AI TOOL PROFILE

OpenPM: Medical Billing and Claims Management Software

OpenPM helps medical practices and revenue cycle management companies handle billing and claims workflows. It is designed for organizations looking to reduce manual follow-up on claims and manage multiple practices from one login.

Pricing

Subscription pricing starts at $150 per month for practices and $50 per month per client for RCM companies.

At a glance

Best for
Independent medical practices, Revenue Cycle Management (RCM) companies, Enterprise ambulatory practices, Medical billers
Key use cases
Medical Billing Automation, Multi-Practice RCM Management, Patient Digital Engagement, Financial Performance Tracking
Visit openpracticesolutionsopenpracticesolutions software interface screenshot

How AI is used

OpenPM is a cloud-based medical billing and claims management system designed for independent medical practices and RCM companies. It is browser-based, meaning no local installations or manual updates are required.

The software focuses on the revenue cycle, offering tools for EDI/ERA posting and automated accounts receivable. It includes patient-facing features such as a web portal for payments and registration, as well as a tool for estimating out-of-pocket costs to support compliance with the No Surprises Act.

For RCM companies, the platform supports managing multiple clients through a single login. It also provides reporting and analytics to track financial performance and efficiency.

Buyers should confirm how the software integrates with their specific EMR/EHR provider and verify if the available AI assistance fits their current staff training levels.

Key Features

  • Automated Accounts Receivable

    Supports the automation of A/R management and follow-up routines to help manage collections.

  • Real-time Claim Status

    Provides instant updates on claim status to help reduce manual phone calls to payers.

  • Patient Online Portal (POPS)

    A web-based portal where patients can schedule appointments, register, and pay bills.

  • EDI/ERA Posting

    Supports electronic submission of claims and posting of transactions.

  • Patient Responsibility Estimator

    Helps provide patients with pre-service out-of-pocket estimates.

  • Rules-Based Scheduling

    Supports the customization of patient flow and daily scheduling.

  • AI Assistance Workflow

    An AI agent that provides answers and guidance based on system documentation.

Use Cases

  • Medical Billing Automation

    Using rules and automated jobs to handle routine revenue cycle tasks and focus on exceptions.

  • Multi-Practice RCM Management

    Managing billing functions for multiple independent clients from a single administrative login.

  • Patient Digital Engagement

    Sending billing statements via email or text and allowing payment through a secure web portal.

  • Financial Performance Tracking

    Using analytics and reporting to monitor organizational efficiency and cash flow.

FAQ

Who is OpenPM designed for?

It is designed for independent medical practices, enterprise ambulatory practices, and Revenue Cycle Management (RCM) companies.

How is the software accessed?

OpenPM is browser-based and can be accessed from any secure browser on any device without requiring downloads.

What are the starting costs for OpenPM?

Monthly subscriptions start at $150 for practices and $50 per client for RCM companies.

Does OpenPM have security certifications?

Yes, it holds AICPA SOC I Type 2, SOC II Type 2, and HITRUST e1 certifications.

Source category: Healthcare

Source subcategory: Billing & Invoicing

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