Categories   >   Medical Billing Software
Last Reviewed: November 19th, 2024

Best Medical Billing Software Of 2024

What is Medical Billing Software?

Medical billing software is a digital tool that streamlines the complex business of healthcare reimbursement. It tackles the time-consuming paperwork and error-prone manual tasks involved in submitting claims to insurance companies and collecting patient payments. Its importance lies in optimizing revenue and maximizing efficiency for busy medical practices. Key functionalities include managing patient demographics and insurance information, automating claim submission and tracking, handling denials and appeals, and providing financial reporting. Emerging features like patient portals and integrated payment processing further enhance convenience and transparency. While primarily benefiting hospitals, clinics, and physician groups, the software also empowers patients with self-service options and improved billing transparency. However, limitations like high upfront costs and ongoing maintenance needs require careful consideration. Ultimately, medical billing software empowers healthcare providers to focus on patient care by automating tedious tasks, boosting revenue, and improving the overall financial health of their practice.

What Are The Key Benefits of Medical Billing Software?

  • Reduced claim errors
  • Faster claim submission & payment
  • Improved revenue collection & cash flow
  • Enhanced billing accuracy & compliance
  • Streamlined workflows & staff efficiency
  • Automated tasks & reduced paperwork
  • Real-time financial reporting & insights
  • Patient portals & improved communication
  • Reduced denial risk & easier appeals
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SelectHub Award Winners - Array

Our Research Analysts evaluated 82 solutions and determined the following solutions are the best Medical Billing Software overall:

Overall

  • 88 DrChrono
    Best Overall, Compliance and Security, Mobile Capabilities
  • 88 CareCloud Central
    Best Overall, Medical Coding, Patient Payments Management
  • 88 eClinicalWorks
    Best Overall, Compliance and Security, Medical Coding
  • 86 Tebra Managed Billing
    Best for Patient Payments Management
  • 86 Oracle Ambulatory EHR
    Best for Compliance and Security, Integrations and Extensibility, Medical Coding
  • 85 AdvancedMD
    Best for Patient Payments Management
  • 85 athenaOne
  • 84 CureMD
  • 84 NextGen Enterprise
    Best for Medical Coding
  • 77 Intergy
DrChrono Award
DrChrono
DrChrono
Start Price
$250
Per Provider, Monthly
Analyst Rating
88
SelectHub’s Analyst Rating for DrChrono, is based on data from our 400+ point analysis of Medical Billing Software, user reviews, and our own crowd-sourced data from our free software selection platform. Scores are periodically updated via ongoing selection projects and user activity within our platform.
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Cloud On-Premise
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Why We Picked DrChrono

So, I got the chance to get a free trial access to DrChrono, and here are the key highlights:

  • The platform stands out for its intuitive design, extensive features and customization capabilities.
  • The software is accessible on any device with internet connectivity.
  • Data import from other EHR systems is supported but with certain limitations.
  • It offers four pricing plans and a free trial is available for potential users.

It's a cloud-based system, which means you can access it from anywhere — your laptop, tablet, even your phone! And it covers everything from electronic health records and patient scheduling to billing and telehealth.

One of the things that really impressed us was how customizable it was. You can create your own templates for notes, forms and even entire workflows. This means you can really tailor it to fit your specific needs and preferences, which can save a ton of time.

And speaking of saving time, they've put a lot of thought into their billing features. They have tools to help you code things correctly, submit claims electronically and even track your payments. Anything that helps you get paid faster and with less hassle is a win, right?

However, learning to navigate the billing and insurance modules could take time. It’s a bit confusing to understand how the billing workflow works and how to set one up. Also, you can’t import billing data from your old EHR system.

If you're looking for a comprehensive, user-friendly system that can be customized to your practice, we'd definitely recommend taking a closer look.

They offer four different pricing plans, so you can find one that fits your budget, and they have a free trial so you can test it out and see if it's a good fit for you. It's always good to try before you buy, right?

We’ve discussed more about the features in the See It in Action section. Do check it out to know how the system works in different scenarios.

Pros & Cons

  • Ease of Use: Navigate patient charts, create shortcuts and access billing info without a steep learning curve.
  • Customization: Tailor the system to your specific needs and preferences like customizing templates, workflows and reports.
  • Easy Medical Coding: Find and assign ICD, CPT and HCPCS codes to patients' bills to save time and reduce coding errors.
  • Contractual Obligations: Canceling subscriptions can be challenging, potentially leading to early termination fees. Automatic renewals may also catch you off guard.
  • Subpar Customer Support: Long wait times, unhelpful responses and unresolved issues from customer representatives might disrupt your processes.
  • Occasional Glitches: System crashes, slow navigation and difficulties with scheduling and other functionalities can cause frustration.

Key Features

  • EHR: Provide better care with features like free draw for visual explanations, custom vitals tracking and access to immunization registries
    • Custom Templates: Tailor forms with specific fields, drop-down menus, checkboxes and even add your practice's logo. This ensures your documentation is consistent, efficient and specialized for your needs (e.g., cardiology forms with specific heart diagrams).
    • Electronic Prescriptions: Send prescriptions electronically to pharmacies directly from the patient chart. Access the drug's formulary tier, prior authorization requirements and alternative medications if the prescribed drug isn’t covered. Access patient PDMP data directly within the EHR to identify potential abuse, misuse or doctor shopping.
    • Free Draw: Upload images (x-rays, scans, photos) or use pre-loaded anatomical diagrams within the patient chart and draw directly on them.
    • Custom Vitals: Create vitals specific to your needs including things like blood glucose and oxygen saturation levels. Capture data in various formats: text, numbers or predefined options using dropdown lists. Access the flowsheet to visualize trends in custom vitals over time.
    • Prior Authorizations: Initiate the ePA request directly from the prescribing workflow. Automatically populate the prior authorization request form with relevant patient information (demographics, insurance details, medication prescribed) pulled from the patient's chart.
    • Lab Orders: Integrate with national, regional and specialty labs like Quest Diagnostics and Labcorp. Create predefined lab panels for common tests or specific conditions. For example, you could create a "lipid panel" or a "prenatal panel" with a single click. View lab results within the patient's chart, organized by date, test type and ordering provider.
    • Medical Speech-to-Text: Use voice to input clinical notes, patient histories and other information. See your spoken words appear as text in real time within the EHR to review and edit the transcription as you go.
    • Immunization Registries: Automatically send your patients' vaccination details to the state IIS, ensuring that records are up-to-date and complete. Retrieve immunization records from the IIS, even if your patient received vaccinations elsewhere to avoid unnecessary duplicate vaccinations and identify potential gaps in their immunization schedule.
  • Practice Management: Save time and reduce errors with appointment management tools, including appointment profiles, insurance eligibility checks, online scheduling and automated reminders.
    • Appointment Profiles: Instead of manually entering the same details (length, reason, etc.) for every appointment of the same type, you create a profile once and it auto-fills the details (duration, reason for visit, exam room and billing codes).
    • Eligibility Checks: Verify your patients’ insurance eligibility in real time — check what services are covered under the plan (e.g., office visits, labs, specialists) and any limitations or exclusions.
    • Online Scheduling: Set specific days and times when each provider is available for appointments. Offer different appointment types online (e.g., new patient, follow-up, consultation) with varying durations. Add buffer time between appointments to prevent scheduling conflicts and allow for patient check-in/check-out.
    • Patient Reminders: Send automated appointment reminders via email, text or SMS. Configure reminders to be sent at various intervals before the appointment like — a few days before, the day before or a few hours before.
  • Medical Billing: Improve your revenue cycle management with tools like billing profiles, medical coding and automated claims submission.
    • Billing Profiles: Combine frequently used CPT, HCPCS, custom codes and ICD-10 codes into a single profile. Attach common modifiers to the codes within the profile (e.g., modifier 25 for a significant, separately identifiable E/M service).
    • Medical Coding: Easily search and select the appropriate codes within the EHR using keywords, code numbers or descriptions. Perform basic code checking to identify potential errors such as invalid codes or missing modifiers.
    • Good Faith Estimates: Generate good faith estimates to help patients understand costs upfront and avoid surprise bills.
    • Claims Submission: Submit electronic claims to insurance companies within the system. Track claim statuses in real time. Scrub claims for errors like missing information or formatting mistakes before submitting them to payers to avoid denials and claim rejections.
    • Denial Resolution: Generate denial analysis reports to identify denial patterns. Edit and submit corrected claims directly within the system. If you disagree with a denial, generate appeal letters and track their statuses.
    • Patient Statements: Generate statements for individual patients or groups of patients based on various criteria (e.g., date range, insurance status, outstanding balance).
  • BI Tools: Get a visual summary of key metrics and performance indicators. Generate customizable reports to:
    • Track revenue, expenses and profitability
    • Analyze claim submission, acceptance, denial and reimbursement rates.
    • Track patient demographics, appointment history and billing information.
    • Analyze appointment scheduling and no-show rates.
  • Mobile Capabilities: Schedule appointments, send patient statements, bill insurance, document patient encounters, access lab results and more from iOS devices like iPad, iPhone and Mac.
  • Telehealth: Patients can join the telehealth visit from their computer, tablet or smartphone using the link provided in their email reminder. Providers can share their screens with patients to review medical records, lab results, X-rays or educational materials.
CareCloud Central Award
CareCloud Central
CareCloud Central
Start Price
$300
Per Provider, Monthly
Analyst Rating
88
SelectHub’s Analyst Rating for CareCloud Central, is based on data from our 400+ point analysis of Medical Billing Software, user reviews, and our own crowd-sourced data from our free software selection platform. Scores are periodically updated via ongoing selection projects and user activity within our platform.
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Why We Picked CareCloud Central

