Best Revenue Cycle Management Software - Page 17

Microsoft

Make healthcare tech work for you, not against you. We are your Unified Partner in healthcare technology, taking your IT, security, and data headaches off your plate by bringing them together under one roof. One team, one point of accountability, so you can get back to your practice and your patients. We meet you where you are: if technology is holding you back, we fix it. If systems work but aren't driving growth, we stabilize them. When the foundation is solid, we enable growth. Trusted by practices of all sizes, with experience across 100+ EHR and PM systems.

Millin RCM

We actually own/operate six SaaS businesses, of which Millin is one. We are looking to discuss our options for each of these businesses. They all operate in the Behavioral Health Market, some with RCM and Billing (like Millin) - serving I/DD, ADC, ABA, etc. but some also serving county health boards, EHR/EMR (Accumedic), etc. We are expanding across the US but also need to discuss what, if any, are our options for regional- and or state-specific targeting.

Modality Revenue Solutions

Modality Revenue Solutions provides revenue cycle management and medical billing services for US healthcare providers. The company supports practices with medical billing, medical coding, denial management, credentialing and payer enrollment, patient statement services, EHR optimization, and billing audits. Its team works to reduce claim denials and accelerate reimbursements so providers can stay focused on patient care.

MOMSAT

MOMS Medical Billing and Practice Management software is designed to streamline physician billing processes in order to maximize reimbursement.

Myndshft

Myndshft is the only fully automated end-to-end prior authorization platform, designed to address the needs of providers and payers by delivering Collective Healthcare Intelligence™: real-time benefits and prior authorization insights in any system of record.   With Myndshft you can: -Verify real-time medical benefits for 93% of U.S. covered patients -Automatically calculate the patient’s financial responsibility -Identify primary, secondary, and tertiary payers (if they exist) -Determine if a prior authorization is required, electronically submit prior authorization directly to the payer, then actively monitor the status of the submission. -Discover active insurance coverage even if not provided by the patient initially Easily integrated directly with any EHR or system of record, or used as a standalone web portal, healthcare providers can use Myndshft to improve patient care, get paid faster, boost productivity, and enhance data accuracy across their revenue cycle.

Average Rating: 3.5/5.0

Total Reviews: 5

Napier Hospital Information System

Hospital Information System - Transform hospital operations, inspire care and transcend boundaries A modern, scalable platform for hospitals, clinics and their branches to offer enhanced patient care while achieving operational efficiency and maximizing revenue. The Napier Hospital Information System (HIS) is a modern solution that enables medical facilities to overcome the biggest challenges in healthcare today – achieving operational efficiencies, driving the healthcare provider community’s adoption of electronic medical record (EMR) technologies, deliver superior patient care while increasing revenues with new services and offerings. Napier HIS is a web-native, integrated, multi-facility, multi-lingual and scalable platform. It can be configured to meet all the information and communication needs of the administrative, operational, revenue and clinical departments of medium to very large hospitals and networks. Today, Napier works with leading hospitals in Asia, Middle East, and Africa. Leveraging such experience, Napier HIS allows providers to implement world-class process out-of-the-box. With a quarterly routine to feature updates alongside Napier's unique voice-of-customer (VOC) tool, clients are empowered to become partners in the product development journey. Compatible with HIMSS EMRAM - Stage 6 compliant with HIMSS EMRAM. Napier provides strategic consulting to achieve stage-6 or 7 with qualified consultants / partners; #1 Built-in RIS, LIS, Pharmacy modules with interconnectivity and result views #2 HIE Capable; Clinical decision support and controlled medical vocabulary #3 Nursing and clinical modules with documentation support along with alerts and interactions #4 CPOE with evidence based protocols #5 PACS system and integration #6 Closed loop system with templates, bar coded data, RFID along with medication administration #7 Working towards HL7 capability and advanced analytics Business Impact; - #1 BETTER REVENUE MANAGEMENT - Reduce administration cost and improve financial efficiency #2 OPTIMIZING RESOURCE MANAGEMENT - Automated process management streamlines clinical and administrative tasks, thus empowering staff #3 ESTABLISH NEW BUSINESS MODELS - Generate new streams of revenue through Napier’s integrated solution suite #4 GREATER VISIBILITY - Statistical analysis through BI tools enables a greater understanding of enterprise needs #5 BETTER PLANNING, INFORMED DECISIONS - Provides deep insight into the work structure, processes and flows of the business environment #6 GREATER DATA SECURITY - Access controlled system with role based access enables greater information security

Average Rating: 5.0/5.0

Total Reviews: 2

Netsmart Claims Adjudication

Netsmart Payment Portal

Nextech Practice+

This Saas-based practice management solution gives specialty physicians better control and visibility into how their business operates, with functionalities including scheduling, insurance billing and claim submissions.

