WellSky, formerly Kinnser, is a healthcare solution provider that offers home health, blood management, hospice, and much more. It also offers instant Medi-Span drug database screening, fast scheduling, and OASIS checks. You can customize it to serve hospice, therapy, and private duty agencies. WellSky offers tools to optimize intake, manage patients’ bookings, track referrals, and manage authorization and eligibility. Doctors and their staff members can prioritize patient care, schedule daily appointments, manage documentation, and more.
The internal email messaging system allows users to attach messages about patient care directly to the patient’s chart. WellSky software optimizes intake, eligibility checks, and calendar management. Your company will be able to receive referrals seamlessly and securely, manage authorizations and eligibility easily, see all visits by disciplines on one calendar, and schedule entire episodes of care in seconds. All in all, WellSky is a great healthcare management tool that you can consider among its alternatives.
#1 Flywire Healthcare
Flywire Healthcare is a platform trusted by some of the top health systems in the United States to provide an easy and convenient payment experience to their patients. It uses advanced Machine Learning technology to help you assign the correct payment methods to patients. Use the meaningful data to decide a payment’s capability to pay and produce better outcomes by learning and reacting to patient’s feedback.
The platform offers a personalized engagement plan by collecting accurate data for predicting whether the patient will be in a better position to pay. You can use smart communications to increase workflow engagement and share a unified bill across several accounts. It uses Open architecture to make way for smooth integration with existing tools and processes. It is optimized to integrate with several EHR systems such as Cerner and Epic.
Flywire Healthcare ensures that international patients will have a seamless experience by providing a top-notch cross-border solution. This solution is available in multiple languages and offers instant, secure sending of funds.
#2 Zelis Payments
Zelis Payments is an industry-leading electronic payments technology firm used by hospitals and health professionals to receive payments via the preferred method such as check, ACH, or Virtual Card. It enables users to get paid up to 20 days in advance by choosing from the given payment options, resulting in improved cash flow.
It speeds up payments, allowing users to receive them instantly through Zelis ACH. The platform enables healthcare professionals to compare the billed amount with the received amount through a powerful, easy-to-use portal that lists more than 330 payers.
#3 OneBill Healthcare
OneBill provides Subscription Billing & Revenue Management software to help Healthcare providers automate the order-to-cash process, enabling them to save time, effort and efficiently manage product pricing offers. The solution is easy to use and makes a significant impact on the way customers manage their business.
It provides several features, including OneBill CPQ (Consider-Price-Quote), OneBill MCM (Multi-Level Channel Management), and OneBill BRM (Billing & Revenue Management). OneBill offers several APIs that enable integration with leading CRM Systems, Payment gateways, Taxation software, ERP Systems, Accounting & Admin, and Carriers & Providers.
BillingTree offers convenient, modern, secure, Payment Solutions to help Healthcare providers build trust with patients, improve their satisfaction and generate more revenue. It is an all-in-one platform that connects all parties involved in the process to deliver a seamless experience. The software was developed by a team of experts to ensure compliance with industry-sta and provide all the features needed by customers.
The patient payment experience has been significantly enhanced by developing HIPAA-compliant tools for receiving payments based on the will of patients. You can increase patient satisfaction by offering payment methods that meet their individual needs. The platform provides flexible payment plans that fulfill your business requirements, enabling you to drive onsite and post-care payments.
It treats patient payment security as its primary objective, relieving you from worrying about potential security problems. BillingTree offers a dedicated support team that you can count on for help. It ensures that all the staff has access to the billing details, giving you full authority.
#5 TriZetto QNXT
TriZetto QNXT is a comprehensive solution of modules that include everything for users to manage their data and operations regarding health claims and cases. The platform offers various functions, such as medical and specialty claims processing, premium billing, and referral management. It is built in an open platform, which helps in delivering necessary flexibility and functionality to improve the performance of operations.
The platform enables users to prioritize and reduce pending and exception claims by increasing automation and improving operational efficiency. It automatically manages claims in real-time to work queries and offers automatic identification of work items on the basis of lines of business.
TriZetto QNXT comes with an Appeal and Grievance routing feature that helps users in managing the complain process and electronically routing it to the right person. Its claims adjudication management feature enables users to avoid growing backlog and helps in maintaining the inventory of documents.
