Advancements in technology healthcare systems have led the Electronic Medical Billing Software or e-billing solution to automate financial processes for quick claim submission and to increase the collection process. Medical billing is a financial procedure of the submission and following of claims with health insurance companies in the United States in order to receive payments. Traditionally medical centers, hospitals, and clinics used paperwork systems to handle billing processes.
Now the issue is simplifying the selection of Medical Billing Software that caters to the unique requirements of your practice. Among hundreds of computerized medical billing systems available at different costs and sophistication levels, the most basic medical billing system should help providers generate statements and accept claims electronically.
The idea of Medical Billing Software is to automate repetitive and redundant billing tasks by helping in:
We have devised a list of key features that should be present in a top-rated Medical Billing Electronic Medical Records Software.
What is an Electronic Medical Records (EMR) Software?
Looking for Electronic Medical Records Software (EMR Software) is a time-consuming project. With over 600 EHR/EMR and Practice Management Software companies today, there are many things to consider when thinking to start using or switching your Electronic Health Records Software (EMR Software). You must make sure that you have covered every aspect involved before making a final decision. The term EMR Software or EHR Software (Electronic Health Records) merely represents maintaining medical records for patients electronically or using a computer system. Specially designed software enables physicians and other medical professionals to store extensive sets of patient data ranging from patient demographics to detailed clinical information, such as medical history, social history, lab reports and more.
EHR Software by Specialty
Since all medical providers (MDs, DOs, PAs, NPs, LCSW, OT, etc.) work distinctly based on their background and medical specialty, EMR Software or EHR Software must accommodate the unique style and documentation requirements. Examples of such specialty-specific features include the ability to annotate images or the capability to store before/after photos for Pain Management specialists and Dermatology specialists respectively. Similarly, other specialties such as Pediatrics, Oncology, Podiatry, Ophthalmology, Neurology, Nephrology, Dialysis Centers, Rheumatology and Chiropractic Care require their unique set of specialty-specific features to simplify adoption.
Meaningful-Use
Since the introduction of the HITECH Act, healthcare IT has undergone a massive transition starting from the widely recognized Meaningful Use program to what is now known as MACRA, the Medicare EHR Incentive Program. The Meaningful Use program has transformed and now formed part of the four components of the new Merit-Based Incentive Payment System (MIPS), which itself is a fundamental part of MACRA.
For some medical practices, the transition from paper-based records to EMR Software (Electronic Medical Records Software) has not been a simple one. Regardless, realizing that the benefits of utilizing ONC Certified EMR Software far outweigh the hassle and challenges associated with it – ensuring a viable future, most practices today have successfully transformed their clinical and administrative operations to EMR Software.
EMR Software Benefits
Aside from ensuring tangible financial incentives and profitability, practices converting to EHR / EMR Software have seen the following benefits:
- Improved Practice Efficiency
- Improved Profitability and Revenue Cycle (Medical Billing Services)
- Patient Engagement(via Patient Portal)
- Decreased Stationary Costs
- Better Care Coordination
- Enhanced Security and Safety (Cloud Storage & Back-ups) – Cloud-based EMR Software
- Connectivity between doctors & hospitals across the country – Health Information Exchange (EMRs with HIE connectivity)
EHR Software Based on Practice Size
Not all EMR Software vendors are suitable for hospitals and/or clinics with multiple specialties or providers. Similarly, EHR Software vendors designed for larger organizations such as hospitals or multi-provider clinics do not usually support a solo doctor practice and/or a small medical enterprise. Budgetary constraints aside, many other factors will make an EMR Software vendor viable for your medical practice. From solo provider clinics to large multi-provider and multi-specialty clinics, every practice has unique inherent challenges that must be addressed by their respective Electronic Medical Records (EMR) Software vendor.
Small or Solo Provider Practices
A small doctor’s office not only has a limited number of staff members but their EMR Software budgets are also extremely low compared to a large enterprise such as a hospital. Due to these budgetary constraints, many providers simply choose to employ Free EMR Software or choose an affordable EHR Software vendor with a low fixed monthly fee. Cloud-based access is one such important requirement so that these providers can access patient charts even from home when needed.
