Last Reviewed: November 15th, 2024

Best Anesthesia Medical Billing Software Of 2024

What is Anesthesia Medical Billing Software?

Anesthesia Medical Billing Software is a specific application designed to streamline the complex billing tasks in anesthesiology. By automating and simplifying billing, it circumvents issues such as coding errors, delayed payments, and regulatory non-compliance. This software is crucial for improving financial efficiency of anesthesia practices, offering benefits like expedited payments, reduced billing errors, and enhanced revenue cycle management. Its key functionalities include anesthesia-specific coding, automated claim submission, and comprehensive reporting. Modern features are increasingly incorporating AI for predictive analysis and error detection. Users include anesthesia practitioners and healthcare institutions handling anesthesia billing. However, factors like ongoing software updates and periodic user training could pose as limitations. In summary, Anesthesia Medical Billing Software is a key instrument that simplifies anesthesia billing operations, boosts revenue, and ensures compliance, though it requires regular software updates and user training.

What Are The Key Benefits of Anesthesia Medical Billing Software?

  • Improves billing accuracy
  • Speeds up claim payments
  • Reduces coding errors
  • Enhances revenue management
  • Automates claim submissions
  • Offers comprehensive reports
  • Facilitates regulatory compliance
  • Supports patient record integration
  • Simplifies fee scheduling
  • Predicts potential errors
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Overall

Based on the latest available data collected by SelectHub for 55 solutions, we determined the following solutions are the best Anesthesia Medical Billing Software overall:

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Why We Picked Tebra Managed Billing

Tebra Managed Billing offers robust functionality for scheduling patients, confirming insurance, managing accounts, storing patient documents and more. It’s user-friendly interface and intuitive options make it easy to use and navigate, increasing productivity. Reporting tool offers easy customization for businesses needs. Reviewers said that customer support is responsive and helpful in solving issues. However, some complained that getting customer service was challenging. Setting up patient billing and insurance was difficult and negatively impacted workflow. Users disliked that the system tended to run slow and was often down for repairs or maintenance.

Pros & Cons

  • Functionality: It provides a comprehensive set of tools, as noted by 96% of users who referred to functionality.
  • User Friendly: It is intuitive and easy to deploy, as noted by 97% of reviewers who refer to ease of use.
  • Report: Around 65% of users said that report functions are easy to customize to meet their organization's needs.
  • Customer Support: Customer services were responsive and helpful, as noted by 56% of users who specified customer support.
  • Billing & Insurance: Nearly 86% of users said that setting up billing and insurance was time-consuming and difficult.
  • Integration: Approximately 81% of reviewers who specified integration said that it offers limited software integrations.
  • System Performance: About 92% of users said that the system runs slow and goes down frequently, affecting productivity.

Key Features

  • Schedule/Calendar: Assign physicians with the correct patient, equipment and exam room. Automatically verify patient eligibility to reduce denials. 
  • Charge Capture: Charges can be billed right away by selecting the patient name and date of service while checking for coding errors to reduce denials and get paid faster. 
  • Claims Tracking: Monitor all claims, check statuses and get reimbursed quickly. Claims can be filtered by provider, patient and date. 
  • Billing Analytics: Measures key performance indicators to come up with other ways to find practice revenue. Improve organization financial health by tracking performance and revenue cycles. 
  • Billing Tasks: Manage all billing tasks in a singular, easy-to-use inbox. Tebra Mobile allows users to view and complete tasks anytime and anywhere. 
  • Agenda Overview: Provides a general review of billing operations and notifies users of any outstanding balances or other important items. 
  • Rules Engine: Helps produce more accurate claims by automatically removing unnecessary or incorrect information. 

Pricing

License/Subscription Cost
  • Users pay a monthly subscription based on the number of users
  • Cost will vary depending on the end user role; physician, non-physician or therapist
Maintenance Cost
  • Included with the subscription cost
  • Offers free how-to articles, video tutorials and feature guides
Installation/Implementation Cost
  • Cost is included in the subscription with zero setup fees and no long-term contracts required
Customization Cost
  • An additional cost is charged for any add-on features or enhancements
  • Each additional module is provided for half the base cost
Data Migration Cost/Change Management/Upfront Switching Cost
  • Cost varies depending on the type of data to be imported
  • $500 for single practice migration and $100 for each additional practice
Recurring/Renewal Costs
  • Cost is equal to the recurring subscription cost paid monthly, based on the number of providers and type of package selected
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Why We Picked WebPT

WebPT has made a significant impact on the physical therapy software landscape, offering a comprehensive suite of tools designed to streamline workflows and enhance patient care. Users consistently highlight its user-friendly interface, robust features, and exceptional customer support as key strengths. One reviewer emphasized the ease of transitioning from paper-based systems to WebPT's cloud-based platform, appreciating its accessibility from any web-enabled device. The software's scheduling capabilities have also received praise, with users noting improvements in patient retention and the ability to synchronize appointments with digital patient records.

While WebPT garners positive feedback, some users mention the learning curve associated with its extensive features. However, the company's commitment to customer support is frequently commended, with users citing responsive and helpful assistance. WebPT distinguishes itself by catering specifically to the needs of rehabilitation therapists, offering specialized documentation, billing codes, and compliance tools. This focus on the therapy sector sets it apart from more generic practice management software. WebPT is ideally suited for physical therapy practices of all sizes seeking an integrated platform to optimize front- and back-office operations. Its comprehensive features, user-friendly design, and industry-specific focus make it a valuable asset for therapists looking to enhance efficiency, improve patient care, and grow their practices.

Pros & Cons

  • User-Friendly: All users mentioning this aspect noted that the solution’s ease-of-use is a key benefit.
  • Accessibility: The platform is web-based, making it highly accessible according to over 95% of users who mention this aspect.
  • Scheduling: About 75% of users who mention scheduling noted that it’s convenient to schedule appointments.
  • Speed: All users referring to speed reported that the product is slow and includes redundant check boxes, which further reduce the speed of working.
  • Functionality: The product is filled with glitches and the site is often down for maintenance, according to 88% of users who mention functionality.

Key Features

  • Analytics and Reporting: Access and work on detailed data tables from a main reporting dashboard. Use easy graphs and charts for valuable business insights. 
  • Interoperability: Facilitates a secure transfer of information between systems, enabling greater efficiency and data unity. Key integrations include Cerner, Epic, McKesson and athenahealth. Includes 24/7/365 monitoring from WebPT. 
  • Web-Based: Users can access the platform from any browser, anywhere. There’s no deployment costs or loss in productivity while the software is installing. 
  • Continuous Updates: Because the software is web-based, it frequently refreshes with new studies, formulas and testing criteria. 
  • Simplified Interface: Built around an intuitive workflow and offers features for a hassle-free experience such as dropdown checklists, auto-completing text boxes and much more. 
  • Home Exercise Program: Engage patients in video exercises with patient-facing functionality and design. Tap into a library of evidence-based therapy exercises available in up to eight different languages. 
  • Listing and Review Management: Improves online presence with a robust facility profile that provides automatic review updates, offers direct responses to reviews and analyses review trends. 
  • Billing: Maximize revenue and save time for quality healthcare with minimum claim errors using Therabill. Includes real-time analytics, detailed activity logs and one invoice from one company. 
  • Patient Outcomes Tracking: Drive faster recovery for patients with a built-in patient outcomes tracking system. Includes a library of industry-accepted tests for concrete performance goals and tracking therapists’ progress. 
  • Scheduling: Manage appointment calendars that sync with patient records and reduce no-shows by 30% by sending automatic reminders. Book remote appointments and launch live two-way video for virtual therapy using Virtual Visits. 
  • Revenue Cycle Management: Submit claims and expedite payments with high first-pass acceptance rate. Offers two RCM options: 
    • RevServe: Completely outsourced service. WebPT handles all billing responsibilities, including A/R management, reporting, collections benchmarking and medicare compliance. 
    • RevEquip: Hybrid model, allowing practices to control things like A/R management, credentialing, case management and more. WebPT offers management of outgoing claims, patient statement submissions, payment EDI management, workflow consultations and more. 
  • Patient Relationship Management: Increase engagement and reduce dropout rates by sending automated email campaigns to past patients and receiving actionable feedback indicating potential dropouts. 
  • Client Mobile App: Clients can access and manage their health data conveniently from a mobile app. 
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Why We Picked TherapyNotes

Stepping into the bustling world of mental health practice management software, TherapyNotes emerges as a prominent contender, lauded for its user-friendly interface and comprehensive features. Feedback from users over the past year paints a picture of a platform that streamlines administrative tasks, allowing practitioners to dedicate more time and energy to their clients. The software's scheduling tools, billing features, and secure communication channels have received consistent praise for their ease of use and effectiveness in optimizing workflows.