AdvancedBilling is medical billing software that enables users to automate their tasks and helps in revenue capturing. The solution is very helpful for small and medium-sized healthcare facilities and clinics. It comes with a ClaimInspector feature that enables users to check errors in claims prior to their submission automatically.
The platform’s claims center offers auto-generated worklists and centralizes billing for multiple providers. Moreover, its ClaimInspector can run millions of edits for every claim to check requirements according to HIPAA and CCI, etc. The software allows users to track and manage their accounts receivable on a daily basis.
AdvancedBilling comes with an interactive dashboard that allows users to process statements and send electronic letters to their clients. The platform’s claim management feature enables users to handle everything efficiently, from charge capturing to reimbursement. Lastly, other key features are Centralized Billing, Credit Card Processing, Batch Process Patient Billing, and Patient Statements.
Optum360 is a platform that helps organizations to provide amazing financial experience to their patients, and it helps in accelerating cash flow through claims management. The platform comes with a built-in payer-provider that allows companies to verify their insurance eligibility and eases up uncertainty for both customers and companies.
The solution helps companies to accelerate their collection process, reduces the denials, and improves patient satisfaction as it offers easy payment options to the patients. It sends details about the claim to the patients even before they leave the system. The platform’s proactive approach helps in improving the integrity of the claim management processes and avoids any kind of delay.
Optum360 allows organizations to improve the A/R recovery and reduce denials with a single customized solution, and it customizes the relationship of patients according to the situation. It allows users to create clinical documentation and helps companies to achieve regulatory compliance.
Snapsheet is a claim management system that enables users to streamline their document process, optimize the payments, and manage their assets. It allows organizations to digitize their claim processes, and it has a customer-oriented approach to deliver fast with a better experience. Moreover, it enables the users to build their automated claim experience in no time with a limited amount of money.
The solution enables users to reach the right people at the right time and engage them in communication. It empowers agents to generate such configurable workflows that streamline and automate claim processes and helps managers to manage their teams.
Snapsheet enables agents to get a consolidated view of all of their claim information, and they can extend the capability of their claim management system by integrating third-party platforms. It delivers scalable test and A/B testing capabilities, and through its omnichannel communication feature, it keeps everyone in the loop.
BriteCore is a platform that provides services to insurance companies in property and casualty insurance cases and supports them in the digital transformation of their system. The platform enables the employees to collaborate from anywhere using the web-based tools and solve their everyday business challenges faster. It streamlines all the tasks and optimizes workflows to help customers and agents in the doing business.
The solution comes with a policy management tool that allows users to manage all of their policies and helps in automating their documentation processes. It offers a billing feature that helps users in managing the full billing lifecycle.
BriteCore offers an administration and claims management process to handle all end-to-end claims processes, and its web-based portal allows users to quote and view policies from anywhere. It comes with business intelligence and analytics that provide reports to users to get useful insights. It has role-based access to keep documents secure.
ClaimCenter is a service provider to organizations to help to resolve their claims faster and to exceed their customer expectations. The solution enables organizations to optimize all of their processes by reducing their cycle times of processes and resources and allowing the staff to get access to real-time information. It allows the managers to define how and when reserves and activities are created.
The platform allows users to keep their activities and processes customer-centric to provide an amazing experience. Moreover, it enables users to empower their customers with digital self-service channels, and it ensures reliability on third-party service.
ClaimCenter allows users to embrace emerging technologies more freely, and they can extend the capabilities of their claims operations with different pre-built apps. Moreover, users can fuel up decisions in the right direction with the help of artificial intelligence. Lastly, it allows users to scale compliant with the rules and security measures.
athenaCollector is a platform that helps users to get access and share patient data across different platforms and allows users to generate invoices and get paid instantly. The solution contains complete medical records that they can access anytime and can get them in proper documentation. It enables users to collect bills faster, and users can stay up-to-date with the missing collections.
The platform enables users to stay alert with any kind of claims error before any employee makes them, and it keeps updating the claims management rules. Moreover, it optimizes the appointment feature to helps users in scheduling their appointments with the clients and get automated reminders.
athenaCollector allows users to verify the patient’s eligibility in advance and can collect payments from the patients at the time of service. Moreover, it allows users to create performance reports that help users to make data-driven decisions, which helps them in making their work-process better.
