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:
Revenue Cycle Management reviews by real, verified users. Find unbiased ratings on user satisfaction, features, and price based on the most reviews available anywhere.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
GeBBS Healthcare Solutions provides tailored revenue cycle management solutions that cut through the complexity with expertise, operational excellence, and a sophisticated approach.
HCS provides and integrated clinical and financial IT platform to LTACH, senior living & behavioral health facilities. The HCS Interactant platform has been delivering enterprise-wide and easy-to-adopt solutions for revenue cycle management, financial reporting, electronic medical records, mobile technology, and business intelligence.