Best Revenue Cycle Management Software - Page 9

Anomaly

Anomaly is healthcare’s first AI powered payer management company, delivering the tools you need to know your payers as well as they know you.

AppealHound

AppealHound is AI denial-appeal software for US medical billing companies, RCM firms and the specialty practices they bill for. It reads the 835 remittance, ranks every denial by dollars and days left to file, and drafts the appeal letter with a citation to the CMS policy it relies on. A person at the billing company approves every letter before it goes out, and cases over $5,000 go to a manager. Billing companies pay $8 per appeal drafted ($6 above 1,000 a month, $4 above 5,000), with no seat licences, no minimum and no platform fee. Practices pay $300 per location per month on a yearly plan. AppealHound never charges a percentage of recoveries. A free denial review takes four aggregate columns (payer, reason code, count, billed amount) and no patient data.

Arcee Agentic AI

Arcee Agentic AI RCM Platform

ArceeHQ is an agentic AI platform for healthcare revenue cycle management. The platform deploys purpose-built AI agents that monitor, analyze, and act on revenue cycle data thereby reducing claim denials, accelerating patient financing decisions, and identifying financial assistance eligibility. Designed for health systems managing complex payer relationships and high claim volumes, the platform automates the manual review work that drives revenue leakage. Here are a few sample AI agents in the platform - Claims Denial Prevention Agent - identifies denial patterns before submission Claims Validation Agent - reviews claims against current payer rules before billing Patient Financing Agent - evaluates patient financing options and routes decisions automatically Financial Assistance Eligibility Agent - screens patients for charity care and assistance programs

Ardent

AI insurance verification for dental practices.

Ardent Thrive RCM

With a strong nationwide presence, AT-RCM. Serves healthcare providers in over 50 states across the USA. Our comprehensive billing and RCM services are designed to meet the unique needs of each state’s healthcare landscape, ensuring seamless revenue management for practices from coast to coast.

Arize EHR

Cantata Health Solutions is focuses on helping behavioral health and human services organizations overcome the limitations of legacy technology. With deep experience in behavioral healthcare, Cantata develops solutions designed around the complex clinical, financial, operational, and regulatory realities providers face every day. At the center of Cantata’s portfolio is Arize, a modern and integrated electronic health record (EHR) platform. Arize brings clinical care, revenue cycle management, operations, and client engagement together in one configurable platform, helping organizations reduce administrative burden, improve financial performance, increase visibility, and deliver more connected care. Purpose-built for behavioral health Behavioral health organizations operate differently from traditional healthcare providers. They often manage multiple programs, funding sources, reimbursement models, regulatory requirements, locations, and levels of care—all while facing growing workforce and administrative pressures. Cantata understands that complexity. Arize was designed around behavioral health workflows rather than adapting a general healthcare EHR to fit them. The platform supports organizations across mental health, substance use disorder (SUD), opioid treatment programs (OTPs), Certified Community Behavioral Health Clinics (CCBHCs), child and youth services, foster care, and integrated behavioral health. One platform for clinical, financial, and operational performance Arize connects workflows across the organization so clinical, administrative, and financial teams can work from a shared platform rather than relying on disconnected systems and processes. Clinical capabilities include configurable documentation, forms and treatment planning; mobile functionality; integrated telehealth; medication management and methadone dispensing; and embedded collaboration and client engagement tools. Integrated billing and revenue cycle management (RCM) connect clinical activity with financial workflows, while claims management, reimbursement tools, reporting, analytics, and role-based dashboards give organizations greater visibility into performance. Arize also helps organizations standardize processes across programs, service lines, and locations while maintaining the flexibility required for different populations and models of care. Technology designed to evolve Behavioral healthcare is constantly changing. New regulations, reimbursement models, service lines, technologies, and care delivery models can quickly expose the limitations of rigid legacy systems. Cantata built Arize to evolve alongside the organizations that use it. Configurable workflows, forms, documentation, reports, and business processes allow organizations to adapt the platform as requirements change without relying on extensive custom development. This flexibility can help providers expand programs, enter new markets, support new reimbursement models, and standardize operations as they grow. Arize is built on a cloud-native, open architecture and includes an extensive API library to support interoperability with third-party applications, state systems, laboratories, pharmacies, and other healthcare technologies. The platform also incorporates AI capabilities designed to reduce repetitive administrative work and documentation burden. Its extensible architecture gives organizations additional flexibility to incorporate emerging AI technologies and partners as their needs and the healthcare technology landscape evolve. Designed for organizations solving complex behavioral health challenges Cantata works with organizations seeking to: • Reduce clinician documentation and administrative burden • Improve billing accuracy and revenue cycle performance • Standardize workflows across programs and locations • Increase clinical, financial, and operational visibility • Improve client engagement and reduce missed appointments • Support CCBHC certification, expansion, and reporting requirements • Integrate medication-assisted treatment into coordinated care • Strengthen readiness for regulatory and accreditation requirements • Expand programs, locations, and service lines • Prepare for evolving reimbursement and performance-based care models • Connect existing and emerging technologies through an open platform Organizations served by Cantata include Certified Community Behavioral Health Clinics (CCBHCs), Community Mental Health Centers (CMHCs), outpatient, inpatient and residential mental health providers, multi-site SUD and OTP providers, child and youth services and foster care organizations, and integrated behavioral health providers. More than an EHR vendor Technology alone does not transform behavioral healthcare. Cantata works with customers throughout implementation and beyond, providing guidance, training, customer support, and ongoing product enhancements to help organizations realize long-term value from their technology investment. Our goal is not simply to digitize existing processes. It is to give behavioral health and human services organizations a technology foundation that can reduce operational friction today while providing the flexibility to respond to what comes next. With Arize, Cantata is helping behavioral health organizations move beyond the constraints of legacy EHR technology and toward a more connected, adaptable approach to clinical care, financial performance, and operations.

