Revenue Cycle Management

Healthy Profits for Ambulatory Practices

Revenue Cycle Management is at the heart of a profitable practice. The goal is healthy patients. The path to this goal is a healthy practice, where accounts receivable is under control, problem claims are spotted before they’re submitted, data is optimized for maximum reimbursement, and the administrative team is supported and happy in their jobs. To this end, we invite you to explore athenaPractice, which includes all the functionality that can help perfect your workflows and increase overall team efficiency and practice profitably.

athenaHealth Practice Management Software

athenaPractice is the business side of the athenaHealth software suite for ambulatory practices. Quatris Healthco customers rely on this full-featured practice management software to successfully operate in today’s complex regulatory environment, where the simple act of getting paid is now far from simple. With our Practice Management solution in place, practice team members are able to reduce manual billing and time-consuming paperwork, speed up the payment process, and process claims more effectively. On its own, or paired with athenaPractice’s EMR, athenaPractice is a powerful solution for practices who are struggling to reduce costs and boost workplace productivity.

Hosted Claims Manager

Use Hosted Claims Manager to maximize your practice’s revenue cycles, improve claims accuracy, and remain compliant with ever-changing government regulations. Don’t let reworking insurance claims bog your team down. Hosted Claims Manager offers database editing and a flexible rules engine that applies your customized rules to payer-specific contracts before they leave the system. Keep claims on track and revenue moving through the system with this “must-have” enhancement to your Practice Management system.

Claim Submission

With over 1000 health plans in existence, how do practices manage the built-in complexity of rule changes and other updates? The answer is Claim Submission, a key part of the athenaPractice Electronic Data Interchange (CEDI) suite of products. With Claim Submission in place, your practice no longer needs to maintain multiple connections with individual insurers. Even claims you currently print can be submitted electronically, streamlining your insurance billing workflows.

Electronic Remittance

Receiving timely insurance payment is essential, but in a busy practice with hundreds of patients coming through the door each week, keeping track of the revenue is a mountain of work (when performed manually). Thankfully, there’s a much better way today. The practices that use Electronic Remittance in conjunction with athenaPractice PM, are able to: + automatically post payments per line item + apply adjustments with reason codes + transfer responsibility to the patient as appropriate. This automated process frees the administrative team to focus on collections and rejected claims, thereby producing more income for the practice.

Electronic Eligibility

Due to the increasing complexity of today’s insurance and regulatory environments, pre-determining a patient’s eligibility for recommended services is critical to both the patient and practice. With Electronic Eligibility, practices can request individual or batched eligibility requests to the clearinghouse for immediate response. Responses are then stored in athenaPractice’s practice management system, making the patient’s eligibility available for future review.

Learn more about our EDI Services.

E-statements

Instead of printing and mailing patient statements from your office, our Electronic Statement service does this for you, relieving your staff of this time-consuming work.