eClinicalWorks Reviews & Pricing

Key Features

• Fee Schedule: Upload, view and update fee schedules with a few clicks. Access the fee schedule log to track changes and timestamps. Open the fee schedule, select the CPT charge and make updates instantly.
• CPT Coding: Group several codes together to save time. Example: Use one code for a wellness check that combines a blood test, heart check and vision screening. Link multiple services under one code for easy billing. Example: Group a flu shot and general check-up under a single code for easy insurance processing.
• ICD Coding: View all ICD-9 and ICD-10 codes with editable descriptions. Flag claims if a code doesn’t match patient demographics. Example: Receive alerts if you use a pregnancy-related code for a male patient.
• HCFA Mapping: Define rules for conditional field mapping based on payer-specific requirements. For example, if a service is done remotely, it will automatically be labeled as a telehealth service.
• Claims Management: Update payer ID, insurance type and claim submission method to align with insurance provider requirements. Choose claim forms for different services. For instance, select the dental claim form for routine teeth cleaning and the HCFA form for a physical exam.
• Claim Tracking: Use the insurance hub to see how many claims are unpaid, how much they’re worth and how long they've been unpaid (30, 60 or over 90 days).
• Integrated Clearing Houses: Reconcile claims through integrations with Navicure, Gateway EDI, Emdeon and Claim Remedi, providing smoother communication between your practice and insurance payers.
• Patient Statements: Trigger statements based on cycles. Example: Send a statement every 30 days for patients with an overdue balance above $20, with a customized note on payment options.
• Healow Pay: Allow patients to view and pay their dues online through a secure gateway for timely collections.
• Alerts and Work Queue Dashboards: Monitor outstanding tasks and flag issues in real time, ensuring your team knows any pending billing actions. Track the progress of outstanding claims, rejections and other billing tasks, providing a centralized view to prioritize workflows and resolve issues faster.
• Billing KPIs: Enable administrators to view metrics like claims denial rate, days in accounts receivable (A/R) and collection rate.
• AI Assistant: Connect tools like ChatGPT to identify patients due for check-ups or tests and send personalized reminders via SMS or email. It can automatically schedule the appointment in the system and update the patient record in the EMR.
• Sunoh: Document patient encounters during visits, enhancing accuracy and reducing time spent on paperwork.
• Image AI: Automatically match incoming faxes to patient records and identify their purpose, subject to provider confirmation. Example: When a lab report fax comes in, the system links it to the right patient file.
• Automated Playlist: Handle repetitive clinical tasks such as updating patient charts, processing lab results and managing routine health screenings, saving time for medical staff.
• healow No-Show Prediction Model: Use AI to identify high-risk no-shows, send targeted reminders, and fill those empty slots before they cost you time and revenue.
• Patient Portal: Enable patients to book, reschedule or cancel appointments online. They can securely message providers for questions, prescription refills and follow-up information.
• Population Health Management: Integrate PRISMA to aggregate patient data across care settings. Customize templates and alerts to manage chronic conditions. Set up automatic alerts for preventive screenings.

Limitations

• Lacks offline mobile access.
• Doesn’t support group messaging with multiple care team members in a single patient conversation, unlike EpicCare.
• Doesn’t offer HIPAA-compliant session recording for patient encounters.