While TherapyNotes shines in its core functionalities, some users have noted the absence of a reporting dashboard and limited third-party integrations as areas for potential improvement. However, the software's strengths in facilitating efficient scheduling, secure client communication, and streamlined billing processes appear to outweigh these limitations for many users. The platform's emphasis on ease of use and affordability further distinguishes it from competitors, making it an attractive option for solo practitioners and small to medium-sized practices seeking a comprehensive yet cost-effective solution.

TherapyNotes appears to be an ideal fit for mental health professionals who prioritize a user-friendly experience and value a robust set of features that address the essential aspects of practice management. Its intuitive design and focus on core functionalities make it particularly well-suited for those who prefer a streamlined approach to managing their practice, allowing them to focus on what matters most—providing quality care to their clients.

Pros & Cons

  • Streamlined Notes: The platform offers multiple note templates, which can be customized to fit individual workflows and preferences. This feature can save clinicians time and effort when documenting sessions.
  • Integrated Billing: TherapyNotes includes features for managing billing tasks, such as generating invoices and processing payments. This can simplify the billing process for mental health professionals.
  • Appointment Scheduling: Users can manage their schedules and appointments directly within the platform. Clients can also request appointments online, which can streamline the scheduling process.
  • Client Portal: TherapyNotes provides a secure client portal where clients can access their records, schedule appointments, and communicate with their therapists. This can improve communication and engagement between therapists and clients.
  • Telehealth Capabilities: The platform offers telehealth features, allowing therapists to conduct virtual sessions with clients. This can be a convenient option for clients who are unable to attend in-person appointments.
  • Limited Customization: Users have expressed frustration with the lack of flexibility in tailoring the platform to their specific workflows and preferences. For example, customizing intake forms or treatment plans to align with unique practice needs can be challenging.
  • Billing Challenges: Several users have reported encountering difficulties and a learning curve associated with the billing features, particularly electronic claim submission and managing insurance reimbursements.
  • Customer Support Concerns: Some users have shared feedback regarding occasional delays or challenges in obtaining timely and effective assistance from TherapyNotes customer support, especially during peak hours or with complex technical issues.

Key Features

  • Calendar: Schedule one-time or recurring appointments, access appointment-related notes and send automated reminders to patients. Organize the calendar according to clinicians, specific clients or certain practice locations. Offers a personal to-do list with treatment plans, notes, administrative documents and more. 
  • Electronic Records: Enables quick documentation and notes with speech-to-text software, built-in templates and searchable diagnosis codes. Also gives physicians immediate access to patient records and notes. 
  • Billing: Handles every step of the billing process, including insurance eligibility verification, claim submission and payments. Claims can be automatically swept of any mistakes or coding errors. Supports generating superbills with all necessary information for prompt reimbursement. 
  • Credit Card Processing: Deposit funds automatically to a bank account with the integrated payment processing system. Keeps cards on file for any missed appointment fees or future transactions. 
  • Client Portal: Patients can manage appointments themselves using TherapyPortal on their mobile device. Physicians can communicate with their clients remotely by exchanging messages, video chatting, adding notes and more. Includes configuration of color scheme, logo and welcome message. 
  • Telehealth: Physicians can meet clients online for convenient video sessions. Sessions are encrypted and integrated into TherapyNotes and the patient portal. 
  • Scheduling: Schedule appointments and manage tasks on the to-do list for higher efficiency by connecting the to-do list to records, notes and billing. With quick appointment scheduling, it also allows customization of the calendar view and mobile calendar sync. 
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Why We Picked AdvancedMD

AdvancedMD is an intuitive cloud-based tool. While some users were happy with the system’s integration and customization capabilities, far more users were extremely dissatisfied with other aspects of the system. There were mixed reviews on its reporting capabilities. A significant number of reviewers felt that the sales representatives misled customers noting that they lost money after implementing AdvancedMD and commenting that many features lacked the functionality that they required. Though the add-ons allow users to customize the system, many users complained that the add-ons come at a steep price, making them prohibitive to many users. Users also complained that they were surprised by hidden fees after implementation and felt that customer service was rude and unwilling to help when they called for support. A small number of reviews also noted that upgrades to the system frequently caused downtime and reported discrepancies in their billing that affected customers. While many of the reviews were negative, AdvancedMD remains a popular EHR solution. Due to its high price and difficulty to learn, it is best suited to large practices with the budget for necessary add-ons and internal technical support that is available to help ensure everyone who needs to can use the system.

Pros & Cons

  • Customization: Of the reviews that mentioned the system’s customization, more than 70% were happy with the customizations available as add-ons to the system.
  • Integration: Though only mentioned in 10% of reviews, 85% of those reviews felt the system successfully integrated with their other medical software.
  • User-Friendly: About 55% of users who mentioned its user-friendliness found it easy to use and navigate.
  • Implementation: The vendor does not offer sufficient implementation support, and the system has a steep learning curve, as noted by more than 80% of user reviews that discuss getting the system up and running.
  • Functionality: Though the system offers a robust list of features, 66% of reviews that discuss features felt that the features’ functionality was lacking in some aspects.
  • Price: Of the users who mention price in their review, more than 90% were upset with hidden fees and felt that the system’s high price was not worth the money.
  • Customer Support: Of the reviews that discuss customer service and support, 65% felt that customer support was difficult to contact, rarely had sufficient answers to their questions and often failed to resolve the issues users reported.
  • Performance: About 94% of reviewers that mentioned performance said that the system is slow and buggy, with recurring crashes and connectivity issues.

Key Features

  • Scheduling: Medical scheduling tools allow users to quickly view appointments and patient information by hovering their mouse over the calendar. Additionally, patient visits can be tracked, and recurring appointments can be set while automated patient reminders are sent out, reducing no-shows. 
  • Billing: In addition to collecting patient payments, it is able to verify insurance eligibility automatically while providing users with all the necessary medical billing information in one centralized location.  
  • Clearinghouse: Sweep claims of any coding errors to ensure an accurate claim submission. Any copays, deductibles and additional coverage can be automatically verified prior to a patient’s visit, while on-the-spot insurance checks are also efficient. 
  • Patient Portal: Patients can view lab results, pay bills, message their physicians and request office appointments online using its patient portal. Providers can use the portal to exchange messages with a patient, manage prescription renewal requests and send out alerts and notifications. 
  • E-Prescribing: Electronically prescribe medications — including controlled substances — quickly and easily. Connects facilities to a variety of pharmacies around the US, while users can request refills and access a patient’s medication history anywhere. It uses a combination of personal passphrases and secure tokens to complete DEA-required, two-factor authentication. The AdvancedEPCS system maintains a full DEA audit history. 
  • Telemedicine: Telemedicine features facilitate face-to-face conference conversations and secure transmissions of still images or high-resolution video conference screenshots, and stores them to patient files with HIPAA compliance. Schedule telemedicine appointments and view them in one dashboard calendar. 
  • Smart Dashboard: Automatically prioritize and manage frequent tasks using this role-based dashboard. In addition to health analytics, get alerted on any urgent issues, like abnormal lab results or pending prescriptions and drill down or up into tasks. 
  • Configurable Templates: It can be tailored to a variety of specialties, with note and sub-note templates designed by physicians to optimize workflow while fitting in with a facility’s pre-existing style. 
  • Physician-Oriented Dashboard: It enables physicians to view and schedule appointments, staff and patient messages, referral letters, test results and to-do lists in one location. The physician and their staff can respond to patient appointments or prescription renewal requests, reply to questions or send clinical reports. Its interoffice messaging center also allows physicians to send messages to the staff. 
  • Patient Communication Tools: Select which patients would receive either text or email by choosing from existing criteria or creating a new set. Segment patient lists and send specific messages to enhance patient engagement. It also supports sending sales promotions to patients. 
  • Patient Kiosk Mobile App: Complete intake and consent forms on an iPad. The information is automatically captured and passed to relevant staff to facilitate a faster check-in process for patients. 
  • Health Watcher: HealthWatcher offers auto-alerts and custom healthcare plans to enable patients to follow treatment plans. Its interoperable platform allows it to monitor and trend patient population health. It also allows building custom healthcare plans to manage specific conditions based on factors like age, sex, lab results and diagnosis. 

