Last Reviewed: November 14th, 2024

Best Physical Therapy Medical Billing Software Of 2024

What is Physical Therapy Medical Billing Software?

Physical Therapy Medical Billing Software is an optimized tool designed to streamline the billing process reciprocal to physical therapy services. It addresses common difficulties such as billing errors, insurance claim rejections, and delayed reimbursements. The software's essential functions comprise claim submission, payment processing, and insurance eligibility verification. Emerging innovations include AI-enabled error detection and predictive analytics for revenue forecasting. Predominant users are physical therapists and billing specialists in clinics, hospitals, and therapy centers. Despite its manifold benefits, potential limitations can include the learning curve for staff, initial investment cost, and integration challenges with existing systems. In sum, Physical Therapy Medical Billing Software is central to ensuring accurate, swift billing operations, improving cash flow, and minimizing time spent on administrative tasks. It presents an unequivocal value proposition in optimizing the billing cycle and driving profitability for a physical therapy practice.

What Are The Key Benefits of Physical Therapy Medical Billing Software?

  • Streamlines Billing Operations
  • Reduces Errors in Claims
  • Speeds Up Reimbursements
  • Improves Cash Flow
  • Saves Valuable Time
  • Enhances Revenue Forecasting
  • Minimizes Insurance Rejections
  • Simplifies Payment Processing
  • Ensures Regulatory Compliance
  • Supports Practice Profitability
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Overall

Based on the latest available data collected by SelectHub for 55 solutions, we determined the following solutions are the best Physical Therapy Medical Billing Software overall:

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Why We Picked Tebra Managed Billing

Tebra Managed Billing offers robust functionality for scheduling patients, confirming insurance, managing accounts, storing patient documents and more. It’s user-friendly interface and intuitive options make it easy to use and navigate, increasing productivity. Reporting tool offers easy customization for businesses needs. Reviewers said that customer support is responsive and helpful in solving issues. However, some complained that getting customer service was challenging. Setting up patient billing and insurance was difficult and negatively impacted workflow. Users disliked that the system tended to run slow and was often down for repairs or maintenance.

Pros & Cons

  • Functionality: It provides a comprehensive set of tools, as noted by 96% of users who referred to functionality.
  • User Friendly: It is intuitive and easy to deploy, as noted by 97% of reviewers who refer to ease of use.
  • Report: Around 65% of users said that report functions are easy to customize to meet their organization's needs.
  • Customer Support: Customer services were responsive and helpful, as noted by 56% of users who specified customer support.
  • Billing & Insurance: Nearly 86% of users said that setting up billing and insurance was time-consuming and difficult.
  • Integration: Approximately 81% of reviewers who specified integration said that it offers limited software integrations.
  • System Performance: About 92% of users said that the system runs slow and goes down frequently, affecting productivity.

Key Features

  • Schedule/Calendar: Assign physicians with the correct patient, equipment and exam room. Automatically verify patient eligibility to reduce denials. 
  • Charge Capture: Charges can be billed right away by selecting the patient name and date of service while checking for coding errors to reduce denials and get paid faster. 
  • Claims Tracking: Monitor all claims, check statuses and get reimbursed quickly. Claims can be filtered by provider, patient and date. 
  • Billing Analytics: Measures key performance indicators to come up with other ways to find practice revenue. Improve organization financial health by tracking performance and revenue cycles. 
  • Billing Tasks: Manage all billing tasks in a singular, easy-to-use inbox. Tebra Mobile allows users to view and complete tasks anytime and anywhere. 
  • Agenda Overview: Provides a general review of billing operations and notifies users of any outstanding balances or other important items. 
  • Rules Engine: Helps produce more accurate claims by automatically removing unnecessary or incorrect information. 

Pricing

License/Subscription Cost
  • Users pay a monthly subscription based on the number of users
  • Cost will vary depending on the end user role; physician, non-physician or therapist
Maintenance Cost
  • Included with the subscription cost
  • Offers free how-to articles, video tutorials and feature guides
Installation/Implementation Cost
  • Cost is included in the subscription with zero setup fees and no long-term contracts required
Customization Cost
  • An additional cost is charged for any add-on features or enhancements
  • Each additional module is provided for half the base cost
Data Migration Cost/Change Management/Upfront Switching Cost
  • Cost varies depending on the type of data to be imported
  • $500 for single practice migration and $100 for each additional practice
Recurring/Renewal Costs
  • Cost is equal to the recurring subscription cost paid monthly, based on the number of providers and type of package selected
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Why We Picked WebPT

WebPT has made a significant impact on the physical therapy software landscape, offering a comprehensive suite of tools designed to streamline workflows and enhance patient care. Users consistently highlight its user-friendly interface, robust features, and exceptional customer support as key strengths. One reviewer emphasized the ease of transitioning from paper-based systems to WebPT's cloud-based platform, appreciating its accessibility from any web-enabled device. The software's scheduling capabilities have also received praise, with users noting improvements in patient retention and the ability to synchronize appointments with digital patient records.

While WebPT garners positive feedback, some users mention the learning curve associated with its extensive features. However, the company's commitment to customer support is frequently commended, with users citing responsive and helpful assistance. WebPT distinguishes itself by catering specifically to the needs of rehabilitation therapists, offering specialized documentation, billing codes, and compliance tools. This focus on the therapy sector sets it apart from more generic practice management software. WebPT is ideally suited for physical therapy practices of all sizes seeking an integrated platform to optimize front- and back-office operations. Its comprehensive features, user-friendly design, and industry-specific focus make it a valuable asset for therapists looking to enhance efficiency, improve patient care, and grow their practices.

Pros & Cons

  • User-Friendly: All users mentioning this aspect noted that the solution’s ease-of-use is a key benefit.
  • Accessibility: The platform is web-based, making it highly accessible according to over 95% of users who mention this aspect.
  • Scheduling: About 75% of users who mention scheduling noted that it’s convenient to schedule appointments.
  • Speed: All users referring to speed reported that the product is slow and includes redundant check boxes, which further reduce the speed of working.
  • Functionality: The product is filled with glitches and the site is often down for maintenance, according to 88% of users who mention functionality.

Key Features

  • Analytics and Reporting: Access and work on detailed data tables from a main reporting dashboard. Use easy graphs and charts for valuable business insights. 
  • Interoperability: Facilitates a secure transfer of information between systems, enabling greater efficiency and data unity. Key integrations include Cerner, Epic, McKesson and athenahealth. Includes 24/7/365 monitoring from WebPT. 
  • Web-Based: Users can access the platform from any browser, anywhere. There’s no deployment costs or loss in productivity while the software is installing. 
  • Continuous Updates: Because the software is web-based, it frequently refreshes with new studies, formulas and testing criteria. 
  • Simplified Interface: Built around an intuitive workflow and offers features for a hassle-free experience such as dropdown checklists, auto-completing text boxes and much more. 
  • Home Exercise Program: Engage patients in video exercises with patient-facing functionality and design. Tap into a library of evidence-based therapy exercises available in up to eight different languages. 
  • Listing and Review Management: Improves online presence with a robust facility profile that provides automatic review updates, offers direct responses to reviews and analyses review trends. 
  • Billing: Maximize revenue and save time for quality healthcare with minimum claim errors using Therabill. Includes real-time analytics, detailed activity logs and one invoice from one company. 
  • Patient Outcomes Tracking: Drive faster recovery for patients with a built-in patient outcomes tracking system. Includes a library of industry-accepted tests for concrete performance goals and tracking therapists’ progress. 
  • Scheduling: Manage appointment calendars that sync with patient records and reduce no-shows by 30% by sending automatic reminders. Book remote appointments and launch live two-way video for virtual therapy using Virtual Visits. 
  • Revenue Cycle Management: Submit claims and expedite payments with high first-pass acceptance rate. Offers two RCM options: 
    • RevServe: Completely outsourced service. WebPT handles all billing responsibilities, including A/R management, reporting, collections benchmarking and medicare compliance. 
    • RevEquip: Hybrid model, allowing practices to control things like A/R management, credentialing, case management and more. WebPT offers management of outgoing claims, patient statement submissions, payment EDI management, workflow consultations and more. 
  • Patient Relationship Management: Increase engagement and reduce dropout rates by sending automated email campaigns to past patients and receiving actionable feedback indicating potential dropouts. 
  • Client Mobile App: Clients can access and manage their health data conveniently from a mobile app. 
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Why We Picked TherapyNotes

