Dealing with the burdensome costs of medical billing software? Escape the financial strain with open-source medical software. In this article, we’ll explore the top three software options handpicked by our analysts.

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What This Article Covers

• Best Open-Source Medical Billing Software
  • OpenEMR
  • Open Dental
  • OpenMRS
• Primary Benefits
• FAQs
• Next Steps

Best Open-Source Medical Billing Software

Finding the right open-source medical software is challenging, with countless options promising an array of features and benefits. However, fear not, as our analysts have curated a list of the top three solutions to help make your software hunt relatively easy.

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Open-Source Medical Billing Software at a Glance

Technical Aspects

Features Comparison

Let’s dive deeper into their benefits, features and limitations.

OpenEMR

OpenEMR is an open-source electronic medical record software and medical practice management solution that helps health care providers manage patient information, simplify billing workflows and increase efficiency.

It fosters collaboration by engaging developers, medical professionals and enthusiasts worldwide for continuous improvement, updates and bug fixes to enhance software performance and security.

A snapshot of OpenEMR’s billing manager feature. Source

Industry Suitability

Serves general practices, hospitals, urgent care, physical therapy and mental health organizations.

Top Benefits

• Achieve Interoperability: Integrate with clearinghouse software like Office Ally, Waystar and ClaimRev to streamline billing processes for quicker claim submissions and reimbursements.
• Communicate Effectively: Share information in over 25+ languages within the same clinic to work with patients from diverse linguistic backgrounds, reduce communication barriers and enhance patient satisfaction.
• Access Community Support: View extensive online documentation, participate in forums and join social media groups to receive prompt assistance and stay updated on the latest billing practices.
• Manage Your Revenue: Generate patient ledger reports to access details on payment plans and methods, charges, copays, balances, and superbills.

Primary Features

• Insurance Eligibility: Check insurance validity for multiple patients through the X12 partner system, following the EDI message format.
• Claim Management: Create and submit claims online and upload X12 files to clearinghouses with just a few clicks.
• Medical Coding: Assign correct CPT/HCPS, ICD-10 and SNOMED codes to generate accurate bills. Use the UB-04 form to submit claims for inpatient and outpatient medical services.
• Encounter: Generate and manage encounter forms using built-in editors or HTML/CSS templates to record services, charges and codes.
• Patient Portal: Patients can manage appointments, view invoices, access health records and exchange information with doctors via patient portal tools. Choose between two OpenEMR patient portal options — functional or the CMS system integrated with WordPress — to provide a seamless and secure patient experience.

Limitations

• No native mobile application.
• No timely updates to UI/UX.
• No pre-built integration with third-party entities like labs, eRX and HIEs.

Pricing

OpenEMR is free and open source. You can hire professionals for installation. They charge you either per hour or on a monthly basis.

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Open Dental

Open Dental is an open-source dental practice management solution written in the C# programming language and compatible with Microsoft’s .NET Framework.

It provides accounting tools, payment processing and claim management capabilities to help dental professionals streamline their billing processes.

Furthermore, it offers various optional add-ons and services, such as integrated texting, secure email, online patient scheduling and cloud hosting.

Edit claims to reduce denials using Open Dental. Source

Industry Suitability

Serves general and dental practices, hospitals, clinics, and pharmacies.

Top Benefits

• Automate Data Entry: Activate the public health option to import patient and insurance info in 834 format (not available to Open Dental Cloud users).
• Improve Patient Communication: Send automated reminders through email or texts to reduce no-shows.
• Enhance Clients’ Financial Experiences: Enable patients to pay via credit/debit cards or checks. Integrate with payment gateways like XCharge, PayConnect or PaySimple to process credit card payments.
• Improve Coordination: Send text, sound or light notifications to your internal teams across all workstations. Specific users can exchange messages and all team members can view or hear them.

Primary Features

• Claims Management: Validate e-claims for missing information before sending them to clearinghouses. Use filters to view specific information within a desired date range or specific claim/report types.
• Electronic Remittance Advice (ERA): View and process ERA 835 files received from your clearinghouse. Auto-populate insurance paid amounts into claims for smooth insurance payments.
• Billing Statement: Manage who receives statements and customize them with notes and specific information for your practice.
• Accounting: Use the chart of accounts to organize finances and set up automatic transactions in QuickBooks Online for deposits.
• Deposit Slip: Create customizable deposit slips for patient and insurance payments.

Limitations

• Unclear statement breakdowns.
• Untimely UI/UX updates.
• No copy/paste option for provider schedules.

Pricing

The initial rate is $179/month/location for the first 12 months. After the initial contract, the fee automatically reduces to $129/month/location on a month-to-month basis.

eServices Bundle

• $165/month/location (includes integrated texting).

Open Dental Cloud

• Total cost varies, starting at $430/month/location.

Additional Cloud Services

• Additional Cloud Sessions: $18/month/browser session.
• Migration Service: One-time charge of $400.

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OpenMRS

OpenMRS is an open-source EMR solution developed to help health care providers manage clinical data, streamline billing workflows and improve patient care.

It allows for customization and integration with various health care systems, making it widely adaptable and accessible to different medical settings, particularly in resource-constrained environments.

Find patient records with just a few clicks using OpenMRS.

Industry Suitability

Serves clinics, hospitals, government health organizations, pharmacies and radiology departments.

