AllegianceMD Overview

AllegianceMD offers a large and comprehensive suite of medical practice management solutions, one important component being its medical billing module. The solution claims to make extensive use of artificial intelligence to ensure claims are generated correctly and checked comprehensively. The solution can capture charges automatically from the patient schedule or from the EHR module. It will scrub them carefully to ensure a high first-pass claims ratio, and will also keep track of claims that are in the pipeline and follow up on those that are declined. The company claims that its scrubber typically boosts collections by up to 25%.

Details

While AllegianceMD medical billing offers a solution that allows practices to generate and handle their own bills, it also offers a billing service for practices that may want to outsource the activity. 

The medical billing solution claims to use an intelligent scrubber that is supported by artificial intelligence at the back end. This ensures that bills are accurate and all entries are correct. The bill is ready as soon as the patient encounter ends. One review, and the bill can be submitted for payment. No time is wasted.

The system generates billing statements to track every patient and the state of her bills and payment. The frequency of the statements is user definable. Statements can be emailed automatically, and in case of bills that are due beyond a user-defined number of days, they can be handed over to collection agencies automatically.

The solution has an automatic patient eligibility feature that uses the scheduler to determine the patients who are due to come to the practice in the next few days. It then checks patient eligibility directly with the insurer. The data received back is incorporated into the patient’s chart automatically, thereby speeding up patient workflow.

The system handles remittances received automatically and matches them against the claims that have been submitted. All reconciliation is automatic. A large number of actions are performed automatically in the background and artificial intelligence built into the system ensures that errors are eliminated and speed of work is improved. This ensures that staff are left free to handle more complex tasks.