone Support
  • Email Support
  • 24/7 Support
  • Online Chat
  • Forum
  • In-Person Training
  • Social Media
  • Knowledge Base
  • Webinars

Pricing

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