CareCloud Central has garnered a mixed bag of user reviews over the past year. Many users appreciate its clean and modern interface, finding it intuitive and easy to navigate compared to more cluttered competitors like athenahealth. The platform's scheduling tools are also frequently praised for their flexibility and ease of use, allowing for efficient appointment management and reducing scheduling errors. However, several users have expressed frustration with the system's reporting capabilities, finding them to be somewhat limited and lacking in customization options compared to more robust solutions like AdvancedMD. Additionally, while CareCloud Central offers a mobile app, some users find its functionality to be restricted compared to the full desktop version, hindering on-the-go productivity.

One of CareCloud Central's key strengths lies in its integrated approach, combining practice management, electronic health records (EHR), and patient engagement tools into a single platform. This streamlines workflows and reduces the need for multiple software solutions, which can be a significant advantage for smaller practices seeking an all-in-one solution. However, this integration can also be a double-edged sword, as some users find that certain features, such as billing and claims management, are not as comprehensive or customizable as standalone solutions like Kareo. Ultimately, CareCloud Central appears to be best suited for small to medium-sized practices that prioritize ease of use, a modern interface, and integrated functionality over extensive reporting capabilities and highly customizable features.

Pros & Cons

  • Streamlined Patient Scheduling: CareCloud Central receives consistent praise for its intuitive appointment scheduling system. Users appreciate the ability to easily view physician schedules, manage appointments, and send automated reminders, which reduces no-shows and keeps things running smoothly.
  • Efficient Billing and Claims Management: The platform simplifies the billing process by automating tasks such as claims scrubbing and submission. This leads to faster reimbursements and fewer denied claims, ultimately improving a practice's financial health.
  • Comprehensive Reporting and Analytics: CareCloud Central offers robust reporting tools that provide valuable insights into practice performance. Users can track key metrics, identify trends, and make data-driven decisions to optimize operations and profitability.
  • Enhanced Patient Engagement: The platform facilitates better communication with patients through features like a patient portal and secure messaging. This empowers patients to actively participate in their care and fosters stronger relationships with providers.
  • Steep Learning Curve: Many users report that CareCloud Central is not intuitive and requires extensive training to navigate effectively. The interface can feel cluttered and overwhelming, leading to frustration and decreased efficiency for new users.
  • Billing Challenges: Several practices have experienced issues with claim denials and delays in payment processing. Users cite difficulties with claim scrubbing and a lack of transparency in the billing process, making it hard to identify and resolve issues promptly.
  • Customer Support Concerns: Getting timely and effective assistance from CareCloud's customer support team has been a recurring pain point for users. Long wait times and a perceived lack of expertise among support staff can exacerbate existing problems and hinder issue resolution.
  • Limited Customization: Practices with unique workflows or specialized needs may find CareCloud Central's customization options to be insufficient. The software's rigidity can force practices to adapt their processes to the software, rather than the other way around.

Key Features

  • Comprehensive Scheduling: Manage scheduling with a multi-view calendar and drag-and-drop online appointment scheduling. Patients can easily book and confirm appointments. Automated patient reminders reduce no-shows. 
  • Insurance Verification: Access a patient’s insurance details, such as deductibles, copays and coinsurance, to prevent denials and get paid quicker. 
  • Patient Management: View and update patient demographics, insurance details and account histories in real time. Physicians get a clear picture of all patients in one place. 
  • Financial Workflow:
    •  Automate financial tasks such as billing, claim submission and remittance. 
    •  Simplify coding and charge entries. 
    •  Scrub claims any errors that may result in denials or delayed payments. 
    •  Track payments with a central remittance repository. 
  • Command Center: Keep track of practice performance with a practice scorecard. See trending metrics and causes over time with instant snapshots of operational and financial data. 
  • Health Analytics: Provides insightful analytics on financial, administrative and clinical performance to support informed decisions. View staff productivity levels to ensure everyone is meeting Meaningful Use standards. 
  • Real-Time Reporting: Customizable charts and graphs display data in easy-to-understand templates, and financial and clinical reports can be accessed conveniently. 

Pricing

License/Subscription Cost
Subscription fee is based on a per user, per month rate, including an upfront cost for customization and support services
Automatic software upgrades are included with the subscription fee
Maintenance Cost
Cost is included in the subscription fee
Installation/Implementation Cost
Set-up fees are included with the subscription cost
Customization Cost
Provides customizable plans with lowered prices for multiple users
Data Migration Cost/Change Management/Upfront Switching Cost
Cost will vary depending on the amount of data needed to be migrated as well as that data’s complexity
Recurring/Renewal Costs
Included with the subscription fee, month-to-month
eClinicalWorks Award
eClinicalWorks
eClinicalWorks
Start Price
$300
Per Provider, Monthly
Analyst Rating
88
SelectHub’s Analyst Rating for eClinicalWorks, is based on data from our 400+ point analysis of Medical Billing Software, user reviews, and our own crowd-sourced data from our free software selection platform. Scores are periodically updated via ongoing selection projects and user activity within our platform.
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Why We Picked eClinicalWorks

The core functionality of eClinicalWorks is suitable for most medical practices and comes at a fair price. However, many users felt that they were oversold on the product by the sales team. Many users complained of difficulty using the features they needed, and felt that the system interface made it difficult to navigate. Users reported issues with system bugs and were unable to receive sufficient support from the support team to rectify the issues they experienced, despite access to 24/7 support. Some users noted that customer support is outsourced and complained that a language barrier made it difficult to communicate. Ultimately, eClinicalWorks is best suited for small practices with basic EHR needs, though it may take users a few days to learn the system.