Pricing

License/Subscription Cost
  • Subscription fee is paid monthly based on the number of users
  • Offers standard plans and pre-configured pricing plans
Maintenance Cost
  • Cost is included with the subscription, covering ongoing upgrades and 24/7 customer support
Installation/Implementation Cost
  • Installation cost is included with the subscription fee
Customization Cost
  • Not included in the subscription cost
  • Cost varies depending on the type of custom service chosen
Data Migration Cost/Change Management/Upfront Switching Cost
  • Depends on the amount of data needed to be migrated as well as the complexity and accuracy of that data
Recurring/Renewal Costs
  • Recurring monthly fee is charged based on the subscription model selected
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Why We Picked Cerner Practice Management

Cerner Practice Management, a comprehensive software solution designed to streamline administrative tasks in healthcare settings, has elicited a range of user feedback. While some users appreciate the software's user-friendly interface and extensive features, others express concerns about its cost and potential rigidity. Let's delve into the specifics of these perspectives.

Users frequently commend Cerner Practice Management for its intuitive design and ease of use. The software's interface is lauded for its straightforwardness, enabling healthcare professionals to navigate the system efficiently. Additionally, the software's customizability empowers practices to tailor the system to their specific workflows and requirements. This adaptability is particularly beneficial for practices with unique operational needs. However, the software's cost can be a significant barrier for smaller practices or those with limited budgets. The price tag associated with Cerner Practice Management may necessitate careful consideration and financial planning.

Cerner Practice Management distinguishes itself through its robust integration capabilities. The software seamlessly integrates with Cerner's electronic health record (EHR) system, facilitating a smooth exchange of patient data and streamlining clinical workflows. This integration is especially advantageous for healthcare organizations already utilizing Cerner's EHR solutions. Furthermore, Cerner Practice Management offers both cloud-based and on-premise deployment options, providing flexibility to accommodate diverse technological preferences and infrastructure limitations. Considering these factors, Cerner Practice Management is well-suited for medium to large healthcare practices seeking a comprehensive, integrated solution to optimize their administrative processes and enhance operational efficiency. Smaller practices may find alternative solutions better aligned with their budgetary constraints.

Pros & Cons

  • Appointment Scheduling: Scheduling appointments is a breeze with Cerner's user-friendly interface. The system is designed to streamline the process, making it easy for staff to manage appointments efficiently.
  • Billing and Claims: Cerner simplifies the billing process by automating tasks and reducing errors. This leads to faster reimbursement and improved revenue cycle management for practices.
  • Reporting and Analytics: Gain valuable insights into your practice's performance with Cerner's comprehensive reporting tools. Track key metrics, identify trends, and make data-driven decisions to optimize operations.
  • Patient Engagement: Enhance patient engagement and satisfaction with Cerner's patient portal. Patients can easily access their medical records, schedule appointments, and communicate with their providers online.
  • Integration and Interoperability: Cerner's commitment to interoperability ensures seamless data exchange with other healthcare systems. This promotes care coordination and improves patient outcomes.
  • Steep Learning Curve: The system's complexity can be overwhelming for new users, requiring extensive training and ongoing support to achieve proficiency.
  • Customization Challenges: Tailoring the software to specific workflows and preferences can be difficult, often necessitating costly and time-consuming custom development.
  • Reporting Limitations: Generating custom reports or extracting specific data points can be cumbersome, hindering data analysis and decision-making.
  • Integration Issues: Seamless integration with other healthcare systems or third-party applications can be problematic, leading to data silos and workflow disruptions.
  • User Interface Concerns: The user interface is often described as outdated and clunky, impacting user experience and productivity.

Key Features

  • Documentation: Reduce transcription costs and eliminate malpractice risks by enhancing documentation and storage methods. Facilitate easier record management abilities by cutting down paper-based resource usage. Provide staff and physicians with digital documentation options for better care quality and simplified administrative operations. 
  • Scheduling: Fill appointment gaps using automated scheduling modules. Gain instant visibility into canceled appointments to efficiently backfill free slots. Enable patients to book, reschedule and cancel from anywhere across the globe. 
  • Patient Portal: Facilitate virtual care coordination using an online portal for easy communication among patients, physicians and front office staff. Store everything from patient data, medical histories, e-prescriptions, treatment progress to lab results in a unified space. 
  • Claims Management: Check, track and resubmit rejected claims using an electronic claims management system. Achieve fewer denials and cleaner claims by efficiently managing the whole process through automated tools. Identify recurring claim errors and fix them without requiring a large number of changes. 
  • E-Prescribing: Gain complete insight into a patient’s medical history with a click of a button. Set system alerts to inform providers and prescribers about potential drug interactions, allergies and other contraindications for better care delivery. 
  • Medical Billing: Enable an effortless way to bill by using electronic invoicing tools for uniform data entry capabilities. Eliminate staff fatigue by cutting down repetitive manual entries. Run automated processes to detect errors, including coding inconsistencies, missing documentation and outdated patient information backup. 
    • Dunning Management: Streamline billing procedures by optimizing time and costs of daily workflows. Reduce payment declines and recurring revenue loss by providing a digital mechanism for swift notification of unsuccessful payment attempts via emails and in-app text messages. 
  • Inventory Management: Improve order and sales accuracy to save money on inventory damage control. Use the inventory management feature to identify appropriate quantities of each product and automate error-free renewals and shipment processes. 
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Why We Picked NueMD

NueMD is a cloud-based practice management software that offers a suite of features, including medical billing, electronic health records (EHR), and appointment scheduling. While NueMD has been a popular choice for some practices, user reviews from the past year suggest that it may not be the best fit for everyone.

One of the biggest strengths of NueMD is its comprehensive suite of features. Users praise the software's ability to handle everything from billing to scheduling, making it a one-stop shop for practice management. However, some users have expressed concerns about the software's user interface, which they find clunky and difficult to navigate. They also complain that the software is not as intuitive as other EHR systems on the market, such as Athenahealth or Kareo. NueMD's customer support has also been a point of contention, with some users reporting long wait times and unhelpful responses.

NueMD's biggest differentiator is its focus on medical billing. The software's billing features are highly regarded by users, who appreciate its ability to streamline the billing process and reduce the number of errors. However, NueMD's billing features are not without their drawbacks. Some users have reported that the software's billing system is not as flexible as other systems on the market, making it difficult to customize for specific practice needs.

Overall, NueMD is a solid EHR system that offers a comprehensive suite of features. However, its clunky user interface, lack of intuitive design, and inconsistent customer support may make it a less desirable option for some practices. NueMD is best suited for practices that are looking for a system with strong billing features and are willing to put in the time and effort to learn the software. It is important to note that AdvancedMD, the company behind NueMD, is sunsetting the software in 2025. This means that practices using NueMD will need to migrate to a different system in the near future.