Large Practices
Larger group practices generally comprise more than fifteen or often twenty medical providers. These practices usually provide medical services that fall under various medical specialties (Orthopedics, Pain Management, Surgery, Chiropractic Medicine, Family Medicine, etc.). Therefore, these practices require support for multiple users to access the system simultaneously, as well as for the Scheduling software to accommodate multiple locations, providers and resources such as Dialysis Chairs, procedure room allocation, etc. These practices also keep replacing or adding staff members and need a scalable solution.
Medium-Sized Practices
These practices usually consist of 5 to 10 medical providers often belonging to the same medical specialty. Their requirements are more stringent, while their budget is also considerably large. Aside from specialty-focused requirements (EMR Software by Specialty), these practices also require unique features such as interoperability, dedicated customer support, multi-device support as well as extensive reporting functionality to keep an eye on the overall performance of the practice.
Hospitals or Enterprise Organizations
EHR companies such as Epic, Cerner, AllScripts, NextGen, Athenahealth, IMS by Meditab, eClinicalWorks, Meditech, McKesson, MEDHOST, etc. usually target and provide solutions for larger corporations like Hospitals, ACOs, PCMH, IPAs, CINs (Clinically Integrated Networks), Public Health Departments, etc.
These customers have the most elaborate list of requirements, which are usually documented in the form of an RFI or RFP to assess and shortlist vendors that can meet them. The requirements consist of features like inventory management modules, interface with local labs (LIS), machines and diagnostic equipment along with drug dispensing (Pharmacy Management Software) and Electronic Medication Administration Record (EMAR), etc. These entities also require for the EMR Software also need to integrate with multiple other software and medical devices.
Why does your practice need EMR Software?
Since the introduction of Meaningful Use, most healthcare practices simply have little or no choice but to convert their practice operations to an EHR system. However, most providers today select the EHR vendor of their choice that best suits their specific needs and must perform an extensive search to evaluate all available options before they find one that’s suitable. Most potential EMR Software buyers in the market today have the following in common:
- Do not know what they are looking for
- Know exactly what they want but don’t know where to start or find it
- Relying on advice from colleagues using EMR software already
Although #3 is ideal, every provider and practice workflows are unique and therefore what works for one provider may not suit the other. “One size fits all” simply does not apply in the world of healthcare IT. Software experts and industry specialists are an ideal source of information, advice and ultimately ensuring that the right decision is made.
What to Look For in a Potential EMR Software Vendor
EMRs include several types of software based on specific applications or functionalities:
Cloud-based EMR Software
Small doctor offices benefit the most from Cloud-based EMR Software technology since minimum to no upfront cost or maintenance is required. Secondly, accessing EHR Software is possible from any location, given the availability of internet access. This type of software is also device dependent in most cases and can be accessed using devices such as Smartphones (Android & iOS), iPhones, iPads, laptops, and desktop computers. The move to the public cloud for healthcare is vital in the current changing landscape. For practices that do not adopt new cloud services, the old inferior feature-set coupled with the higher prices will hinder the business dramatically. This gulf between the old software and the new cloud-based software will only grow more exponentially as time goes on.
Mac EMR Software
Apple dominates the digital devices and computer market in the US today, so it is no surprise that many providers are specifically looking for their EMR Software vendor to support the Mac Operating System (Mac EMR Software). Not all vendors today work on a Mac device, so looking for a vendor with native support for Mac devices is essential to ensure that the software performs on existing hardware at the practice and does not require more investment in computer systems.
This is the most significant requirement for most software buyers today as the software must comply with the standards and guidelines set by the Office of the National Coordinator (ONC). Online repository details all software vendors and details related to their respective compliance with the measures set by the ONC (Click here). Software that complies with these standards has undergone rigorous testing and met a benchmark level defined by the federal body. The software testing done during this exercise checks all areas of the EMR Software system from Patient Portal access to the way the EHR Software communicates with other programs and entities like labs, Pharmacies (via e-Rx), hospitals, HIEs, etc.
