If you've worked long enough in healthcare, you've seen the gradual transition from fee-for-service to a value-based revenue model. Instead of operating like a medical storefront, modern practitioners combine the revenue cycle with patient engagement and appointment management processes. This creates a far more holistic approach to patient care relationships, boosts collections efficiency and keeps costs down at every step of the process.
The full-spectrum approach toward Revenue Cycle Management (RCM) and practice management provided by ModuleMD drastically improves the efficiency of your practice from the first contact with a new patient to the last collections on their account. Professional revenue cycle management may be the key to keeping your practice open and independent if you want to stay competitive. In addition, it will help you keep active with your patients' care more efficiently than ever before.
Using our advanced ModuleRCM billing and practice management software is an easy way to streamline your full-cycle patient management workflow. Our software works as a standalone module or as part of a fully integrated practice software package. Integrated revenue cycle management software is a cloud-based workflow system that brings together many of the other clinical and operational elements of your practice, including:
The ModuleRCM software is a sophisticated approach to full-cycle appointment and billing management. By switching to the ModuleMD RCM model, you can seamlessly integrate every step of the patient interaction into a unified billing network. This speeds up reimbursements and helps to reduce errors, offers cost savings by freeing up the time of non-clinical staff such as receptionists and billers.
Once your ModuleRCM system is up and running, you can use a single interface that is easy to move a patient from first contact and collect payments at each point of patient contact. Instead of time and resources lost from invoicing and in-house collections, or reductions in revenue caused by outsourcing billing and collections on delinquent accounts, you can use the system to automate and manage nearly your entire patient base.
ModuleMD's advanced revenue cycle management software helps medical offices, allergists and pulmonologists streamline their collection practices, improve patient care and securely deliver critical patient claims information. The system uses automated workflows to achieve these goals with minimal human intervention, which helps keep costs down. In addition, the process creates reliable revenue transparency and significantly reduces your overhead costs while increasing productivity and, ultimately, the profitability of your practice.
Our RCM software works at several levels to bring your patient care and billing cycle under control and increase efficiency at every stage of the process. Some of the ways ModuleMD's cloud-based service helps your practice get all the revenue it's owed include:
Providers that automate eligibility checks & authorizations can achieve clean claim rates of 95%+ and deliver better clinical outcomes
A patient-centered approach to billing can reduce that worry, improve overall patient experience, and shorten the revenue cycle of claims
Claims Scrubbers to achieve 99% first pass clean claims rates
Transparent real-time financial reports
HIPAA Compliant Cloud-hosting
Integrated with clearinghouse, credit card processing, collection agencies etc.,
Accounts receivable has always been challenging for family practitioners and GPs, and it can be especially challenging for pulmonology and allergy medicine specialists. Our RCM software helps your accounts receivable by simplifying administrative, clinical, and billing work processes .
This shortens the typical claims cycle time and helps speed up claims submission and revenue recovery. In addition, by using a standard template for the interface and workflow process, ModuleMD's software reduces the work that has to be done to file a claim, collect on patient A/R, and process incoming payments.
Accountability is at the heart of building a transparent billing, and reliable claims auditing does more than almost any other part of the process to ensure the reporting standards your practice needs to thrive. With our RCM software as an integral part of your billing cycle process, you can quickly review EOBs, payments, and retrieve accurate financial data. This helps with reporting requirements and regulatory investigations, as well as streamlining Medicare and Medicaid audits
You can use our easy software interface to generate real-time financial reports that help keep you on top of your financials and spot trends as they develop. Whether you operate a small general practice, a family medical office or an independent allergy or pulmonology clinic, watching the ebb and flow of your business cycle helps you predict income and be prepared for the ups and downs of maintaining an independent practice.
This analysis will compare your practice to MGMA standards and identify areas where improvement is needed
We are confident we can help maximize your collection.
We believe our software and services can help maximize the collections your practice needs to stay profitable. To get you started, we offer a free RCM analysis to help you develop an accurate picture of how your practice stacks up relative to others in your field.
We compare your practice to MGMA standards and help you identify areas where inefficiencies are holding your revenue management back. Schedule your free analysis today, and find out how our RCM billing services practice management can help your business get the revenue it deserves.
Read what our clients have to say. Thank you for your trust and support!
I can train new staff quickly and can manage my practice with easy to read reporting tools
Andrea F Practice Manager/Nurse
I was able to learn to use pretty fast and can train new employees quickly
Rameca M Medical Assistant
I am excited. I feel like we were on a dating website and we finally made a match...
Practice Manager at a leading East Coast practice
Practice Manager commented on the ModuleMD team, “I have no complaints whatsoever. Anybody I’ve ever had to deal with has been extremely helpful”
This practice started in 1980. Practice Manager joined in 1992. They used HealthFusion prior to ModuleMD and had to build templates from the ground up something that ultimately lead them to choose ModuleMD.
ModuleMD’s templates were pre-build, so provider did not have to think about it. “It was there, and it was basically what all the allergists did”, quoting the doctor.
When ModuleMD took over billing in spring 2019, the practice was losing a lot of money due to their in-house biller not submitting timely claims or following up on rejections. Things are getting back on the right track for them now and the Practice Manager noted their list of billing follow-ups reduced significantly.
The transition from HealthFusion to ModuleMD has improved customer’s billing and operation significantly