Top Benefits

• Reduce Claim Denials: Insurance verification tools help you submit clean claims the first time.
• Streamline Workflows: Integrate with third-party billing solutions like BillingParadise to improve billing efficiency. Automate tasks like sending payment reminders and receipts to patients to save time.
• Make Informed Decisions: Use the cohort builder to create patient cohorts based on billing and financial criteria to analyze revenue trends, track outstanding payments and identify revenue cycle management opportunities.
• Ensure Comprehensive Documentation: Use the WYSIWYG editor to create detailed patient notes and record billable services and procedures correctly.

Primary Features

• Billing: Generate receipts and bills for patient orders, including pharmacy, diagnostics, in-patient services and more.
• Claims Management: Check patients’ insurance enrollment statuses, submit claims and manage billing information directly from the patient dashboard.
• Encounters: Collect encounter type, date and time, location, and provider details from various departments to produce accurate invoices.
• Patient Portal: Clients can view and clear their dues using credit/debit cards with options for partial or multiple payments via the patient portal. They can also request and receive receipts for their payments within minutes.

Limitations

• Setting up the system requires a dedicated IT support team.
• Migrating from an existing EMR is complex.
• Importing other file formats like Excel requires careful attention.

Pricing

OpenMRS is a free and open-source solution.

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Primary Benefits

By embracing open-source medical billing software, you can optimize your operations, deliver better patient care and contribute to a more interconnected and progressive health care landscape. We’ve highlighted some other benefits below.

Cost-Effectiveness

Open-source software enables health care organizations to reduce IT infrastructure costs by eliminating licensing fees, vendor lock-in and expensive upgrades. This helps you allocate your resources more efficiently and invest in other critical areas of patient care.

Customizability

Open-source solutions enable you to customize the software according to your unique needs and preferences. Since you can access the source code, your developers can modify and adapt the software to fit specific workflows, data requirements and clinical processes.

Security

Unlike proprietary software, where the inner workings are hidden from scrutiny, open-source software allows you to review the code for potential vulnerabilities. This increased transparency empowers you to rapidly detect and mitigate security issues, helping you develop a robust and secure system for storing sensitive patient information.

Interoperability

In the health care industry, interoperability is crucial for seamless data exchange and communication among different medical systems and devices. Open-source software promotes a more connected health care ecosystem, enabling you to achieve better coordination of patient care and streamlined information exchange.

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FAQs

What is open-source health care software?

Open-source health care software is a digital solution that helps medical professionals streamline workflows, produce accurate statements and deliver quality care.

The source code is free to use, modify and redistribute, with a global community of developers constantly improving it.

When we say the source code is free to use, we mean you don’t have to pay extra for API or other modding access. However, some open-source platforms still require you to pay a licensing or subscription fee to use the system.

What are the different types of open-source health care solutions?

Different types of open-source health care solutions include:

• Electronic Medical Record (EMR) Systems: Store, manage and access patient medical records electronically.
• Electronic Health Record (EHR) Systems: Access digitized patient records to make informed decisions and provide better care.
• Hospital Management Software: Efficiently manage administrative, financial and operational processes.
• Laboratory Information Management Software: Track and manage laboratory data and test results.
• Picture Archiving and Communication Systems (PACS) Software: Store, retrieve and distribute medical images.
• Telemedicine Platforms: Support remote medical consultations and patient monitoring.
• Health Analytics and Business Intelligence Tools: Analyze data for informed decision-making.
• mHealth Apps: Deliver health care services and information through mobile devices.
• Public Health Information Systems: Manage and analyze population health data for public health initiatives.

Who can use open-source medical solutions?

Common users of open-source health care solutions are:

• Medical Providers: Manage patient records, streamline workflows and improve patient care.
• Administrators: Manage operations, allocate resources and track finances.
• Researchers: Analyze health care data and conduct studies.
• Public Health Organizations: Manage population health data, monitor outbreaks and implement public health initiatives.
• Laboratory Professionals: Track and manage samples and test results and simplify laboratory workflows.
• IT Professionals: Customize open-source solutions to meet specific requirements.
• Educators: Use open-source tools for training and simulation purposes.
• Patients: Access health apps for personal health tracking and self-care management.

What’s the cost of open-source software?

Open-source software is typically free of cost. However, it’s important to note that while the acquisition cost is zero, you may incur associated costs for implementation, customization, support and maintenance.

And, as we mentioned in a previous FAQ, some do require subscription or licensing fees.

How can I select the best open-source solution?

To select the best open-source solution for your needs, consider the following steps:

• Define Your Requirements: Identify key features you require in an open-source solution.
• Research Options: Explore online resources, forums and communities dedicated to open-source medical software to discover potential options.
• Check Community Support: Seek a solution with a robust community that can offer ongoing support, regular updates and bug fixes.
• Assess Security Measures: Look for features like encryption, access controls and secure coding tools.
• Test and Compare: If possible, try out demo versions or trial versions of the solutions you’re considering.
• Check Integration Compatibility: Check whether the open-source solution can integrate with other systems or applications you’re currently using to ensure seamless data exchange.
• Investigate Long-Term Viability: Choose solutions with active development and a history of updates.
• Consider Cost and Budget: While many open-source solutions are free, consider any additional costs associated with customization, support and maintenance.

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Next Steps

The world of open-source medical billing software offers a compelling alternative for health care providers seeking cost-effective and customizable solutions.

But how do you choose the right software for your business? Don’t worry. We’ve got you covered!

You can use our free comparison report to compare multiple solutions simultaneously. You can view individual product scores, identify functional and technical requirements, and request demos with just a few clicks.

What potential challenges and opportunities do you foresee in the widespread adoption of open-source medical software? Please let us know in the comments below!