Pros & Cons

  • Easy to Use: Many users find NueMD's interface intuitive and straightforward, making it easy to navigate and complete tasks efficiently.
  • Strong Customer Support: NueMD is known for its responsive and helpful customer support team, which is available to assist users with any questions or issues they may encounter.
  • Comprehensive Features: NueMD offers a wide range of features that cater to the needs of various medical practices, including scheduling, billing, and patient management.
  • Affordable Pricing: Compared to other EHR systems, NueMD is considered to be a more affordable option, making it accessible to practices of all sizes.
  • Slow Performance: Some users have reported that NueMD can be slow to load, especially during peak hours. This can be frustrating for busy practices, as it can slow down workflow and lead to delays in patient care.
  • Limited Customization: NueMD offers a limited amount of customization, which can be a drawback for practices that have specific needs or workflows. For example, some users have found it difficult to customize the system to meet their specific billing requirements.
  • Poor Customer Support: Some users have reported that NueMD's customer support is not responsive or helpful. This can be a major problem for practices that need assistance with technical issues or have questions about the software.
  • Lack of Mobile App: NueMD does not have a dedicated mobile app, which can be a disadvantage for practices that need to access patient records or perform other tasks on the go. This can be especially challenging for providers who are on call or need to access patient information outside of the office.

Key Features

  • Patient Portal: Communicate with patients remotely and securely. Patients can schedule appointments, receive reminders, access medical history, view lab results, update insurance information and more online. 
  • E-Prescribing: Place medication orders while in a patient's chart with just a few clicks. It automatically sends out alerts of any drug-to-drug or drug-to-allergy interactions to reduce medication errors. 
  • Patient Chart Management: Manage all of a patient’s data, such as allergies, medications and more with ease. Physicians can view summaries of past encounters to follow up on referrals. 
  • e-Labs: Clinicians can order lab results from a patient’s chart, alert other providers of abnormal results and add charges to a patient’s bill in real time. 
  • Student Health: Keep track of an entire campus’ medical history and customize templates. Clinicians can check and edit patient information and print any relative literature. 
  • Claims Management: Claims submitted using NueMD have a 99.9% first-time success rate and typically see an acceptance status within 24 hours. 
  • Scheduling: Manage the schedule for multiple physicians, offices and patients automatically in order to save time. 
  • Medical Practice Management: Reduce no-shows with daily scheduling and file accurate claims for quicker reimbursements. Also includes: 
    •  Patient registration to centralize patient information, including billing details. 
    •  Patient statements and collections to reduce outstanding co-pays. 
    •  Quick reporting and analysis of financial data. 
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Why We Picked RXNT

RXNT is an integrated medical software solution offering Electronic Health Records (EHR) with e-prescription and patient engagement support. The cloud-based platform allows users to use and manage the application from anywhere at any time. It offers a user-friendly interface for easy use, management and customization. Reviewers pointed out that sometimes the system would duplicate the patient's information, making the patient have two profiles that lead to confusion and inconvenience. There are instances where the server lags during peak hours and tends to be slow and glitchy. Overall, they provide responsive and helpful support staff who follow up to ensure that problems are fixed before closing the ticket.

Pros & Cons

  • User-Friendly: Provides a user-friendly interface with color codes that is easy to use and implement as noted by all reviewers who mentioned ease of use.
  • Customer Support: Approximately 89% of users who referred to customer support indicated that support teams are responsive, helpful and would follow-up to ensure that problems are resolved before a ticket is closed.
  • Remote Access: All users who talked about the application liked its ability to RX meds and manage prescriptions from anywhere.
  • Duplicate Profiles: All users who specified duplication said that sometimes it duplicates patient information, giving them two profiles.
  • Program Performance: The system tends to be laggy and glitchy at times, as observed by all reviewers who referred to program performance.
  • Search: Requires multiple trials of keywords and scrolling for the search bar to locate what a user is looking for, as observed by 62% of users who mentioned search.

Key Features

  • Get Paid Faster:  Claim scrubbing, claim alerts, tracking and automatic secondary claim submissions improve financial performance and promote faster reimbursement. 
  • Increase Revenue:  End-to-end claim tracking reduces time taken in accounts receivables and is integrated with your workflow. 
  • Reduce Claim Denials:  Identify and resolve causes of denied claims to accelerate payment and improve cash flow. 
  • Prevent Billing Errors:  The software has built-in claim scrubbing that detects and eliminates errors in billing codes, thus reducing the number of denied or rejected claims. 
  • Customizable Reports:  The custom medical billing system makes displaying and analyzing data simple. The reports are comprehensive, configurable and easy to edit. 
  • Boost Efficiency:  It supports integrated real-time eligibility checks, claim status verification and alerts. Electronic remittance advice (ERA) and resource and patient scheduling with reminders make front and back office administration easy 
  • Better Manage Controlled Substances:  Its e-prescribing solution is EPCS-certified by the DEA. With real-time access to patient medical history, healthcare providers get up-to-date information about previously prescribed medications. 
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Why We Picked DrChrono

So, I got the chance to get a free trial access to DrChrono, and here are the key highlights:

  • The platform stands out for its intuitive design, extensive features and customization capabilities.
  • The software is accessible on any device with internet connectivity.
  • Data import from other EHR systems is supported but with certain limitations.
  • It offers four pricing plans and a free trial is available for potential users.

It's a cloud-based system, which means you can access it from anywhere — your laptop, tablet, even your phone! And it covers everything from electronic health records and patient scheduling to billing and telehealth.

One of the things that really impressed us was how customizable it was. You can create your own templates for notes, forms and even entire workflows. This means you can really tailor it to fit your specific needs and preferences, which can save a ton of time.

And speaking of saving time, they've put a lot of thought into their billing features. They have tools to help you code things correctly, submit claims electronically and even track your payments. Anything that helps you get paid faster and with less hassle is a win, right?

However, learning to navigate the billing and insurance modules could take time. It’s a bit confusing to understand how the billing workflow works and how to set one up. Also, you can’t import billing data from your old EHR system.

If you're looking for a comprehensive, user-friendly system that can be customized to your practice, we'd definitely recommend taking a closer look.

They offer four different pricing plans, so you can find one that fits your budget, and they have a free trial so you can test it out and see if it's a good fit for you. It's always good to try before you buy, right?

We’ve discussed more about the features in the See It in Action section. Do check it out to know how the system works in different scenarios.

Pros & Cons

  • Ease of Use: Navigate patient charts, create shortcuts and access billing info without a steep learning curve.
  • Customization: Tailor the system to your specific needs and preferences like customizing templates, workflows and reports.
  • Easy Medical Coding: Find and assign ICD, CPT and HCPCS codes to patients' bills to save time and reduce coding errors.
  • Contractual Obligations: Canceling subscriptions can be challenging, potentially leading to early termination fees. Automatic renewals may also catch you off guard.
  • Subpar Customer Support: Long wait times, unhelpful responses and unresolved issues from customer representatives might disrupt your processes.
  • Occasional Glitches: System crashes, slow navigation and difficulties with scheduling and other functionalities can cause frustration.

