The Health Insurance Portability and Accountability Act, (HIPAA), sets the standard for protecting sensitive patient data. To ensure HIPAA Compliance, companies that handle protected health information (PHI), must have security measures in place for their physical, network, and process. Anyone who handles information about patient health must comply with the security standards set forth in HIPAA.
Some medical compliance software, as part of Practice Management Solutions, are more adept at meeting all or some of these standards than others. This list contains the top-rated medical compliance software specifically for their compliance features. These platforms will ensure that your patients' data is safe and secure.
Best Medical Compliance Software
Kareo EMR
Kareo EMR has robust functionality that can make a difference in how a practice operates every day. This solution lets users work with ICD-10 diagnostic codes. ICD stands for the International Classification of Diseases. The 10th revision was published in 1993. To provide comprehensive medical billing services, users can use other identifiers and contract agreements with insurance companies.
The PM medical billing software automates many of the revenue processes that can be burdensome for small practices. It is designed for small- to medium-sized businesses and is committed to their clients' success and comfort with the software. For the first 90 days, Kareo assigns a coach to each user. To resolve any questions or concerns, users can reach out to a coach directly.
Kareo's systems comply with HIPAA to protect patient's information. It is also ICD-10-compliant. This allows users to code data sets accurately, ensuring accurate information transfer.
This feature allows you to quickly send electronic and insurer-specific claims. Kareo is committed to security by providing its services via a highly secure and controlled platform within company-owned data centres. Kareo implements best-practice security frameworks that use both third-party and in-house tools and services. It has also received industry certifications as well as independent third-party attestations.
Kareo also implements third-party audits and external threat assessments by agencies. Administrative safeguards, data encryption, strict requirements for data handling, and secure networking measures are some other security features. This medical compliance system makes sure that all patient records are safe and sound.
NextGen HealthCare
NextGen EMR Office offers a central patient database that users can access from any device, including a smartphone, tablet or desktop. This solution stores patient information, including social history and demographics in an easily-accessible database.
SureScripts allows medical professionals to import Rx history of patients. This allows medical professionals to run advanced drug interactions and allergy tests and helps in determining appropriate dosage limits.
NextGen Office's YourHealth File Patient Portal allows users to manage workflow. Patients can book appointments, view lab results, receive billing updates, and communicate securely with their providers.
NextGen Office allows for effective communication via automated text messages and emails. This solution includes an e-prescribing module, which allows for prescription renewal. Interactive maps are also available to help patients find the nearest pharmacy.
NextGen Office supports iPhone/iPad electronic prescription and allows users to fax directly to the clinic's document repository. This medical compliance solution provides HIPAA-compliant internal messaging system that allows for collaboration between patients, staff, providers, billers, and other users.
NextGen Office has demonstrated ICD-10 success. Their first pass payer rates did not decrease since October 1, and the ICD-10 transition was seamless. NextGen Office is HIPPA-compliant, ICD-10-ready, and meets ANSI 5010 standards.
Centricity EMR
Centricity EMR, a fully integrated electronic medical records (EMR) system and practice management software, is used by doctors and administrative staff to improve a clinic's operational efficiency. Both the practice management module and EMR module can be used as standalone solutions. They have built-in tools to connect to almost any hospital EMR and revenue cycle system.
The PM solution offers a web portal to your patients. Patients can use this portal to send messages directly through secure, HIPAA-compliant networks to their doctors and staff. Patients can request appointments, access financial information and even bill billing. It's a secure medical compliance application that allows you to capture and store patient and institutional records, and share them with other parties.
Centricity EMR, GE Healthcare and GE Healthcare have committed to their customers the software upgrades necessary to support ANSI X125010 version EDI transactions. This will allow them to meet the final published compliance dates of the Centers for Medicare & Medicaid Services (CMS). Centricity EMR conforms to the current ANSI X12-5010 requirements.
Centricity's cloud hosting handles all HIPAA compliance requirements for you. Centricity supports a secure concurrent user system by storing all user and resource information within Microsoft Windows 2000 Active Directory. This manages permissions to logon to computers or networks.
This application makes use of Active Directory flexibility and security. This application allows users to manage all security settings for any applications from GE from a single network administrator point. Active Directory validates user information, such as passwords and security policy details, rather than requiring that the user store both database and network passwords.
The Centricity EMR meets Meaningful Use and ICD-10 requirements. It meets HIPAA 5010 regulations. It searches across ICD-10 codes using algorithms or rules engines to improve accuracy and efficiency in medical coding.
CureMD
CureMD offers an integrated electronic health record (EHR), practice management, and billing service. CureMD's integrated platform is suitable for all types of practices and best suited for medium-sized to large enterprises.
CureMD integrates and interoperable EMR software. This allows practices to concentrate on patient care and health record management. CureMD software with EHR software functionality offers models for medical billing, practice management, and population health. It also has mobile capabilities to assist healthcare offices in finding new ways to capture and present patient information.
This EHR uses advanced security features and backups systems to prevent data loss and keep your information private, secure, and accessible. CureMD offers several features that help you to manage your security and confidentiality, such as provider passwords, locked screens and access restrictions, audit trails, and audit trails. Administrators have the option to use permission-based features within the application settings. This allows hierarchical access of sensitive data.
CureMD is ICD-10-ready and HIPAA compliant. This medical compliance solution also meets ANSI 5010 requirements. ANSI 5010 provides the most current update on HIPAA compliance. CureMD is an excellent choice for users who want to securely store their health records data.
