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Billing & Revenue Cycle

Revenue Is Not an Afterthought — It Is Built Into Every Workflow

From charge capture to payment collection, the revenue cycle runs inside the clinical workflow.

HealthOS treats revenue as a first-class concern from the moment a patient checks in. Eligibility verification calculates patient responsibility before the visit. AI-assisted coding suggests appropriate codes during the encounter. Claims are generated at encounter close and submitted electronically.

HIPAA-ready controlsFHIR NativeBAA Available
Product preview

Clean claim posture

Shared in demo

A/R cycle posture

Shared in demo

Denial management

Shared in demo

Integrated billing closes the gap between clinical documentation and claim submission, improving operational visibility for revenue teams.

Product preview shown for evaluation planning conversations. Final production screenshots are shared during implementation.

Charge Capture

Charges are captured automatically as clinicians document the encounter. No separate charge entry step required.

AI-Assisted Coding

E/M level suggestions, ICD-10 codes, and CPT codes generated from clinical documentation with supporting evidence. Reduces under-coding and denial risk.

Claims Submission & Tracking

Electronic claims submission with real-time status tracking. ERA/EOB auto-posting and reconciliation eliminate manual payment entry.

Denial Management

Root cause identification, one-click access to supporting clinical documentation, and resubmission workflows that close the denial loop faster.

Patient Payments

Copay collection at checkout, digital payment links, card-on-file, and automated patient statements. Payment posts to the account in real time.

Revenue Dashboards

Clean claim rate, days in A/R, collection rate, denial rate, and payer performance — all in real-time dashboards without manual report assembly.

Key Capabilities

Integrated Charge Capture

Billing codes are suggested during the clinical encounter, not hours or days later.

Payer Contract Monitoring

Track reimbursement rates against contracted amounts to identify underpayments.

Batch Claim Processing

Submit claims individually or in batches with configurable submission schedules.

Patient Payment Plans

Set up structured payment plans for patient balances with automated reminders.

How It Works

1

Encounter Documentation

Clinician documents the visit. Charges are captured automatically from the clinical record.

2

Coding Review

AI suggests E/M levels and diagnosis codes. Coder reviews and approves with one click.

3

Claim Generation

Clean claim is generated with all required fields and submitted electronically.

4

Payment Processing

ERA/EOB responses auto-post. Patient responsibility is calculated and collected.

5

Denial Resolution

Denied claims are flagged with root cause. Clinical documentation is one click away for correction.

Ready to replace slow, outdated systems?

See how HealthOS unifies your EMR, billing, prescribing, scheduling, and communications in one platform.