Key Features

  • EHR: Provide better care with features like free draw for visual explanations, custom vitals tracking and access to immunization registries
    • Custom Templates: Tailor forms with specific fields, drop-down menus, checkboxes and even add your practice's logo. This ensures your documentation is consistent, efficient and specialized for your needs (e.g., cardiology forms with specific heart diagrams).
    • Electronic Prescriptions: Send prescriptions electronically to pharmacies directly from the patient chart. Access the drug's formulary tier, prior authorization requirements and alternative medications if the prescribed drug isn’t covered. Access patient PDMP data directly within the EHR to identify potential abuse, misuse or doctor shopping.
    • Free Draw: Upload images (x-rays, scans, photos) or use pre-loaded anatomical diagrams within the patient chart and draw directly on them.
    • Custom Vitals: Create vitals specific to your needs including things like blood glucose and oxygen saturation levels. Capture data in various formats: text, numbers or predefined options using dropdown lists. Access the flowsheet to visualize trends in custom vitals over time.
    • Prior Authorizations: Initiate the ePA request directly from the prescribing workflow. Automatically populate the prior authorization request form with relevant patient information (demographics, insurance details, medication prescribed) pulled from the patient's chart.
    • Lab Orders: Integrate with national, regional and specialty labs like Quest Diagnostics and Labcorp. Create predefined lab panels for common tests or specific conditions. For example, you could create a "lipid panel" or a "prenatal panel" with a single click. View lab results within the patient's chart, organized by date, test type and ordering provider.
    • Medical Speech-to-Text: Use voice to input clinical notes, patient histories and other information. See your spoken words appear as text in real time within the EHR to review and edit the transcription as you go.
    • Immunization Registries: Automatically send your patients' vaccination details to the state IIS, ensuring that records are up-to-date and complete. Retrieve immunization records from the IIS, even if your patient received vaccinations elsewhere to avoid unnecessary duplicate vaccinations and identify potential gaps in their immunization schedule.
  • Practice Management: Save time and reduce errors with appointment management tools, including appointment profiles, insurance eligibility checks, online scheduling and automated reminders.
    • Appointment Profiles: Instead of manually entering the same details (length, reason, etc.) for every appointment of the same type, you create a profile once and it auto-fills the details (duration, reason for visit, exam room and billing codes).
    • Eligibility Checks: Verify your patients’ insurance eligibility in real time — check what services are covered under the plan (e.g., office visits, labs, specialists) and any limitations or exclusions.
    • Online Scheduling: Set specific days and times when each provider is available for appointments. Offer different appointment types online (e.g., new patient, follow-up, consultation) with varying durations. Add buffer time between appointments to prevent scheduling conflicts and allow for patient check-in/check-out.
    • Patient Reminders: Send automated appointment reminders via email, text or SMS. Configure reminders to be sent at various intervals before the appointment like — a few days before, the day before or a few hours before.
  • Medical Billing: Improve your revenue cycle management with tools like billing profiles, medical coding and automated claims submission.
    • Billing Profiles: Combine frequently used CPT, HCPCS, custom codes and ICD-10 codes into a single profile. Attach common modifiers to the codes within the profile (e.g., modifier 25 for a significant, separately identifiable E/M service).
    • Medical Coding: Easily search and select the appropriate codes within the EHR using keywords, code numbers or descriptions. Perform basic code checking to identify potential errors such as invalid codes or missing modifiers.
    • Good Faith Estimates: Generate good faith estimates to help patients understand costs upfront and avoid surprise bills.
    • Claims Submission: Submit electronic claims to insurance companies within the system. Track claim statuses in real time. Scrub claims for errors like missing information or formatting mistakes before submitting them to payers to avoid denials and claim rejections.
    • Denial Resolution: Generate denial analysis reports to identify denial patterns. Edit and submit corrected claims directly within the system. If you disagree with a denial, generate appeal letters and track their statuses.
    • Patient Statements: Generate statements for individual patients or groups of patients based on various criteria (e.g., date range, insurance status, outstanding balance).
  • BI Tools: Get a visual summary of key metrics and performance indicators. Generate customizable reports to:
    • Track revenue, expenses and profitability
    • Analyze claim submission, acceptance, denial and reimbursement rates.
    • Track patient demographics, appointment history and billing information.
    • Analyze appointment scheduling and no-show rates.
  • Mobile Capabilities: Schedule appointments, send patient statements, bill insurance, document patient encounters, access lab results and more from iOS devices like iPad, iPhone and Mac.
  • Telehealth: Patients can join the telehealth visit from their computer, tablet or smartphone using the link provided in their email reminder. Providers can share their screens with patients to review medical records, lab results, X-rays or educational materials.
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Why We Picked NextGen Enterprise

Our research analysts, after evaluating several solutions, awarded NextGen Enterprise with best-in-class honors for Insurance Payments Management, Medical Coding, Medical Billing Services, Notes and Templates, and Deployment Options.

NextGen Enterprise provides EHR, practice management and patient experiene modules that support 2000 workflows and content for 30 specialties including cardiology, dental health, neurology, primary care and more.

Intutive EHR tools make it easy for doctors and nurses to document patient visits. You can even use AI for note-taking. And with the mobile app, you can access patient info and chart on the go.

The platform really shines when it comes to practice management. It automates a ton of time-consuming tasks like eligibility verification and billing, so your staff can focus on what really matters: patient care. Plus, the built-in analytics give practices valuable insights to improve efficiency and, ultimately, the bottom line.

Patient engagement is also a key focus, with the NextGen PxP patient portal empowering patients to actively participate in their healthcare journey. They can schedule appointments, request refills, view test results and even message their doctors securely.

One area that the system lacked was its integrative capabilities. It scored 77 in our analysis, lower than other popular products like athenahealth (93) and Cerner Ambulatory (88). That means you will need to connect barcode scanners, clinical decision support tools, prescription management systems and others via API.

Pros & Cons

  • Improve Patient Care: Get access to complete and up-to-date patient records, including medical histories, allergies, medications and test results for data-driven and informed decision-making.
  • Streamline Routine Workflows: Automate scheduling, billing and documentation processes to reduce administrative burdens and free up time for patient care.
  • Enhance Medication Safety: Set automated alerts to check for drug interactions, allergies and dosage errors to significantly reduce adverse drug event risks.
  • Complex Implementation: Demands time and resources for implementation, customization and staff training.
  • High Initial Costs: Requires significant investment in software, hardware and training.
  • Dependence on Technology: Creates reliance on technology, which can be problematic during system downtimes or technical failures.

Key Features

  • SOAP Notes: Record reasons to visit, social, family and diagnostic histories, vitals, physical exams, assessments/plans, and medications using the SOAP format. Use HPI (history of present illness) templates to document the patient's reason for visit, including onset, duration, severity, associated symptoms, and aggravating/relieving factors.
  • Templates: Use pre-built templates for patient visits, progress notes, procedures, patient intake, consent forms and letters. Tailor these or create new ones to perfectly fit your specific workflows.
  • Ambient Assist: Use smart AI technology to listen in on your patient conversations, capturing key information and automatically creating notes in your system.
  • Mobile App: Review and sign documents, view schedules and see high-level patient overviews (medications, allergies, past medical histories, etc.) Document patient visits using voice-to-text functionality. Save and prescribe frequently used medications with a few clicks.
  • Order Entry: Order labs, diagnostics and immunization from the CPOE bar on the patient’s chart. Click on order search to see your common orders.
  • Regulatory Reporting: Automate MIPS/MACRA data collection and reporting to demonstrate quality measures, improve outcomes and earn incentives. Collect and submit Uniform Data System (UDS) reports for FQHCs and eligible providers to track clinical quality measures and other HRSA-required data.
  • E-Prescribing: Launch the state-run Prescription Drug Monitoring Program (PDMP) database with a single click. Verify formulary coverage and benefits while writing the prescription. Initiate prior authorization requests directly from the prescribing window with pre-populated information. Securely transmit prescriptions to pharmacies nationwide through the Surescripts network.
  • Population Health: Collect patient data from EHRs, lab results, claims and health information exchanges. Use AGC, HCC or ASCVD risk algorithms to sort patients into different risk categories based on their health conditions, demographics and other factors. Analyze this data to look for anything that might be missing or doesn't quite add up. It could be a lab test that wasn't done, a prescription that wasn't filled or a recommended screening that was missed.
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Why We Picked Optum

Optum, a prominent player in the healthcare software arena, has attracted a range of user feedback over the past year, offering valuable insights into its strengths, weaknesses, and overall suitability for different user groups. Optum's users frequently highlight its comprehensive suite of features, encompassing mental health management, appointment scheduling, and medication tracking, as a key strength. This all-in-one approach simplifies healthcare management for individuals juggling multiple health concerns or those seeking a centralized platform. However, some users note that the extensive features can lead to a steeper learning curve, potentially posing challenges for individuals less comfortable with technology or those preferring simpler interfaces.