NextGen Office

NextGen Healthcare’s private practice solution, NextGen®️ Office, helps practices simplify, automate, and unify clinical care—in person and virtually—so practices can save time and focus on what matters most: patient outcomes. As a HIPAA compliant, cloud-based EHR, patient data is accessible from any device with an internet connection; virtual visits are embedded directly into clinical workflows; revenue cycle management tools facilitate optimal reimbursement; and a state-of-the-art patient portal helps keep patients engaged in their care, from anywhere. Combining these capabilities into one seamless system frees practices from the confinements of onsite care delivery and opens the door to a virtual practice. With NextGen Office, providers can touch, talk, or type encounter notes directly into the clinical documentation. NextGen Office includes MIPS reporting/dashboards; automates insurance eligibility; empowers patients to schedule appointments, request refills, and schedule telehealth visits; and connects the care team through direct messaging and referral exchange. The NextGen Office team is dedicated to helping practices achieve operational excellence, improve clinical outcomes, advance clinician and patient satisfaction, and foster healthier lives. NextGen Office grew from a company founded in 1998 by two doctors with one goal—to make medical offices run more efficiently. Company founders designed a solution to accommodate physician and staff workflow with easy-to-use, affordable technology that adapts to the provider’s workflow and is accessible from anywhere. Now more than 124,000 providers across the United States use solutions provided by NextGen Healthcare.

Nobility RCM

Nova Swarm AI

Nova Swarm AI is a proactive Revenue Cycle Management (RCM) and Claim Recovery platform for hospital systems and insurance organizations. Unlike traditional RCM tools that react to denials after they occur, Nova Swarm's AI monitors the full revenue cycle in real time, identifying risk before claims are submitted, recovering denied and underpaid claims at scale, and surfacing coverage opportunities for patients before service is rendered. Key capabilities: • Proactive denial prevention — flags high-risk claims before submission • Autonomous claim recovery — pursues the full denied claim population, not just high-dollar cases • Payer contract compliance monitoring — detects underpayment patterns across thousands of claims • Front-end eligibility intelligence — converts uncompensated care into funded care before billing • Revenue cycle intelligence dashboard — real-time visibility into leakage and recovery opportunities Nova Swarm integrates with existing RCM infrastructure — no rip-and-replace required. Our AI acts as a tireless extension of your billing team, handling the volume that humans cannot pursue at scale. Performance-based pricing: 20% success fee. Zero upfront cost. Zero headcount expansion required. Target customers: Hospital CFOs, VP Revenue Cycle, RCM Directors, Insurance Carrier Claims Executives.

OmniMD Revenue Cycle Management

Orca Cred

Orca Cred is a healthcare software platform designed to simplify the credentialing procedure of the medical stakeholders. It serves the needs of doctors, hospitals, clinics as well as EHR companies. The features in Orca Cred are designed to resolve the pain points of the credentialing procedure. From storage of documents, comprehensive form repositories to automated form filling and e-signature support- the product has it all. The unique customized dashboard option makes it very easy for the practice manager to maintain the profiles of the providers. There are different plans that the providers can choose from according to their requirements and availability of resources.

OSP RCM Solution

OSP’s RCM Solution is a robust software platform that streamlines revenue cycle processes, minimizes administrative burdens and increases reimbursements. This RCM platform is tailored with core features such as medical records management, medical day sheet, healthcare master data management, claims rule engine, RCM analytics, prior authorization, A/R management, and more. With these core features, the RCM platform has helped healthcare organizations reduce billing costs and boost patient experience. The RCM platform also has add-on features like Clinical Notes, Telehealth, Chatbot, Credentialing, e-prescription, Appointment Scheduling, Virtual Assistance, Payment Gateway, and more. Healthcare organizations can opt for these add-on features as per their requirements. The RCM platform offers third-party integrations such as clearinghouse service, email service, notes service, and so on.