What is medical billing software?

Medical billing software helps healthcare practices manage claims, verify insurance, track payments, and reduce denials. It streamlines the entire revenue cycle, from patient eligibility checks to claim submission and payment collection.

What's the difference between in-house billing and outsourced billing services?

In-house billing is handled by staff within the practice using billing software. Outsourced billing is managed by a third-party service that submits and tracks claims on the practice's behalf, often charging a percentage of collections.

How does insurance eligibility checking work in medical billing software?

Eligibility tools verify a patient's insurance coverage in real time before services are provided. The software checks key data like active status, copays, and deductible amounts to reduce claim rejections and speed up billing workflows.

What causes claim denials and how can software prevent them?

Common denial reasons include missing codes, incorrect patient data, or expired insurance. Billing software prevents denials by flagging errors before submission and applying payer-specific rules to ensure cleaner claims.

How does EHR-integrated billing improve efficiency?

EHR-integrated billing eliminates double entry by linking clinical data to billing codes. Charges can be automatically generated from visit notes, reducing errors and improving the speed and accuracy of claim submissions.

What do billing companies need in a billing platform?

Billing companies need tools for multi-practice management, batch claim processing, denial analytics, and client reporting. A flexible, scalable platform with automation and performance insights is critical for efficiency and growth.

How can billing software support faster patient payments?

Billing software supports faster payments with features like online bill pay, automated reminders, card-on-file, and text or email invoices. It also helps reduce confusion by offering clear, easy-to-understand patient statements.

How much does medical billing software cost? What do billing companies charge?

Medical billing software may cost $100–$500+ per provider monthly. Billing companies typically charge 4–9% of collected revenue. Pricing depends on services included, such as claim management, patient billing, or eligibility checks.

Tebra
Billing & Payments
Robotic Process Automation

Robotic Process Automation

Dramatically increase productivity and profitability with intelligent automation.

Request a demo

Tour our billing software

Dedicate practice resources to critical projects by eliminating mundane, repetitive tasks

Simplify data flow with automated ERA processing

Set your business rules and logic and let the automation bots maintain a consistent data flow into Tebra’s billing system — helping you increase first-pass claim rates and decrease reimbursement timelines.

Reduce complexity with automated unapplied payments processing

Use rules-based processing to identify when insurance payments have been made and when patient deposits such as copays can be applied. Keep your A/R up to date and increase patient satisfaction by automatically matching unapplied payments to outstanding patient responsibility to ensure accurate patient statements.

Bridge the gap between external systems with Smart Connector for HL7 and patient data

Connect external EHRs with Tebra’s billing by bringing patient demographic and financial information directly into the Tebra platform — reducing time spent on manual data entry. Not only do we provide the basic tools to exchange and accept information from external systems, we also layer them with established business rules and logic to generate a clean upload of encounters and patient information.

Automate clinical note creation

Don’t let data migration hinder you from switching EHRs. Automated clinical note creation allows you to migrate existing clinical notes into Tebra’s EHR. Our bot emulates human keystrokes to create a clinical note for each patient encounter, giving you a full picture of a patient’s medical history.

Payment Plans

Support more patients and easily collect balances over time with RPA payment plans. Connect charges to your EHR and billing for faster reconciliation and notifications about any issues. Save your staff time, get paid faster, and offer a better patient experience.

835 Uploads

Analyze 835 files and translate the data into the correct fields in the billing platform — instantly. Just upload the 835 file to the RPA dashboard and let Tebra take care of the rest. Save time, save money, and get paid faster.

Membership & Subscription Plans

Collect recurring fees for subscriptions and memberships, and associate those charges with the service, CPT codes, and patient account across your EHR and billing system. Build a consistent revenue stream with faster reconciliation and less manual work.

ALL-IN-ONE