Keep Athenahealth

Medical billing for practices using Athenahealth

If your practice already uses Athenahealth, you should not have to replace your EHR just because you want better billing performance.

VeroRCM provides medical billing and revenue cycle management for independent practices that want to keep Athenahealth while improving how claims, denials, payments, A/R, and underpayments are managed.

Your physicians and staff keep the workflows they already know. Vero works within your existing billing environment and takes responsibility for managing the revenue cycle around it.

Your EHR

Keep Athenahealth. Improve the billing around it.

Changing medical billing companies does not have to mean changing your EHR.

Your charts, scheduling, patient information, and front-office workflows can remain in Athenahealth.

What changes is the billing operation behind them: who is reviewing claims, following up on denials, managing aging A/R, reconciling payments, and identifying revenue that may otherwise be missed.

If your practice likes Athenahealth, there is no reason to create a second disruption just to improve billing.

What we do

Full-service Athenahealth medical billing

Vero manages the revenue cycle from claim review through payment and follow-up.

Claim review and submission

Claims are reviewed before submission for issues that could create rejections, denials, or unnecessary delays.

When the same problem keeps appearing, the goal is not only to correct the current claim. It is to understand why it keeps happening.

Payment posting and reconciliation

Payments, adjustments, and remittance information are posted and reconciled within the existing billing environment.

A posted payment should not automatically mean the account no longer deserves attention.

Denial management

Denied claims are worked through the appropriate correction, follow-up, reconsideration, or appeal process.

We also track recurring denial reasons so the same issue does not continue appearing month after month without anyone addressing the cause.

A/R recovery

Older accounts should not simply sit in an aging report.

We prioritize A/R based on payer status, balance, denial history, filing or appeal deadlines, previous activity, and the next action required to move the account forward.

Underpayment recovery

A claim marked paid is not always paid correctly.

Where sufficient reimbursement information is available, we can review paid claims for potential short-pays and other payment discrepancies that may otherwise be closed without another look.

Billing reporting and visibility

Collections are important, but they do not tell the whole story.

Your practice should also be able to understand what remains unresolved, which denials are being appealed, where A/R is getting stuck, and what the billing team is actively working on.

Visibility

Better visibility into your Athenahealth revenue cycle

A month-end collections number tells you how much money came in.

It does not necessarily tell you what is still sitting behind it.

Better revenue-cycle visibility means being able to answer questions such as:

  • Which claims are still unresolved?
  • Which denials are being worked or appealed?
  • Where is A/R getting stuck?
  • Which payers are creating repeat problems?
  • Are the same denial reasons showing up again and again?
  • Were paid claims reimbursed as expected?
  • What is the billing team working on now?
  • Which accounts are approaching filing or appeal deadlines?

The goal is not simply to process more claims.

It is to make it harder for revenue to get lost inside the normal billing workflow.

How we work

Technology helps us find what deserves attention

Medical billing involves thousands of claims, payer rules, remits, denial codes, deadlines, and follow-up decisions.

It is difficult for any individual biller to manually watch every data point across the entire revenue cycle.

Vero uses technology to help surface potential claim issues, identify denial patterns, prioritize A/R, and flag payments that may deserve another look.

Experienced billing professionals review those findings and perform the actual billing work.

Technology helps us see more. People remain responsible for what happens next.

Independence

An independent Athenahealth billing company

VeroRCM is an independent medical billing and revenue cycle management company that works with practices using Athenahealth.

We are not Athenahealth and are not affiliated with Athenahealth's own revenue cycle services.

That distinction matters.

A practice using Athenahealth does not necessarily have to use the EHR vendor for billing. You can keep the technology your physicians and staff already use while choosing a separate company to manage the revenue cycle.

For practices that like Athenahealth but want a different approach to billing, denial management, A/R recovery, underpayment review, and revenue-cycle oversight, Vero provides that alternative.

We also work with other major EHR and practice-management systems including eClinicalWorks, Tebra/Kareo, AdvancedMD, NextGen, DrChrono, ModMed, Practice Fusion, and others.

Questions

Common questions about Athenahealth medical billing

Can I keep Athenahealth if I outsource billing?

Yes.

Your charts, scheduling, patient information, and front-office workflows can remain in Athenahealth while an outside medical billing company manages the revenue cycle.

You do not need to replace your EHR simply because you want to change billing companies.

Is Vero the same as Athenahealth's own revenue cycle services?

No.

VeroRCM is an independent medical billing and revenue cycle management company. We are not Athenahealth, do not sell Athenahealth licenses, and are not affiliated with Athenahealth's own billing or revenue cycle services.

Can Vero handle denials and A/R for a practice using Athenahealth?

Yes.

Vero can manage denial follow-up, appeals, aging A/R, claim-status work, payment follow-up, and other revenue-cycle activity while your practice continues using Athenahealth.

We also look for recurring patterns so the same problems do not simply continue cycling through the system.

Can you look for underpayments?

Yes, where sufficient payment and reimbursement information is available.

We can review paid claims for situations where reimbursement may not match expectations and determine whether the difference deserves further investigation.

Do I have to switch billing companies to get an audit?

No.

The Free Revenue Leak Audit is designed to give your practice an independent look at its existing revenue cycle before you make a decision about changing billing companies.

Already have a billing company?

Start with your own data.

You do not have to assume your current billing company is doing a bad job.

And you do not have to decide to replace them before getting another perspective.

Vero's Free Revenue Leak Audit reviews available claims, payments, denials, underpayments, and aging A/R to identify areas that may deserve a closer look.

If we find something important, we show you.

If the revenue cycle looks healthy, that is useful information too.

Understand what is happening first.

Then decide whether anything needs to change.