Pros & Cons

  • Functionality: The system offers the core features that medical practices need, according to nearly 80% of reviews that discuss the system’s base functionality.
  • Price: Though only mentioned in less than a quarter of all reviews, 60% of users who discussed cost in their reviews felt that the system was priced fairly.
  • User Interface: While some users mentioned the intuitive design, the interface displays many features at once that make it confusing and difficult to navigate, according to nearly 55% of users who mentioned the interface in their review.
  • Complexity: The system requires multiple clicks for navigation, adds unnecessary layers of complexity and some users reported implementing their own workarounds to improve the system, as noted in 75% of reviews that discuss the system’s usability.
  • Integration: While some users enjoyed the ability to customize the platform with add-ons and integrations, more than 87% of reviews that discuss integrations complained that the integrations are difficult to implement and aren’t always successful.
  • System Errors: The vendor takes too long to implement software updates, resulting in bugs, inaccuracies and system downtime, as reported by nearly 95% of users who mentioned system updates in their review.
  • Customer Support: Support is available 24/7; however, users often struggled to communicate with the support team, citing problems with the support experts not knowing the answer to their questions or simply not responding to their inquiry, according to nearly 95% of users who mentioned customer support in their review.

Key Features

  • Virtual Assistant: “Eva,” eClinicalWorks EHR’s virtual assistant, allows providers to view a patient’s progress notes, flowsheet or account balance. The virtual assistant can also review patient history, compare notes side-by-side and book appointments in addition to offering educational videos and other helpful resources. 
  • Telemedicine: eClinicalWorks telemedicine solution allows patients to schedule online appointments with their clinicians from home or in the office. Providers and patients can consult with medical experts around the world using the healow Virtual Room. 
  • Scheduling: The scheduling tool allows users to add new patients, look up existing patients, search appointments and manage scheduling requests. Users can also manage the scheduling of resources and specialty equipment for clinicians like doctors, nurses and other providers. 
  • Device Integration: eClinicalWorks integrates with devices like ECG, EEG, etc. within the web browser. The data collected is structured to capture current and past results, complete trend analysis and create flowsheets. 
  • Hospital Interoperability: This involves data being shared between multiple clinics or a hospital’s different departments. This particular EHR allows communication with any radiology vendor or RIS system which supports HL7 messaging. Comparing and analyzing this data leads to greater population health. 
  • Revenue Cycle Management: When it comes to billing, hundreds of features for RCM are available through eClinicalWorks, including credentials, insurance verification and analytics. 

Pricing

License/Subscription Cost
  • On-premise:
    • License fee includes a one-time fee per user plus additional implementation fees
    • Fees for supplemental monthly support and maintenance cost is calculated per user
  • Cloud-based:
    • Recurring subscription fee based on a per user, per month basis, including a hosting and implementation fee
Maintenance Cost
  • On-premise: Additional fee applies for maintenance
  • Cloud-based: Maintenance cost is included in the service fees upon purchase
Installation/Implementation Cost
  • On-premise:
    • Additional implementation fees charged for over 9 users
    • Travel and airfare costs are billed separately
  • Cloud-based:
    • No star-up or initial implementation costs
    • Additional implementation fees are charged for over 9 users
Customization Cost
  • Varies depending on user's functional requirements
Data Migration Cost/Change Management/Upfront Switching Cost
  • Free data conversion from existing EHR to eClinicalWorks
  • No upfront or switching cost when changing EHRs
Recurring/Renewal Costs
  • On-premise: Cost includes monthly support and maintenance along with hosting fees
  • Cloud-based: Cost equals the monthly subscription fee which includes maintenance, hosting and implementation fees
Tebra Managed Billing Award
Tebra Managed Billing
Tebra Managed Billing
Start Price
$0.30
Per Transaction, 2.75% Flat Rate
Analyst Rating
86
SelectHub’s Analyst Rating for Tebra Managed Billing, is based on data from our 400+ point analysis of Medical Billing Software, user reviews, and our own crowd-sourced data from our free software selection platform. Scores are periodically updated via ongoing selection projects and user activity within our platform.
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Why We Picked Tebra Managed Billing

Tebra Managed Billing offers robust functionality for scheduling patients, confirming insurance, managing accounts, storing patient documents and more. It’s user-friendly interface and intuitive options make it easy to use and navigate, increasing productivity. Reporting tool offers easy customization for businesses needs. Reviewers said that customer support is responsive and helpful in solving issues. However, some complained that getting customer service was challenging. Setting up patient billing and insurance was difficult and negatively impacted workflow. Users disliked that the system tended to run slow and was often down for repairs or maintenance.

Pros & Cons

  • Functionality: It provides a comprehensive set of tools, as noted by 96% of users who referred to functionality.
  • User Friendly: It is intuitive and easy to deploy, as noted by 97% of reviewers who refer to ease of use.
  • Report: Around 65% of users said that report functions are easy to customize to meet their organization's needs.
  • Customer Support: Customer services were responsive and helpful, as noted by 56% of users who specified customer support.
  • Billing & Insurance: Nearly 86% of users said that setting up billing and insurance was time-consuming and difficult.
  • Integration: Approximately 81% of reviewers who specified integration said that it offers limited software integrations.
  • System Performance: About 92% of users said that the system runs slow and goes down frequently, affecting productivity.

Key Features

  • Schedule/Calendar: Assign physicians with the correct patient, equipment and exam room. Automatically verify patient eligibility to reduce denials. 
  • Charge Capture: Charges can be billed right away by selecting the patient name and date of service while checking for coding errors to reduce denials and get paid faster. 
  • Claims Tracking: Monitor all claims, check statuses and get reimbursed quickly. Claims can be filtered by provider, patient and date. 
  • Billing Analytics: Measures key performance indicators to come up with other ways to find practice revenue. Improve organization financial health by tracking performance and revenue cycles. 
  • Billing Tasks: Manage all billing tasks in a singular, easy-to-use inbox. Tebra Mobile allows users to view and complete tasks anytime and anywhere. 
  • Agenda Overview: Provides a general review of billing operations and notifies users of any outstanding balances or other important items. 
  • Rules Engine: Helps produce more accurate claims by automatically removing unnecessary or incorrect information. 