Optum distinguishes itself through its robust mental health support features, including mood tracking, journaling tools, and access to mental health professionals. This focus on mental well-being caters to a growing demand for integrated mental health solutions within healthcare platforms. Users appreciate the convenience and accessibility of these features, particularly in the context of rising mental health awareness. Conversely, some users mention occasional technical glitches or slow loading times as areas for improvement. Optum's emphasis on mental health support, coupled with its comprehensive features, makes it well-suited for individuals seeking a holistic healthcare management platform that prioritizes both physical and mental well-being. It is particularly beneficial for those with complex healthcare needs or those actively engaged in managing their mental health.

Pros & Cons

  • Extensive Network: Optum boasts a large network of mental health professionals, increasing the likelihood of finding a suitable therapist or psychiatrist in terms of location, specialty, and insurance coverage.
  • Care Coordination: Optum facilitates communication and collaboration among healthcare providers, ensuring a holistic approach to mental health care. This can be particularly beneficial for individuals with complex needs or multiple diagnoses.
  • Virtual Care Options: Optum offers telehealth services, providing convenient access to mental health care from the comfort of home. This can be especially helpful for individuals with mobility issues, busy schedules, or those residing in underserved areas.
  • Limited In-Network Options: Finding mental health professionals within Optum's network can be challenging, especially for specialized care or in underserved areas. This limitation can force individuals to choose between paying out-of-pocket for preferred providers or settling for less suitable options within the network.
  • Preauthorization Requirements: Optum often requires preauthorization for certain mental health services, such as therapy sessions or medication. This process can be time-consuming and may delay access to necessary care, potentially exacerbating symptoms or hindering progress.
  • Claims and Billing Issues: Navigating the complexities of claims and billing processes with Optum can be frustrating for users. Issues such as denied claims, incorrect billing, or difficulty reaching customer service can create additional stress and financial burdens for individuals seeking mental health support.

Key Features

  • Pharmacy Care Services: OptumRx helps physicians improve their prescribing and helps patients receive the most effective medication at the best possible cost. Physicians can also precheck and authorize medications in real time. 
  • Healthcare Delivery: Provide quality primary care, specialty care and post-acute care by focusing more on treating the patients while also optimizing efficiency and lowering costs. 
  • Data and Health Analytics: Automate recognition of high-cost and high-risk patients with data-driven assistance at the point of care. Acquire patients by linking consumer and clinical data and access insights based on patient results. 
  • Population Health: Improve health outcomes and lower costs by using insights from data and analytics. A connected network of over 800 Centers of Excellence enables treatment with greater knowledge from the get-go. 
  • Advisory Services: Insights help healthcare providers against their biggest challenges so they can and empower the health system, increase revenue, engage customers and improve the quality of care.nbsp;
  • Individual and Family Solutions: Individuals can save money while having a greater part in their overall health with different solutions for healthcare, prescriptions and spending. 
  • Claims Administration: Promotes payment integrity with features to edit inaccurate claims, appropriately price bills, assess bill details, recover overpayments and prevent inaccurate billing. 
  • Optum Bank: Makes paying for treatment easier and more efficient with innovative payments solutions, leading to reduced costs without compromising on healthcare quality. Includes: 
    •  Health accounts for employees. 
    •  Hassle-free payment solutions for better healthcare. 
    •  Health account education with courses to educate employees to become better healthcare consumers. 
  • Optum360: Examine opportunities across the revenue cycle to increase margins and prepare for value-based reimbursement. Offers: 
    •  A patient financial experience that places them in the center of the revenue cycle. 
    •  A/R recovery and denial management to improve payment recovery. 
    •  Claims integrity and processing for quick and efficient claims and reimbursement. 
    •  Document and coding to help staff drive financial results proactively. 
  • Risk and Quality Solutions: Driven from the largest Medicare Advantage database in the industry. 
    • Retrospective Solutions: Improves accuracy and completeness with industry analytics. 
    • Prospective Solutions: Standardizes processes on behalf of multiple payers for better patient treatment. 
    • Improving Outcomes: Drives outcomes while reducing costs with people, technology and clinical insights. 

    Limitations

    User feedback at the time of this review indicates that some of the product limitations include:

    •  Not cost-effective for the features offered. 
    •  Runs slower for larger practices. 
    •  Lack of helpful customer support. 

    Suite Support

    mail_outlineEmail: [email protected].
    phonePhone: A list of phone numbers for support are available on the website.
    schoolTraining: Optum offers a training curriculum to help users get the most out of the software.
    local_offerTickets: Sign in to Optum online to submit help requests.

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DrChrono

by drchrono
DrChrono
DrChrono is a cloud-based EHR and medical billing solution that replaces the chaos of paper charts and separate systems with a single, easy-to-use platform for managing all aspects of a medical practice.For doctors, this means: Effortless Access to Patient Information: Imagine having a patient's medical history — allergies, medications, past visits — at your fingertips. Simplified Appointments and Prescriptions: Schedule appointments and send prescriptions electronically in just a few clicks.For patients, it means: Taking Control of Their Health: Book appointments, communicate with their doctor and access their own records through the patient portal. Staying on Track: Receive automated reminders for appointments and medication refills.And for the practice as a whole, the system helps: Get Paid Faster: Automate billing and insurance claims to reduce errors and speed up payments. Improve Financial Health: Track outstanding payments and identify potential billing issues. Negotiate Better Rates: Gain insights to negotiate more effectively with insurance companies.We tested the system to see how it works in real-world scenarios. Here’s what we think: while mastering the billing module may require some effort and billing data import has limitations, the system’s intuitive interface and accessibility from any device make it a user-friendly option.A free trial and flexible pricing plans allow you to explore its potential and determine the right fit for your practice.
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Buyer's Guide

Anesthesia Medical Billing Software Is All About Improving Billing Efficiency and Submitting Accurate Claims 

Anesthesia Medical Billing BG Intro

Are you struggling to bill anesthesia services? Anesthesia medical billing software can take your troubles away. They offer practice and financial management, reporting, revenue collection, and payment posting capabilities. You can generate accurate statements with just a few clicks. The solution handles compliance for you. Furthermore, you can exchange information with clients via a secure patient portal.

According to a report published by Facts & Factors Research, the global medical billing software market is expected to rise at a CAGR of 12.3% from 2021 to 2026. Several practices and billing companies are transitioning to digital platforms. It helps them stay clear of billing and coding errors.

Anesthesia Medical Billing Market Stat

The time you spend on finding the right solution can affect your clinic or company drastically. The more time you take, the more your business processes go haywire. This buyer’s guide aims to provide valuable insights about things to consider while selecting an anesthesia billing application, helping you save time and effort.

Executive Summary

  • Anesthesia billing systems help you avoid coding mistakes and accelerate revenue.
  • Major features to look for in anesthesia billing applications are practice, claim and revenue management capabilities, coding modules, reporting functionalities, and denial resolution tools.
  • You need to be careful while determining American Society of Anesthesiologists’ crosswalk codes.
  • To ensure correct reimbursement when billing for anesthesia procedures, anesthesiologists and CRNAs should note time and base units and assign proper modifier codes.
  • Prepare a list of internal questions to understand your practice or organization's needs.
What This Guide Covers:

What Is Anesthesia Medical Billing Software?

Anesthesia billing solutions help you reduce claim denials, improve productivity, avoid coding errors, increase revenue and stay compliant. They automatically capture CPT surgical and ASA codes. They also help you convert clinical notes into claims with just a few clicks. Dosage administration modules assist you in monitoring drug infusion rates. Clients can make online payments via the patient portal. Furthermore, they can view lab results and request medications through dashboards.

You can generate reports to identify trends and resolve coding mistakes. You can also create and send e-statements to patients in minutes. Practice management capabilities assist you in streamlining business operations. Access KPI dashboards to monitor employees’ productivity levels. Integrate with other solutions to locate information quickly. Store files in a secure cloud environment.

How To Bill Anesthesia Services

Anesthesiologists bill separately for their services. From coding to submitting claims, everything’s different when generating anesthesia invoices. It needs precision at every stage. That’s why you should have an in-depth understanding of anesthesia billing components and reimbursement policies. We have elaborated below about the same.