EHR Software Essentials
Electronic Health Records (EHR) Software for practices offering specialties should provide tools and templates to reduce the workload of the practice by featuring seamless documentation of the daily clinical workflow of the specialties and specifying the areas of concern. It should also provide improved methods for capturing text, scanning images and reports, e-prescription, and management of raw data.
Integrated Practice Management (PM) Software
With competition rising in healthcare IT, EMR Vendors providing integrated Practice Management systems as part of their overall software package easily outperforms rivals with standalone EHR Software including those that may offer a specialty-specific EHR Solution. EMR Software companies with integrated Practice Management solutions often provide extensive reporting capabilities to track practice performance and manage business operations better.
Integrated Medical Billing Software
The operations within a medical practice can be streamlined by an EMR Software. One such important operation is billing for services rendered and communications with insurance companies. Medical Billing Software, therefore, works best when integrated with Electronic Health Records Software. All clinical documentation seamlessly conforms to the required standard and forms a financial document that can be electronically sent to payers (insurance carriers) to verify and process at their end. This simplifies the operations and ensures all parties are on the same page when it comes to the financial health of the enterprise. Medical Billing Software helps practices and Medical Billing managers generate claims, patient statements, verify patient eligibility and more. This software is ideal for practices that want to handle billing in-house and integrate it with EMRs.
Security
An EMR Software must ensure the safety and security of patient records while ensuring privacy and HIPAA compliance for patient/doctor communication (Patient Portal). This is a paramount concern for physicians and HIPAA compliance should be guaranteed at all times by the EHR Vendor. Most Vendors today (Epic, Cerner, Athenahealth, AdvancedMD, PrognoCIS, Modernizing Medicine, eClincalWorks etc.) are aware of the importance of HIPAA compliance and have taken steps to ensure the safety of patient records security in every section of the EHR Software using advanced tools like data encryption, to enhance the security of the EMR software.
Athenahealth EHR Software
Specific Services
One of the decisions your practice will have to make is whether you want just EMR software or one with integrated Practice Management for billing and scheduling. There are advantages to having both together but there have been cases where some practices only go for one if they had unique requirements that a vendor could not fulfill or they had already paid a hefty amount for PM software and were not looking to replace it yet.
Ease of Use and Training
Doctors are not IT professionals, and though some might be tech-savvy, it would be egregious to expect them all to be experts on the EHR software. Ease of use is essential to make the transition from paper to electronic smooth, as well as day to day practice to go along without a hitch. If the software is too complicated and hard to understand it is a waste of precious time and needlessly aggravating. Some vendors offer free training while others don’t; make sure you ask for training when you purchase if your staff needs it.
Specialty Based EMR Software
Every medical provider works uniquely, thus some EMR Software Vendors today have decided to tailor their EHR Software for a particular specialty or a limited number of specialties. This has been the inevitable culmination of the EHR Software journey, as more and more specialists were required to start using Electronic Medical Records Systems. Since the majority of the EHR Software suppliers at the time were focused on selling to all medical providers regardless of specialty, specialty providers soon learned that their software did not necessarily meet the requirements or their unique clinical workflow. Therefore, the demand for a specialty-specific EMR System gave birth to a specialty-focused EMR Software market. Vendors starting introducing specialty-specific EHR Software and today there are unique EMR Systems available for the most demanding specialties such as Oncology, Dermatology, Chiropractic Medicine, Orthopedics, Pain Management, General Surgery, Alternative & Holistic Medicine, etc.
