Practice Insight

Practice Insight specializes in providing proprietary software and Electronic Data Interchange (EDI) capabilities for claims and denial management to over 70,000 healthcare providers nationwide. Operating in the healthcare IT sector, the company partners with numerous practice management software brands and well-known healthcare IT vendors and resellers across North America. The core business model revolves around offering easy-to-support Revenue Cycle Management (RCM) software and EDI solutions that streamline financial posting, automate 100% Electronic Remittance Advices (ERAs), and lower Accounts Receivable (AR) days. Practice Insight generates revenue by licensing its software solutions to healthcare providers and resellers, who benefit from improved efficiency, reduced denials, and faster revenue cycles. The company's tools, such as the Patient Cost Estimation Tool, help providers collect payments before discharge, further enhancing financial efficiency. Additionally, the claims-based registry, qualified by the Centers for Medicare and Medicaid Services (CMS), supports nearly 200 quality measures and maximizes MIPS reimbursement for providers.

Keywords: EDI, RCM, healthcare IT, claims management, denial management, financial posting, ERAs, AR days, MIPS reimbursement, patient payment.