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athenaCollector - Medical Practice Management

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Details

The athenahealth medical billing solution is completely rules based and learns with every denial. In case of a denial, the system works with administrators to create a new rule to ensure that particular denial does not occur again. The result is an improving curve on payments. athenahealth medical billing is a cloud-based solution that offers a range of backend services that handle all time-consuming tasks to keep the practice working efficiently on revenue generation and collection. The rules engine within athenahealth checks each claim carefully against a very large number of rules to ensure the claim has the least possible chance of denial.

Details

A key to the effectiveness of athenahealth billing is its willingness to learn. The solution already incorporates 40 million rules used by different payers to handle claims. By checking every claim against this rules database, athenahealth ensures the lowest possible probability of a claim getting denied. New rules are added on a daily basis, and the 130 million claims submitted annually through athenahealth billing are mined for data about denial trends.  As a result, reimbursement ratios increase regularly and medical practices using the athenahealth solution see continuous improvements in the financial health of their practices.

The company claims that their networked, artificial intelligence-supported system results in 32% faster payment and 6% increase in revenue. About 94% of all claims are cleared within the first iteration.

The backend processes are reportedly so good that on October 1, 2015, when the transition occurred from ICD - 9 codes to ICD - 10 codes, clients using athenahealth billing did not see any drop in their collections due to the change.

Besides offering great solutions, the company also coaches its clients in improving their workflow practices. The athenahealth medical billing team will benchmark and track processes used by clinics and can provide guidance on where improvements are possible. A number of analytical services are made available to subscribers free of cost to help them become more efficient.  Since the company has a client base of 72,000 medical practices, it is able to tell its clients where they stand in relation to their peers. 

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
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

Pricing

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