Pricing

License/Subscription Cost
  • Users pay a monthly subscription based on the number of users
  • Cost will vary depending on the end user role; physician, non-physician or therapist
Maintenance Cost
  • Included with the subscription cost
  • Offers free how-to articles, video tutorials and feature guides
Installation/Implementation Cost
  • Cost is included in the subscription with zero setup fees and no long-term contracts required
Customization Cost
  • An additional cost is charged for any add-on features or enhancements
  • Each additional module is provided for half the base cost
Data Migration Cost/Change Management/Upfront Switching Cost
  • Cost varies depending on the type of data to be imported
  • $500 for single practice migration and $100 for each additional practice
Recurring/Renewal Costs
  • Cost is equal to the recurring subscription cost paid monthly, based on the number of providers and type of package selected
Oracle Ambulatory EHR Award
Oracle Ambulatory EHR
Oracle Ambulatory EHR
Start Price
$5,000
Per Provider, Monthly
Analyst Rating
86
SelectHub’s Analyst Rating for Oracle Ambulatory EHR, is based on data from our 400+ point analysis of Medical Billing Software, user reviews, and our own crowd-sourced data from our free software selection platform. Scores are periodically updated via ongoing selection projects and user activity within our platform.
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Why We Picked Oracle Ambulatory EHR

Cerner Ambulatory EHR really shines when it comes to digitizing outpatient care and making clinical workflows smoother. The software is packed with features that cater specifically to ambulatory settings like charting, digital patient intake and lab integration.

It’s particularly strong in clinical documentation, scoring top marks compared to competitors like AdvancedMD and eClinicalWorks. This means it’s well-equipped for handling tasks like scanning paper records into digital files, electronically signing documents, and tracking immunizations and diet plans. So, if you’re looking for a solution to streamline administrative tasks and reduce paperwork, the system has you covered.

The solution is also pretty flexible in terms of customization. You can adapt templates and workflows to fit your practice’s specific needs, though if you want to go all-in with customization, you might need some help from Cerner’s support team. It’s something to keep in mind, especially for clinics that don’t have a lot of IT resources.

Where the product really sets itself apart is in mobile accessibility. You can send messages, access patient data offline and even dictate notes with speech-to-text, all from your mobile device. The score for mobile features is notably higher than competitors like athenahealth, making it a solid choice for practices that need remote access.

When it comes to interoperability — basically, how well the software plays with other systems — it’s pretty advanced. It complies with major standards like HL7 and FHIR, which are essential for sharing data with other EHRs.

However, it’s not all smooth sailing. The learning curve could be steep, which isn’t uncommon for EHR systems, but it’s something to be aware of if your team isn’t tech-savvy.

Plus, you might also experience occasional performance issues like slow loading times or system glitches, which could disrupt daily operations.

In a nutshell, Cerner Ambulatory EHR is a great fit for practices looking to digitize and automate their workflows, especially those that prioritize mobile accessibility and data security. Just be prepared for a bit of a learning curve and some investment upfront to get the most out of it.

Pros & Cons

  • Enhanced Accessibility: EHRs make patient records accessible in real time, facilitating coordination across healthcare providers and enabling faster decision-making​.
  • Improved Patient Safety: Features like automated alerts for drug interactions and allergies help reduce medical errors, enhancing overall patient safety​.
  • Efficient Clinical Workflows: By automating administrative tasks such as billing, scheduling and coding, EHRs can help streamline workflows and free up time for patient care.
  • Complex Learning Curve: Some EHR systems are not intuitive, requiring significant training and time to adapt, which can initially disrupt clinical workflows​.
  • High Implementation and Maintenance Costs: The cost of setting up, maintaining and upgrading EHR systems can be prohibitive, especially for smaller practices​.
  • Performance Issues: Users frequently report slow system performance, crashes and downtimes, which can affect efficiency and patient care.

Key Features

  • Digital Patient Intake: Enable patients to complete intake forms online before their visit, reducing wait times and administrative burden. Self-service kiosks allow clients to easily check in, verify information and update any changes upon arrival.
  • Video Visits: Conduct secure, face-to-face virtual appointments with clear audio and video, fostering strong patient-provider communication. Capture video visits (with patient consent) for thorough documentation, review and continuity of care.
  • Computer-Assisted Coding: Rely on intelligent algorithms to analyze clinical notes and automatically determine accurate E&M codes to ensure proper reimbursement.
  • Patient Scheduling: Look at what the patient needs, their insurance, their preferences and the doctor's availability to find the best appointment time and location. Coordinate appointments across different clinics and departments, whether you're booking by phone or online. Automatically reach out to patients who need to schedule appointments based on their doctor's orders.
  • Finances: Check insurance and financial information beforehand, so patients don't have to repeat themselves. Give patients an idea of how much their visit will cost with estimates.
  • Patient Financial Activity: Gain a unified view of patients' clinical and financial data to understand expected reimbursements, remaining balances and overall financial performance. Track payments from both patients and health insurance payers, ensuring that all revenue is properly accounted for and no discrepancies arise.
  • Billing: Automatically identify and assign outstanding accounts receivable, reducing the time it takes to get paid for services rendered. Embedded payer rules ensure accurate billing and compliance with payer requirements, helping you maximize reimbursements and reduce claim denials.
  • Referral Management: Share referrals with any doctor or healthcare provider, even if they use a different system. See exactly where each referral is in the process, so nothing gets lost.
  • Population Health Management: Analyze patient data to find areas where they might be missing out on important care. Create care plans tailored to each patient’s needs. Figure out how much care costs and how to make it more affordable.
  • Reporting and Analytics: Send information to other data visualization tools like Tableau and SAP BusinessObjects for in-depth analysis. Generate personalized reports and dashboards to track practice performance.
AdvancedMD Award
AdvancedMD
AdvancedMD
Start Price
$500
Per Provider, Monthly
Analyst Rating
85
SelectHub’s Analyst Rating for AdvancedMD, is based on data from our 400+ point analysis of Medical Billing Software, user reviews, and our own crowd-sourced data from our free software selection platform. Scores are periodically updated via ongoing selection projects and user activity within our platform.
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Deployment
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Platform
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Why We Picked AdvancedMD

AdvancedMD is an intuitive cloud-based tool. While some users were happy with the system’s integration and customization capabilities, far more users were extremely dissatisfied with other aspects of the system. There were mixed reviews on its reporting capabilities. A significant number of reviewers felt that the sales representatives misled customers noting that they lost money after implementing AdvancedMD and commenting that many features lacked the functionality that they required. Though the add-ons allow users to customize the system, many users complained that the add-ons come at a steep price, making them prohibitive to many users. Users also complained that they were surprised by hidden fees after implementation and felt that customer service was rude and unwilling to help when they called for support. A small number of reviews also noted that upgrades to the system frequently caused downtime and reported discrepancies in their billing that affected customers. While many of the reviews were negative, AdvancedMD remains a popular EHR solution. Due to its high price and difficulty to learn, it is best suited to large practices with the budget for necessary add-ons and internal technical support that is available to help ensure everyone who needs to can use the system.

Pros & Cons

  • Customization: Of the reviews that mentioned the system’s customization, more than 70% were happy with the customizations available as add-ons to the system.
  • Integration: Though only mentioned in 10% of reviews, 85% of those reviews felt the system successfully integrated with their other medical software.
  • User-Friendly: About 55% of users who mentioned its user-friendliness found it easy to use and navigate.
  • Implementation: The vendor does not offer sufficient implementation support, and the system has a steep learning curve, as noted by more than 80% of user reviews that discuss getting the system up and running.
  • Functionality: Though the system offers a robust list of features, 66% of reviews that discuss features felt that the features’ functionality was lacking in some aspects.
  • Price: Of the users who mention price in their review, more than 90% were upset with hidden fees and felt that the system’s high price was not worth the money.
  • Customer Support: Of the reviews that discuss customer service and support, 65% felt that customer support was difficult to contact, rarely had sufficient answers to their questions and often failed to resolve the issues users reported.
  • Performance: About 94% of reviewers that mentioned performance said that the system is slow and buggy, with recurring crashes and connectivity issues.