NueMD
NueMD is a software that can be used to help practices manage revenue cycles and build efficient internal operations. The software is used as an independent part of an office's IT infrastructure. It simplifies medical billing operations and gives administrators and doctors more time to do other types of work.
This software is delivered over secure internet connections and does not need to be accessed by a web browser. It also avoids the security threats that browser-based alternatives face. NueMD is ICD-10-compliant, HIPAA compliant, and ready for the ICD-10 Transition. HIPAA compliant mobile apps are available for both Android and Apple devices.
NueMD offers a personal assessment of your practice, which is one of the best aspects of NueMD. The company will perform a thorough assessment of your office before clients are willing to use it. This assessment will evaluate your finances, technology, workflow, and any other factors that could affect your practice. The company then develops a plan that addresses your specific needs to improve your operations and implement your new software. This medical billing company will not offer a generic plan to all clients, but rather a tailored strategy that will best serve your practice.
NueMD is a secure, HIPAA compliant software solution that streamlines patient care and administrative tasks. NueMD is a standard in the industry and publishes a range of content that can be used to assist other practices with medical compliance. AdvancedMD owns it, and their security protocols are described in the following section.
AdvancedMD
AdvancedMD offers all the tools that you need to manage A/R and claim processes in one database. The clearinghouse streamlines manual processes, auto generated worklists increase productivity and expedite reimbursements. Automatic claims scrub gives you a nearly 100 percent acceptance rate for your first-pass claim.
AdvancedMD EMR provides the control practices they want and need by allowing electronic access to charts and information. AdvancedPM automates updates to comply with HIPAA compliance, Meaningful Use regulations, and ICD-10. AdvancedMD is compliant with 2014 Edition and has been certified in accordance to the applicable certification criteria by an ONC–ACB.
AdvancedMD, a cloud technology is an all-inclusive service and product. The AdvancedMD terms of service require that the user pay a monthly fee to access a complete product. This certified product version requires a monthly service fee that enables e-Prescribing, computerized provider order entry, formulary checking, interaction checking, VDT (view/download/transmit), clinical information reconciliation, transmit transitions of care, patient education and secure messaging.
AdvancedMD also offers a variety of medical compliance software solutions, including HCSI and Compliancy Group. AdvancedBilling databases will ensure that patients' data is safe.
eClinicalWorks
eClinicalWorks EMR has been certified by the ONC. It is compliant with EHR technology certification. This certification is essential in helping practices meet meaningful use requirements at stage one and 2. It also promotes the types of uses that government regulators want in this age of digital healthcare.
The versatile electronic medical record software tool allows medical providers offices to streamline their clinical workflows and work efficiently within a high-stakes and high-pressure environment. The eClinicalWorks was designed to achieve key healthcare objectives. Its cloud-based EHR design ensures that doctors and other healthcare professionals have competent medical billing procedures. There is also a great interconnected EHR system and excellent communication and interoperability with architectures.
Eva, a smart and voice-activated medical assistant, is a new feature in eClinicalWorks' updated version. It can retrieve patient histories, compare notes, and bring up outstanding balances to name a few of the tasks it can perform. Eva can adapt to the workflows of providers as it learns their preferences. This assistant tool is unique among EMRs and distinguishes eClinicalWorks as an application.
The company will convert your data to the new system free of charge if you're switching from an older system. The PM from eClinicalWorks supports ICD-10 coding using a tool that crosses-supports ICD-9 code. The software will display all ICD-9 codes that can be translated into multiple ICD-10 code codes. You then have the option to select one of these codes. This extra feature is useful for practices that want to be integrated into the ICD-10 standard. It saves time, ensures accurate charting, and allows you to request reimbursement.
This solution allows patients to use HIPAA compliant messaging to communicate directly with staff and physicians. This medical compliance system conforms to ANSI 5010 requirements. It is also certified by an ONC ATCB board for meaningful usage attestation stage 1 and stage 2. eClinicalWorks makes it easy to comply with federal regulations by meeting documentation standards. You don't need to have expensive hardware because the software is web-based.
AthenaCollector
AthenaCollector gives clients access to over 75,000 providers, an updated rules engine, and back-office staff working for you. Their experts handle the most difficult tasks such as claim submission and follow up, denial management and payment posting. This helps practices get paid six percent faster and 32 percent quicker.
Athenahealth EMR offers cloud-based services such as electronic health records, revenue cycle management and medical billing, patient engagement and population health management. Epocrates is also available.
athenaCollector's platform automatically updates its databases with the most current industry standards, such as ICD-10. This ensures regulatory compliance and medical compliance. This solution is compliant with HIPAA 5010 requirements. It also keeps private data secure from prying eyes.
The application offers cloud-based security and flexible support. This medical billing service offers features and help that aren't available in other medical billing solutions.
AthenaCollector has been certified for FIPS 140-2 and HITRUST and DirectTrust. It also meets PCI security standards, PCI data security standard, SOC1/SSAE16/ISAE 3404 and SOC2. Data is protected at rest with HTTPS encryption and can be accessed using multi-factor authentication. To prevent data loss, data is stored in multiple locations.
Last Thoughts
Each one of these medical compliance software programs has its pros and cons. Make sure you check out our leaderboard for more information. You can be confident that your data will not be compromised no matter what billing-compliant HIPAA software you choose.
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