Anesthesia Medical Billing Components

Billing Components

The three main billing components are as follows:

Time Units

Anesthesia time begins when the anesthesiologist or CRNA prepares the patient for anesthesia procedures in an operating room or equivalent care area. It ends when the practitioner releases the patient to the postoperative unit. It’s normal for interruptions to occur while delivering anesthesia care. Billing software enables you to enter blocks of time to account for discontinuous periods.

Base Units

When the medical practitioner pre-examines the patient before surgery, this service falls under the base point value of the anesthesia code. You need to assign the appropriate Evaluation and Management (E/M) codes to bill pre-operative assessments.

Modifiers

Modifiers can be of two types — pricing and physical status.

You need to use pricing modifiers to determine the nature of services. Take a look at the table below to understand what code to use in a specific scenario.

Pricing Modifiers
Information Billed by an Anesthesiologist
Modifier Description
AA Services personally performed by an anesthesiologist
AD Medical supervision by a practitioner of more than four procedures
QK Medical direction by a qualified individual of two to four procedures
QY Medical direction by an anesthesiologist with one CRNA
Information Billed by a CRNA or AA
QX CRNA service is medically directed
Pricing Modifiers
QZ CRNA service isn’t medically-directed

Physical status codes enable you to identify patients’ complexity levels. We have explained in the table below about the same.

Physical Status Modifiers
Modifier Description Unit Value(s)
P1 A normal healthy patient 0
P2 Patient with mild systemic disease 0
P3 Patient with severe systemic disease 1
P4 Patient with severe systemic disease that’s a constant threat to life 2
P5 A moribund patient who cannot survive without the surgery 3
P6 Organ removal of a declared brain-dead patient for donor purposes 0

Manually determining crosswalk codes can invite mistakes. Anesthesia billing apps assist you in assigning the correct codes for reimbursement purposes.

Filing Claims

If you didn’t document a particular procedure, it didn’t happen — at least as far as reimbursement organizations are concerned. It’s important that you correctly enter all billing components (time values, base units and modifiers) while generating claims to avoid denials. Failure to file one procedure will result in revenue loss. You need to submit claims electronically through the CMS-1500 form.

The modifier determines the conversion factor percentage applied to each claim.

You can calculate the anesthesia reimbursement rate using the following formula.

(Base Value Units + Time Units) x Conversion Factor = Reimbursement

One Caveat: Insurance companies do not cover the costs of specific anesthesia procedures. That’s why we recommend you check with health plan providers about their anesthesia coverage guidelines.

Primary Benefits

Frustration takes over patients when they receive incorrect statements. Such situations burden clients with stress. Today, patients know their legal rights. They can sue you under the No Surprises Act and False Claims Act. Recently, a patient filed a lawsuit against Vidant Health and FirstPoint for deceptive billing and collection practices. That’s why producing accurate statements is of prime importance. Anesthesia billing applications can help you achieve that goal.

Primary Benefits of Anesthesia Medical Billing

Below we have highlighted some benefits you can expect from implementing invoicing systems.

Eradicate Coding Mistakes

Billing for anesthesia services comes with unique challenges. You need to follow specific coding guidelines to generate accurate invoices. You also need to understand the relationship between ASA and CPT codes. These complex processes can lead to coding errors, resulting in claim denials and payment delays. Anesthesia billing solutions can help you get rid of these challenges.

Stay Compliant

It’s of utmost importance to maintain compliance standards to deliver quality patient care and maximize billing efficiency. Violating health care laws can send federal penalties your way. Billing systems handle compliance on your behalf. But you need to be careful before finalizing a product. Some vendors offer several functionalities but fail to update their systems to the latest regulations. Better to be alert than to suffer!

Speed Up Claim Processing

Insurance companies deny claims with coding errors, incomplete documentation and invalid credentials. And rejected claims result in revenue loss and wastage of resources. Billing applications help you generate error-free claims. They send you alerts when a claim gets denied. Furthermore, you can track claim statuses to prevent potential issues.

Improve Revenue

You need a positive cash flow to keep your practice or organization running smoothly. You can optimize invoicing procedures using billing tools. You can also integrate with revenue cycle management or billing services apps to improve the financial health of your clinic or company.

Boost Productivity

Manually tracking tasks is a tedious process. You will eventually burn out and miss out on other essential activities. Invoicing systems aid you in automating repetitive tasks, saving you time and money. You can add your practice or company logo to bills to increase brand awareness. You can also generate reports to monitor employees’ performance and identify inefficiencies.

Key Features & Functionality

Medical Coding

Coding for anesthesia services can be complicated. There are several exceptional circumstances to remember. It’s enough to give you a headache. Anesthesia billing platforms enable you to maintain coding integrity.

Claim and Denial Management

Did you assign the wrong crosswalk code or document incorrect time values? If yes, your claim is likely to get denied. Claim managing functionality helps you scrub claims before submitting them to insurance companies. View and edit claims according to LCD and CCI standards. You can also contact health plan companies to know their reimbursement percentages for anesthesia services.

Denial resolution modules enable you to flag denied claims. They also assist you in tracking resubmission deadlines. You can create denial management reports to identify and resolve the root causes of rejections.

Dashboard

Imagine you are busy with some important tasks. And you don’t have the time to view detailed reports. Wouldn’t a snapshot of your company’s performance help in such situations? Dashboards assist you in tracking claim statuses, handling collections and monitoring employees’ activities.

Customizable Templates

Documenting anesthesia information can be time-consuming. You could also forget to collect vital data. Billing applications provide built-in anesthesiology templates such as cardiac, pediatrics, obstetrics and more to make data collection processes a breeze. They help you auto-populate supporting treatments based on patient data.

Integrations

An integrated system helps enhance patient experiences, reduce health care costs and improve the client’s overall well-being. Anesthesia billing apps enable you to integrate with EHR, EMR, collection services, telemedicine and patient engagement solutions. They help streamline workflows and speed up billing operations.

Side Effects Alert

Every human body reacts differently to drugs. That’s why anesthesiologists should know if the patient is allergic to any medications while creating an anesthetic plan. Anesthesia billing applications notify you when the medical practitioner, CRNA or AA includes a drug in the plan that can adversely affect patients.

Practice Management

This module can help you reduce A/R delays and track collections. You can automate RCM workflows and mundane tasks to accelerate profits. Set up fee schedules, monitor encounters and enter charges in minutes.

Reporting

Do you want to solve problems even before they arise? Reporting tools can help you with the same. You can sieve out unessential information, boost productivity, and predict and resolve issues with just a few clicks. You can also develop KPIs to make data-driven decisions. Produce A/R aging, collection, payment trend and insurance analysis reports to assess the financial performance of your practice or billing company. Export data to Excel for better visualization.

Patient Portal

Today, patients want 24/7 access to their lab results, prescriptions and other documentation. They also prefer paying through an online gateway. This feature enables clients to request medications, schedule appointments, and view treatment and financial plans in seconds. They can also make payments using credit or debit cards or online wallets.

Software Comparison Strategy

Nobody goes to war unarmed. Even Harry Potter had to destroy Horcruxes to weaken Lord Voldemort. Similarly, you need to develop strategies that align with your business goals. It’s not the best practice to finalize the first billing solution that comes to your mind.

Anesthesia Medical Billing Comparison Strategy

There are several factors such as functionalities, system architecture, support options, training resources and certifications that you should mull over before making a purchasing decision.

What Features Do You Require?

Anesthesia billing solutions come with various functionalities. And you might not need them all. We recommend you keep an eye out for reporting, time calculating, revenue cycle management, denial resolution, claim submission, coding and payment posting modules. You can also create a medical billing requirements checklist to compare products and make strategic decisions.

Do You Need an On-premise or Cloud-based Solution?

If you want to store patients’ data on your practice or company servers, an on-premise system is your best choice. You need to install these apps on individual devices. That’s why it can take hours to set them up.

