Amazing Charts medical billing and RCM support
Amazing Charts is an EHR for small and solo practices, and its practice management (PM) software is a separate system that shares patient data with it. A billing team therefore needs access to both. We work in the EHR for charges and the PM side for claims, remittances and denials, under named, two-step accounts.
Written by Salman Saeed, CEO and Co-Founder · Reviewed by a Certified Medical Coder · Last reviewed October 2026In short: we work in Amazing Charts through named, two-step accounts in the EHR and in the PM system, under a signed BAA, and we claim no partnership with the vendor. The checks on this page follow the Medicare Claims Processing Manual chapters 12, 16 and 26 and 42 CFR 424.44.
What is Amazing Charts and who uses it?
Amazing Charts is an electronic health record (EHR) system that its vendor says was founded in 2001 by a practicing family physician. The vendor's About page says Harris Healthcare acquired it in 2017. Its EHR page describes the product as built for small practices and solo practitioners, offered either locally installed or in the cloud.
The vendor lists solutions for electronic health records, practice management, medical billing, population health and patient engagement. Its specialty pages cover urgent care, dermatology, family medicine, podiatry, primary care and plastic surgery. See our pages on family medicine billing, dermatology billing and podiatry billing.
One detail shapes billing work. The vendor's practice management page says the EHR and PM are separate systems that share patient data, and its EHR page says the EHR can work with the PM of your choice. Which PM a practice runs decides where claims are built, so we ask first.
How does an outside billing team get access to Amazing Charts?
Our security page covers data protection in full.
How do claims move from Amazing Charts to the clearinghouse and payer?
Charges start in the EHR visit. The PM side then builds the claim. The vendor's PM page names an integrated clearinghouse called Secure Connect Clearinghouse, and says the PM can verify eligibility, report on unpaid claims and automatically check claim status. A clearinghouse is the service that checks claims and passes them to payers.
The vendor's pricing page lists Integrated Clearinghouse, Payment Posting, Claims Manager and Reporting in its bundled EHR and PM plan. Its PM FAQ says the system handles claim submission, eligibility checks and electronic remittance. If a practice uses a different PM through an interface, the claim path is that system's, and we trace it at setup.
The vendor also sells a Billing/RCM service. Its RCM page describes claim scrubbing, claims submitted daily, denial follow-up and appeals, and patient statements. If your practice uses it, we agree in writing who works which queue so no claim is touched twice.
The vendor's public pages do not describe how the ERA (835) is matched to claims, so we confirm the matching at setup. At setup we confirm where the 835 arrives and posts, then match each payment to the original charge and write the route down for your account.
What billing mistakes are common in Amazing Charts (charge capture, modifiers, demographics)?
The vendor's interface page lists connections to more than 600 labs, radiology, practice management systems and every state immunization registry. Those feeds shape which checks matter for a primary care claim. We tie each check to an official rule and do not attribute any defect to the vendor.
| Check | Rule and source |
|---|---|
| Lab results from an in-office test | Medicare manual chapter 26: CMS-1500 item 23 takes the 10-digit CLIA number for lab services billed by an entity performing CLIA covered procedures |
| CLIA number format | Chapter 16, section 70.4: positions 1 and 2 are the state code, position 3 is the letter D, positions 4 to 10 are the lab's own number |
| Visit plus injection or procedure the same day | Chapter 12, section 30.6.6: modifier 25 goes on the E/M code only, and a different diagnosis is not required if the note supports a separate service |
| Diagnosis order and pointers | Chapter 26: item 21 lists diagnoses in priority order to the highest specificity, and item 24E carries one pointer per line |
| Modifier count | Chapter 26, item 24D: the CMS-1500 holds up to four modifiers on a line |
| Demographics match the payer | Eligibility is checked before the visit and again when the PM claim is built, so a changed plan or ID is caught before submission |
| Filing limit | 42 CFR 424.44(a)(1): a Medicare claim must be filed within 1 calendar year after the date of service |
What do we do inside Amazing Charts and the PM system?
- Charge review: we compare the day's visits in the EHR with the charges that reached billing and flag any seen patient with no charge.
- Coding: we check codes, modifiers and diagnoses against the visit note.
- Claim edits: eligibility, demographics and rendering provider are fixed before the claim leaves.
- Submission: claims go out within 24 hours of charge entry, through your clearinghouse.
- Remittances: we post the ERA (835) and match each payment to its charge.
- Denial work queues: denials are worked within 48 hours. See our denial management service.
- A/R follow-up and patient statements for balances still open.
Which Amazing Charts reports matter for denial and A/R tracking?
