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Revenue Cycle Management Software for Healthcare and Hospitals

An easier way for patients to pay at home or time-of-service. Manage accounts receivable for multiple offices from one central platform.

MedClarity is a medical billing system that streamlines scheduling, storing patient information, sending insurance claim, and collecting balances and helps you manage your staff's efficiency, patient workflow and satisfaction, and revenue to your bottom line.

Klinix Assess is a software for Canada market that provides patient appointment scheduling, receivables tracking, patient medical records maintenance.

Revenue cycle management services for hospitals and health systems that want to increase cash flow and achieve sustainable financial performance.

Practicode is AAPC's online assessment tool designed to proactively audit coding accuracy and proficiency for all patient types across multiple specialties. This web-based coding assessment platform easily quantifies and correlates coder accuracy and performance data, pinpointing corrective action and stopping crippling reimbursement delays for your facility.

Rivet is a comprehensive healthcare revenue acceleration platform designed to enhance financial transparency and operational efficiency for medical providers. By integrating with existing electronic health records and practice management systems, Rivet offers a suite of tools that streamline revenue cycle management, enabling providers to deliver accurate patient cost estimates, manage payer contracts, and resolve claim denials effectively. Key Features and Functionality: - Patient Pricing: Automates eligibility checks and generates accurate, Good Faith Estimates compliant with the No Surprises Act, allowing patients to understand their financial responsibilities upfront and facilitating prepayments. - Payer Performance: Centralizes payer contracts, offers benchmarking against competitors, and provides tools for contract modeling and renewal management, ensuring providers can negotiate favorable terms and detect payment variances efficiently. - Revenue Diagnostics: Delivers real-time revenue forecasting and analytics, offering insights into financial health, cash collection, and claim adjudication, enabling proactive management of revenue streams. - Claim Resolution: Simplifies denial management with customizable worklists, batch workflows, and timely filing alerts, expediting the appeals process and improving recovery rates. Primary Value and Problem Solved: Rivet addresses the longstanding challenge in the healthcare industry of providing clear, upfront cost information to patients. By offering accurate cost estimates and enhancing transparency, Rivet improves patient satisfaction and trust. For healthcare providers, Rivet streamlines revenue cycle operations, reduces administrative burdens, and accelerates cash flow, ultimately leading to a more efficient and financially healthy practice.

Zotec’s easy, interactive platform puts your patients at the center of their own healthcare financial experience, offering live customer service, mobile convenience, scheduling, up-front cost estimations, billing information, easy payment options and more.

Lassie puts dental practices on autopilot. It uses AI to post insurance payments, reconcile EOBs, and surface denials so front office teams can collect cash up to 4 times faster while freeing 90% of the hours they used to spend on manual data entry.

Adulis Intelligence Studio is a revenue cycle intelligence platform built for independent specialty practices — Physical Therapy, Cardiology, and Behavioral Health groups with 5 to 100 providers — that can't justify enterprise RCM software built for hospital systems. Most denials are preventable, and most denied revenue is never recovered: 56% of denials start with an eligibility error before the patient is even seen, and 65% of denied claims are never reworked. Adulis attacks both problems. The Denial Command Center automatically classifies every denial by CARC code, payer, and root cause, so your team fixes patterns instead of chasing individual claims. Eligibility Verification checks coverage, deductibles, and visit limits before the visit. Prior Authorization Tracking monitors every request against the CMS-0057-F deadlines (7 calendar days for standard requests, 72 hours for urgent, effective 2026) and alerts your team before a window closes. When a denial does land, Adulis AI drafts a payer-specific, submission-ready appeal letter in seconds, which your team reviews and edits before sending. There is no IT project and no long-term contract required to start. Adulis begins with a free denial audit: you send a report export of your last 90 days of claims, and Adulis shows you exactly where revenue is leaking — denied dollars, recoverable dollars, and the root causes behind them — before you commit to anything.

TIMS Software: Medical is an innovative solution developed for HME|DME businesses. It enables you to manage your revenue cycle from end-to-end and provides the clarity you need to make smart business decisions by giving you total access to all your business data.

Medium to Large service bureaus and large doctors offices will benefit from this table-driven system, suitable for multiple specialties and RCM processes.

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.

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

Thrive holistically re-engineers the revenue cycle throughout the patient's journey, from patient access to accurate clinical documentation and coding to proper reimbursement.

HybridChart, a leading provider of medical technology, connects healthcare teams and improves patient outcomes for greater efficiencies and profits. HybridChart EVOLVE, the fourth version of this software, includes critical features as Charge Capture, Census Management, Secure Messaging, and Discharge Planning, as well as best-in-class data analytics and insights with the newly released ALTITUDE product.

Transcure offer multi-specialty EHR medical software to solve all your practice needs. It is user-friendly and provides an interactive platform to create prescriptions. As a result, you can boost your practice productivity by managing the patients on a cloud-based platform. From cardiology to internal medicine, Transcure EMR is a platform to manage every specialty practice.

Experian Health's Contract Manager is a comprehensive solution designed to enhance healthcare providers' revenue cycle management by ensuring accurate and timely reimbursements from payers. By automating the auditing of payer contract performance, it helps organizations identify and rectify underpayments, validate reimbursement accuracy, and streamline appeals processes. This tool integrates seamlessly with existing hospital information systems, reducing manual efforts and administrative costs, thereby allowing healthcare staff to focus more on patient care. Key Features and Functionality: - Reimbursement Validation: Monitors payer compliance by comparing expected allowed amounts to actual payments, ensuring adherence to contract terms. - Underpayment Recovery: Identifies discrepancies and facilitates contract-based appeals to recover owed amounts efficiently. - Contract Analysis: Evaluates proposed contract terms, aiding in negotiations to secure favorable agreements with payers. - Workflow Optimization: Automates claims management processes, reducing errors and expediting revenue cycles. - Regulatory Compliance: Keeps contracts aligned with evolving healthcare regulations through automated alerts and updates. Primary Value and Problem Solved: Contract Manager addresses the common challenges of missed or inaccurate payer payments that can disrupt a healthcare provider's revenue cycle. By automating contract management and auditing processes, it ensures that providers receive full and timely reimbursements as per their agreements. This not only stabilizes cash flow but also reduces administrative burdens, allowing healthcare organizations to allocate more resources toward delivering quality patient care.