Key Features

  • Scheduling: Medical scheduling tools allow users to quickly view appointments and patient information by hovering their mouse over the calendar. Additionally, patient visits can be tracked, and recurring appointments can be set while automated patient reminders are sent out, reducing no-shows. 
  • Billing: In addition to collecting patient payments, it is able to verify insurance eligibility automatically while providing users with all the necessary medical billing information in one centralized location.  
  • Clearinghouse: Sweep claims of any coding errors to ensure an accurate claim submission. Any copays, deductibles and additional coverage can be automatically verified prior to a patient’s visit, while on-the-spot insurance checks are also efficient. 
  • Patient Portal: Patients can view lab results, pay bills, message their physicians and request office appointments online using its patient portal. Providers can use the portal to exchange messages with a patient, manage prescription renewal requests and send out alerts and notifications. 
  • E-Prescribing: Electronically prescribe medications — including controlled substances — quickly and easily. Connects facilities to a variety of pharmacies around the US, while users can request refills and access a patient’s medication history anywhere. It uses a combination of personal passphrases and secure tokens to complete DEA-required, two-factor authentication. The AdvancedEPCS system maintains a full DEA audit history. 
  • Telemedicine: Telemedicine features facilitate face-to-face conference conversations and secure transmissions of still images or high-resolution video conference screenshots, and stores them to patient files with HIPAA compliance. Schedule telemedicine appointments and view them in one dashboard calendar. 
  • Smart Dashboard: Automatically prioritize and manage frequent tasks using this role-based dashboard. In addition to health analytics, get alerted on any urgent issues, like abnormal lab results or pending prescriptions and drill down or up into tasks. 
  • Configurable Templates: It can be tailored to a variety of specialties, with note and sub-note templates designed by physicians to optimize workflow while fitting in with a facility’s pre-existing style. 
  • Physician-Oriented Dashboard: It enables physicians to view and schedule appointments, staff and patient messages, referral letters, test results and to-do lists in one location. The physician and their staff can respond to patient appointments or prescription renewal requests, reply to questions or send clinical reports. Its interoffice messaging center also allows physicians to send messages to the staff. 
  • Patient Communication Tools: Select which patients would receive either text or email by choosing from existing criteria or creating a new set. Segment patient lists and send specific messages to enhance patient engagement. It also supports sending sales promotions to patients. 
  • Patient Kiosk Mobile App: Complete intake and consent forms on an iPad. The information is automatically captured and passed to relevant staff to facilitate a faster check-in process for patients. 
  • Health Watcher: HealthWatcher offers auto-alerts and custom healthcare plans to enable patients to follow treatment plans. Its interoperable platform allows it to monitor and trend patient population health. It also allows building custom healthcare plans to manage specific conditions based on factors like age, sex, lab results and diagnosis. 

Pricing

License/Subscription Cost
  • Subscription fee is paid monthly based on the number of users
  • Offers standard plans and pre-configured pricing plans
Maintenance Cost
  • Cost is included with the subscription, covering ongoing upgrades and 24/7 customer support
Installation/Implementation Cost
  • Installation cost is included with the subscription fee
Customization Cost
  • Not included in the subscription cost
  • Cost varies depending on the type of custom service chosen
Data Migration Cost/Change Management/Upfront Switching Cost
  • Depends on the amount of data needed to be migrated as well as the complexity and accuracy of that data
Recurring/Renewal Costs
  • Recurring monthly fee is charged based on the subscription model selected
athenaOne
athenaOne
Start Price
$550
Per Provider, Monthly
Analyst Rating
85
SelectHub’s Analyst Rating for athenaOne, is based on data from our 400+ point analysis of Medical Billing Software, user reviews, and our own crowd-sourced data from our free software selection platform. Scores are periodically updated via ongoing selection projects and user activity within our platform.
Company Size
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Deployment
Cloud On-Premise
Platform
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Why We Picked athenaOne

Athena offers robust functionalities that streamline many daily tasks for care providers. Many users felt that the system offered all of the functionalities they were looking for and felt that the interface was easy to navigate and did not experience system downtime. Users also felt that customer support was able to address most of their concerns at a satisfactory level. However, some users felt that the claims functionality was unsatisfactory and recognized that the system couldn’t make their desired customizations. Users also noticed inaccuracies in their data, but many were unable to determine if this was a result of the system storing information incorrectly or the result of users experiencing difficulty navigating the platform. The high price of this system may be cost prohibitive as this system is best suited for smaller practices that won’t need to provide multiple care providers with access to the system.

Pros & Cons

  • Customer Support: Users who struggled with implementation received adequate support, and all users have access to effective support at all times, as noted by almost 90% of reviews.
  • Functionality: Athena provides medical practices with all of the functionality that they need, as noted by slightly more than 75% of reviews.
  • User Interface: The user interface is intuitive and easy to use, as noted by 75% of reviews.
  • System Downtime: Of the users who discussed the solution’s accessibility, 60% noted that they had not experienced any significant system downtime and felt that they were always able to access functionalities when they wanted to.
  • Claims: While the claims scrubbing feature was praised by users, nearly 70% of reviewers felt that this feature noted that the language used for claims is difficult to interpret, clearing claims can be challenging and users felt that they did not receive satisfactory support when they reached out for help in regards to this feature.
  • Cost: Though only mentioned by approximately 10% of reviewers, the high price of the system was a detriment of the platform, as reported by 80% of users who discuss price in their review.
  • Accuracy: Some reviewers noted that they had difficulty entering or searching for their data within the platform as well as found inconsistencies within their records, as reported by 60% of users who mentioned Athena’s accuracy.
  • Suggestions: Users can make suggestions about changes they’d like to see within the system on a community forum, however, nearly 70% of reviewers who mention this capability felt that the suggestions of larger companies were unfairly prioritized over the suggestions of everyone else.