The vendor's PM page describes reports for working unpaid claims, an automatic claim status check and a reporting function for finding reimbursement delays. The EHR page describes preset reports and custom queries. Its Smart Analytics add-on tracks performance metrics. Its public pages do not name a denial or A/R aging report, so we confirm at setup which reports your version offers and fill any gap from the clearinghouse.
| Purpose | What we look for |
|---|---|
| Charge lag | Days from the visit to charge entry, by provider |
| Claim status | Sent, rejected or unpaid claims by payer and age |
| A/R aging by payer | Balances in 0 to 30, 31 to 60, 61 to 90 and over 90 days |
| Denial trends | Top denial reasons by CARC and RARC, by payer and period |
| Payment variance | Paid against expected amounts by payer |
How we handle billing in Amazing Charts
We work through named, two-step accounts in the EHR, the PM system and the clearinghouse, and we report from your own data. We claim no partnership with the vendor. If you are comparing similar small-practice systems, see Practice EHR, RXNT, Elation Health and MEDENT. For the service itself, see medical billing and the EHR hub. Groups with several sites can read about large groups and health systems.
Book a call to talk through your setup.
- Amazing Charts About Us · Amazing Charts
- Amazing Charts EHR · Amazing Charts
- Amazing Charts Practice Management · Amazing Charts
- Amazing Charts Billing and RCM · Amazing Charts
- Amazing Charts Interfaces · Amazing Charts
- Amazing Charts Pricing · Amazing Charts
- Medicare Claims Processing Manual, chapter 12 · CMS
- Medicare Claims Processing Manual, chapter 16 · CMS
- Medicare Claims Processing Manual, chapter 26 · CMS
- 42 CFR 424.44 Time limits for filing claims · eCFR
We check every rule, code and deadline against the official source. See our editorial policy.
Common questions
Straight answers from the team that does the work.
Ask a billing lead directly. A 20-minute call, Monday to Friday, 9am to 5pm Eastern.
01Can an outside billing company work inside Amazing Charts?
Yes, when the practice creates named accounts for our team and signs a BAA first. We need access to the EHR for charges and to the PM system and clearinghouse for claims. Each person has role-based access and two-step login. We claim no partnership with the vendor.
02What access does a billing partner need in Amazing Charts?
Enough to see visits, charges, claims, remittances and statements for the providers in scope. That usually means the EHR, the PM system and the clearinghouse. Access is role-based, tied to a named user and protected by two-step login. The exact scope is agreed at setup.
03Which Amazing Charts reports matter for denial and A/R tracking?
The vendor describes reports for unpaid claims, an automatic claim status check and preset or custom EHR reports. Its public pages do not name a denial or A/R aging report, so we confirm at setup what your version offers and take denial detail from the clearinghouse and remittances.
04How do claims move from Amazing Charts to the clearinghouse and payer?
The vendor says its PM includes Secure Connect Clearinghouse, which passes claims to payers. Charges begin in the EHR, and the PM side builds the claim. If you use a different PM, that system and its clearinghouse carry the claim. We confirm the route at setup.
05How does Amazing Charts post ERA and 835 remittances?
The vendor's PM FAQ says the system handles electronic remittance, and its pricing page lists Payment Posting. Its public pages do not detail how an 835 is matched, so we confirm the matching at setup. At setup we confirm where the ERA arrives and posts, then match each payment to the original charge.
06What billing mistakes are common in Amazing Charts (charge capture, modifiers, demographics)?
Common checks are seen patients with no charge, modifier 25 on a visit billed with an injection or procedure, the CLIA number on lab claims, and outdated insurance. We run them against Medicare chapters 12, 16 and 26 on every account, not as a vendor defect.
07Does the vendor's own billing service replace outside billing?
The vendor offers a Billing/RCM service, so a practice may already use it. We do not work in the same queue as another biller. If you use it, we agree in writing which claims, denials and statements each side handles. If you do not, we take the whole billing workflow.
08Does the CLIA number go on every lab claim?
Only on lab services. Medicare manual chapter 26 says CMS-1500 item 23 takes the 10-digit CLIA certification number for lab services billed by an entity performing CLIA covered procedures. We check the lab setup and the CLIA number format before the claim goes out.
09When does an office visit need modifier 25?
Medicare manual chapter 12, section 30.6.6, says modifier 25 goes on an E/M service only, when the same practitioner provides a significant, separately identifiable visit on the day of another procedure or service. A different diagnosis is not required, but the note must support both services.
10How long do we have to file an Amazing Charts claim to Medicare?
For Medicare, 42 CFR 424.44(a)(1) says a claim for services on or after January 1, 2010 must be filed no later than 1 calendar year after the date of service. Other payers set their own limits, so we check each payer contract and track charge lag.
11Medical billing service for Amazing Charts users
Yes. Nucleus Align works inside Amazing Charts on accounts you create, so you keep your system. We work the EHR and the separate PM system through accounts you create, covering charge review, claim checks, remittance posting and denial work. Claims go out within 24 hours of charge entry and denials are worked within 48 hours.
12Can Nucleus Align work in Amazing Charts without sharing a login?
Yes. Each person on our team gets a named Amazing Charts account of their own under a business associate agreement, with two-step login. Because the EHR and PM system hold separate access, you set up each login separately. That keeps every action traceable to one person, and you decide when access ends.
Running Amazing Charts? Talk to us.
A 20-minute call about your payers, volume and setup. Monday to Friday, 9am to 5pm Eastern.