#12 Applied Epic
Applied Epic is a platform that offers an insurance solution that helps insurance providers in the exchange of insurance data. The solution allows organizations to compare and verify policies and contracts. Moreover, it enables users to plan summaries and contracts of users by using the pre-built forms and templates.
The platform also enables organizations to educate their employees on government-mandated benefits and helps them in day-to-day insurance processes. Moreover, it allows users to manage their sales processes, and managers can manage and view the performance of their sales agents through the agent dashboard.
Applied Epic offers sales automation features to the sales teams to help them in managing their sales activities more efficiently. Moreover, it also allows agents to create documents and reports on their clients, and they can manage these documents in different folders on the software. Lastly, agents can communicate with their customers through the software.
#13 FINEOS Claims
FINEOS Claims is a software that helps customers to claim their insurance in the case of accident and health. The platform offers both individual and group claims services, and it can handle thousands of customers at a single time. It enables organizations to understand and increase their knowledge about their customers, and users can increase customer retention through the software.
The platform enables organizations to optimize and reconfigure the claims process to meet and gain insights into the changing situations. Moreover, it helps users to improve their customer service and gain detailed audit trails of their claim processes.
FINEOS Claims enables users to achieve better claimant outcomes by reducing claims durations through improved rehabilitation and better claim management. Moreover, its AdminSuite offers billing features that help in reducing billing leakage and automated cash applications. Lastly, it allows users to increase accuracy and compliance of their claims and helps in driving outcome-orientated engagement.
#14 A1 Tracker
A1 Tracker is a software that helps companies to manage their risks more efficiently and helps them in keeping their business processes smooth. The platform allows users to track risks and incidents through its web-based system. It offers real-time notifications to users to keep them alert about the emerging risks in any department.
The software offers customizable dashboards, metrics, and other integrations to help users in their claim management and asset management processes. It offers a claim management software that enables users to view the details, notes, and history of claims. It allows users to track claims of different types, such as hazard reports, omission claims, etc.
A1 Tracker comes with a claim portal that allows the organization to process customer’s application by following one step at a time to stay compliant to the standards. Its insurance software enables users to track policies and certificates for various types of insurances.
ProviderSuite is a practice management software solution that allows you to make the management process easier. The software is automating all the business operations vis combing all the significant task so get done with the job a lot easier for the healthcare teams. ProviderSuite is making administration not have manual processing, and they can save much of their time in scheduling and billing.
ProviderSuite, with its billing function, seems to be the one-stop tool for you that covers things like patient registration, claims payments, tracking information, and prior authorizations. ProviderSuite is also integrating with HER system to ultimately help you get meaningful use of certification, re-submit your claims, and monitor your EDI rejection. Move onto ProviderSuite scheduling service, it has a lot to offer, such as improved patient interactions, meets data on demand, proprietary rules-based architecture, scheduling templates for multiple locations, and set automated patient reminders.
#16 expEDIum Medical Billing
expEDIum Medical Billing is a comprehensive software solution that continually enhances your workflow with web-based medical solutions and practice management services. The software is making things more manageable and fast with automated billing for the healthcare organization. They can manage their revenue cycle and provide claims processing workflow to you. This advanced solution maintains all of your compliance need with HIPAA compliance, and you have advanced SaaS support that is an optimal billing solution among all the availabilities.
Are you concerned about efficient practices but no more with expEDIum Medical Billing, because you have easy project management, less cost, and denial. Moreover, you boost your payment collection capabilities with ease. There are multiple features to offer that includes complete RCM, comprehensive team, advanced specialties, improved collections, reduce billing errors, reports, and statistics, up to data PMS, claim submission, and more to add.
TRAKnet is a valuable practice management and EHR software solution that allows healthcare teams to multiply their workflow with the automation in place. The software platform simplifies and streamlines the podiatry practices with all the features and functions. You have a centralized dashboard to get the required information to make possible decisions.
There are multiple features on offer: complete integrated charting, scheduling, billing, ePrecribing, management platform, customizable user interface, robust practice management reports, cloud backup storage, and much more. Moreover, the platform enables you to automate your billing operations, and you do not need to look over patient appointments; the system does it automatically for you. Multiple additional services for you are partner service, automated patient reminders, insurance clearinghouse, free digital X-ray, integrated credit card processing, and many more.
