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Claim Editor Software is designed to streamline the creation, editing, and administration of medical claims, ensuring the accuracy and compliance of these claims with relevant healthcare industry standards and regulations. As being an integral part of the medical billing process, and aiming to minimize errors and enhance the efficiency of claim submissions, it typically includes features for error checking, validation, and formatting of claims to meet the requirements of insurance providers. The software is primarily used by medical billing professionals in the healthcare industry.

• Aptarro RevCycle Engine
  5.0

  2 Reviews

Gartner defines revenue cycle management (RCM) software as healthcare financial software that tracks and captures revenue received from patients and healthcare payers related to an episode of care. The software combines the administrative and clinical aspects of healthcare delivery by coupling patient financial and clinical data required for reimbursement. The revenue cycle management process begins at the time of patient scheduling, and it includes the process of obtaining eligibility, prior authorization, billing and collections and ends with account reconciliation. This market definition includes offerings from enterprise RCM vendors and consists primarily of vendors selling stand-alone software solutions. Healthcare delivery organizations (HDOs) use RCM software to streamline and automate their encounter-based financial workflows and billing processes. The software enables patient access, claims submission, accounts receivable (AR) management, and federal and state regulatory compliance. When implemented in conjunction with an electronic health record (EHR) system, RCM software unifies administrative and clinical data for HDOs. This results in enhanced patient engagement; higher staff utilization; enhanced financial planning; reduced fraud, waste and abuse; and improved revenue capture.

• Aptarro RevCycle Engine
  4.7

  3 Reviews