Avaneer Coverage Direct

Avaneer Coverage Direct™ is a solution designed to provide healthcare payers and providers with accurate, real-time insurance coverage information. By facilitating direct, peer-to-peer data sharing without third-party involvement, it addresses common issues such as incomplete or incorrect coverage data, which often lead to claim denials and administrative inefficiencies. This proactive approach ensures that both payers and providers have the most up-to-date coverage information, enhancing operational efficiency and improving the patient experience. Key Features and Functionality: - Real-Time Data Sharing: Enables direct exchange of coverage information between payers and providers, eliminating the need for intermediaries. - Data Normalization: Converts various data formats into a standardized FHIR (Fast Healthcare Interoperability Resources format for consistency. - Patient/Member Matching: Identifies and resolves coverage misalignments by matching patient and member data across systems. - Error Identification: Detects missing, conflicting, inactive, incorrect, or invalid coverage information. - System Integration: Exports updated coverage data back into Electronic Health Records (EHR or preferred systems. - Analytics Dashboard: Provides a user-friendly interface for reviewing and addressing coverage discrepancies. Primary Value and Problem Solved: Avaneer Coverage Direct™ addresses the critical issue of inaccurate or outdated insurance coverage information, which is a leading cause of first-pass claim denials—accounting for at least 20% of such denials. By ensuring that coverage data is accurate and current, the solution reduces administrative burdens, lowers operational costs, and enhances the patient financial experience. For payers, it streamlines the discovery of Coordination of Benefits (COB leads and reduces recovery costs. For providers, it minimizes claim denials, decreases write-offs, and eliminates the need for retroactive prior authorizations, leading to a more efficient revenue cycle and improved patient satisfaction.

AVEC

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.