Stepping into the bustling world of mental health practice management software, TherapyNotes emerges as a prominent contender, lauded for its user-friendly interface and comprehensive features. Feedback from users over the past year paints a picture of a platform that streamlines administrative tasks, allowing practitioners to dedicate more time and energy to their clients. The software's scheduling tools, billing features, and secure communication channels have received consistent praise for their ease of use and effectiveness in optimizing workflows.

While TherapyNotes shines in its core functionalities, some users have noted the absence of a reporting dashboard and limited third-party integrations as areas for potential improvement. However, the software's strengths in facilitating efficient scheduling, secure client communication, and streamlined billing processes appear to outweigh these limitations for many users. The platform's emphasis on ease of use and affordability further distinguishes it from competitors, making it an attractive option for solo practitioners and small to medium-sized practices seeking a comprehensive yet cost-effective solution.

TherapyNotes appears to be an ideal fit for mental health professionals who prioritize a user-friendly experience and value a robust set of features that address the essential aspects of practice management. Its intuitive design and focus on core functionalities make it particularly well-suited for those who prefer a streamlined approach to managing their practice, allowing them to focus on what matters most—providing quality care to their clients.

Pros & Cons

  • Streamlined Notes: The platform offers multiple note templates, which can be customized to fit individual workflows and preferences. This feature can save clinicians time and effort when documenting sessions.
  • Integrated Billing: TherapyNotes includes features for managing billing tasks, such as generating invoices and processing payments. This can simplify the billing process for mental health professionals.
  • Appointment Scheduling: Users can manage their schedules and appointments directly within the platform. Clients can also request appointments online, which can streamline the scheduling process.
  • Client Portal: TherapyNotes provides a secure client portal where clients can access their records, schedule appointments, and communicate with their therapists. This can improve communication and engagement between therapists and clients.
  • Telehealth Capabilities: The platform offers telehealth features, allowing therapists to conduct virtual sessions with clients. This can be a convenient option for clients who are unable to attend in-person appointments.
  • Limited Customization: Users have expressed frustration with the lack of flexibility in tailoring the platform to their specific workflows and preferences. For example, customizing intake forms or treatment plans to align with unique practice needs can be challenging.
  • Billing Challenges: Several users have reported encountering difficulties and a learning curve associated with the billing features, particularly electronic claim submission and managing insurance reimbursements.
  • Customer Support Concerns: Some users have shared feedback regarding occasional delays or challenges in obtaining timely and effective assistance from TherapyNotes customer support, especially during peak hours or with complex technical issues.

Key Features

  • Calendar: Schedule one-time or recurring appointments, access appointment-related notes and send automated reminders to patients. Organize the calendar according to clinicians, specific clients or certain practice locations. Offers a personal to-do list with treatment plans, notes, administrative documents and more. 
  • Electronic Records: Enables quick documentation and notes with speech-to-text software, built-in templates and searchable diagnosis codes. Also gives physicians immediate access to patient records and notes. 
  • Billing: Handles every step of the billing process, including insurance eligibility verification, claim submission and payments. Claims can be automatically swept of any mistakes or coding errors. Supports generating superbills with all necessary information for prompt reimbursement. 
  • Credit Card Processing: Deposit funds automatically to a bank account with the integrated payment processing system. Keeps cards on file for any missed appointment fees or future transactions. 
  • Client Portal: Patients can manage appointments themselves using TherapyPortal on their mobile device. Physicians can communicate with their clients remotely by exchanging messages, video chatting, adding notes and more. Includes configuration of color scheme, logo and welcome message. 
  • Telehealth: Physicians can meet clients online for convenient video sessions. Sessions are encrypted and integrated into TherapyNotes and the patient portal. 
  • Scheduling: Schedule appointments and manage tasks on the to-do list for higher efficiency by connecting the to-do list to records, notes and billing. With quick appointment scheduling, it also allows customization of the calendar view and mobile calendar sync. 
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Why We Picked AdvancedMD

AdvancedMD is an intuitive cloud-based tool. While some users were happy with the system’s integration and customization capabilities, far more users were extremely dissatisfied with other aspects of the system. There were mixed reviews on its reporting capabilities. A significant number of reviewers felt that the sales representatives misled customers noting that they lost money after implementing AdvancedMD and commenting that many features lacked the functionality that they required. Though the add-ons allow users to customize the system, many users complained that the add-ons come at a steep price, making them prohibitive to many users. Users also complained that they were surprised by hidden fees after implementation and felt that customer service was rude and unwilling to help when they called for support. A small number of reviews also noted that upgrades to the system frequently caused downtime and reported discrepancies in their billing that affected customers. While many of the reviews were negative, AdvancedMD remains a popular EHR solution. Due to its high price and difficulty to learn, it is best suited to large practices with the budget for necessary add-ons and internal technical support that is available to help ensure everyone who needs to can use the system.

Pros & Cons

  • Customization: Of the reviews that mentioned the system’s customization, more than 70% were happy with the customizations available as add-ons to the system.
  • Integration: Though only mentioned in 10% of reviews, 85% of those reviews felt the system successfully integrated with their other medical software.
  • User-Friendly: About 55% of users who mentioned its user-friendliness found it easy to use and navigate.
  • Implementation: The vendor does not offer sufficient implementation support, and the system has a steep learning curve, as noted by more than 80% of user reviews that discuss getting the system up and running.
  • Functionality: Though the system offers a robust list of features, 66% of reviews that discuss features felt that the features’ functionality was lacking in some aspects.
  • Price: Of the users who mention price in their review, more than 90% were upset with hidden fees and felt that the system’s high price was not worth the money.
  • Customer Support: Of the reviews that discuss customer service and support, 65% felt that customer support was difficult to contact, rarely had sufficient answers to their questions and often failed to resolve the issues users reported.
  • Performance: About 94% of reviewers that mentioned performance said that the system is slow and buggy, with recurring crashes and connectivity issues.

