Care360 - logo

Care360 Medical Practice Management Software

  • Deployment:
  • Company Size: S M L
  • Features:
  • Platforms:
  • Pricing:

Care360 RCM is a complete medical billing and revenue cycle management solution for medical practices of varying sizes. The basic premise of the service provider is to take over all medical billing related issues and let the practices focus on their patients. A backend team of dedicated claim management experts works to get medical practices reimbursed quicker and generate large improvements in their revenue streams.  The solution charges clinics a small percent of their total collections. This ensures that clinics pay only for results. If the clinic does not make any money, the biller does not get paid.

Details

Care360 RCM is a complete medical billing and revenue cycle management solution for medical practices of varying sizes. The basic premise of the service provider is to take over all medical billing related issues and let the practices focus on their patients. A backend team of dedicated claim management experts works to get medical practices reimbursed quicker and generate large improvements in their revenue streams.  The solution charges clinics a small percent of their total collections. This ensures that clinics pay only for results. If the clinic does not make any money, the biller does not get paid.

Details

Care360 RCM Provides complete transparency and total visibility into the practice’s revenue stream. Administrators can see at a glance how their bills and claims are progressing. A dashboard allows users to quickly drill down to the details of any bill or its denial, and see the action that is being taken on it.

Care360 RCM experts’ team has developed an in-depth knowledge of several specialties so that they know the nuances of billing in those specialties. They also know the requirements of insurance companies and what it takes to get claims cleared in the first instance. This helps them to achieve a very high first pass claim ratio. Even though billing associates may be based in different countries, account managers are based in the US. Account manager are the interface between the client and billing associates to ensure that client expectations are fully met.

Care360 RCM gives each client organization a success coach to get them started on the path to higher efficiencies and faster bill approvals. In addition to the success coach, each client has a dedicated account manager responsible for denial handling and appeals management, payment monitoring, pending payments management and provides detailed financial reports.  The result is a great partner organization that works behind the scene to ensure that the health of your practice stays viable even as the physicians work hard to improve the health of the patients.

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

Request a custom quote for your business

Get Pricing

Recommended Articles

5 Medical Billing Software Features...

Medical billing software is undoubtedly one of the most important investments your practice can make to further its success. Electronic patient records, prescription management, claims filing, and ...