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 our network of over 75,000 providers, our continuously updated rules engine, and our back-office teams working on your behalf. 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 72,000+ 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 35 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 add new insurance rules daily via our cloud-based network.
Expert medical billing teams that reduce work and hassle
While your staff moves through our easy 5-stage workflow, expert teams track and manage your claims—work that we perform at scale for our network of more than 72,000 providers.
And our patented Billing Rules Engine helps keep claims error-free the first time. If a claim has any issues, the Rules Engine alerts you before it’s submitted, resulting in fewer denials and far less follow-up work with payers.
ICD-10 update: Business as usual for athenahealth clients
Leading up to the ICD-10 transition on October 1, 2015, our teams worked tirelessly to prepare our clients and our network. And it paid off. athenahealth clients saw little or no change in their medical billing efficiencies following the end of ICD-9. In fact, we even saw some improvements network-wide for October and November of 2015, with days in accounts receivable (DAR) decreasing by 1.48% and the frequency of claims resolving upon first submission improving by .21%.
Succeed with quality programs
Our network-enabled services are continuously updated to keep you prepared for industry change, backed by an industry-leading 98.2% attestation rate for Meaningful Use 2 and our guarantee for PQRS compliance.
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 72,000 providers.
*Average turnaround time for 2014 athenahealth practices