Axora.AI

Axora AI is an intelligent, end-to-end claims engine that blends AI-powered automation with billing expertise - managing everything from eligibility to payment posting. But it’s more than automation. Axora AI prevents denials before they happen, adapts to payer rule changes, and prioritizes what matters - so you recover more revenue with less effort. 1. Manages your full claims cycle from start to finish 2. Flags denial risks before submission 3. Prioritizes actions that improve cash flow 4. Seamlessly fits into your EHR, payer, and finance systems 5. No migrations. No disruption. Just faster, cleaner payments

Axxess Hospice

Axxess Hospice is built by hospice experts, for hospice professionals. Axxess Hospice was built from the ground up, tailored specifically for the needs of a growing hospice. Axxess Hospice, powered by Axxess intelligence®, helps hospice organizations reduce narrative documentation burden, improve medication workflow visibility and support more efficient care coordination. Axxess Hospice is our easy-to-use solution built from the ground up with the needs of your staff and patients in mind. 1. IDG Collaboration The IDG Center enables your team to prep for meetings more efficiently, and collaborate in real∼time. 2. Streamline Operations Automated workflows enable IDG members to document with confidence as necessary information flows from visit narratives to orders, the comprehensive plan of care and more. 3. Ensure Compliance From intuitive medication management to real-time plan of care updates, Axxess Hospice will keep you compliant. 4. Improve Patient Outcomes Easy-to-use documentation flow and a comprehensive plan of care enables your staff to spend more time focusing on patient needs. 5. Increase Revenue Automated billing and claims supports your organization's financial health with timely submissions and faster payments. Axxess Hospice is powered by Axxess intelligence (AI) and is designed to help your team: 1. Simplify Narrative Documentation Reduce repetitive documentation tasks and support clinical consistency. 2. Improve Medication Workflow Visibility Help teams stay informed and improve coordination around medication-related activities. 3. Optimize Field Productivity Reduce unnecessary travel time and improve route efficiency. 4. Support Care Coordination Provide faster access to information and streamline daily workflows. Axxess intelligence® Premium Features include: 1. Ask Axxess Quickly find information and answers. Simply Ask. 2. Auto-Generated Narrative Reduce time spent creating hospice narratives. 3. eMAR Notifications Improve medication workflow visibility. 4. Route Visits Optimize daily routes and clinician productivity.

bestPT

bestPT combines physical therapy EHR, practice management, and billing, with in-house or outsourced billing options. Already using WebPT or Cedaron Connect? Explore Billing Dynamix's integrated RCM services while keeping your existing EHR. Request a demo at bestptbilling.com. Built for independent outpatient PT practices, bestPT connects scheduling, documentation, and billing in the cloud. Documentation and scheduling: Customize SOAP notes and track appointments. Alerts flag no-shows, patients without future appointments, unsigned notes, and unbilled visits. Billing and RCM: Pre-submission claim checks, claim tracking, denial follow-up, and underpayment monitoring help teams identify work that needs attention. Full-service billing support includes payer enrollment assistance, electronic claims submission, denial management, and appeals. Practice visibility: Dashboards, customizable reports, task assignments, and backlog monitoring help owners coordinate daily work across their practice and multiple locations. Team support: Unlimited one-on-one training and support, a dedicated point of contact, and the PT Excellence Center help your staff learn the system and resolve workflow questions. Pricing is tailored to your practice and selected services. During your demo, discuss your billing needs, existing EHR compatibility, and integration setup requirements.

Better Day

Better Day is a clinical operating system software platform that streamlines EHR data capture and data entry, significantly compressing the amount of time it takes physicians to document, code and complete the documentation and billing processes for their patients. As such, Better Day eliminates the need for scribes, transcriptionists, and burdensome administrative costs.

Bill Assure

Bill Assure is iTEDIUM's commercial product for independent, pre-payment carrier invoice verification. It confirms that health insurance invoices are accurate before an organization pays them, by comparing carrier billing records against enrollment, eligibility, payroll, and HRIS data. It operates on the employer side of the health plan relationship, giving plan sponsors, including large private employers and public-sector retirement systems, an independent check between what a carrier bills and what the organization actually owes.

Billing Freedom

Billing Freedom is among the leading provider of high-quality billing services for health care practitioners, physician groups, hospitals and individual practices. We’ll take care of your practice so you can focus on what matters most. Build a customized solution for your practice with Billing Freedom.