Best Revenue Cycle Management Software

Revenue cycle management (RCM) software unifies the business and clinical sides of a health care practice via automation of administrative tasks, pulling of data from EHRs and other hospital information management solutions, and organization of individual RCM processes that already exist. This helps streamline and ease the overall financial processes that exist within a health care organization.

RCM software is comprehensive, providing functionality that can be found in medical billing software, healthcare claims management software, health care credentialing software, medical practice management software, and patient engagement software. Some RCM solutions come equipped with data analysis features and employee training tools. Users of RCM software are physicians or practitioners, patients, and payers.

To qualify for inclusion in the Revenue Cycle Management (RCM) category, a product must:

  • Integrate with hospital IT solutions
  • Unify the financial with administrative sides of a clinic, practice, hospital, or other health care organization
  • Support the relationship between hospitals, payment providers, and insurance companies
  • Adhere and adapt to evolving health care industry regulation
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Compare Revenue Cycle Management Software

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    (24)4.5 out of 5
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    Kareo makes it easier and more rewarding for you to run an independent medical practice. We offer the only cloud-based, clinical and business management technology platform dedicated to serving the unique needs of independent practices. Our software helps you find and engage with patients, run a smarter business, provide better care, and get paid faster. From the front office to your back-end billing, Kareo Practice Management streamlines the way you work. It’s easy to use and proven powerful by the more than 40,000 providers that trust it for their small practices. Unlike other companies that built their offering for large medical groups or hospitals, Kareo is purpose-built for the work flows and unique needs of the independent practice. The result is an affordably-priced platform without the bells and whistles that you don’t need.

    NextGen Healthcare provides practice management solutions that support a patient-centric revenue cycle, enabling practices of all sizes to succeed in today's complex healthcare climate. Our real-time clinical and administrative workflows help reduce physician burnout and achieve value-based reimbursement goals. Available on any device or platform, our powerful functionality helps automate patient registration, appointment scheduling, medical billing, claims processing, and reporting.

    athenahealth is a leading provider of network-enabled services and mobile applications for medical groups and health systems.

    Availity solves the communication challenges between healthcare stakeholders, creating a more transparent exchange of information between health plans, providers, and technology partners.

    NextGen® Healthcare
    (24)3.6 out of 5
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    Optimized for quick response

    NextGen Healthcare delivers a comprehensive, integrated technology and services platform tailored to fit the needs of ambulatory and specialty practices of all sizes. The company powers national interoperability that lets users easily exchange patient data across disparate systems, access health information regardless of where patients are treated, and personalize and streamline patient communications. The company’s analytics offerings enable population health management and risk stratification to help practices accurately identify gaps in care and achieve clinical and financial value. Their clinical care solutions simplify and integrate provider workflows and lessen administrative tasks to free clinicians to focus on care and optimize the caregiver experience. By leveraging their financial management offerings, the company aligns financial and clinical solutions including end-to-end revenue cycle management (RCM) to better align with practices’ goals, improve their competitive position, and lower their cost of health IT ownership.

    DrChrono is a patient care platform that offers customization at the point of care and on the go. DrChrono also includes scheduling, billing and patient reminders.

    AdvancedBilling: Drive revenue with ease. All the tools you need to manage your A/R and claims processes in one database. Our robust clearinghouse automates manual processes and improves workflow. ClaimsCenter gives you auto-generated worklists, claims tracking & centralized billing. Easily identify issues with ClaimInspector that automatically scrubs claims for potential errors. Results are astonishing with nearly 100% first-pass claim acceptance. Healthier practice = healthier patients.

    CareCloud Concierge is a complete revenue cycle management solution that allows you to shift the heavy lifting around getting paid, so you can focus more on patients and worry less about collections. Modern RCM software and real-time analytics combine with our specialized back-office team to help your practice improve profitability, eliminate administrative burdens, and adapt better to industry change.

    Total practice solution, designed for surgical specialties, such as otolaryngology, pain management, orthopaedics, and neurosurgery.

    Electronic Health Record (EHR), Practice Management (PM), Medical Billing (RCM), TeleHealth and Healthcare Messaging Solution

    eClinicalWorks Revenue Cycle Management (RCM) Services provides an alternative by allowing our staff of expert billers to handle back-office operations directly through the eClinicalWorks application, securely and accurately. Dashboards provide authorized users with transparency into the process and visibility into your practice’s financial performance in real time.

    A complete, cloud-based EHR, practice management, and billing system designed specifically by and for behavioral health professionals.

    eTHOMAS (Total Health Office Management Automation System) is a premiere healthcare management and billing software product. It makes office efficiency, accuracy, and patient information and confidentiality (HIPAA) a working and integrated function of your office.

    MTBC Medical Billing Service helps to increase your efficiency by taking control of complicated billing matters, and unmatched technology platform will help improve your revenue.

    An all-in-one set of personalized resources, expertise, and cloud-based practice management services that simplifies and strengthens the modern patient-centered medical practice. With our physician practice management services, you will lower your costs and maximize your opportunities to grow. We help manage every touch point, from appointment to payment and keep track of every dollar so you can focus on providing quality care to your patients. Our partnership will put you on the road to Value-Based care, where you will be rewarded for delivering efficient, high-quality care.

    TriZetto offers consulting, IT, and business process solutions to streamline the deployment and adoption of technologies and improve operations for payers and providers in the health care industry. TriZetto solutions are designed to improve efficiency, accuracy, compliance, and results throughout the health care system.

    AHT Revenue Cycle Managements integrated Revenue Cycle Management (RCM) suite helps skilled nursing organizations like yours to efficiently manage the entire revenue cycle from admissions and eligibility verification to claims submission and processing all the way through to denial management and collections. Download the brochure to learn more.

