PrognoCIS Practice Management Software

Simple & Intuitive Healthcare Practice Management Software

Seamlessly integrating with, our cloud-based Practice Management solution allows for quick and easy billing management, which enables your practice to:

Quickly identify and confirm patient insurance benefit eligibility level and copay

Work with many different clearinghouses

Efficiently manage your accounting books

Easily reconcile patient accounting and insurance billing

Quick and easy online patient payments and EOB/ERA processing

Customized Statements.

Explore Practice Management Features & Capabilities

Appointment and Scheduling

Eligibility Verification & Demographic Updates

Claims management

Analytics and Reporting

Receivables Management

Denial Tracking

Underpayment Tracking

Task Management

Internal Messaging

Automated Text Reminders

Document Storage

Claim scrubbing

Electronic Claims submission

Electronic Claims Attachments

Automated Payment Plans

Automated Patient Statements

Integrated Seamless workflows with EHR Platform

Auto Claim creations for Labs

Import OLD Aging

Customizable Fee Schedules

Central Business Office for Billing Companies.

Powerful Medical Practice Management System To Simplify Your Business

Robust Tasking System

Our healthcare Practice management system has a very robust tasking system. You can quickly find and assign claims to work on using a filter-based search function.

You can filter and search outstanding claims by around 100 different parameters, including patient vs. insurance responsibility, primary/secondary/tertiary payer or payer grouping, provider, date of service, aging bucket, and denial reason. Filters can be saved and reused later.

Once claims are worked in the tasking module, feedback from the completed task can be easily found and filtered on the outstanding claim screen. Some automated tasking functions will assign claims to be worked after a specific date from claim sending.

Charge Entry

Charge entry is captured in the EHR during documentation. It can be automated so that when the provider completes the documentation, the applicable ICD and CPT codes are in the claim and ready to be scrubbed. The claims go into a bucket to be scrubbed and then are submitted to the clearinghouse in a bulk fashion once the scrubbers have determined that the claim is ready. Electronic claim scrubbers can be added to ensure that the claim is clean and the appropriate ICD and CPT combinations are matched up. You can also create custom claim scrubbers by payer, provider, and location.

Any rejected claims are put into a bucket that can be monitored daily for refiling. The denied claims area gives you the ability to sort, and group denied claims to work. Templated letters are available for appeals, which can be faxed directly from the claim screen. The clearinghouse functions give you the ability to refile claims at the clearinghouse level versus logging into the payer’s website.

Patient Account Screen

The patient account screen contains all of the information regarding a patient's claims and links to any supporting information, including progress notes, EOBs, previous payments by all parties, and patient statements.

The patient statement can also be seen and printed from the appointment register screen at the front desk. Patient statements can be sent electronically through the patient portal software or printed from the billing side. Dunning messages can be added throughout the collection process.

ERA Posting

ERAs can be posted in batches and can be edited prior to posting. Copays don't automatically post to the E/M code - they go into a holding tank until the EOB comes back, and then they automatically post to the code the payer applied them to.

The insurance eligibility screen also shows the patient's address that the payer has in their system, which helps with returned mail/statements.