Practice Management & Medical Billing
Medical practice management and billing software
Cloud-based medical practice management and billing software for independent practices and billing companies — scheduling, bulk claims, and eligibility.
Runs standalone, no EHR required
License practice management on its own — the common setup for billing companies servicing multiple practices.
Claims move in bulk, not one at a time
Bulk submission, eligibility checks, and acknowledgment tracking surface denials while they're still cheap to fix.
Works with whatever EHR your clients use
Broad third-party integration means client practices generally don't have to move off their existing EHR.
Criterions practice management is licensed on its own — which means a billing company can run claims and scheduling for every practice it services from one system, without requiring a single one of those clients to also be on Criterions EHR. Most vendors in this category won't sell it that way.
It's medical practice management and billing software built for both halves of the market: the independent practice handling billing in-house, and the billing company handling it for a dozen practices at once. Over 250 practices and billing companies run on the platform today.
Front Desk Scheduling
Scheduling that supports how your front desk actually works
Appointment scheduling, resource management by provider and location, and automated appointment reminders are built into the same system as billing — so a schedule change and a billing note stay attached to the same patient record instead of living in two tools that sync overnight, or don't.
For a small practice that matters more than it does for a hospital. There is no interface team to reconcile the gap between your scheduler and your billing system. There's a front desk, and whatever the software makes easy is what actually gets done.
Claims & Eligibility
Claims and eligibility, built for volume
Bulk claims submission, bulk write-offs, bulk eligibility checks, and claims acknowledgment tracking are core to the platform — built for practices and billing companies that need to move a full day's claims at once, not one at a time.
Denials are the clearest version of the friction problem. A denial that surfaces three weeks late costs more staff time to resolve than the claim was worth, and by then the same error has usually repeated on a dozen more claims. Acknowledgment tracking exists so denials surface while they're still cheap to fix — which is a different thing from reporting on them after the fact.
Multi-Practice Billing
Medical billing software for billing companies, not just single practices
Because practice management is licensed independently of the EHR, a medical billing company servicing multiple practice clients can run claims and scheduling for all of them from one system — and because Criterions integrates broadly with other systems, those client practices generally don't have to move off whatever EHR they're already on.
That is not how this category is usually sold. Vendors that bundle the chart and the billing engine together make a billing company pay for clinical functionality it will never open, once for every client it services. The math on that gets worse with every client you add, which is precisely backwards.
Cloud Access
Cloud-based, so your billers aren't tied to one office
Billing staff working from home, a billing company servicing practices in four states, a practice manager checking A/R on a Sunday night — none of that requires a VPN into a server in your office. There's no on-site hardware to maintain, and no version of your practice's financial data that lives on exactly one machine.
Add EHR, ePrescribing, or the Patient Portal alongside practice management as your needs grow — or run practice management on its own if that's all you or your billing clients need. You are not buying a tier and hoping you grow into it.
Features available with Medical practice management and billing software
Add exactly what your practice needs — nothing you don't.
e-Prescribing software built into the workflow you already use
Send prescriptions electronically without leaving the chart — interaction checking, refill and change requests, and fill tracking, powered by NewCrop.
Explore this featurePatient appointment reminder software, tied to your actual schedule
Automated text, email, and voice patient reminders tied to your EHR schedule — patients confirm, cancel, or reschedule by reply and the slot updates.
Medical scheduling software that shares a record with billing
Provider and resource scheduling on the same record as billing, intake, and reminders — so a schedule change never needs re-entering in a second system.
Digital patient intake software, completed before the visit
Send intake, ID upload, and consent forms by text before the visit — patients complete them on their own phone instead of a waiting-room clipboard.
Frequently asked questions
What is medical practice management software?+
Medical practice management software handles the business side of a practice — patient scheduling, insurance eligibility verification, claims submission, payment posting, and accounts receivable follow-up. It's distinct from an EHR, which handles the clinical chart. Some practices run both from one vendor; billing companies typically need only the practice management side.
Can medical billing companies use Criterions practice management on its own?+
Yes. Criterions Practice Management can be licensed on its own — you don't need to also run Criterions EHR to use it, which is a common setup for billing companies servicing multiple practice clients.
Can I use Criterions practice management with a different EHR?+
Yes. Practice management is licensed independently, and Criterions integrates broadly with other systems — so a billing company whose client practices are on a range of different EHRs can still run all of them from one place. What the integration looks like depends on the other system, which is worth walking through on a demo.
Does it handle claims and eligibility?+
Yes. Bulk claims submission, bulk eligibility checks, bulk write-offs, and claims acknowledgment tracking are built into the platform, alongside standard scheduling and patient billing.
What does medical billing software cost?+
Criterions is priced modularly, so cost depends on which pieces you license. A billing company running practice management alone pays for a different configuration than a practice running EHR and billing together. A demo is the fastest way to get a real number for your setup.
The cost of billing software isn't the license fee
It's claims sitting in A/R three weeks longer than they should, denials nobody catches until the same error has repeated forty times, and staff hours spent reconciling a scheduler and a billing system that were never built to talk to each other. Here, claims move in bulk, acknowledgment tracking surfaces denials while they're still cheap, and scheduling and billing share one record — no reconciliation step. If you're a billing company, you license the billing side alone and keep clients on whatever EHR they already use.
Over 250 practices and billing companies run on Criterions today. The honest way to evaluate this is against your own numbers — bring your actual claims volume and current days in A/R to a demo, and the math will be obvious fairly quickly.