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PrognoCIS Medical Practice Management Software

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The PrognoCIS billing and revenue cycle management solution benefits from the very large experience base the company has built up in this domain. This allows them to reduce the payment cycle, improve returns and eliminate unnecessary work.  With expert help handling billing, medical practices are able to minimize administrative and backend staff and focus on their core activities. Only in case of rare or complex queries does the RCM team ever have to get in touch with clinic personnel to clear doubts. PrognoCIS has evolved smoothly to ICD - 10 from ICD - 9 coding. There has been no reduction in claim approvals with the switchover to ICD - 10. 

Details

The PrognoCIS billing and revenue cycle management solution benefits from the very large experience base the company has built up in this domain. This allows them to reduce the payment cycle, improve returns and eliminate unnecessary work.  With expert help handling billing, medical practices are able to minimize administrative and backend staff and focus on their core activities. Only in case of rare or complex queries does the RCM team ever have to get in touch with clinic personnel to clear doubts. PrognoCIS has evolved smoothly to ICD - 10 from ICD - 9 coding. There has been no reduction in claim approvals with the switchover to ICD - 10. 

Details

Working behind the scenes, PrognoCIS takes on all billing-related activity including the creation and processing of patient statements, creating bills and sending them to insurers for reimbursement, following up on all denied claims and all related activities. 

The solution creates detailed financial statements and RCM reports that help practices fine-tune their operations and improve efficiency.  Unlike many other medical billing solutions, PrognoCIS has a customizable claims scrubber that can be programmed to meet specialty, state and practice-specific guidelines.  Close follow up is also maintained on all claims to ensure a very high percentage of first-pass claims.

PrognoCIS has entered into a partnership with OpenEdge to offer secure card-processing services. This allows the billing system to accept payments via phone, mail, direct payments or online payments. The system also caters to patients paying in installments. This further improves collections and builds better relationships with patients.

A great feature is direct employer billing. If your clinic has been appointed to care for patients who are employees at a large company, you can bill the parent company instead of individual patients. This simplifies bill management both for the client company and individual patients. It also allows the clinic to handle the relationship better, because the volume of business being generated is very clear.

With PrognoCIS handling the billing, physicians and clinic administrators are able to get on with their primary tasks rather than worry about the financial aspect of their business. Many issues can arise with billing; PrognoCIS appears to have anticipated them all. 

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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