Key Features

  • Scheduling: Medical scheduling tools allow users to quickly view appointments and patient information by hovering their mouse over the calendar. Additionally, patient visits can be tracked, and recurring appointments can be set while automated patient reminders are sent out, reducing no-shows. 
  • Billing: In addition to collecting patient payments, it is able to verify insurance eligibility automatically while providing users with all the necessary medical billing information in one centralized location.  
  • Clearinghouse: Sweep claims of any coding errors to ensure an accurate claim submission. Any copays, deductibles and additional coverage can be automatically verified prior to a patient’s visit, while on-the-spot insurance checks are also efficient. 
  • Patient Portal: Patients can view lab results, pay bills, message their physicians and request office appointments online using its patient portal. Providers can use the portal to exchange messages with a patient, manage prescription renewal requests and send out alerts and notifications. 
  • E-Prescribing: Electronically prescribe medications — including controlled substances — quickly and easily. Connects facilities to a variety of pharmacies around the US, while users can request refills and access a patient’s medication history anywhere. It uses a combination of personal passphrases and secure tokens to complete DEA-required, two-factor authentication. The AdvancedEPCS system maintains a full DEA audit history. 
  • Telemedicine: Telemedicine features facilitate face-to-face conference conversations and secure transmissions of still images or high-resolution video conference screenshots, and stores them to patient files with HIPAA compliance. Schedule telemedicine appointments and view them in one dashboard calendar. 
  • Smart Dashboard: Automatically prioritize and manage frequent tasks using this role-based dashboard. In addition to health analytics, get alerted on any urgent issues, like abnormal lab results or pending prescriptions and drill down or up into tasks. 
  • Configurable Templates: It can be tailored to a variety of specialties, with note and sub-note templates designed by physicians to optimize workflow while fitting in with a facility’s pre-existing style. 
  • Physician-Oriented Dashboard: It enables physicians to view and schedule appointments, staff and patient messages, referral letters, test results and to-do lists in one location. The physician and their staff can respond to patient appointments or prescription renewal requests, reply to questions or send clinical reports. Its interoffice messaging center also allows physicians to send messages to the staff. 
  • Patient Communication Tools: Select which patients would receive either text or email by choosing from existing criteria or creating a new set. Segment patient lists and send specific messages to enhance patient engagement. It also supports sending sales promotions to patients. 
  • Patient Kiosk Mobile App: Complete intake and consent forms on an iPad. The information is automatically captured and passed to relevant staff to facilitate a faster check-in process for patients. 
  • Health Watcher: HealthWatcher offers auto-alerts and custom healthcare plans to enable patients to follow treatment plans. Its interoperable platform allows it to monitor and trend patient population health. It also allows building custom healthcare plans to manage specific conditions based on factors like age, sex, lab results and diagnosis. 

Pricing

License/Subscription Cost
  • Subscription fee is paid monthly based on the number of users
  • Offers standard plans and pre-configured pricing plans
Maintenance Cost
  • Cost is included with the subscription, covering ongoing upgrades and 24/7 customer support
Installation/Implementation Cost
  • Installation cost is included with the subscription fee
Customization Cost
  • Not included in the subscription cost
  • Cost varies depending on the type of custom service chosen
Data Migration Cost/Change Management/Upfront Switching Cost
  • Depends on the amount of data needed to be migrated as well as the complexity and accuracy of that data
Recurring/Renewal Costs
  • Recurring monthly fee is charged based on the subscription model selected
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Why We Picked Cerner Practice Management

Cerner Practice Management, a comprehensive software solution designed to streamline administrative tasks in healthcare settings, has elicited a range of user feedback. While some users appreciate the software's user-friendly interface and extensive features, others express concerns about its cost and potential rigidity. Let's delve into the specifics of these perspectives.

Users frequently commend Cerner Practice Management for its intuitive design and ease of use. The software's interface is lauded for its straightforwardness, enabling healthcare professionals to navigate the system efficiently. Additionally, the software's customizability empowers practices to tailor the system to their specific workflows and requirements. This adaptability is particularly beneficial for practices with unique operational needs. However, the software's cost can be a significant barrier for smaller practices or those with limited budgets. The price tag associated with Cerner Practice Management may necessitate careful consideration and financial planning.

Cerner Practice Management distinguishes itself through its robust integration capabilities. The software seamlessly integrates with Cerner's electronic health record (EHR) system, facilitating a smooth exchange of patient data and streamlining clinical workflows. This integration is especially advantageous for healthcare organizations already utilizing Cerner's EHR solutions. Furthermore, Cerner Practice Management offers both cloud-based and on-premise deployment options, providing flexibility to accommodate diverse technological preferences and infrastructure limitations. Considering these factors, Cerner Practice Management is well-suited for medium to large healthcare practices seeking a comprehensive, integrated solution to optimize their administrative processes and enhance operational efficiency. Smaller practices may find alternative solutions better aligned with their budgetary constraints.

Pros & Cons

  • Appointment Scheduling: Scheduling appointments is a breeze with Cerner's user-friendly interface. The system is designed to streamline the process, making it easy for staff to manage appointments efficiently.
  • Billing and Claims: Cerner simplifies the billing process by automating tasks and reducing errors. This leads to faster reimbursement and improved revenue cycle management for practices.
  • Reporting and Analytics: Gain valuable insights into your practice's performance with Cerner's comprehensive reporting tools. Track key metrics, identify trends, and make data-driven decisions to optimize operations.
  • Patient Engagement: Enhance patient engagement and satisfaction with Cerner's patient portal. Patients can easily access their medical records, schedule appointments, and communicate with their providers online.
  • Integration and Interoperability: Cerner's commitment to interoperability ensures seamless data exchange with other healthcare systems. This promotes care coordination and improves patient outcomes.
  • Steep Learning Curve: The system's complexity can be overwhelming for new users, requiring extensive training and ongoing support to achieve proficiency.
  • Customization Challenges: Tailoring the software to specific workflows and preferences can be difficult, often necessitating costly and time-consuming custom development.
  • Reporting Limitations: Generating custom reports or extracting specific data points can be cumbersome, hindering data analysis and decision-making.
  • Integration Issues: Seamless integration with other healthcare systems or third-party applications can be problematic, leading to data silos and workflow disruptions.
  • User Interface Concerns: The user interface is often described as outdated and clunky, impacting user experience and productivity.

Key Features

  • Documentation: Reduce transcription costs and eliminate malpractice risks by enhancing documentation and storage methods. Facilitate easier record management abilities by cutting down paper-based resource usage. Provide staff and physicians with digital documentation options for better care quality and simplified administrative operations. 
  • Scheduling: Fill appointment gaps using automated scheduling modules. Gain instant visibility into canceled appointments to efficiently backfill free slots. Enable patients to book, reschedule and cancel from anywhere across the globe. 
  • Patient Portal: Facilitate virtual care coordination using an online portal for easy communication among patients, physicians and front office staff. Store everything from patient data, medical histories, e-prescriptions, treatment progress to lab results in a unified space. 
  • Claims Management: Check, track and resubmit rejected claims using an electronic claims management system. Achieve fewer denials and cleaner claims by efficiently managing the whole process through automated tools. Identify recurring claim errors and fix them without requiring a large number of changes. 
  • E-Prescribing: Gain complete insight into a patient’s medical history with a click of a button. Set system alerts to inform providers and prescribers about potential drug interactions, allergies and other contraindications for better care delivery. 
  • Medical Billing: Enable an effortless way to bill by using electronic invoicing tools for uniform data entry capabilities. Eliminate staff fatigue by cutting down repetitive manual entries. Run automated processes to detect errors, including coding inconsistencies, missing documentation and outdated patient information backup. 
    • Dunning Management: Streamline billing procedures by optimizing time and costs of daily workflows. Reduce payment declines and recurring revenue loss by providing a digital mechanism for swift notification of unsuccessful payment attempts via emails and in-app text messages. 
  • Inventory Management: Improve order and sales accuracy to save money on inventory damage control. Use the inventory management feature to identify appropriate quantities of each product and automate error-free renewals and shipment processes. 
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Why We Picked NueMD

NueMD is a cloud-based practice management software that offers a suite of features, including medical billing, electronic health records (EHR), and appointment scheduling. While NueMD has been a popular choice for some practices, user reviews from the past year suggest that it may not be the best fit for everyone.

One of the biggest strengths of NueMD is its comprehensive suite of features. Users praise the software's ability to handle everything from billing to scheduling, making it a one-stop shop for practice management. However, some users have expressed concerns about the software's user interface, which they find clunky and difficult to navigate. They also complain that the software is not as intuitive as other EHR systems on the market, such as Athenahealth or Kareo. NueMD's customer support has also been a point of contention, with some users reporting long wait times and unhelpful responses.