#18 Mercury One
Mercury One is one of the best cloud-based medical practice management software solutions that allow you to get revenue management tasks. The platform featuring support for you from intermediate to advance billing and cloud support means that you have secure access anywhere for sure. You have a built-in credit card systems for administrative use that permits them to process and accept bulk payments.
The platform facilitates medial teams with a patient portal, payment portal, demographics input, charge input, scheduling, the full history of patient activity, ERA posting, reporting, and so forth. This software platform serves with its great automation to small clinics and medical practitioners to manage their operations with ease. Mercury One ensues with the centralized database, which means you can store and access data like patient history, diagnostic reports, and lines of treatments. Plus, Mercury One is integrated with multiple third-party platforms with the robust API to extend functions with systems like EMR and EHR.
MedicsPremier is a complete workflow management software for healthcare that allows you to get things done with automated strategic solutions. The software enables your department to boost its employee’s performance by eliminating all the manual entry work. You have a robotic finance management system that will allow you to make payments online, and you also have a utility for workers’ compensation. The software maintains all of your healthcare business needs with effective marketing campaigns for better reach, and you can track with them CRM.
There are multiple features on offer: out-of-network alerts, scheduling appointments, online appointments, real-time vision claim tracking, robust denial claim management, and much more. With MedicsPremier, you can generate patient statements or produce them offsite, and there is an online portal that supports payments, appointments, scheduling, and completing queries. Furthermore, MedicsPremier is also surfacing the exceptional patient attorney management, which means the patient can serve themselves without disturbing the practice staff.
#20 FileHandler Enterprise
FileHandler Enterprise is a claim management system that enables companies to automate their workflows for risk management processes. The platform also offers dashboards and business intelligence tools to helps users set the benchmark in the claims management system. It offers different processes to administer claims, payment, and employee data to manage their business effectively.
It is a user-friendly software and helps in performing claims management tasks quickly, and users can define their business rules in it. Moreover, the platform also allows users to organize their tasks, and it comes with features, such as Audit Functionality, Report Scheduling, Notification System, and much more.
FileHandler Enterprise comes with many third-party integrations to help users perform their tasks efficiently, such as PBRV, TPAs, Payroll, Carriers, ACH with Banking, etc. Moreover, it converts all the data into rich-visual reports to helps users view and understand the situation of their performance.
Quanum is a Lab service management software that allows you to have agility in your testing operations with a seamless approach. You can maximize your healthcare business productivity by carrying out more functions in an automated way, and with Quanum, you have actionable data to do the more valuable decision making. The platform is easing meaningful conversation with a patient, and you can answer all the uncertainties in a better way.
It is easy to manage all the appointments, get done with the payments, collect patient records, access clinical information, and more. Quanum is simple to navigate; you will avoid all the lab related distractions and extract results you are waiting for. There is no need to take a phone on hand, and you will know when your supply orders are arriving. Furthermore, the software is straightforward to use, has customized dashboards, and physicians can access their relevant information instantly.
MedEvolve is an ultimate data-driven software solution and services provider platform that allows physicians to make effective decisions with in-depth analytics. The software makes your workflow nimbler with automation, which means you do not need to waste manual processing hours. Talking about medical billing, MedEvolve is doing a favor regarding removing complexities via paying bills online. You have advanced RCM scorecards that will take all the burdens from you, so you quickly on to problems and solves them with zero certainties.
There are multiple solutions for you to look forward to carrying out best practice analytics automation, workflow automation, patient management, practice management, and medical billing services fundamental for the physician. You have advanced artificial intelligence in place for the best automatic process optimization that will provide extra efficiency plus satisfaction. MedEvolve helps our healthcare department have preservice financial clearance before an appointment, protect your accounts receivable, answer all the queries, and have RCM workflow automation for better claims processing.
Waystar is a functional healthcare revenue-cycle management solution platform providing advanced support for RCM software, having predictive analytics, denial mitigation, claims management, revenue integrity, and much more. The software reduces all complications in financial and administrative challenges facing health care that are daunting to some extent. But no more with Waystar because its technological solution will automate all the manual tasks and make your payments across the revenue management cycle.
You have comprehensive and more transparent insight that will let you take actions on the performance that will give more revenue at the end of the day. Whether it is financial clearance, revenue capture, claim management, payment management, denial prevention, prior authorization, or Waystar is always up for the tasks. The platform provides a single sign-on option where you can manage commercial, government, and patient payments in one place, which means there is no hassle to use the multiple systems.