Allscripts delivers a comprehensive suite of EHR, practice management, and population health solutions for healthcare organizations. Medtransic's integration with Allscripts provides end-to-end billing services with seamless data connectivity and advanced analytics. Our experienced billing team works within the Allscripts ecosystem to drive revenue growth and operational efficiency.
Integration Type: API
Pricing: Competitive percentage-based pricing; custom quotes for large multi-specialty groups.
Step 1: Provide Medtransic with Allscripts system access and practice configuration details. Step 2: Our technical team establishes data integration pathways and configures billing workflows. Step 3: Perform comprehensive testing to ensure accurate data mapping and claim submission. Step 4: Begin full billing operations with dedicated Allscripts-trained account managers.
Allscripts' practice management platform generates claims from encounter charges documented in the Allscripts EHR, with data flowing between the clinical and PM modules via an internal interface. Medtransic integrates through Allscripts PM's billing module to review charge batches, apply CPT and ICD-10 coding audits, and submit claims electronically through Allscripts' clearinghouse connections. For Allscripts Sunrise hospital deployments, the billing workflow includes facility UB-04 claim generation alongside professional fee claims, which Medtransic routes separately through the appropriate clearinghouse paths.
Allscripts integrates with downstream laboratory and radiology systems (LIS, RIS) that feed charge data back into the PM module via HL7 interface. Medtransic monitors these interface feeds daily to ensure ancillary charges are reconciling correctly between the downstream system and the Allscripts billing queue. For multi-facility Allscripts deployments, Medtransic configures claim routing rules that assign the correct service facility, billing NPI, and payer-specific submission path for each location in the practice's network.
ERA remittances are auto-posted into Allscripts PM's AR ledger using rules Medtransic configures per payer. Denied claims are routed to Medtransic's worklist through Allscripts PM's automated denial management tools. Our billing team uses Allscripts' financial reporting module to track AR aging by facility, provider, and payer — stratifying outstanding balances into recovery tiers and prioritizing high-dollar, near-deadline claims for immediate action.
Allscripts' practice management platform (Allscripts PM, formerly Misys Tiger PM) generates claims from encounter charges documented in the Allscripts EHR. Medtransic integrates through Allscripts PM's billing module to review charge batches, apply CPT and ICD-10 coding audits, and submit claims electronically through Allscripts' clearinghouse connections. We configure Allscripts PM's automated worklist to route rejected and denied claims directly to Medtransic's billing team for same-day resolution, and set up ERA auto-posting to ensure accurate payment reconciliation within the Allscripts AR ledger.
Allscripts practices frequently see denials from charge capture breakdowns between the EHR and PM modules — when clinical documentation in Allscripts EHR is not correctly finalized and synced to the PM system, charges drop off the billing queue without generating a claim. Multi-location practices using Allscripts also encounter billing NPI mismatches when group NPI and individual rendering provider NPI are not correctly assigned per payer requirements. Allscripts PM's superbill interface can lag in capturing add-on procedures documented late in the encounter. Medtransic runs daily charge reconciliation reports to catch these gaps.
Allscripts PM's eligibility verification tool checks patient coverage via X12 270/271 transactions at registration and scheduling, displaying results in the patient's insurance record. The tool supports batch eligibility runs for the next day's schedule. Medtransic configures Allscripts' eligibility alerts to flag high-priority scenarios — including patients with Worker's Compensation as primary, pending Medicaid approvals, and Medicare Advantage plans with plan-specific prior authorization lists that Allscripts' automated check does not fully parse — and our team manually verifies those cases.
Allscripts is prevalent among internal medicine, family medicine, surgery, emergency medicine, and oncology practices and health systems. Oncology practices using Allscripts must coordinate chemotherapy drug billing using J-codes, route drug claims through the correct HCPCS code based on dose and drug name, and apply the correct administration codes (96360-96379) for infusion duration. Emergency medicine groups using Allscripts need to correctly capture and code critical care time (99291, 99292) separately from the base E/M level. Medtransic's specialty coders manage these workflows within Allscripts PM.
Allscripts onboarding typically takes 3-4 weeks, beginning with a full configuration review of Allscripts PM — including payer setup, fee schedules, charge router rules, and ERA posting configurations. Medtransic establishes role-based access and conducts a historical AR analysis by payer and age bucket. We run a 2-week parallel billing period before transitioning fully to Medtransic's billing team. Historical AR from Allscripts is categorized into recovery tiers — current, 31-60, 61-90, and 90+ days — and Medtransic's AR recovery team begins systematic follow-up within the first week.
Contact Medtransic to learn more about integrating Allscripts with our billing services. Visit https://medtransic.com/contact to get started.