NueMD's biggest differentiator is its focus on medical billing. The software's billing features are highly regarded by users, who appreciate its ability to streamline the billing process and reduce the number of errors. However, NueMD's billing features are not without their drawbacks. Some users have reported that the software's billing system is not as flexible as other systems on the market, making it difficult to customize for specific practice needs.

Overall, NueMD is a solid EHR system that offers a comprehensive suite of features. However, its clunky user interface, lack of intuitive design, and inconsistent customer support may make it a less desirable option for some practices. NueMD is best suited for practices that are looking for a system with strong billing features and are willing to put in the time and effort to learn the software. It is important to note that AdvancedMD, the company behind NueMD, is sunsetting the software in 2025. This means that practices using NueMD will need to migrate to a different system in the near future.

Pros & Cons

  • Easy to Use: Many users find NueMD's interface intuitive and straightforward, making it easy to navigate and complete tasks efficiently.
  • Strong Customer Support: NueMD is known for its responsive and helpful customer support team, which is available to assist users with any questions or issues they may encounter.
  • Comprehensive Features: NueMD offers a wide range of features that cater to the needs of various medical practices, including scheduling, billing, and patient management.
  • Affordable Pricing: Compared to other EHR systems, NueMD is considered to be a more affordable option, making it accessible to practices of all sizes.
  • Slow Performance: Some users have reported that NueMD can be slow to load, especially during peak hours. This can be frustrating for busy practices, as it can slow down workflow and lead to delays in patient care.
  • Limited Customization: NueMD offers a limited amount of customization, which can be a drawback for practices that have specific needs or workflows. For example, some users have found it difficult to customize the system to meet their specific billing requirements.
  • Poor Customer Support: Some users have reported that NueMD's customer support is not responsive or helpful. This can be a major problem for practices that need assistance with technical issues or have questions about the software.
  • Lack of Mobile App: NueMD does not have a dedicated mobile app, which can be a disadvantage for practices that need to access patient records or perform other tasks on the go. This can be especially challenging for providers who are on call or need to access patient information outside of the office.

Key Features

  • Patient Portal: Communicate with patients remotely and securely. Patients can schedule appointments, receive reminders, access medical history, view lab results, update insurance information and more online. 
  • E-Prescribing: Place medication orders while in a patient's chart with just a few clicks. It automatically sends out alerts of any drug-to-drug or drug-to-allergy interactions to reduce medication errors. 
  • Patient Chart Management: Manage all of a patient’s data, such as allergies, medications and more with ease. Physicians can view summaries of past encounters to follow up on referrals. 
  • e-Labs: Clinicians can order lab results from a patient’s chart, alert other providers of abnormal results and add charges to a patient’s bill in real time. 
  • Student Health: Keep track of an entire campus’ medical history and customize templates. Clinicians can check and edit patient information and print any relative literature. 
  • Claims Management: Claims submitted using NueMD have a 99.9% first-time success rate and typically see an acceptance status within 24 hours. 
  • Scheduling: Manage the schedule for multiple physicians, offices and patients automatically in order to save time. 
  • Medical Practice Management: Reduce no-shows with daily scheduling and file accurate claims for quicker reimbursements. Also includes: 
    •  Patient registration to centralize patient information, including billing details. 
    •  Patient statements and collections to reduce outstanding co-pays. 
    •  Quick reporting and analysis of financial data. 
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Why We Picked RXNT

RXNT is an integrated medical software solution offering Electronic Health Records (EHR) with e-prescription and patient engagement support. The cloud-based platform allows users to use and manage the application from anywhere at any time. It offers a user-friendly interface for easy use, management and customization. Reviewers pointed out that sometimes the system would duplicate the patient's information, making the patient have two profiles that lead to confusion and inconvenience. There are instances where the server lags during peak hours and tends to be slow and glitchy. Overall, they provide responsive and helpful support staff who follow up to ensure that problems are fixed before closing the ticket.

Pros & Cons

  • User-Friendly: Provides a user-friendly interface with color codes that is easy to use and implement as noted by all reviewers who mentioned ease of use.
  • Customer Support: Approximately 89% of users who referred to customer support indicated that support teams are responsive, helpful and would follow-up to ensure that problems are resolved before a ticket is closed.
  • Remote Access: All users who talked about the application liked its ability to RX meds and manage prescriptions from anywhere.
  • Duplicate Profiles: All users who specified duplication said that sometimes it duplicates patient information, giving them two profiles.
  • Program Performance: The system tends to be laggy and glitchy at times, as observed by all reviewers who referred to program performance.
  • Search: Requires multiple trials of keywords and scrolling for the search bar to locate what a user is looking for, as observed by 62% of users who mentioned search.

Key Features

  • Get Paid Faster:  Claim scrubbing, claim alerts, tracking and automatic secondary claim submissions improve financial performance and promote faster reimbursement. 
  • Increase Revenue:  End-to-end claim tracking reduces time taken in accounts receivables and is integrated with your workflow. 
  • Reduce Claim Denials:  Identify and resolve causes of denied claims to accelerate payment and improve cash flow. 
  • Prevent Billing Errors:  The software has built-in claim scrubbing that detects and eliminates errors in billing codes, thus reducing the number of denied or rejected claims. 
  • Customizable Reports:  The custom medical billing system makes displaying and analyzing data simple. The reports are comprehensive, configurable and easy to edit. 
  • Boost Efficiency:  It supports integrated real-time eligibility checks, claim status verification and alerts. Electronic remittance advice (ERA) and resource and patient scheduling with reminders make front and back office administration easy 
  • Better Manage Controlled Substances:  Its e-prescribing solution is EPCS-certified by the DEA. With real-time access to patient medical history, healthcare providers get up-to-date information about previously prescribed medications. 
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Why We Picked DrChrono

So, I got the chance to get a free trial access to DrChrono, and here are the key highlights:

  • The platform stands out for its intuitive design, extensive features and customization capabilities.
  • The software is accessible on any device with internet connectivity.
  • Data import from other EHR systems is supported but with certain limitations.
  • It offers four pricing plans and a free trial is available for potential users.

It's a cloud-based system, which means you can access it from anywhere — your laptop, tablet, even your phone! And it covers everything from electronic health records and patient scheduling to billing and telehealth.

One of the things that really impressed us was how customizable it was. You can create your own templates for notes, forms and even entire workflows. This means you can really tailor it to fit your specific needs and preferences, which can save a ton of time.

And speaking of saving time, they've put a lot of thought into their billing features. They have tools to help you code things correctly, submit claims electronically and even track your payments. Anything that helps you get paid faster and with less hassle is a win, right?

However, learning to navigate the billing and insurance modules could take time. It’s a bit confusing to understand how the billing workflow works and how to set one up. Also, you can’t import billing data from your old EHR system.

If you're looking for a comprehensive, user-friendly system that can be customized to your practice, we'd definitely recommend taking a closer look.

They offer four different pricing plans, so you can find one that fits your budget, and they have a free trial so you can test it out and see if it's a good fit for you. It's always good to try before you buy, right?

We’ve discussed more about the features in the See It in Action section. Do check it out to know how the system works in different scenarios.

Pros & Cons

  • Ease of Use: Navigate patient charts, create shortcuts and access billing info without a steep learning curve.
  • Customization: Tailor the system to your specific needs and preferences like customizing templates, workflows and reports.
  • Easy Medical Coding: Find and assign ICD, CPT and HCPCS codes to patients' bills to save time and reduce coding errors.
  • Contractual Obligations: Canceling subscriptions can be challenging, potentially leading to early termination fees. Automatic renewals may also catch you off guard.
  • Subpar Customer Support: Long wait times, unhelpful responses and unresolved issues from customer representatives might disrupt your processes.
  • Occasional Glitches: System crashes, slow navigation and difficulties with scheduling and other functionalities can cause frustration.