Customer Support Quality
Your EHR Software may meet all your expectations, but what happens when you encounter an issue? It is not inevitable for any software application to malfunction or behave unexpectedly from time to time. This is where you must pick up the phone and speak to one of the customer service representatives of your EMR Software Company. A good customer support team can address even your most complex concerns in a knowledgeable and skilled manner, fixing small glitches while you are on the phone. Major issues or changes to the behavior of your Electronic Medical Records application will require not only a knowledgeable customer service rep but one that will go the extra mile and pass on your concerns to the appropriate departments to fix the issue and ensure customer satisfaction. Similarly, a bad agent will just make things worse. Some vendors provide support as a part of the plan you are already paying for, while others charge extra for support. Scout the market, read reviews, or just ask point blank if there will be a special support team assigned to each practitioner and whether you’ll be charged for the service. Most importantly, however, you must speak to existing users of the EMR Software company to learn about their experience with the customer support team.
Hidden Cost
There are varying price lists out there; some offer free services, while others charge an arm and a leg for specialty services. Either way, there will be hidden costs that you might get to know about later. Fix your budget and talk to vendors you interview about hidden costs within the contract and whether services such as training and support are free.
Mobility
Smartphones have changed the dynamics of mobile usage. Handheld devices are easy to carry around and can be used for any number of uses. Most people are ditching the cumbersome PC for a handheld device. Doctors mostly use iPads or Tablets in the examination room to take down patient symptoms, check the history, and note down the prescription, so the vendor must have a mobile application that’s synced with all the mobile devices being used in the practice.
AdvancedMD Mac EMR
Markets Trends to Be Aware Of
Like anything else, the EMR industry is also subject to changes. From new technology to legalities and governing bodies, everything is constantly changing. Here are some of the changes that would do well for you to keep track of.
Meaningful Use Changes
At a previously held health care conference, Andy Slavitt, the administrator of the Centers for Medicare & Medicaid Services, had declared that Meaningful Use was over, and would be replaced by the end of that year with something better. But a deeper look into the claims revealed that meaningful use was very much still there, only much improved.
The new measures aim to make the reporting and benchmark for reaching the required reports much easier and laxer than under Meaningful Use, along with other changes.
Cloud-Based Services
It was revealed in previous research how only 25% of practitioners were interested in a web-based model and only 50% were willing to have it as an initial model that eventually transitioned to cloud-based. But now it’s established how cloud-based EMR software cuts down on steep upfront costs for client-servers and can be hosted on any device that has a web-browser. It’s no surprise how more and more vendors are transitioning to cloud-based software also because the industry demands are changing.
EMR/EHR Software Demand
In 2025, the demand for EMR software solutions for healthcare practices has continued to rise, with market growth estimated at around 6-7% year-over-year as healthcare providers increasingly prioritize digital transformation and interoperability. This increase is largely driven by the adoption of advanced technologies like AI and cloud computing within these systems, which enhance clinical workflows and patient care. Epic Systems has expanded its dominance, now capturing over 35% of the market, particularly among large multi-specialty organizations. Meanwhile, Oracle Health (formerly Cerner) has faced challenges, especially in retaining smaller hospitals, contributing to a slight decline in its market share. Together, major players like Epic, Oracle Health, Meditech and Allscripts account for a significant portion of the current EMR market.
Accessibility
EMR software is quickly widening their range of practice types in order to become more accessible to healthcare services. The amount of people who lack the time and knowledge, who are in health IT, is increasing each year. This makes optimizing these software solutions more difficult as they must now cater to different needs. Douglas W. Bowerman, MD, predicts we will see a “continued trend towards accessibility” in EHRs, both in terms of how we access them – on mobile, for instance – and who can access the software.
Artificial Intelligence
In recent years, advancements in AI and machine learning have dramatically changed the healthcare industry. As these technologies continue to evolve, they are likely to have a significant impact on the future of EHR (Electronic Health Record) and EMR software. By leveraging AI and machine learning algorithms, EMR systems can become more intuitive and efficient, streamlining clinical workflows and improving patient outcomes. The application of AI and machine learning will also enable EHR systems to provide more personalized and proactive care, by analyzing patient data and identifying potential health issues early on. Additionally, these technologies have the potential to revolutionize clinical research and drug development by providing access to vast amounts of patient data and insights.
