Clinicient Billing is part of the comprehensive Clinicient Insight Platform, an integrated Electronic Medical Records (EMR) and Practice Management solution built specifically for outpatient rehabilitation practices, including Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP). The software focuses on maximizing accounts receivable (A/R) and increasing revenue by streamlining the entire financial and clinical workflow, from patient intake to final payment.
Key Features and Capabilities
The billing component, Insight Billing Software, is designed to simplify complex billing and compliance workflows. Key capabilities include:
- Clean Claims Submission: Features one-click claims submission and clearinghouse integration.
- Claim Scrubbing & Compliance: Utilizes customizable billing rules and claim scrubbing at the patient, clinical, and claim level to ensure high first-pass payment rates and reduce denials.
- Revenue Cycle Management (RCM): Offers tools for denial management, appeals package creation, electronic remits (ERA auto-posting), and comprehensive A/R management. It can be used for in-house billing or as a fully managed RCM service.
- Financial Reporting & Analytics: Provides standard business reporting with aggregatable, filterable, and exportable operational spreadsheets for insights into referral data, denial management, cash collection, and revenue analysis.
- Integrated Workflow: Tightly couples clinical documentation with charge capture, authorization management, and plan of care tracking to guarantee claims are always accurate and supported.
- Patient Services: Includes electronic verification of benefits, appointment at-risk alerts, online scheduling, digital intake, and online patient payments.
Target Users and Use Cases
The platform is tailored for outpatient rehabilitation therapy organizations of all sizes—from small clinics to large enterprises—that require a unified system to manage both clinical and financial operations. It is particularly strong for practices that need to automate compliance with complex payer rules like Medicare's 8-minute rule and CPT/ICD-10 coding.