Key Features

  • EHR: Provide better care with features like free draw for visual explanations, custom vitals tracking and access to immunization registries
    • Custom Templates: Tailor forms with specific fields, drop-down menus, checkboxes and even add your practice's logo. This ensures your documentation is consistent, efficient and specialized for your needs (e.g., cardiology forms with specific heart diagrams).
    • Electronic Prescriptions: Send prescriptions electronically to pharmacies directly from the patient chart. Access the drug's formulary tier, prior authorization requirements and alternative medications if the prescribed drug isn’t covered. Access patient PDMP data directly within the EHR to identify potential abuse, misuse or doctor shopping.
    • Free Draw: Upload images (x-rays, scans, photos) or use pre-loaded anatomical diagrams within the patient chart and draw directly on them.
    • Custom Vitals: Create vitals specific to your needs including things like blood glucose and oxygen saturation levels. Capture data in various formats: text, numbers or predefined options using dropdown lists. Access the flowsheet to visualize trends in custom vitals over time.
    • Prior Authorizations: Initiate the ePA request directly from the prescribing workflow. Automatically populate the prior authorization request form with relevant patient information (demographics, insurance details, medication prescribed) pulled from the patient's chart.
    • Lab Orders: Integrate with national, regional and specialty labs like Quest Diagnostics and Labcorp. Create predefined lab panels for common tests or specific conditions. For example, you could create a "lipid panel" or a "prenatal panel" with a single click. View lab results within the patient's chart, organized by date, test type and ordering provider.
    • Medical Speech-to-Text: Use voice to input clinical notes, patient histories and other information. See your spoken words appear as text in real time within the EHR to review and edit the transcription as you go.
    • Immunization Registries: Automatically send your patients' vaccination details to the state IIS, ensuring that records are up-to-date and complete. Retrieve immunization records from the IIS, even if your patient received vaccinations elsewhere to avoid unnecessary duplicate vaccinations and identify potential gaps in their immunization schedule.
  • Practice Management: Save time and reduce errors with appointment management tools, including appointment profiles, insurance eligibility checks, online scheduling and automated reminders.
    • Appointment Profiles: Instead of manually entering the same details (length, reason, etc.) for every appointment of the same type, you create a profile once and it auto-fills the details (duration, reason for visit, exam room and billing codes).
    • Eligibility Checks: Verify your patients’ insurance eligibility in real time — check what services are covered under the plan (e.g., office visits, labs, specialists) and any limitations or exclusions.
    • Online Scheduling: Set specific days and times when each provider is available for appointments. Offer different appointment types online (e.g., new patient, follow-up, consultation) with varying durations. Add buffer time between appointments to prevent scheduling conflicts and allow for patient check-in/check-out.
    • Patient Reminders: Send automated appointment reminders via email, text or SMS. Configure reminders to be sent at various intervals before the appointment like — a few days before, the day before or a few hours before.
  • Medical Billing: Improve your revenue cycle management with tools like billing profiles, medical coding and automated claims submission.
    • Billing Profiles: Combine frequently used CPT, HCPCS, custom codes and ICD-10 codes into a single profile. Attach common modifiers to the codes within the profile (e.g., modifier 25 for a significant, separately identifiable E/M service).
    • Medical Coding: Easily search and select the appropriate codes within the EHR using keywords, code numbers or descriptions. Perform basic code checking to identify potential errors such as invalid codes or missing modifiers.
    • Good Faith Estimates: Generate good faith estimates to help patients understand costs upfront and avoid surprise bills.
    • Claims Submission: Submit electronic claims to insurance companies within the system. Track claim statuses in real time. Scrub claims for errors like missing information or formatting mistakes before submitting them to payers to avoid denials and claim rejections.
    • Denial Resolution: Generate denial analysis reports to identify denial patterns. Edit and submit corrected claims directly within the system. If you disagree with a denial, generate appeal letters and track their statuses.
    • Patient Statements: Generate statements for individual patients or groups of patients based on various criteria (e.g., date range, insurance status, outstanding balance).
  • BI Tools: Get a visual summary of key metrics and performance indicators. Generate customizable reports to:
    • Track revenue, expenses and profitability
    • Analyze claim submission, acceptance, denial and reimbursement rates.
    • Track patient demographics, appointment history and billing information.
    • Analyze appointment scheduling and no-show rates.
  • Mobile Capabilities: Schedule appointments, send patient statements, bill insurance, document patient encounters, access lab results and more from iOS devices like iPad, iPhone and Mac.
  • Telehealth: Patients can join the telehealth visit from their computer, tablet or smartphone using the link provided in their email reminder. Providers can share their screens with patients to review medical records, lab results, X-rays or educational materials.
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Why We Picked NextGen Enterprise

Our research analysts, after evaluating several solutions, awarded NextGen Enterprise with best-in-class honors for Insurance Payments Management, Medical Coding, Medical Billing Services, Notes and Templates, and Deployment Options.

NextGen Enterprise provides EHR, practice management and patient experiene modules that support 2000 workflows and content for 30 specialties including cardiology, dental health, neurology, primary care and more.

Intutive EHR tools make it easy for doctors and nurses to document patient visits. You can even use AI for note-taking. And with the mobile app, you can access patient info and chart on the go.

The platform really shines when it comes to practice management. It automates a ton of time-consuming tasks like eligibility verification and billing, so your staff can focus on what really matters: patient care. Plus, the built-in analytics give practices valuable insights to improve efficiency and, ultimately, the bottom line.

Patient engagement is also a key focus, with the NextGen PxP patient portal empowering patients to actively participate in their healthcare journey. They can schedule appointments, request refills, view test results and even message their doctors securely.

One area that the system lacked was its integrative capabilities. It scored 77 in our analysis, lower than other popular products like athenahealth (93) and Cerner Ambulatory (88). That means you will need to connect barcode scanners, clinical decision support tools, prescription management systems and others via API.

Pros & Cons

  • Improve Patient Care: Get access to complete and up-to-date patient records, including medical histories, allergies, medications and test results for data-driven and informed decision-making.
  • Streamline Routine Workflows: Automate scheduling, billing and documentation processes to reduce administrative burdens and free up time for patient care.
  • Enhance Medication Safety: Set automated alerts to check for drug interactions, allergies and dosage errors to significantly reduce adverse drug event risks.
  • Complex Implementation: Demands time and resources for implementation, customization and staff training.
  • High Initial Costs: Requires significant investment in software, hardware and training.
  • Dependence on Technology: Creates reliance on technology, which can be problematic during system downtimes or technical failures.