Key Features

  • Connected Health Network: Physicians can offer better care by leveraging data and insights from over 160,000 providers and 100 million patients. Lets users exchange information with over a quarter of a million points of care, such as specialists, urgent care facilities, labs, pharmacies and more. 
  • Patient Engagement: Optimize the number of patients seen each day with appointment scheduling. Limit the number of no-shows while improving patient satisfaction with automated reminders and online patient check-in. 
  • Patient Portal: Let patients view medical histories, sign documents, pay bills, manage appointments and more using mobile devices. Physicians can communicate with patients through messaging, notes or even video calls. 
  • Authorization Management: Outsource researching requirements and contacting payers for medical authorizations. View authorization statuses directly from in-app clinical workflows. 
  • Care Coordination: Access and share data, track orders, send results and more. Keep sensitive information secure and share data in real time. 
  • Reporting: Access detailed, real-time reports based on other clinics’ activity to help establish benchmarks, recognize patterns and issue more accurate treatment and diagnosis. 
  • Population Health: Physicians can stay connected to vital patient population data with population health tools. Utilize automated outreach services and network-based knowledge from in-house analysis experts. 
  • Interoperability: Connect to more than 26,000 health plans, 12,000 lab and imaging endpoints, 95% of US pharmacies and more than 1,200 external sites. Integrate with CommonWell and Carequality, to gain access to Epic and Cerner sites, along with numerous local, state and national Health Information Exchanges. 
  • Marketplace: Extend capabilities with access to apps in a dedicated marketplace with developer support. 
CureMD
CureMD
Start Price
$195
Per Provider, Monthly
Analyst Rating
84
SelectHub’s Analyst Rating for CureMD, is based on data from our 400+ point analysis of Medical Billing Software, user reviews, and our own crowd-sourced data from our free software selection platform. Scores are periodically updated via ongoing selection projects and user activity within our platform.
Company Size
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Deployment
Cloud On-Premise
Platform
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Why We Picked CureMD

CureMD, a comprehensive software platform designed to streamline healthcare operations, has been making waves in the industry with its robust features and user-friendly interface. Feedback from healthcare professionals highlights several key strengths that set CureMD apart from its competitors.

Users consistently praise CureMD for its exceptional ease of use, intuitive design, and comprehensive suite of features that cater to various healthcare specialties. The platform's ability to seamlessly integrate with other healthcare systems, such as labs, pharmacies, and hospitals, is another major advantage, promoting efficient care coordination and data exchange. CureMD's vaccine management system has also received positive feedback for its ability to automate tasks like patient outreach, inventory management, and reporting, saving valuable time for healthcare providers. While CureMD offers a wide range of features, some users have noted that the platform's extensive functionality can have a steeper learning curve for new users compared to more basic EHR systems.

CureMD appears to be an ideal solution for healthcare organizations of all sizes seeking a comprehensive and customizable platform to optimize their workflows and enhance patient care. Its scalability and adaptability make it suitable for solo practitioners, large hospitals, and multi-specialty clinics alike. The platform's cloud-based nature ensures accessibility from anywhere with an internet connection, providing flexibility and convenience for healthcare professionals on the go.

Pros & Cons

  • Customizable: CureMD offers a high degree of customization, allowing practices to tailor the system to their specific workflow and needs. This includes customizing forms, templates, and reports to match existing processes.
  • Cloud-Based: As a cloud-based solution, CureMD eliminates the need for expensive hardware and IT infrastructure, making it a cost-effective option for practices of all sizes. Additionally, cloud-based EHRs offer greater accessibility and scalability.
  • Integrated Practice Management: CureMD seamlessly integrates with practice management features, such as scheduling, billing, and reporting, streamlining administrative tasks and improving efficiency.
  • Specialty-Specific: CureMD offers specialty-specific versions of its EHR, catering to the unique needs of different medical specialties. This ensures that providers have access to the tools and features relevant to their practice.
  • Steep Learning Curve: The software's interface can be overwhelming for new users due to its complexity and lack of intuitive design, leading to a prolonged onboarding process and potential frustration.
  • Customization Challenges: Tailoring CureMD to specific workflows can be difficult, as the customization options are limited and may require advanced technical knowledge or assistance from the support team.
  • Reporting Limitations: Generating custom reports or extracting specific data from the system can be cumbersome, often requiring manual workarounds or reliance on pre-built templates that may not fully meet individual needs.
  • Customer Support Concerns: Some users have reported challenges with responsiveness and resolution times when seeking assistance from CureMD's customer support, leading to potential delays and disruptions in workflow.

Key Features

  • Enterprise Scheduling: Manage appointments and workflows automatically across locations. Scheduling and matching up physicians with speciality equipment is done using color coding. Includes waiting list management, automatic eligibility verification, family/group schedule, recurring appointments, chain scheduling and SMS/email notifications.
  • Avalon EHR: Add lab orders, diagnosis, vitals and other patient information securely using the Avalon EHR app for iOS. Review, acknowledge, sign and assign lab results using the CPOE system in the iPad EHR.
  • Patient Portal: Patients can view lab results, set up appointments, request prescription refills, make payments online and receive messages from their physicians on their own device.
  • Workflow and Process Editor: Assemble component templates, data forms and a knowledge base to facilitate adaptation to the users' preferences using the configurable workflow and process editor.
  • Auto Note: Compose sentences and paragraphs according to preferences and generate notes automatically through customizable templates.
  • Outcome Analysis: Aggregate clinical outcomes and reports in compliance with national benchmarks and P4P standards.
  • Integrated EKG Management System: Digitize EKG objects and attributes for storage directly in the EHR using this feature, available in Cardiology EHR. Incorporate consolidated patient records with the necessary data in reports.
  • Interoperability: Exchange information with stakeholders and connect to health information exchanges, pharmacies, payers and others for interoperability.
  • Electronic Prescription: Connect prescribers with pharmacies for a drug knowledge base, medication reconciliation, process refill requests or controlled substance e-prescribing. It also provides access to prescription benefits and adverse reactions information, and connects to thousands of pharmacies across the United States.
  • Electronic Labs: Send orders and receive lab results electronically using lab interfacing. Includes trending and task assignment, comparisons of current and past results, and alerts for abnormal results.
  • Document Imaging: Capture, scan and attach paper charts, clinical images, photographs, X-rays, audio files and medical drawings directly within CureMD, or use an integrated PACS system.
  • Revenue Cycle Management: Convert medical services into cash reimbursements through claim preparation, same-day electronic claim submission, follow-up, electronic payment posting and other features.
  • Discrete Reportable Transcription: Populate dictations in pre-designated templates using overnight transcription service for documentation cost reduction and discrete clinical findings.
  • Personalized Dashboards: Easy-to-use dashboards include user-defined KPIs, financial forecasts, tasks and trends.
NextGen Enterprise Award
NextGen Enterprise
NextGen Enterprise
Start Price
$600
Per Provider, Monthly
Analyst Rating
84
SelectHub’s Analyst Rating for NextGen Enterprise, is based on data from our 400+ point analysis of Medical Billing Software, user reviews, and our own crowd-sourced data from our free software selection platform. Scores are periodically updated via ongoing selection projects and user activity within our platform.
Company Size
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Deployment
Cloud On-Premise
Platform
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Why We Picked NextGen Enterprise

Our research analysts, after evaluating several solutions, awarded NextGen Enterprise with best-in-class honors for Insurance Payments Management, Medical Coding, Medical Billing Services, Notes and Templates, and Deployment Options.

NextGen Enterprise provides EHR, practice management and patient experiene modules that support 2000 workflows and content for 30 specialties including cardiology, dental health, neurology, primary care and more.

Intutive EHR tools make it easy for doctors and nurses to document patient visits. You can even use AI for note-taking. And with the mobile app, you can access patient info and chart on the go.

The platform really shines when it comes to practice management. It automates a ton of time-consuming tasks like eligibility verification and billing, so your staff can focus on what really matters: patient care. Plus, the built-in analytics give practices valuable insights to improve efficiency and, ultimately, the bottom line.

Patient engagement is also a key focus, with the NextGen PxP patient portal empowering patients to actively participate in their healthcare journey. They can schedule appointments, request refills, view test results and even message their doctors securely.

