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Practolytics

by Practolytics
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OVERVIEW

A healthcare technology and Revenue Cycle Management (RCM) service provider that bundles its expert billing and coding services with the AdvancedMD software platform.

Practolytics is a long-standing healthcare technology and management company specializing in end-to-end Revenue Cycle Management (RCM) solutions. The company's core offering is a comprehensive RCM service that includes medical billing, medical coding, chart audits, credentialing, eligibility and benefits verification, and pre-authorization services.

Practolytics distinguishes itself by bundling the robust AdvancedMD EHR and Practice Management software platform at no additional cost with its RCM services, creating a powerful technology and services package for physicians and practices. This model allows healthcare providers to outsource the complex financial aspects of their practice to experts, helping to eliminate RCM inefficiencies, maximize revenue, and reduce operational costs.

Key capabilities include a unique denial scrubber to prevent repeated claim rejections, predictive analytics for real-time financial insights, and a focus on high first-pass claim ratios (up to 95%). The service is designed to help practices achieve a high collection rate (98.5%+) and improve cash flow by accelerating the revenue cycle turnaround. Practolytics serves a diverse range of clients, including individual doctors, group and multi-location practices, and DME companies, across more than 28 critical specialties in over 31 states. The company places a high priority on security and compliance, adhering to strict HIPAA standards and implementing advanced security measures to safeguard patient data.

RATING & STATS

Customers
100+
Founded
2000

KEY FEATURES

  • End-to-End Revenue Cycle Management (RCM)
  • Medical Billing and Coding Services
  • AdvancedMD EHR/PM Software (Bundled Free)
  • Denial Management and Denial Scrubber
  • Credentialing and Payer Contract Negotiation
  • Eligibility and Benefits Verification
  • Practice Analytics and Reporting
  • Compliance Audit Services

PRICING

Model: enterprise
Customized pricing based on a percentage of collections or a flat fee, determined by practice size, claim volume, and specialty. Includes full access to AdvancedMD EHR and Practice Management software at no additional cost with RCM services. New customers may receive free services like data migration and customized training.

TECHNICAL DETAILS

Deployment: cloud, saas
Platforms: web, ios, android
📱 Mobile Apps

USE CASES

Outsourced Medical Billing and CodingMaximizing Reimbursements and CollectionsStreamlining Patient Intake and Eligibility ChecksEnsuring HIPAA and Regulatory CompliancePractice Financial Performance Analysis

INTEGRATIONS

AdvancedMDRivet Health

COMPLIANCE & SECURITY

Compliance:
HIPAAISO 9001ISO 27001
Security Features:
  • 🔒End-to-End Encryption
  • 🔒Real-Time Audit Trails
  • 🔒Zero Trust Architecture
  • 🔒CCTV Surveillance (Physical Security)
  • 🔒Authorized Personnel Access Control

SUPPORT & IMPLEMENTATION

Support: email, phone, 24/7 support
Implementation Time: < 1 week
Target Company Size: small, medium
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +Bundles AdvancedMD EHR/PM software at no extra cost with RCM services.
  • +High first-pass claim ratio (95%) and collection rate (98.5%+).
  • +Deep expertise across 28+ medical specialties and 31 states.
  • +Strong commitment to HIPAA compliance and advanced data security.
  • +Offers customized training and rapid implementation for new clients.
✗ Cons:
  • -Pricing model is not publicly disclosed (requires a quote).
  • -Reliance on the AdvancedMD platform for all software-based RCM functions.
  • -Primarily a service company, not a standalone software product.

TRY IT OUT

ABOUT PRACTOLYTICS