Key Features

  • SOAP Notes: Record reasons to visit, social, family and diagnostic histories, vitals, physical exams, assessments/plans, and medications using the SOAP format. Use HPI (history of present illness) templates to document the patient's reason for visit, including onset, duration, severity, associated symptoms, and aggravating/relieving factors.
  • Templates: Use pre-built templates for patient visits, progress notes, procedures, patient intake, consent forms and letters. Tailor these or create new ones to perfectly fit your specific workflows.
  • Ambient Assist: Use smart AI technology to listen in on your patient conversations, capturing key information and automatically creating notes in your system.
  • Mobile App: Review and sign documents, view schedules and see high-level patient overviews (medications, allergies, past medical histories, etc.) Document patient visits using voice-to-text functionality. Save and prescribe frequently used medications with a few clicks.
  • Order Entry: Order labs, diagnostics and immunization from the CPOE bar on the patient’s chart. Click on order search to see your common orders.
  • Regulatory Reporting: Automate MIPS/MACRA data collection and reporting to demonstrate quality measures, improve outcomes and earn incentives. Collect and submit Uniform Data System (UDS) reports for FQHCs and eligible providers to track clinical quality measures and other HRSA-required data.
  • E-Prescribing: Launch the state-run Prescription Drug Monitoring Program (PDMP) database with a single click. Verify formulary coverage and benefits while writing the prescription. Initiate prior authorization requests directly from the prescribing window with pre-populated information. Securely transmit prescriptions to pharmacies nationwide through the Surescripts network.
  • Population Health: Collect patient data from EHRs, lab results, claims and health information exchanges. Use AGC, HCC or ASCVD risk algorithms to sort patients into different risk categories based on their health conditions, demographics and other factors. Analyze this data to look for anything that might be missing or doesn't quite add up. It could be a lab test that wasn't done, a prescription that wasn't filled or a recommended screening that was missed.
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Why We Picked Optum

Optum, a prominent player in the healthcare software arena, has attracted a range of user feedback over the past year, offering valuable insights into its strengths, weaknesses, and overall suitability for different user groups. Optum's users frequently highlight its comprehensive suite of features, encompassing mental health management, appointment scheduling, and medication tracking, as a key strength. This all-in-one approach simplifies healthcare management for individuals juggling multiple health concerns or those seeking a centralized platform. However, some users note that the extensive features can lead to a steeper learning curve, potentially posing challenges for individuals less comfortable with technology or those preferring simpler interfaces.

Optum distinguishes itself through its robust mental health support features, including mood tracking, journaling tools, and access to mental health professionals. This focus on mental well-being caters to a growing demand for integrated mental health solutions within healthcare platforms. Users appreciate the convenience and accessibility of these features, particularly in the context of rising mental health awareness. Conversely, some users mention occasional technical glitches or slow loading times as areas for improvement. Optum's emphasis on mental health support, coupled with its comprehensive features, makes it well-suited for individuals seeking a holistic healthcare management platform that prioritizes both physical and mental well-being. It is particularly beneficial for those with complex healthcare needs or those actively engaged in managing their mental health.

Pros & Cons

  • Extensive Network: Optum boasts a large network of mental health professionals, increasing the likelihood of finding a suitable therapist or psychiatrist in terms of location, specialty, and insurance coverage.
  • Care Coordination: Optum facilitates communication and collaboration among healthcare providers, ensuring a holistic approach to mental health care. This can be particularly beneficial for individuals with complex needs or multiple diagnoses.
  • Virtual Care Options: Optum offers telehealth services, providing convenient access to mental health care from the comfort of home. This can be especially helpful for individuals with mobility issues, busy schedules, or those residing in underserved areas.
  • Limited In-Network Options: Finding mental health professionals within Optum's network can be challenging, especially for specialized care or in underserved areas. This limitation can force individuals to choose between paying out-of-pocket for preferred providers or settling for less suitable options within the network.
  • Preauthorization Requirements: Optum often requires preauthorization for certain mental health services, such as therapy sessions or medication. This process can be time-consuming and may delay access to necessary care, potentially exacerbating symptoms or hindering progress.
  • Claims and Billing Issues: Navigating the complexities of claims and billing processes with Optum can be frustrating for users. Issues such as denied claims, incorrect billing, or difficulty reaching customer service can create additional stress and financial burdens for individuals seeking mental health support.

Key Features

  • Pharmacy Care Services: OptumRx helps physicians improve their prescribing and helps patients receive the most effective medication at the best possible cost. Physicians can also precheck and authorize medications in real time. 
  • Healthcare Delivery: Provide quality primary care, specialty care and post-acute care by focusing more on treating the patients while also optimizing efficiency and lowering costs. 
  • Data and Health Analytics: Automate recognition of high-cost and high-risk patients with data-driven assistance at the point of care. Acquire patients by linking consumer and clinical data and access insights based on patient results. 
  • Population Health: Improve health outcomes and lower costs by using insights from data and analytics. A connected network of over 800 Centers of Excellence enables treatment with greater knowledge from the get-go. 
  • Advisory Services: Insights help healthcare providers against their biggest challenges so they can and empower the health system, increase revenue, engage customers and improve the quality of care.nbsp;
  • Individual and Family Solutions: Individuals can save money while having a greater part in their overall health with different solutions for healthcare, prescriptions and spending. 
  • Claims Administration: Promotes payment integrity with features to edit inaccurate claims, appropriately price bills, assess bill details, recover overpayments and prevent inaccurate billing. 
  • Optum Bank: Makes paying for treatment easier and more efficient with innovative payments solutions, leading to reduced costs without compromising on healthcare quality. Includes: 
    •  Health accounts for employees. 
    •  Hassle-free payment solutions for better healthcare. 
    •  Health account education with courses to educate employees to become better healthcare consumers. 
  • Optum360: Examine opportunities across the revenue cycle to increase margins and prepare for value-based reimbursement. Offers: 
    •  A patient financial experience that places them in the center of the revenue cycle. 
    •  A/R recovery and denial management to improve payment recovery. 
    •  Claims integrity and processing for quick and efficient claims and reimbursement. 
    •  Document and coding to help staff drive financial results proactively. 
  • Risk and Quality Solutions: Driven from the largest Medicare Advantage database in the industry. 
    • Retrospective Solutions: Improves accuracy and completeness with industry analytics. 
    • Prospective Solutions: Standardizes processes on behalf of multiple payers for better patient treatment. 
    • Improving Outcomes: Drives outcomes while reducing costs with people, technology and clinical insights. 

    Limitations

    User feedback at the time of this review indicates that some of the product limitations include:

    •  Not cost-effective for the features offered. 
    •  Runs slower for larger practices. 
    •  Lack of helpful customer support. 

    Suite Support

    mail_outlineEmail: [email protected].
    phonePhone: A list of phone numbers for support are available on the website.
    schoolTraining: Optum offers a training curriculum to help users get the most out of the software.
    local_offerTickets: Sign in to Optum online to submit help requests.

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All Physical Therapy Medical Billing Software (55 found)

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Buyer's Guide

Physical Therapy Medical Billing Software Is All About Improving Clinical and Financial Outcomes 

Physical Therapy Medical Billing BG Intro

With ever-changing health care guidelines, obscure rules and difficulties in tracking claims, billing for physical therapy has become challenging. But remember, if problems exist, solutions exist too. Like King Arthur used Excalibur to win wars, you can implement physical therapy medical billing software to overcome accounting and clinical issues. They often integrate with general medical billing applications to help you achieve billing efficiency.

We designed this guide to help you in your software selection quest.

Executive Summary

  • Physical therapy medical billing solutions help physiotherapists, billing companies and clinic owners streamline invoicing processes, reduce customer attrition rates, increase clinical efficiency and improve patient engagement.
  • Core features to look for in PT billing applications are coding functionalities, claim management modules and integrative capabilities.
  • Prepare a list of internal questions to determine your organization’s needs.
What This Guide Covers:

What Is Physical Therapy Medical Billing Software?

Physical therapy medical billing solutions help physiotherapists, practices and billing companies manage business operations such as appointment scheduling, treatment planning, invoicing and reporting. They assist you in collecting accurate information, protecting you from audit-related penalties. You can perform 8-minute rule calculations and NCCI edits in minutes.

Coding modules enable you to determine the correct CPT, HCPCS and ICD-11 codes to help you reduce denials. Submit claims within assigned deadlines to avoid payment delays. Track claim statuses and transactions in real time via the dashboard.