One area that the system lacked was its integrative capabilities. It scored 77 in our analysis, lower than other popular products like athenahealth (93) and Cerner Ambulatory (88). That means you will need to connect barcode scanners, clinical decision support tools, prescription management systems and others via API.

Pros & Cons

  • Improve Patient Care: Get access to complete and up-to-date patient records, including medical histories, allergies, medications and test results for data-driven and informed decision-making.
  • Streamline Routine Workflows: Automate scheduling, billing and documentation processes to reduce administrative burdens and free up time for patient care.
  • Enhance Medication Safety: Set automated alerts to check for drug interactions, allergies and dosage errors to significantly reduce adverse drug event risks.
  • Complex Implementation: Demands time and resources for implementation, customization and staff training.
  • High Initial Costs: Requires significant investment in software, hardware and training.
  • Dependence on Technology: Creates reliance on technology, which can be problematic during system downtimes or technical failures.

Key Features

  • SOAP Notes: Record reasons to visit, social, family and diagnostic histories, vitals, physical exams, assessments/plans, and medications using the SOAP format. Use HPI (history of present illness) templates to document the patient's reason for visit, including onset, duration, severity, associated symptoms, and aggravating/relieving factors.
  • Templates: Use pre-built templates for patient visits, progress notes, procedures, patient intake, consent forms and letters. Tailor these or create new ones to perfectly fit your specific workflows.
  • Ambient Assist: Use smart AI technology to listen in on your patient conversations, capturing key information and automatically creating notes in your system.
  • Mobile App: Review and sign documents, view schedules and see high-level patient overviews (medications, allergies, past medical histories, etc.) Document patient visits using voice-to-text functionality. Save and prescribe frequently used medications with a few clicks.
  • Order Entry: Order labs, diagnostics and immunization from the CPOE bar on the patient’s chart. Click on order search to see your common orders.
  • Regulatory Reporting: Automate MIPS/MACRA data collection and reporting to demonstrate quality measures, improve outcomes and earn incentives. Collect and submit Uniform Data System (UDS) reports for FQHCs and eligible providers to track clinical quality measures and other HRSA-required data.
  • E-Prescribing: Launch the state-run Prescription Drug Monitoring Program (PDMP) database with a single click. Verify formulary coverage and benefits while writing the prescription. Initiate prior authorization requests directly from the prescribing window with pre-populated information. Securely transmit prescriptions to pharmacies nationwide through the Surescripts network.
  • Population Health: Collect patient data from EHRs, lab results, claims and health information exchanges. Use AGC, HCC or ASCVD risk algorithms to sort patients into different risk categories based on their health conditions, demographics and other factors. Analyze this data to look for anything that might be missing or doesn't quite add up. It could be a lab test that wasn't done, a prescription that wasn't filled or a recommended screening that was missed.
Intergy
Intergy
Start Price
$500
Per Provider, Monthly
Analyst Rating
77
SelectHub’s Analyst Rating for Intergy, is based on data from our 400+ point analysis of Medical Billing Software, user reviews, and our own crowd-sourced data from our free software selection platform. Scores are periodically updated via ongoing selection projects and user activity within our platform.
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
Mac Windows Linux Chromebook Android
Request Pricing Request Demo

Why We Picked Intergy

Intergy helps you address both clinical and financial needs in one platform, making it easier for you to manage everything from patient care to billing without juggling multiple systems.

What stands out are its top-notch claims management capabilities. Features like batch claim generation and automated scrubbing help practices avoid common billing hurdles by catching errors early, expediting the reimbursement process.

It also enables you to track claims through every stage, giving you better control over your revenue cycles — which takes a load off whoever manages accounts receivable.

What’s even more impressive is how customizable Intergy is. It doesn’t force you into a cookie-cutter workflow. Instead, it lets you tailor forms, templates and even processes to fit your specific needs. This flexibility is especially important for practices juggling multiple specialties or unique patient care scenarios.

That said, any cloud-based platform isn’t without challenges. Reliable internet connectivity is a must, which can be a concern for practices in areas with spotty service. Additionally, transitioning from older systems can pose some hurdles with data migration.

Overall, the system is designed to simplify the complex workflows of modern healthcare. It’s not just about checking boxes for compliance or streamlining billing. Intergy is built to help providers focus on what really matters: delivering quality patient care.

Pros & Cons

  • Automated Claim Scrubbing: The system helps you scrub claims for errors before sending them to payers, helping you avoid claim rejections.
  • Reduced Administrative Burden: Features like automated charge capture, claim scrubbing, and denial management reduce manual intervention and speed up workflows.
  • Remote Accessibility: Staff can log into the system from home, another office or even while traveling, ensuring billing tasks don’t stop, even if people aren’t in the office.
  • Dependence on Internet Connectivity: Cloud-based systems rely on stable internet connectivity, so disruptions like outages can halt operations.
  • Data Migration Challenges: Historical data may be incompatible with the new system, requiring manual adjustments or data cleaning.
  • Inconsistent Customer Support: Vendors without 24/7 support may leave critical problems unresolved during peak hours.

Key Features

  • Billing: Generate and send invoices to patients with just a few clicks. Track patient payments, co-pays, insurance reimbursements and outstanding balances from a single screen. 
  • Claims Management: Create, submit and track insurance claims. Automatically reviews claims for errors or missing information before submission.
  • Denial Resolution: Address denied claims caused by incorrect coding or missing information. Identify the error, input the correct code or complete the required details, and resubmit the claim promptly to ensure resolution.
  • A/R Follow-Up: Gain real-time visibility into unpaid claims and patient dues and send automated payment reminders to patients to ensure timely collections.
  • Medical Coding: Get real-time suggestions for appropriate diagnosis and procedure codes during patient documentation to ensure accurate coding.
  • Clearinghouse: Send claims to clearinghouses to scrub them and eliminate any errors that might cause rejection, expediting reimbursement. 
  • Payment Posting: Automatically apply payments received (from insurance or patients) to the correct accounts, reducing manual entry errors.
  • Document Management: Upload patient lab results, prescriptions or imaging files directly into the system. Link these documents to the patient’s profile for easy access during future visits.
  • Appointment Scheduling: Enable patients to log in to the portal, view available time slots and schedule their appointments at their convenience. Send the patient a confirmation email or text and a reminder closer to the appointment date.
  • Customizable Templates: Choose from over 500 prebuilt, specialty-specific forms tailored to your clinical needs. Edit existing templates or create new ones to match your practice’s workflows. Sync templates with transcription or dictation tools for faster data entry.
  • Electronic Prescribing: Allow providers to electronically prescribe controlled and non-controlled substances directly from the system. Access a patient's controlled substance prescription history before issuing a new prescription. Get real-time alerts for potential drug interactions and allergies during the prescribing process.
  • Practice Analytics: Generate detailed reports on revenue streams, expenses and profitability. Track essential metrics such as patient volume, appointment no-show rates and billing efficiency. Gain insights into outstanding balances, aging reports and collection rates.
  • Patient Portal: Allow patients to access their health information including lab results, medication lists and visit summaries. Enable them to pay their bills online and send messages to their providers from a secure portal.