    Allscripts Payerpath® is an Internet-based suite of solutions that addresses every step in the reimbursement cycle.​

    Secures short-term, sustainable financial improvements, while providing the adaptability, scalability and proven processes to help prepare your organization for value-based reimbursement.

    edgeMED provides expert revenue cycle management and intelligent technology to increase physicians' revenue and improve their operational efficiency - enabling them to stress less, make more and live more. Our Essential medical billing and collection service tracks, measures and collects more of the money you’re owed in less time than you thought possible, so you can see more patients and less paper work. Our expert U.S.-based team, located in Boca Raton, Los Angeles and New York, will not only handle your back-office workload, but we’ll help optimize your entire revenue cycle to ensure your organization is running at maximum efficiency and profitability – all without any management headaches all too commonly associated with medical billing. Plus, with our cloud-based practice management/electronic health records and telemedicine applications you can provide better patient care, while unlocking obstacles to higher reimbursement.

    Experian Healthcare enables medical groups to evaluate contract performance, verify reimbursement and assess financial implications of new contracts.

    The HSP Payer Suite provides a single-source database, core administrative system, web portals, and open system with web services to quickly automate current and future healthcare regulations and business processing requirements.

    ImagineBilling Practice Management Software improves cash flow, simplifies processes and provides unprecedented, real-time productivity monitoring by streamlining the billing/collections workflow to help clients achieve peak performance and measurable results.

    Optum360 sits at the center of the health care financial exchange. It combines technology, methodology and expertise to help payers and providers collaborate. Its seamless, transparent revenue cycle capabilities strengthen and sustain the payer and provider relationship.

    ProviderSuite is composed of two high-capacity programs ScheduleManager and BillingManager. It provides you with powerful features and benefits which improve your revenue and reduce billing errors.

    A completely integrated, enterprise, modular, feature rich, user friendly Hospital Information Management System.

    EHR system for small and medium sized practices that offers patient demographics, e-billing, and appointment scheduling functionality.

    TruBridge is a service provider focused on providing business office, consulting and managed IT services to community healthcare organizations.

    AccuReg offers a full suite of all critical front-end RCM process solutions that hospital Patient Access departments need.

    Practice Management solution lets you manage patient records, insurance eligibility, documents, and billing in one place to maximize staff efficiency.

    AdvantEdge is a top medical billing company that offers medical billing and coding and revenue cycle management solutions.

    Enables healthcare partners to thrive and grow by delivering large system revenue management solutions at industry beating rates. Empowers our partners to prosper by maximizing their revenue opportunities and facilitating focus on patient care.

    Best Practice Software is a leading Australian provider of medical software.Best Practice Software is designing for the future, embracing new technology and innovation to improve practice efficiency, patient engagement and meet the complex needs of health providers.

    CareCloud Breeze is the fastest patient registration and intake solution to seamless integration into your PM and EHR, Breeze makes every interaction between patients and your practice easier than ever.

    Revenue Cycle portfolio provides integrated solutions and services to help optimize workflows and control cost to collect across acute and ambulatory venues.

    Optimize your returns and shorten your revenue cycle with a custom RCM software that combines EHR workflows and payment collections into a simple, single source.

    The Cirius Group has transformed healthcare revenue cycle business operations for over 35 years. Cirius delivers industry leading KPI's by streamlining business office functions with highly customized automation. We remove the manual effort from claims production, remittance, and reimbursement processes, relieving workloads with our software and business services. Continual software innovation, optimized EDI services, and dedicated support helps drive client’s success and sustains their results over the long term. Providers rely on Cirius solutions for consistent results over decades of adding facilities, managing growing claim volumes and adapting to ever-changing payer requirements. Complex billing environments are our specialty; large CBOs, major academic systems and cancer centers all rely on Cirius solutions to help ensure the sustainable cash flow they need. Offering: Contract Management Software Claim Editor and 837 Submission Software Payment Processing Software Cash Reconciliation Software Denial Management Software Revenue Cycle Consulting Cirius Business Services: Fully managed hands-free direct EDI services to all payers. Includes submission, tracking, re-submissions, reconciliation management, and correcting rejections. Available to all providers.

    Claim Resolutions provides an integrated solution for medical billing, coding, and practice management.

    Clarus RCM offers RCM solutions for healthcare providers.

    Analyze proposed bills to get visibility into problems and actionable insight before the problems leave the business office.

    Functionality includes collaborative charting, automatic code capture, patient portal, and billing integration.

    Convergent is a leading provider of customer care outsourcing, receivables management and revenue cycle management services in the cable, commercial, healthcare, telecom and utility sectors.

    Davis Practice understands that running a medical office can be busy, whether its a dentist, doctor, or surgery center. Our experts specialize in Medical Business Management and can help your practice with all of its office needs.

    Devington offers a practice management system, combined with a integrated EHR and clearinghouse, designed to simplify patient registration, scheduling, billing, and reporting for revenue cycle management.

    Direct CONTROL is a patient administration and clinical solution designed to provide fast, affordable and effective functionality and workflow which allows users to improve patient outcomes.

    Doctors Access provides physicians a flexible and robust practice management and billing solution.

    SYNERGEN Healths patent-pending DOCTRIX is a cloud-based analytics solution that simplifies complex healthcare revenue cycle financial data with user-friendly dashboards, making information easy to review, evaluate and share in real-time.

    Helps you meet pressures with a full range of BPO and turnkey healthcare administration solutions, including advanced technologies and strategic consulting services designed to help you optimize member outcomes, focus on revenues, and manage risk to remain compliant

    Breakdown operational barriers to scale and drive strategic growth while securing revenue streams.

    e-HAT is an electronic Healthcare Administration Tool that helps to manage Queuing & all the operations of a Hospital using an user-friendly and state of the art Graphic interface.