Revenue cycle functionalities help you improve revenue per visit, reduce A/R days and achieve a clean claims rate. You can generate financial reports to compare past and current trends to develop better revenue strategies. You can also integrate with business intelligence tools to make data-driven decisions.

Patients can schedule appointments, request medications and view documents through the patient portal. They can also exchange information with their physiotherapists via a HIPAA-secure messaging gateway. Enable clients to pay according to their preferred payment method to enhance their financial experiences.

Primary Benefits

Technological advances have brought significant changes in the health care industry. Physiotherapists can now gather, organize and analyze data with AI-driven tech. Such solutions help patients perform home exercise programs (HEPs) using mobile devices. Clients can track their movements through mobility sensors, helping you deliver better patient care.

Benefits of Physical Therapy Medical Billing

Apart from providing value-based care, PT billing solutions consist of ample benefits. We have highlighted a few of them below.

Improve Operational Efficiency

Sometimes, employees get irritated by performing repetitive tasks. They end up making mistakes. And one billing error can cause payment delays and legal issues. Physical therapy billing applications encourage you to automate mundane activities such as documentation and prescription management to help lower administrative burdens. You can load standard codes, modifiers and line items using procedure macros to save time.

Avoid Billing Errors

No one in the health care industry can afford to commit invoicing mistakes. They can cost you time and money. Some of the common reasons for billing errors are as follows:

  • Incomplete or missing documentation
  • Insurance changes
  • Delay in claim submissions
  • Coding mistakes
  • Typos and other minor inaccuracies

Physical therapy billing platforms help you tackle such issues. They assist you in producing accurate invoices, submitting error-free claims and maximizing reimbursements. You can send statements to patients directly from the system. You can customize your invoices according to your company’s visual style guide to help spread brand awareness.

Capture Accurate Information

Incorrect patient data can lead to treatment errors and malpractice liabilities. It can also put your clients at risk. According to Medscape’s Malpractice Report, 4% of physicians faced malpractice lawsuits due to poor documentation of patient instruction and education.

Malpractice Stat

Billing applications provide customizable SOAP templates to help you collect precise data. They encourage patients to complete digital intake forms prior to their appointments. This gives you time to verify client documents and prevent medical negligence.

You can integrate with EHR or EMR systems to organize files and ensure data security. You can also share records with health care providers and insurance companies to achieve interoperability.

Make Informed Decisions

PT billing solutions help you gain real-time data visibility. They assist you in identifying trends and resolving issues before they arise. Reporting modules enable you to filter, group, aggregate and recalculate data according to your needs. Perform patient assessments and prescribe medications based on evaluation results to make better clinical decisions.

Enhance Patient Experiences

A satisfied patient means repeat business. But a dissatisfied patient can put your practice at stake. Billing platforms help customers schedule appointments, make online payments and send messages to their physiotherapists with just a few clicks. They assist you in reducing waiting times, providing cost transparency, streamlining payment processes and improving patient satisfaction scores.

Key Features & Functionality

Medical Billing

Invoicing errors can invite federal fines, claim denials and payment delays. Medical billing modules help you produce accurate invoices. You can access the coding database to assign precise treatment codes.

Automatically scrub claims for LCD and CCI errors to avoid rejections. Integrate with clearinghouses to identify coding and documentation errors and securely transmit claims to insurance companies.

Credit card processing functionalities help you manage chargeback notifications, increase collections, run credit card summary reports and review transactions. Setup payment plans to lower patients’ financial burdens.

Scheduling

Managing appointments manually is tedious. You might schedule overlapping appointments, increasing patient waiting time. PT billing solutions assist you in maintaining steady patient flow and reducing cancellations and no-shows. Automatically send appointment alerts to patients in their preferred language via text, call or phone.

Leverage the waitlist functionality to backfill canceled appointments. Organize calendars for multiple therapists and facilities using color-coding and custom labeling tools. You can integrate with patient scheduling systems to increase the customer retention rate.

Reporting

This feature enables you to generate cash flow, A/R aging, insurance analysis and collection reports to help assess your company’s financial performance. Transform data into actionable insights to identify the strengths and weaknesses of your practice.

Treatment Guidelines

PT billing platforms enable you to analyze patients’ behavior to design successful treatment plans and support programs. They come preloaded with diagnosis and treatment protocols to help you deliver high-quality care.

Marketing Automation

It’s difficult to survive in the physical therapy industry without marketing. Competition is increasing every hour. And if you want to convert prospects into new patients, you need to create awareness campaigns, loyalty programs and promotional packages.

Billing apps can assist you with such things. They provide patient engagement capabilities to help you improve customers’ experiences.

Patients can post online reviews, helping your practice gain more visibility.

Documentation

Physical therapy billing systems help you create HIPAA-compliant documentation. They enable you to bookmark frequently used codes to save time. You can save paragraphs and assign keywords to them to avoid rewriting common entries. You can track patients’ daily exercise routines through exercise flowsheets.

Integrations

Installing multiple systems on your PC can result in glitches and lags. PT billing applications encourage you to integrate with telemedicine, prescription writing, medical practice management and EHR platforms to save time and optimize business processes.

Denial Resolution

Sometimes, insurance companies deny claims due to incorrect documentation, coding mistakes and formatting errors. Denial resolution modules enable you to identify inaccuracies and submit claims in a timely manner. You can flag denials to prioritize them. You can also produce denial reports to identify and resolve the root causes of rejections.

Software Comparison Strategy

It’s not the best practice to select a solution you first set your eyes on. You could end up switching platforms, resulting in cost overruns. You need to examine different solutions to find the perfect product.

Below we have mentioned certain things you should consider while conducting a software comparison.

Physical Therapy Medical Billing Software Comparison

What functionalities do you need from the billing platform? You won’t need each and every module that the software offers. For instance, you might already use a practice management solution and just need help with billing and claim tracking. In that case, you should look for a product offering robust invoicing and claim management capabilities.

It’s important to list your company's needs before you approach vendors. You can create a medical billing requirements checklist to make sound decisions.

We recommend you look for coding, claim scrubbing, reporting, outcome tracking and scheduling modules.

Do you wish to access files from remote locations? If yes, you should look for a billing application offering mobile capabilities. You can monitor patient progress, track claim statuses and download essential documents via internet-enabled devices. However, you should ensure that the mobile app provides features available on the web version.

Integrations help you boost productivity, ensure data integrity and simplify business operations. That’s why you should invest in a product offering integrative functions.

It’s difficult to ensure compliance with constantly changing health care regulations. For that purpose, you should look for a physical therapy billing app that helps you maintain regulatory standards. The product should comply with HIPAA and ICD-11 standards. You should also consider products that are ONC-ATCB certified.

Some of the contract considerations you should look for are as follows:

  • Indemnification Clause: It protects you from lawsuits related to cyberattacks. The provider will be responsible for paying costs associated with patients’ lawsuits.
  • Service-level Agreements: They highlight key commitments like software uptime, hours of operation, support team response time and exceptions to the SLA conditions.

Do not forget to talk to other medical professionals currently using the platform. They can provide you with honest opinions, which will help you make informed decisions.

Cost & Pricing Considerations

Remember how Medusa petrified anyone she looked at? Well, vendors cannot turn you into stone. But they can blind you with rose-colored glasses. Their promises might seem genuine. And you might fall in love with their solutions. You need to remove those glasses to uncover hidden costs that could overthrow your budget.

Below we have mentioned some pricing considerations to help you invest in a budget-friendly physical therapy medical billing software.

Vendors employ price discrimination strategies to charge different fees to different groups of customers. For instance, large-sized companies have to pay less per user than small businesses. That’s why you should determine your organization's size to avoid unnecessary expenses.

