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MegAligna

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Healthcare billing software for cash-pay practices

MegAligna is billing software for practices whose claims are submitted by an outside biller or by the patient. It captures charges at the encounter, produces per-session exports in the format your biller asks for, takes card payments through hosted checkout, and tracks patient balances. Superbill and CMS-1500 PDF output follows AMA CPT licensing.

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Before you evaluate this

Who is this billing module for?
Practices whose claims are submitted by an outside billing service, and practices that are cash-pay or out-of-network where the patient submits their own superbill. Roughly half of behavior-analytic agencies outsource some or all of their billing.
Does it submit claims to payers?
Not yet; direct payer submission is on the roadmap. Today it produces the charge data submission needs, per-session exports with codes, units, modifiers and diagnosis linkage, and hands it to whoever bills for you, with their seat free.
What is a superbill?
An itemized receipt of services with the diagnosis and procedure codes, dates, units and charges, given to a patient so they can seek reimbursement from their own insurer. For out-of-network practices it is the entire billing artifact.
Can we take card payments?
Yes, through a hosted checkout. Card details are entered on the payment provider's page and never reach our systems, which keeps the practice and us out of scope for card-data handling.

What comes out of a finished session

  • Included

    Charge capture at the encounter

    Procedure and diagnosis codes, units, modifiers, place of service and rendering versus supervising provider recorded on the encounter, not reconstructed from a note a week later.

  • Included

    Per-session CSV export

    Codes, units, modifiers, diagnosis linkage and rendering versus supervising provider, per payer configuration, in the format an outside biller asks for.

  • Roadmap · v1.x

    Superbill and CMS-1500 PDFs

    Generated from the same charge data, and released once AMA CPT licensing is complete. Until then the per-session export carries every field the documents would contain.

  • Included

    Patient payments and balances

    Hosted card checkout, payment allocation against charges, and a running patient balance computed rather than stored.

  • Not included · v2

    Direct payer submission and remittance import

    Not in this version. Practices that submit their own claims electronically today should stay on their current system until this exists.

How the biller handoff works

An outside billing service depends on the quality and format of what it receives. MegAligna produces that record directly from the session that happened, with codes, units, modifiers, diagnosis linkage and the rendering-versus-supervising provider already resolved per payer.

Onboarding a billing service is therefore a conversation about column names rather than a systems project. Send them a sample export in the first week and adjust the mapping to what they ask for. Their seat costs nothing, so they can also work directly in the system if they prefer.

Billing reports

Revenue by provider and by location, payments received, patient balances and ageing, all exportable as CSV for your accounting system. There is no live two-way accounting integration.

Reports cover what the system holds: charges, patient payments and balances. Insurance remittance data stays with your biller, so payer-level collections analysis belongs in their system rather than this one.

Two guides sit underneath this. The CMS-1500 field guide walks every box on the claim form and flags the ones that cause denials; the 8-minute rule covers how timed minutes become billable units, which is where therapy practices lose money quietly. If you want to see the output rather than read about it, the superbill generator produces one now, free and without an account.

Run a test session through to a charge

14 days, no card required. Use made-up patients while you evaluate — real patient information waits until a business associate agreement is in place.

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