A2Z Billings works inside Centricity the way your own staff does, handling templates, order sets, results, and referral tracking so a note closes the same day it's written instead of trailing a provider home.
Demographics, eligibility, and insurance coverage verified before the visit begins.
CPT and ICD-10 codes reviewed against provider documentation for complete accuracy.
Claims are scrubbed, batched, and transmitted electronically through the clearinghouse.
Rejected claims are corrected quickly while denials are tracked, appealed, and resolved.
ERA and EFT payments are posted, reconciled, and matched with payer remittances.
Accounts receivable, aging reports, dashboards, and financial reporting completed regularly.
Centricity's charting and practice management tools trace back to IDX Systems, carried forward through GE Healthcare and now folded into athenahealth's product line. Multi-specialty groups and hospital-affiliated practices still run large installs of it, often with templates and order sets that were configured years ago by a vendor team that no longer supports the account.
That history is exactly why documentation drifts. A template built in 2019 for a four-provider group does not hold up once two more providers join and each brings their own charting habits. A2Z Billings works inside the existing Centricity build rather than proposing a replacement system, correcting templates, order sets, and result routing while your clinical staff keeps working the way they already know.
Demographics, insurance, and consent data are checked against the chart at intake, catching mismatches before a visit note gets built on wrong information.
Visit-type templates are reviewed by specialty and rebuilt when they no longer match how a provider actually documents a visit.
Standing order sets are checked against current CPT and payer requirements, with outdated modifiers corrected at the source.
Lab and imaging results are routed to the ordering provider's queue daily, with abnormal results flagged the same day they post.
Referrals are logged against the visit that generated them, with authorization numbers attached before the chart moves to coding.
Messaging, intake forms, and appointment requests are set up to route into the correct staff queue instead of a shared inbox nobody owns.
Provider enrollment status is tracked against payer records so a lapsed enrollment doesn't surface as a rejected claim weeks later.
We build recurring reports on chart closure time, template usage, and documentation gaps, since Centricity's canned reports rarely answer the question a practice manager actually has.
Training runs on your specific templates and shortcuts, not a general walkthrough of Centricity's menus.
Registration is checked first, since a mistyped policy number or an unverified eligibility flag at check-in turns into a rejected claim two weeks later. Every morning, open charts from the day before are reviewed so nothing carries a two-day backlog into a new set of appointments. Through the day, order sets and result queues are monitored as they move. New results are matched to the provider who ordered them, and any order set flagged by a payer rule change gets corrected before the next chart pulls it. On a weekly cadence, chart closure time is reviewed by provider, prioritizing whichever queue is closest to a compliance deadline. Monthly, template usage and documentation gap reports go back to the practice, so the numbers reflect what's actually happening in the chart, not a general impression of it.
Centricity supports specialty-specific templates out of the box, though most practices never update them past the initial install. We rebuild them around how your providers actually document.
Standing orders can be flagged automatically when they haven’t been used in a set period, which is usually a sign the order set is outdated or no longer matches payer rules.
Patient-entered intake data can populate discrete chart fields instead of landing as a scanned form someone has to retype by hand.
Lab and imaging results can route to a specific provider queue based on ordering physician, cutting down on results sitting in a shared inbox.
Portal messages and requests can be split into separate queues for clinical, billing, and front-desk staff instead of one shared thread.
Where Centricity’s built-in reports fall short, we build a report against a practice’s own KPI set instead of relying on the default templates.
Open a phase to see what happens at that stage. Steps run in order, registration first, chart closure last, but you can jump to whichever phase matches where things are stalling.
What happens before a chart is opened
Demographics and insurance are captured at check-in, since most downstream documentation errors start with information that was wrong before the visit began.
Eligibility is checked before the visit, not during checkout, catching coverage issues while there is still time to address them.
Visits are scheduled against provider templates, flagging authorization needs at the point of booking.
Patient-entered intake data is mapped into structured chart fields rather than a PDF someone re-keys later.
Turning a visit into a structured chart entry
History, exam, and decision-making are entered into the correct visit-type template, checked as the note is being built.
Labs, imaging, and referrals are entered against the diagnosis that supports them, not added after the fact.
Prescriptions route through the pharmacy connection on file, checked against formulary and interaction alerts.
The note is checked for template compliance before it closes, catching missing elements while the visit is still fresh.
Closing the loop after the visit
Lab and imaging results post to the chart and route to the ordering provider's queue.
Results are opened and acknowledged, with a follow-up order or patient message attached where needed.
Referrals sent from the visit are tracked through to acceptance, not marked complete once the fax goes out.
Pending authorizations are checked on a set schedule so an approval doesn't get missed while it's still open.
Notes still open 48 hours after the visit are flagged by provider before they age further.
Keeping the record ready for billing and leadership
Charts move to coding only after the documentation check clears, cutting down on queries sent back to providers.
Charges are checked against the orders and diagnoses documented in the chart before they generate.
Recurring gaps by provider or visit type are reported back so training can target the actual problem.
Chart closure time and note volume are tracked by provider, not just by department.
Templates that are rarely used or frequently overridden are flagged for review.
Enrollment and credentialing status is checked against payer records on a recurring schedule.
Reports are built around the metrics a practice actually reviews in leadership meetings, not the default export.
Charts open past 48 hours are flagged daily, so a provider’s backlog gets caught while it’s still small.
A note built on the correct template closes the same day instead of sitting open for review.
Coders work from a chart that already matches the visit type billed, cutting the back-and-forth with providers.
Order sets and templates stay current with payer rules, so denials tied to missing documentation drop.
Results route to the right queue the day they post, instead of sitting in a shared inbox.
Template and documentation checks happen before a note closes, supporting audit readiness across the record.
Custom report definitions are built around a practice’s real KPIs, not just the default canned exports.
When charting runs cleanly, clinical staff spend less time on rework and more time on patient care.
Most practices already have staff who know Centricity's basic screens. What's usually missing is someone who tracks documentation patterns across the whole record and catches the small, repeated gaps before they show up as a denial or a compliance flag. That's the gap A2Z Billings fills.
Our team plugs into the queues your staff already works, not the other way around, so nothing about your existing workflow gets torn out to make room for us.
We’ve worked inside enough Centricity installs to recognize which template and order set problems repeat across specialties and configurations.
Enrollment gaps get tracked to resolution, not just flagged and left for someone else to close.
You see chart closure rates, template usage, and documentation trends on a set schedule, in plain terms, not after a problem has already cost a claim.