Different providers offer different pricing plans. Some might ask you to pay upfront, while others might charge you on a monthly basis. You should go through your financial plans and decide what option would work best for you.

Vendors can charge you according to the deployment method they offer. Cloud-based solutions cost around $26 to $112 per month, whereas on-premise products can range from $35 to $8,100 per month. Access our medical billing pricing guide to view billing applications' cost structures and pricing details.

Sometimes you might need additional functionalities to drive your business towards success. Vendors can bill these add-ons separately. That’s why before you finalize the product, ask vendors about such costs to avoid budget overshoots.

Some providers customize their systems to fit your requirements. Because they make efforts to understand your business workflows, they might charge you an additional fee. You should always remember to discuss customization costs before signing the software contract.

Most vendors offer on-site, online and hybrid training options. They also provide educational resources to help you understand their products better. But such materials could cost you extra. For that reason, you should ask providers about the fees associated with training resources.

Some sellers provide phone, chat and email support. They enable you to submit tickets via the support portal. Remember, not all support options come for free. You might have to pay extra to avail such services.

The Most Popular Physical Therapy Medical Billing Software

Selecting a solution that best suits your business needs is not a cakewalk. You need to evaluate hundreds of solutions to find the best product. We have listed some medical billing platforms that could help you kickstart your software selection journey to make this process easier.

The following are the current best EHR solutions:

Note: The products listed below may not serve physical therapy specialties. But they do offer general billing modules to help you achieve billing efficiency.

DrChrono

DrChrono provides cloud-based solutions to help physiotherapists, administrators and companies optimize financial and clinical workflows. Utilize prebuilt physical therapy templates to document information quickly. Enable patients to access thousands of pediatrics, cardiology, orthopedics and neurology exercises. Track patient outcomes to deliver quality care.

DrChrono

DrChrono’s live claims feed.

Patient scheduling modules assist you in reducing no-shows and cancellations. Enable clients to prepone or postpone meetings with just a few clicks. Customers can also complete intake and consent forms via the patient check-in app using iOS devices.

Revenue cycle functionalities enable you to generate collection, A/R aging, reimbursement and charge analysis reports to help analyze financial metrics. The vendor offers a dedicated account manager to assist you in maintaining positive cash flow. It also provides a team of coding experts to help you achieve a clean claims rate and reduce denials.

You can track claim statuses via the live claims feed. The billing dashboard helps you monitor cost trends, transactions and A/R days. Perform real-time insurance eligibility checks to avoid denials. Automatically submit claims to health plan companies to save time. Generate accurate patient statements within minutes.

CureMD

CureMD is a web-based platform that offers revenue cycle, practice management, billing, patient engagement and scheduling modules. It helps medical practitioners and billing companies boost productivity, increase profitability and maintain regulatory standards. You can monitor key performance indicators such as copays, denials and revenue flow in real time. Generate and send e-superbills to patients directly through the system.

CureMD

CureMD’s financial dashboard.

Payment processing modules encourage clients to pay through credit and debit cards and online wallets. You can generate reports to assess the financial performance of your practice or company. Export data to Excel, Word, Rich Text and PDF formats. Submit denied claims within assigned deadlines using denial resolution modules.

Kareo Billing

Kareo Billing is a cloud-based platform that helps physiotherapists and health care billing companies deliver value-based care, improve clinical outcomes, increase patient engagement and produce accurate bills. You can access A/R management modules to achieve your revenue goals. You can also leverage reporting functionalities to evaluate your practice’s financial standing. Verify patients’ insurance benefits to increase collections.

Kareo Billing

Perform insurance eligibility checks with Kareo Billing.

Enable patients to schedule appointments through the patient portal. Send automated meeting reminders to clients via text, email or phone to reduce the no-show rate. Encourage customers to access educational materials to help them better understand their health care journey. Integrate with EHR and EMR systems to locate files quickly.

Manage billing tasks through an easy-to-use inbox. Track gross and net collections, patient visits, accounts receivable and gross charges via the dashboard. The vendor offers a team of RCM experts to help you boost revenue and improve operational efficiency.

Questions to Ask

Before you approach vendors, you should jot down your company needs with your team members. It will help you find the perfect solution. You can conduct surveys to understand different viewpoints. Use these questions to kickstart discussions with your employees.

Physical Therapy Medical Billing Key Questions To Ask

  • What kind of deployment do we need? On-premise or cloud-based?
  • Do we need documentation assistance?
  • Will the platform solve our coding issues?
  • Do we require a scalable solution?
  • Will the solution help us boost productivity?

Vendors will try to win you over by blinding you with fabricated testimonials, gold-plated benefits and discounts. You need to read between the lines to uncover the truth. You should arm yourself with questions before you initiate conversations with providers. We have listed some questions below that could help you eliminate unsuitable vendors.

  • What are the available training options?
  • Does the solution provide reporting capabilities?
  • Does the vendor offer software trials and demos?
  • Is the platform HIPAA-compliant?
  • How often does the provider release updates?

In Conclusion

Physical therapy medical billing software helps you optimize billing workflows, ensure compliance and increase profitability. Marketing modules help you reach potential clients and improve the customer retention rate. Clients can book appointments according to slot availability via the patient portal. Leverage revenue cycle functionalities to boost cash flow and streamline clinical and administrative processes.

We understand that evaluating vendors can be daunting. You can use our comparison matrix to compare multiple solutions and generate scorecards to help make data-driven decisions.

If you have any questions, please feel free to reach us via phone or email mentioned on our website. Hope to hear from you soon!

About The Contributors

The following expert team members are responsible for creating, reviewing, and fact checking the accuracy of this content.

Technical Content Writer
Riya is a Technical Content Writer at SelectHub. She writes content for our construction scheduling and bidding, CMMS and medical billing categories. She's also a part of the social media team where she crafts posts that engage and resonate with our audience. Riya holds a Graduate Degree in Journalism and Mass Communication from Lovely Professional University, Punjab, India. Fueled by a love for black coffee, her day begins and ends with its energizing ritual. Riya enjoys a variety of TV series, including Friends, Suits, American Horror Story, and How to Get Away with Murder. During her free time, you'll find her reading or spending time with her close ones. She believes in magic and is waiting for that day when reality compromises and fairytale swirls around with a smile.
Technical Research By Dhanasri Yasam
Senior Analyst
As a Senior Research Analyst, Dhanasri Yasam works in key categories like EHR, EMR, business intelligence and HR. In her role, she conducts primary research, collects and analyzes empirical data, and draws evidence-based conclusions. She also has extensive experience gathering requirements for client projects. Dhanasri holds a B-tech in Computer Science and Engineering from Dr. M.G.R. Educational and Research Institute, Chennai and an MBA in Finance and Marketing from Aurora's Business School, Hyderabad.
Technical Review By Manan Roy
Principal Analyst
Manan is a native of Tezpur, Assam (India), who currently lives in Kolkata, West Bengal (India). At SelectHub, he works on categories like CRM, HR, PPM, BI, and EHR. He has a Bachelor of Technology in CSE from The Gandhi Institute of Engineering and Technology, a Master of Technology from The Institute of Engineering and Management IT, and an MBA in Finance from St. Xavier's College. He's published two research papers, one in a conference and the other in a journal, during his Master of Technology.
Edited By Ryan McElroy
Content Editor
Ryan McElroy is a Content Editor and Senior Market Analyst at SelectHub who writes and edits content on various software types, along with their broader concepts and the industries they serve, including medical, construction, CMMS, supply chain management and legal. He studied at the University of Missouri (Mizzou) and earned his BA in Journalism in 2016. During his free time, you’ll find Ryan playing video/card/board games, sipping coffee and reading speculative fiction, or listening to music his loved ones often describe as “headache-inducing.”