TechRadar Verdict
CareCloud expertly brings together the administrative and financial aspects of running a practice, but leaves us wanting for better support options.
Pros
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Free demo
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Automated billing rules
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Claims tracking
Cons
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Single support option
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High cost with opaque pricing
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Support representative is not primary contact for technical issues
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No free trial
Why you can trust TechRadar
CareCloud focuses on cloud based practice management, serving doctors in fifty different specialties across the US. It started back in 2009, with a headquarters in Miami, Florida, and over 240 employees.
Growth has been strong with a product entry into the remote area, and record bookings in 2022.E. It is currently used by over 40,000 medical providers, across 70+ specialties in all 50 states.
Features
CareCloud offers their medical practice management solution under the ‘Practice Management’ banner, designed from the ground up to provide automation from routine activities, which frees up the office manager to do more important things at the practice . While it does provide a medical billing solution which can produce ‘Cleaner claims,’ and also enhances the efficiency of the workflow. It also provides real time analytics to provide information on the productivity of the practice as a business.
It starts with a comprehensive scheduling module that has a simple to use online drag-and-drop interface for patient scheduling of appointments. Incorporated is a multi-view calendar, that is designed to handle the complexities of a modern practice’s workflow in a way that a venerable Day Runner could only dream of, such as insurance verification, automated patient reminders, confirmation of appointments across multiple practice locations, and streamlined check in and out of patients- all to enhance front office staff efficiency. The views are powerful, and flexible, making it simple to see a provider’s appointments- for today, the future, or for prior dates- by the day, week or month. Insurance eligibility can be checked prior to the scheduled appointment, including the details of deductibles, copays and coinsurance, to ensure cash flow to the practice remains steady.
A significant issue at any practice is the denial of claims, which then delays payments, and takes precious time for staff to resubmit. CareCloud incorporates in their CollectiveIQ module, a comprehensive set of advanced, automated billing rules, that ensures submitted claims are ‘Clean claims,’ making them far more likely to not get rejected. Even when claims do inevitably get rejected, CareCloud has your practice covered with collections, so the practice can get paid for its work. In the Collections app, each rejected claim gets listed for the reason of denial, and even claims that were submitted and no action was taken by the payer get listed here as a reminder to followup. By listing denied claims by payer, age, and reason, trends emerge into actionable intelligence to minimize further issues, such as seeing an insurance company that takes an excessive amount to pay, and a decision can be made by the practice to no longer participate when the contract expires.
The Financial workflow app also makes things simpler for the office staff. Claims can be submitted without needing to re enter all the information, as the patient’s demographic information is used to auto-populate fields, which significantly reduces the workload. In addition, there is the ability to lookup codes by both diagnosis and CPT.
Drawbacks
In terms of medical practice management, CareCloud does cover plenty of needs. One deficit is it lacks the ability to handle inventory management. The medical scheduling function is missing scheduling for on call providers, and has issues with setting up recurring appointments, such as for an annual physical.
User reviews list some issues, which can be frustrating. They include frequent downtimes, and when customer support is contacted they read off a script. Others complain that the analytic reports cannot be customized, that labs are not integrated, and that some feel stuck with a multi-year contract they feel that they were pushed into.
Support
Support for CareCloud is listed on their website via a single toll free number for phone support. The hours and days of operation are not listed anymore; it was previously business hours on weekdays It is stated elsewhere that the tech support is US based.
Unfortunately, there is no listed option for an online portal or chat, which can be useful as options for communication is preferred without waiting on hold There is also an email, and a fax number.
Pricing
CareCloud used to provide pricing for their solution, but that is no longer the case. There are no prices listed on the CareCloud website unfortunately, but rather a custom quote can be generated. While we can appreciate this stance, to customize the price to the solution, we still prefer some pricing upfront, with an idea of the tiers and the additional options available, but there is none to be found here.
The closest that we could find (and not on the website) is that for both the EMR and the Patient Experience Management the cost is $628 per month. While that may not be the current pricing, this still makes it a higher priced option than some other competing solutions.
Also realize that this is not a complete solution, with additional modules available to build this out, and that also will increase the cost. These include Telehealth, Revenue Cycle Management, and on demand remote workers via Workforce Extension.
Finally, keep in mind that it is a free demo, but there is no free tier or free trial to better test drive it prior to purchase.
Final verdict
For a medical practice management service, CareCloud ticks many of the right boxes, with robust scheduling, automated claims scrubbing, and upfront pricing. The higher price, lack of support hours and options, and user issues in reaching their support representative are some areas to be aware of. In summary, CareCloud overall is worthy of a close look, and the free demo is worth investigating how this can serve your practice’s needs.
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Jonas P. DeMuro is a freelance reviewer covering wireless networking hardware.