Billing and Collections
Track every dollar from claim submission through final payment with our billing and collections module built into your desktop application with no internet required. Monitor accounts receivable aging, payment trends, denial rates, and collection performance through interactive dashboards running on your local machine. Post payments or import ERA 835 remittance files to match payments to claims. Manage denials with built-in appeal tracking and resolution timelines. Our integrated AI assistant answers coding questions, explains denial codes, and generates reports without sending patient data online. All data is stored locally and HIPAA compliant with no cloud dependency or monthly fees. The Paper Claims and Electronics Software is also included, at no additional cost.
Features
HIPAA COMPLIANCE
Stay fully protected. Our Billing & Collections Software is built HIPAA-compliant from the ground up.
Paper Claims & ANSI X12/837P
Submit claims your way — Paper Claims and ANSI X12/837P electronic billing included in Billing and Collections Software.
AI Agent
Let our built-in AI Agent handle billing follow-ups, claim status checks, and collections workflow.
Claims Summary
Comprehensive listing of all submitted claims with dates, total charges, diagnosis codes, and payer.
ICD-10 Analysis
Filters and groups all claims by ICD-10 diagnosis codes to show the most frequent billing patterns.
Practice Statistics
Displays key practice metrics including claim counts, total revenue, and average charge amounts.
Grouped By Provider
Organizes and totals all claims by billing provider for side-by-side volume comparison.
Rendering Provider
Breaks down claims by the rendering provider listed in Box 24J of each CMS-1500 form.
Supervising Provider
Tracks claims linked to supervising providers to monitor oversight and referral volume.
Insurance Type
Compares primary versus secondary insurance distribution across all submitted claim records.
Emergency Claims
Identifies and lists all claims flagged with the EMG emergency indicator in Box 24C.
Missing Data
Quality audit that flags claims with incomplete or missing fields that may cause denials.
Year Over Year
Compares claim volume, charges, and trends across multiple years in a side-by-side view.
Procedure Pairs
Analyzes which CPT procedure codes are most commonly billed together on the same claim.
Modifier Analysis
Reviews usage patterns of CPT modifiers in Box 24D across all submitted claim records.
Units Analysis
Examines service unit quantities from Box 24G to identify billing patterns and outliers.
Authorization
Tracks prior authorization numbers from Box 23 and links them to associated claim records.
Patient Demographics
Summarizes patient age, gender, and location data extracted from submitted claim forms.
Turnaround Time
Measures the number of days between date of service and claim submission for each record.
Denial Reasons
Categorizes and ranks the most common denial reason codes to highlight recurring issues.
Revenue By CPT
Ranks CPT procedure codes by total revenue generated to show top-earning service lines.
New vs Established
Compares new patient and established patient E/M visit codes to track practice growth.
High Value Claims
Flags and lists all claims exceeding a set dollar threshold for priority review and audit.
Duplicate Check
Scans for potential duplicate claims based on matching patient, date, and procedure codes.
Monthly Summary
Provides month-by-month totals for claim counts, charges, and key billing trend metrics.
Date of Service
Groups and totals all charges by their date of service for daily revenue tracking detail.
A/R Aging
Categorizes outstanding claims into aging buckets to track accounts receivable over time periods.
Claim Volume
Charts the number of claims submitted per period to visualize workload and billing activity.
Provider Summary
Summarizes each billing provider’s total claims, charges, and average reimbursement rate.
Referring Provider
Lists referring providers from Box 17 with associated claim counts and charge details.
CPT Analysis
Detailed frequency and revenue breakdown for every CPT procedure code in your claim data.
Place of Service
Groups claims by place of service code to show volume across offices and facility types.
Diagnosis Report
Ranks all diagnosis codes by frequency and total charges across the entire claim dataset.
Billing Audit
Comprehensive compliance audit checking for coding errors, missing data, and billing issues.
Claim Accuracy
Scores each claim for data completeness and flags specific fields that need correction work.
Billing Reports
Emergency Claims
Report
AR Aging
Report
Authorization
Report
Billing Audit
Report
CPT Analysis
Report
Date of Service
Report
Claim Accuracy
Report
Claim Status
Report
Claim Volume
Report
Denial Reasons
Report
Diagnosis
Report
Duplicate Check
Report
Claims Summary
Report
Grouped By Provider
Report
High Value Claims
Report
ICD10 Analysis
Report
Insurance Type
Report
Missing Data
Report
Place of Service
Report
Modifier Analysis
Report
Monthly Summary
Report
New vs Established
Report
Patient Demographics
Report
Payer Mix
Report
Revenue By CPT
Report
Rendering Provider
Report
Practice Statistics
Report
Procedure Pairs
Report
Provider Summary
Report
Referring Provider
Report
Supervising Provider
Report
Turnaround Time
Report
Units Analysis
Report
Year Over Year
Report