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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    (22)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
    (22)3.5 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.

    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.

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

    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.

    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.

    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.

    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.

    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.

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

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

    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.

    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.

    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.

    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

    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.

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

    Imagine Appliance provides automated medical billing, automatic electronic remittance, & automated revenue cycle management.

    Healthcare organizations of every size face common bottom-line challenges, including payer requirements, regulatory rules, and the need to manage your own financial process. The key to achieving great end results is strengthening your cash flow and patient billing process.

    Simplify the financial experience for both patients and the people of your organization.

    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.

    MedeAnalytics is a healthcare software for every corner of healthcare: health, quality, or bringing efficiency to the revenue cycle. It gives superior tools to turn the raw data into actionable, evidence-based insights.

    Medfusion is a patient engagement platform designed to help enhance the relationship between patients and providers.

    MEDHOST Financial Solutions features a comprehensive suite of applications fully integrated with our Health Information System (HIS), as well as workflow-enabled Revenue Cycle and Patient Access Solution. MEDHOST general financial applications include accounts payable, credit card processing, general ledger, materials management, time and attendance, and document management services.

    EHR and practice management system with flexible process modeling that offers clinical workflow, e-prescribing, and lab reports.

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

    OnBase Revenue Cycle solutions address all of your accounts receivables in one place, no matter how many patient accounting systems you have in place. OnBase integrates with more than 500 applications, securely storing your documents and data in a centralized repository, improving both access and accuracy.

    EqualizeRCM Services provides expert and highly trained revenue cycle management specialists for Hospitals, Physicians, Clinics, Providers, and Healthcare Organizations

    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.

    Patientco gives healthcare providers cloud-based tools to maximize patient payments and improve patient satisfaction.

    Revenue Cycle Management (RCM) is the financial process that medical practices use to track patient care episodes from scheduling to final balance payment.

    Accelerates your entire billing process. Optimizes you to reduce accounts receivables, identify underpayments and increase your practice.

    SupraMed is the only integrated, cloud-based practice management and electronic health record system designed for surgeons. Existing programs are cumbersome and costly, and do not support the unique workflow of a private practice surgeon. SupraMeds easy-to-use system reduces costs and helps grow business, while allowing a surgeon to spend more time with patients. Includes photo management, price quotes, lead tracking, patient portal, and our exclusive Scribble note-writing feature.

    TELCOR delivers a lab-specific billing software solution allowing organizations to be efficient and improve collections for the services they provide.

    TotalView helps by delivering financial performance and productivity reports that allow specialty practices to spot trends and take action. Armed with a clear picture of your specialty or oncology practice's revenue cycle, you have a better chance of identifying missed opportunities, such as inadequately reimbursed drug charges or procedures.

    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.

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

    Centricity, Solutions for Financial Management is a powerful combination of software, professional services and ecosystem partners that work together to help healthcare organizations optimize their revenue cycle operations, implement risk-based payment models, and better connect with payers.