athenaOne
athenaOne
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athenaOne Reviews & Overview

What is athenaOne?

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. 


Company:Athenahealth, Inc
Platforms:

athenaOne Pricing


athenaOne - Medical Practice Management Suite
N/A
per user / per month
athenaOne Pricing Details

athenaOne Key Features


Service Terms Offered
  • Free Cancellation
  • Month-to-Month Option
  • Customizable Plans
  • Reduced Price for Multiple Users
Support Features
  • Telephone Support
  • Email Support
  • 24/7 Support
  • Online Chat
  • Knowledge Base
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)
  • Outpatient care providers
  • Medicaid Waiver Providers
  • Medical Billing Centers
  • Outsourced Billing Services
Specialties
  • Cardiology
  • Family Medicine
  • Orthopedics
  • Pediatrics
  • Urgent Care
Integrations
  • EMR/EHR
  • Medical practice management
  • Medical Billing
  • EHR Integration Packages
User Authentication
  • User authentification
  • Role-based access
  • Manage access permissions
Certifications
  • CCHIT
  • Meaningful Use Certified
  • EHNAC Accredited
HIPAA Compliance
  • Yes
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)
  • Online Bill Payment
  • Batch-process Patient Billing
  • Credit Card Processing
  • Collection Letters
  • EDI Rules Manager
Medical Billing Codes
  • ICD-10
  • CPT Codes
  • CPT-4
  • CPT Modifiers
  • Taxonomy Codes
  • HCPCS Codes
  • Evaluation Codes
  • Automatic Codes Updates
  • ASA Codes
Scheduling Features
  • Online Patient Scheduling
  • Physician Scheduling
  • Facility Scheduling
  • Drag & Drop Scheduling
  • Appointment Management
  • No-Show Tracking
  • Recurring Appointments
  • Appointment Reminders
  • Multi-Resource Scheduling
  • Check-In & Checkout
  • Secure messaging
Document Management
  • Medical Record Management
  • EHR/EMR Integration
  • Patient Statements
  • Patient Invoices
  • Consultation Report Integration
  • Lab Reports
Patient Management
  • Patient Portal
  • Lab Orders & Results
  • Patient Medical History
  • Insurance Information Details
  • Coverage Verification
  • Patient Payment History
  • Drug Interaction and Allergies
Claims Management
  • Claim Scrubbing
  • Claim Processing
  • Batch Claim Processing
  • 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
  • OIG
Deployment
  • Web-based
athenaOne Features Details

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