Integrated Medical Billing

Close the note. The claim
is ready.

Billing and the chart, finally on the same page. The moment a progress note closes, Althea Smart EHR auto-generates the claim with the visit’s ICD-10 and CPT codes attached. Billers see the note, the codes, and the claim side by side, and your optional RCM team in Southern California can take it from there.

Auto claim on note close Full ICD/CPT transparency Optional RCM service
Althea Smart EHR
25 Years
Serving Medical Billing Nationwide
99%
Client Retention Rate
WHY PRACTICES CHOOSE ALTHEA BILLING

The end of superbills.

Stop manually transferring codes from the chart to the biller. Stop chasing providers for missing diagnoses. Stop reconciling two systems at month-end. Althea Smart EHR turns the closed note into a clean, scrubbable claim, automatically.

Auto Claim on Note Close

The instant a provider signs off, a claim is generated with the visit’s ICD-10 and CPT codes pre-attached. No superbills, no re-keying, no waiting on end-of-day batches.

Biller Transparency

Billers see the progress note, ICD codes, and CPT codes side by side, and can add, edit, or remove codes inline. Every change is audit-logged with the user, timestamp, and reason.

Optional RCM Service

Hand the entire revenue cycle to MD Synergy’s in-house billing team in Southern California. They handle scrubbing, submission, ERA posting, and denial follow-up. You keep the visibility, they do the work.

HOW IT WORKS

From closed note to posted payment.
In four steps.

Whether your in-house biller handles it or our RCM team takes the wheel, the path from finished encounter to posted payment is the same, and it never leaves Althea Smart EHR.

1
Note Closes

Provider signs the encounter. ICD-10 and CPT codes captured during charting are attached to the visit automatically.

2
Claim Generated

Claim builds itself, ready for biller review. Edit codes, add modifiers, or attach the source note in two clicks.

3
Scrub & Submit

Real-time payer-rule scrubbing catches errors before the clearinghouse does. Clean claims transmit electronically.

4
Post & Reconcile

ERA/835 remittance auto-posts to the patient ledger. Denials surface in a worklist with the rejection reason mapped to the original claim.

LIVE DEMO

See the round trip.

A finished encounter goes in. A clean claim, a payer remittance, and a posted ledger come out. No superbills. No paper.

Encounter, J. Morales · 47F · T2DM & HTN Follow-Up
Note closed Mon 4:18p · Claim out Mon 4:18p · ERA posted Thu 9:02a
Round trip, 3 days
Closed Note → Claim
Provider Action Dr. Tresley closes the encounter at 4:18p. Captured during charting: CPT 99214, ICD-10 E11.9 (T2DM) and I10 (HTN).
Auto-Generation Claim A-2046198 builds itself the moment the note signs. Charge total, $148.00. Patient responsibility, $40 co-pay (already collected at check-in).
Biller Review Biller opens the claim, sees codes and source note side-by-side, adds modifier 25 for the in-visit injection, then runs scrub.
Submit Real-time payer-rule scrub passes. Claim transmits to clearinghouse at 4:23p. Acknowledged by payer Tuesday 7:14a.
Remittance & Ledger, Auto-Posted
ERA 835 remittance received Thu 9:02a. Allowed $112.00, paid $72.00, contractual adj $36.00, patient resp $4.00.
POST Ledger split applied automatically: insurance payment $72.00, write-off $36.00, patient owes $4.00.
A/R Aging dashboard updates in real time. Claim moves from “In-Process” to “Closed.”
F/U Patient $4.00 balance auto-queued for next text-to-pay batch. No follow-up call needed.
Certified & Recognized

Independently Rated. Federally Certified.
Physician Approved.

Rated & Reviewed by Peers
Certified & Compliant
See Why Physicians Choose Althea Smart EHR
FREQUENTLY ASKED QUESTIONS

Althea Smart EHR Medical Billing

The essentials, workflow, RCM service, and compliance, answered briefly.

How It Works
How does billing work inside Althea Smart EHR?

Billing is built directly into the chart. The moment a provider closes a progress note, a claim is automatically generated with the visit’s ICD-10 and CPT codes attached. Billers see the claim, the source note, and the codes side-by-side, and can add, edit, or remove codes before the claim is scrubbed and submitted. No double entry, no separate billing software, no waiting on superbills.

RCM Service
What is the RCM service and who staffs it?

RCM (Revenue Cycle Management) is an optional service where MD Synergy’s in-house billing team takes over the entire revenue cycle on the practice’s behalf, charge entry, claim scrubbing, submission, ERA posting, denial follow-up, patient statements, and reporting. The team is local to Southern California and trained on Althea Smart EHR, so practices keep full visibility while offloading the work.

Flexibility
Can I keep my existing biller and just use the software?

Yes. The billing module works fully on its own, with or without RCM service. Many practices keep their in-house biller or third-party billing company and use Althea purely as the platform. RCM is opt-in, the software gives you the same transparency and tools regardless.

Payers
Which payers and clearinghouses are supported?

Althea Smart EHR connects to all major clearinghouses, including Waystar, Change Healthcare, TriZetto, Office Ally, and Emdeon, and submits to the full payer network they cover, Medicare, Medicaid, all commercial carriers, and workers’ compensation. Electronic Remittance Advice (ERA/835) auto-posts back to the patient ledger, and eligibility checks run before the visit so co-pays and deductibles are known up front.

Denials
How are denials and rejections handled?

Denials surface in a sortable worklist with the rejection reason mapped to the original claim. Resolve, correct, and resubmit in two clicks, the corrected claim links to the original audit trail. With RCM service enabled, the billing team handles the worklist for you and reports back weekly.

Reporting
How do I see what’s been billed and what’s outstanding?

A real-time A/R dashboard shows aging by payer, by provider, and by patient, with drill-downs from a single number all the way to the source note. Day Sheets, Month-End reports, and per-provider productivity reports run on demand. Filter by date, payer, location, or CPT, every report exports to Excel or PDF.

Compliance
Is the billing module HIPAA-compliant?

Yes. The billing module shares the same HIPAA-secured infrastructure as the rest of Althea Smart EHR, end-to-end encryption, role-based access control, and full audit logging on every claim, edit, and adjustment. MD Synergy signs a BAA covering all PHI elements, including those touched by the optional RCM service.

Stop chasing superbills. Start submitting clean claims.

A 15-minute live demo is the fastest way to see Althea Smart EHR Medical Billing in action with your own panel.

Schedule Your Free Demo