Improving your medical billing process
Medical billing services
Medical billing services, proven to get you paid more, faster
Conventional medical billing systems give you just software. athenaCollector delivers more, combining cloud-based software, networked intelligence, an efficient workflow and back-office services. Our experts take on your most time-consuming tasks, like claim submission and follow-up, denial management, payment posting and more, getting practices paid 6% more, and 32% faster.1
By working at massive scale for our 64,000+ clients, athenahealth drives results with unparalleled accuracy and efficiency. It’s part of our proven approach.
Keeping claims error-free
We focus on getting you paid the first time, that’s why 94% of claims submitted by our practices are successfully adjudicated on the first submission.
Payer changes are inevitable, but we stay ahead of them with our patented Billing Rules EngineTM, a database of more than 40 million payer rules. Our Payer Intelligence team diligently keeps the Rules Engine up-to-date, researching payer information and tracking more than 27 million claims per quarter. And to ensure a denial never happens again, we continuously monitor payer trends and add new insurance rules daily via our cloud-based network.
Eliminating medical billing complexity
Medical billing can be the most time-consuming aspect of managing a medical practice. Handing the administrative work involved with billing can overburden staff and resources, and hamper practice efficiency. It doesn’t have to be this way.
With athenahealth, our staff takes this work on for you with expert efficiency and skill, working at scale to handle tedious administrative tasks, giving you more control and maximizing your collections.
- Checking eligibility for you: athenahealth maintains an extensive library of insurance packages and real-time electronic eligibility connections to hundreds of insurance payers. And we automatically submit eligibility checks at least three days before any scheduled appointment so you can be sure issues are addressed before the patient arrives for their appointment.
- Solving remittance and image processing: With our unique partnership with U.S. Bank®, your practice receives a secure, high-quality lockbox service that seamlessly connects directly to our back-office service teams enabling streamlined reconciliation and faster posting — at least 94% of all checks are deposited the same day they’re received.*
- Managing claim resolution: Once a claim is successfully submitted, we continue working to get you paid. We follow up on claims that have passed the expected remittance period, research payer denial trends and identify and prepare denied claims for resubmission.
- Simplifying provider credentialing: We can take on the work of initial provider setup and configuration, application submission and ongoing payer follow-up and maintenance. With athenahealth, we eliminate revenue delays due to expiring credentials, and we support growing practices, getting new providers up and running with payers quickly.
Guaranteeing ICD-10 readiness
Our continuously updated cloud-based software keeps you prepared for industry change, backed by guarantees for Meaningful Use, ICD-10, PQRS and more.
Coaching you for optimal financial results
By benchmarking, tracking, and continually helping you improve your processes, we make sure your practice—and collections—are managed as efficiently as possible. And we track and identify areas for improving key performance measures. For example, entering patient charges soon after care is delivered, or minimizing charge entry lag.
As part of our athenaCollector service, we provide training, resources and coaching to help you monitor turnaround time, at no additional charge. We also identify and implement other medical billing best practices learned from our network of more than 64,000 providers.
*Average turnaround time for 2014 athenahealth practices
Our cloud-based services include:
Providers on our medical billing and practice management service get paid more, faster, with less work.
Our award-winning Electronic Health Records (EHR) service gives providers greater control, so they can focus on what they do best.
Patient communication services that reduce no-shows by 8% and keep providers better connected to our patients.
A complete end-to-end service for seamless care coordination across the continuum, no matter where patients seek care.
Clinical intelligence from the most trusted mobile medical reference is embedded inside our EHR workflow.