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MedicsRCM - Medical Practice Management

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  • Company Size:SML
  • Features:
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Details

MedicsRCM is a cloud-based revenue cycle management service that claims to have an amazing 99% first attempt success rate on claim processing.  The solution has evolved over the years and is now used to handle millions of claims annually. Unlike many other companies that handle RCM for their clients, MedicsRCM does not use any third-party software.  Clients can access their data 24x7 from any location and be confident that their bills are being handled in the most efficient way possible.

MedicsRCM is an end-to-end revenue cycle management solution. The entire billing solution is produced by the company’s own software architects and as a result, runs brilliantly allowing MedicsRCM to reach a 99% first claim success rate.

All claims are processed and submitted the day they are incurred. If the claim is raised after normal business hours, it will be submitted the next day. This ensures no time is lost in getting the money back to the practice.  While MedicsRCM tracks the progress of the claims it has submitted, clients can track them too and see what is happening.

MedicsRCM computes an average pay time for each payer based on their past performance.  As soon as this period is exceeded, the claim is resubmitted automatically. The team at MedicsRCM follows up with payers to track all overdue claims to check and resolve any holdups.

In case a claim is denied, automatic alerts are generated and the team takes charge of the claim to edit it and resubmit it on priority. Claim tracking follows up each resubmitted claim closely to ensure it is cleared quickly.

MedicsRCM also has detailed analytics to help practices analyze their performance. Medical practices will get to know the exact trend of their payment cycles and how their revenue shapes up.  The solution also has an inbuilt payment gateway to ensure that patients can pay online via secure and proven methods. Business Intelligence modules are built in to give practice administrators great insights into the progress of their businesses. 

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

Pricing

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