If you want anesthesiologists to view client information in real time, you should choose a cloud-based application. Such products offer unlimited storage capabilities. However, such apps need a strong internet connection to function correctly.

You should list the pros and cons of both deployment options to make the best decision.

What Certifications Do You Need To Look For?

When it comes to medical billing, you need to ensure that the software complies with federal regulations. The app needs to be compliant with HIPAA and ICD standards. Check if the solution is ONC-ATCB certified. This guarantees that the platform meets the required objectives and measures for meaningful use.

What Is Your Company Size?

Some applications work best for large practices, while others are best suited for smaller ones. Select a solution that caters to your company size. For instance, NueMD serves small- and medium-sized businesses, whereas Practice Fusion is designed for companies of all sizes.

Cost & Pricing Considerations

Budget planning is not an easy task. And you don’t want to invest in a solution that would overthrow it altogether. Below, we highlight some pricing considerations that you should ponder before implementing a solution.

One app cannot fit all. A platform fulfilling the needs of mental health clinics might not be best suited for anesthesia services. Because of this varying nature, some vendors employ a performance-based pricing strategy. They study the target market and offer functionalities catering to a specific niche. For instance, AdvancedMD offers a practice management bundle including billing and scheduling features. They charge as low as $150 per month for behavioral health, physical therapy and chiropractic practices.

Remember to ask vendors about pricing plans related to your specialty.

Most of the vendors provide multiple user licenses at an additional cost. Don’t forget to ask providers about their user access policies.

Ask providers about their pricing models. Some vendors offer a monthly subscription, while others provide a one-time payment facility. You should have an open discussion with vendors about the cost of the software. You don’t want to impact your company’s financial health negatively.

You might face technical difficulties. And only the support team can rescue you from such situations. For that purpose, you should ask vendors about available support options. Some of the standard support options that the vendor provides include phone, mail and text. Some providers also enable you to submit tickets through the support portal. You should cross-check whether or not you need to pay fees to access these services.

To implement the application in the best possible way, you need to train your employees. Most providers will offer you online or in-person training options. Some will also provide you with resources such as articles, video tutorials and guides. However, obtaining these materials might cost you extra.

The Most Popular Anesthesia Medical Billing Software

Welcome to the daunting process of combing through several product web pages. The end result — more than ten tabs kept open on your browser, drowning you in confusion. We understand the software selection journey is not exactly a walk in the park. And we want to make this process as easy as possible for you. Below we have mentioned some invoicing products that offer anesthesia-specific billing modules.

DrChrono

DrChrono is a cloud-based solution that provides scalable EHR, practice management and billing modules to help practitioners and companies streamline workflows. The vendor offers RCM services to assist you in optimizing billing and collection processes. The experts help you achieve a 96% clean claims rate. Integrate with Epic, eClinicalWorks and Allscripts to access documents from a centralized location. Telehealth tools aid you in enhancing patient experiences.

You can verify patients' insurance coverage using eligibility modules. Monitor your practice or organization’s performance in real time via the dashboard. Create billing profiles to achieve coding accuracy

DrChrono

Document patients’ demographic information using DrChrono.

CureMD

CureMD provides practice management and billing modules to assist medical practitioners in boosting productivity and accelerating documentation speed. You can automatically capture charges, perform eligibility checks, post payments and manage denials to reduce errors and maximize profits. Share vital information with patients through a secure messaging portal. Enable clients to schedule appointments via the patient portal.

Access the KPI dashboard to gain visibility into your practice’s financial performance. Assign appropriate Evaluation and Management codes to decrease the chances of up or down coding. Set up payment plans to handle collections effectively. Monitor work progress from the comfort of your home using an iOS device.

CureMD

Create electronic superbills with CureMD.

Kareo Billing

Kareo Billing offers cloud-based solutions to help practices and billing companies streamline revenue collection processes. It also assists in improving patient engagement and reducing claim denials.

Assess patients’ fitness information via the dashboard. The clinical decision support tool helps you view client-specific US Preventive Services Task Force recommendations and create accurate anesthetic plans. Leverage the ICD-DSM coding technology to prevent coding mistakes.

You can integrate with EHR and EMR systems to save time. The vendor offers a team of billing experts to aid in reducing A/R delays. Encourage patients to pay online via the patient portal.

Kareo Billing

Kareo Billing’s practice managing functionality.

 

 

Questions to Ask

You need to conduct internal discussions before you select an app. We have mentioned some questions below that you can use to initiate conversations with your staff.

Anesthesia Medical Billing Key Questions to Ask

  • Do I need a cloud-based solution?
  • What do we need from a platform to solve our existing coding issues?
  • Will the implementation process disturb business workflows?
  • Do we need the application to provide access to unlimited users?
  • What accounting processes do we need the software to fulfill?

Picking a new software is a big challenge. The vendors might over-promise you but under-deliver. That’s why it’s essential to ask questions to providers about their applications. Use these questions as a starting point for conversations with vendors.

  • Is the software compliant with anesthesiology guidelines?
  • Does the application offer revenue management modules?
  • What support options does the vendor offer?
  • Does the platform integrate with other systems?
  • Does the provider offer free trials?

In Conclusion

Billing for anesthesia services is tedious work. Health plan companies deny claims just due to one coding mistake. Because anesthesia coding is different from normal coding processes, it’s an error-prone task. Anesthesia medical billing software helps you automate daily activities and determine correct E&M codes. They assist you in generating precise bills. They also integrate with several systems to ensure data consistency.

There are several solutions out there. And it can be exhausting to evaluate them. You can use our comparison matrix to find your perfect match.

We designed this guide to help you in your software selection journey. If you need any further assistance, please feel free to contact us through phone or email mentioned on our website. Hope we were able to help!

About The Contributors

The following expert team members are responsible for creating, reviewing, and fact checking the accuracy of this content.

Technical Content Writer
Riya is a Technical Content Writer at SelectHub. She writes content for our construction scheduling and bidding, CMMS and medical billing categories. She's also a part of the social media team where she crafts posts that engage and resonate with our audience. Riya holds a Graduate Degree in Journalism and Mass Communication from Lovely Professional University, Punjab, India. Fueled by a love for black coffee, her day begins and ends with its energizing ritual. Riya enjoys a variety of TV series, including Friends, Suits, American Horror Story, and How to Get Away with Murder. During her free time, you'll find her reading or spending time with her close ones. She believes in magic and is waiting for that day when reality compromises and fairytale swirls around with a smile.
Technical Research By Dhanasri Yasam
Senior Analyst
As a Senior Research Analyst, Dhanasri Yasam works in key categories like EHR, EMR, business intelligence and HR. In her role, she conducts primary research, collects and analyzes empirical data, and draws evidence-based conclusions. She also has extensive experience gathering requirements for client projects. Dhanasri holds a B-tech in Computer Science and Engineering from Dr. M.G.R. Educational and Research Institute, Chennai and an MBA in Finance and Marketing from Aurora's Business School, Hyderabad.
Technical Review By Manan Roy
Principal Analyst
Manan is a native of Tezpur, Assam (India), who currently lives in Kolkata, West Bengal (India). At SelectHub, he works on categories like CRM, HR, PPM, BI, and EHR. He has a Bachelor of Technology in CSE from The Gandhi Institute of Engineering and Technology, a Master of Technology from The Institute of Engineering and Management IT, and an MBA in Finance from St. Xavier's College. He's published two research papers, one in a conference and the other in a journal, during his Master of Technology.
Edited By Ryan McElroy
Content Editor
Ryan McElroy is a Content Editor and Senior Market Analyst at SelectHub who writes and edits content on various software types, along with their broader concepts and the industries they serve, including medical, construction, CMMS, supply chain management and legal. He studied at the University of Missouri (Mizzou) and earned his BA in Journalism in 2016. During his free time, you’ll find Ryan playing video/card/board games, sipping coffee and reading speculative fiction, or listening to music his loved ones often describe as “headache-inducing.”