“It is health that is real wealth and not pieces of gold and silver.” – Mahatma Gandhi
From Hippocrates to Gandhi, there is a deep realization that health is the most important thing in life. After all, without health, everything else becomes impossible. The nation’s medical and wellness clinics help Americans improve their health by delivering critical treatments, therapies, medications, and practices.
Of course, medical and wellness clinics face myriad problems. Long wait times, HIPAA rules that govern the storage and use of patient information, living up to patient expectations – these are just the tip of the proverbial iceberg. Getting paid is another major challenge.
The medical industry deals with complex rules, regulations, and procedures when it comes to getting paid. Providers must handle everything from copays to self-pay to Medicare and Medicaid payments, filing claims and billing insurers, and so much more. It’s challenging, to say the least. (And that doesn’t even touch on patient scheduling, handling calls, answering questions, and all the rest, but Smith.ai’s experienced team of live receptionists can provide essential solutions in those areas).
The good news is that online payment and billing solutions can help to streamline the process, all while ensuring that your clinic complies with HIPAA rules and regulations. Of course, there’s a lot of diversity out there. Some options are simple payment and billing suites, while others are full practice management options that cover everything from billing to staff scheduling.
Below, we’ve listed some of the top contenders when it comes to medical and wellness clinic online payment and billing solutions. You’ll notice that some of these are simple, affordable (sometimes FREE) medical billing tools. However, we’ve sprinkled in a couple of more robust options that include additional features and functionality for clinics that need them.
Cloud-based, affordable, and designed to simplify clinic workflows, RXNT is a modular collection of tools that can be customized to fit any needs. The billing module itself is simple and easy to use and includes some of the most important features for medical and wellness clinics.
This tool walks your team (or your central billing office staff) through the entire process, from chart capture to reimbursement. It also includes important features like single-sign-on (SSO) and allows team members to assign ICD-10 codes with ease. Thanks to the modularity of this offering, it’s easy to scale as your needs change, as well, moving from a billing tool all the way up to a full practice management offering. Some of the most important things to know about this medical billing tool include:
SimplePractice is another full practice management tool, but it’s different than RXNT in many ways. Promising, “private practice your way”, this tool lets you take your billing and payment needs online but also handles in-office payments. You also get access to other important capabilities, like telehealth and paperless intake.
Medical and wellness clinic staff will appreciate the features baked into this tool. Autopay is handy and allows your patients to make payments online without any hurdles. You can also create billing documents in second, including CMS-1500 forms. The insurance claims side of the software is equally robust yet easy to use. What else should you know about SimplePractice?
TheraNest is our third practice management solution. However, unlike the other two options above, this is not a modular option, although there are premium upgrades, such as practice planners, an integrated client portal, and telehealth capabilities. With that being said, the base suite is often more than sufficient for many clinics.
When it comes to billing, you’ll find that TheraNest offers quite a lot, including PQRS, superbills, the ability to process credit cards securely, batch invoice/claims, and more. It also offers plenty of in-depth reporting, including staff billing and payroll. Note that TheraNest is designed primarily for therapists, psychologists, social workers, and counselors. Important features to know include the following:
talkEHR is a practice management solution designed for virtually any clinic or practice, from solo practitioners to multi-physician offices. It is ONC-ACB certified, HIPAA compliant, and very flexible, as well. It also comes with patient apps (both iOS and Android) to make things simpler.
While talkEHR combines multiple features, the billing side of the software is strong, flexible, and intuitive. You can submit multiple ICD-10 compatible claims at the same time. It also makes it easy to manage accounts receivable on a by-claim basis. Another interesting capability here is that while you can handle your own billing, you can also outsource it to the talkEHR team if you choose. Features of note include the following:
Designed specifically for billing and payments, Gentem promises it is designed for “helping private practices get paid more, faster”. The software is designed for use by just about any medical or wellness clinic, including behavioral health, vein clinics, telehealth providers, surgical clinics, pain management specialists, and more.
In addition to payment acceptance and processing features, Gentem also provides you with the help needed to navigate the complex healthcare billing world. That includes access to professional coding services, denial and appeal management, and more. Other important things to know include the following:
One of the most popular management tools out there, athenaOne has been around since the 1990s and continues to be a perennial favorite. That’s thanks in large part to the software’s modularity, which allows clinics and practices to scale up or down as necessary and to create a customized software solution that fits their needs (including billing and online payments).
With athenaOne, you get access to all the billing and payment features you might need. That includes claims management, access to a revenue cycle dashboard, an online patient check-in and payment feature, performance reporting for in-depth visibility, and more. For clinics that need it, athenaOne also includes a full HER module, as well as telehealth, patient engagement, and care coordination modules. Additional things to know include the following:
Kareo offers a billing suite that is designed specifically for clinics and smaller practices, rather than hospitals. Note that Kareo also offers a full practice management suite, and the billing module integrates directly, but can be used as a standalone tool, which is good news for clinics that only need billing help.
Kareo Billing offers end-to-end claims tracking, including smart checks and balanced workflows. It makes it simple to capture charges, offers in-depth billing analytics to surface critical insights, and provides powerful billing software for billers. Note that the Kareo Managed Billing module ups the ante by outsourcing your billing needs if you’re looking to really decrease distractions so your team can focus on patient health outcomes. Some of the important things to know about this platform include the following:
For those seeking a medical billing and claims management tool that is at once robust and flexible, Euclid has a lot to offer. It’s designed to provide powerful revenue management tools, but also offers access to insights to help optimize your revenue cycle. Plus, it delivers critical capabilities without an enterprise-level price tag.
Euclid is a medical billing system only – it doesn’t offer practice management capabilities. It is also designed for use by just about any healthcare business and comes with both Android and iOS apps. Some of the key capabilities here include code and charge entry, full claims management capabilities, including scrubbing and tracking, compliance management and tracking, and instant insurance eligibility verification. Other things to know about this software include:
Another medical billing-only option, the name really says it all. EZClaim is designed, well, to make the claims process simple and easy. It promises “medical billing software made simply powerful”. Note that the company also offers modular options that can build on the billing/claims tool, allowing you to create a customized practice management solution if you wish, but the billing side works as a standalone option, as well.
Cloud-based and flexible, the EZClaim billing module offers an online portal for patient payments, as well as user-level security and tracking for HIPAA compliance. Electronic billing is handled through TriZetto and other payer/clearinghouses, and the software offers real-time eligibility verification. For time-starved clinics, EZClaim also offers outsourced medical billing. Some of the features of note here include:
Logik promises to “transform billing for your health organization”. This accounts receivable billing software is designed for health facilities of all types and sizes and provides powerful tools to help you take control of your revenue cycle. Note that this is a cloud-based platform and there are no mobile apps.
You’ll find plenty to enjoy with Logik, including multiple billing formats to meet your facility’s needs. You can also track authorizations for each patient, issue charges for multiple services, scrub claims and submit them electronically, and access in-depth transaction reporting. Other things to know about this billing platform include the following:
Each of the billing and online payment options we’ve covered brings something of note to the table, ensuring that you’re able to control your revenue cycle and build a successful practice. However, there’s a lot more that goes into success than just being able to handle billing and invoicing.
Your team is tied down with a broad range of administrative responsibilities, from receiving calls to answering basic questions, scheduling patient appointments, and more. At Smith.ai, we offer the ability to automate those tasks and more, allowing your team to focus on what they do best – caring for your patients. From ensuring every inbound call is answered promptly and professionally to lead tracking, patient intake, and even outbound call-backs and after-hours answering, we deliver the services you need.
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