Pricing

License/Subscription Cost
  • On-premise: One-time license fee plus an additional service fee for implementation and added features
  • Cloud-based: User-based monthly subscription - per user, per month
Maintenance Cost
  • 24/7 software maintenance and online support services
  • On-premise: Users must sign an annual maintenance and support services contract — cost is not included with license fee
  • Cloud-based: Maintenance cost is included with monthly subscription
Installation/Implementation Cost
  • Both on-premise and cloud-based require an additional implementation fee which must be paid upfront
Customization Cost
  • Cost will vary depending on the functional requirements or features being added
Data Migration Cost/Change Management/Upfront Switching Cost
  • Cost may vary based on the amount of EHR data to be migrated as well as which type of data it is
Recurring/Renewal Costs
  • On-premise: Annual renewal of license as well as maintenance/support services and add-on costs
  • Cloud-based: Cost is equal to the monthly subscription fee, which is based on the number of users and customization add-ons

COMPARE THE BEST Medical Billing Software

Select up to 5 Products from the list below to compare

 
Product
Score
i
SelectHub’s Analyst Rating is based on data from our 400+ point analysis of Medical Billing Software, user reviews, and our own crowd-sourced data from our free software selection platform. Scores are periodically updated via ongoing selection projects and user activity within our platform.
Start Price
Free Trial
Company Size
Deployment
Platform
Logo
DrChrono
88
$250
Per Provider, Monthly
Yes
Small Medium Large
Cloud On-Premise
Mac Windows Linux Chromebook Android
DrChrono
CareCloud Central
88
$300
Per Provider, Monthly
Yes
Small Medium Large
Cloud On-Premise
Mac Windows Linux Chromebook Android
CareCloud Central
eClinicalWorks
88
$300
Per Provider, Monthly
Yes
Small Medium Large
Cloud On-Premise
Mac Windows Linux Chromebook Android
eClinicalWorks
Tebra Managed Billing
86
$0.30
Per Transaction, 2.75% Flat Rate
No
Small Medium Large
Cloud On-Premise
Mac Windows Linux Chromebook Android
Tebra Managed Billing
Oracle Ambulatory EHR
86
$5,000
Per Provider, Monthly
No
Small Medium Large
Cloud On-Premise
Mac Windows Linux Chromebook Android
Oracle Ambulatory EHR
AdvancedMD
85
$500
Per Provider, Monthly
Yes
Small Medium Large
Cloud On-Premise
Mac Windows Linux Chromebook Android
AdvancedMD
athenaOne
85
$550
Per Provider, Monthly
No
Small Medium Large
Cloud On-Premise
Mac Windows Linux Chromebook Android
athenaOne
CureMD
84
$195
Per Provider, Monthly
No
Small Medium Large
Cloud On-Premise
Mac Windows Linux Chromebook Android
CureMD
NextGen Enterprise
84
$600
Per Provider, Monthly
Yes
Small Medium Large
Cloud On-Premise
Mac Windows Linux Chromebook Android
NextGen Enterprise
Intergy
77
$500
Per Provider, Monthly
Yes
Small Medium Large
Cloud On-Premise
Mac Windows Linux Chromebook Android
Intergy

All Medical Billing Software (82 found)

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Veradigm

by Veradigm LLC
Veradigm
Veradigm (formerly Allscripts) offers a healthcare software suite designed to streamline clinical, financial, and operational workflows for healthcare organizations. It caters particularly to hospitals and health systems seeking to improve data management, care coordination, and financial performance. Benefits of Veradigm include enhanced patient care through improved data-driven decision making, increased operational efficiency through automation of tasks, and improved financial performance through better revenue cycle management. Popular features can include tools for claims processing, clinical documentation, and data analytics. User experiences within healthcare suggest that Veradigm can be a powerful tool for improving healthcare delivery, but its effectiveness can depend on the specific needs and implementation within each organization. Pricing typically involves a base subscription fee with additional costs based on specific modules or functionality required. Pros Better Data Mgmt Improved Care Coord. Streamlined Workflow Revenue Cycle Mgmt User-Friendly Interface (Some users report) Cons Learning Curve Costly (Some users report) Limited Customization Support Issues (Some users report) Outdated Interface (Some users report)
User Sentiment User satisfaction level icon: fair
Cost Breakdown
$1,000 or more
Company Size
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Deployment
Cloud On-Premise
Platform
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Experity

by Experity
Experity
Experity (formerly DocuTap and Practice Velocity), is a cloud-based solution that lets healthcare providers and practitioners streamline end-to-end clinical workflows, managing all aspects of daily operations from patient registration to discharge. With inclusions for practice management, electronic medical records and medical billing, it drives a better experience for patients and improves clinical performance.
User Sentiment User satisfaction level icon: great
Cost Breakdown
$10 or less
Company Size
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Deployment
Cloud On-Premise
Platform
Mac Windows Linux Chromebook Android
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Waystar

by Waystar
Waystar
Waystar (formerly Navicure or ZirMed) is a cloud-based solution for managing a health organization’s revenue cycle. Over 25,000 hospital organizations and health clinics use this system to track patients' revenue from their first visit until their final balance has been paid.It’s ideal for health care organizations of all sizes. It helps providers get paid faster and more accurately by automating tedious billing tasks, improving claim accuracy and offering in-depth reporting tools that uncover areas for efficiency gains.Popular features include eligibility checks, claims submission and tracking, denial management, and analytics dashboards. Users praise Waystar for its user-friendly design, ability to reduce billing errors, and seamless integration with other practice management systems.While pricing varies based on factors like practice size and specific feature sets, the vendor offers a subscription model with fees based on metrics like claim volume.
User Sentiment User satisfaction level icon: excellent
Cost Breakdown
$10 - $100
Company Size
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Deployment
Cloud On-Premise
Platform
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TruBridge

by TruBridge
TruBridge
TruBridge offers a robust suite of healthcare solutions designed to streamline operational and revenue cycle processes, such as EHR and RCM. Its adaptable platform caters particularly well to the needs of healthcare providers seeking comprehensive solutions for managing patient records, optimizing billing cycles, and gaining insightful business visibility. Key advantages include enhanced financial outcomes, streamlined workflows, and improved operational efficiency. Among its celebrated features are data-driven insights, contract management tools, and performance dashboards. TruBridge distinguishes itself through its personalized approach, leveraging data analysis and industry expertise to tailor solutions for each client. While specific pricing details are not publicly available, prospective users can contact SelectHub to obtain a customized quote based on their specific requirements.
Cost Breakdown
$100 - $500
Company Size
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Deployment
Cloud On-Premise
Platform
Mac Windows Linux Chromebook Android
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Demo Pricing

AccuPoint

by AccuPoint
AccuPoint
AccuPoint is a comprehensive EMR solution that helps practices with applied behavior analysis (ABA), patient scheduling, medical billing and picture archiving. Businesses can use the document management module to store electronic records while receiving alerts about missing records or document expiration. It is accessible via mobiles and records shift start and end time while notifying staff about no-shows and late arrivals. Its schedule module integrates with billing to verify data while complying with appropriate regulations. Agencies can use the payroll module to determine employee pay rates.
User Sentiment User satisfaction level icon: great
Cost Breakdown
$100 - $500
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
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My Clients Plus

by Therapy Brands
My Clients Plus
My Clients Plus is a unique solution that ranks 46 among all Medical Billing Software according to our research analysts and 200 crowd-sourced reviews from 1 source. Starting from $5, My Clients Plus is priced reasonably, commonly offers a free trial and is most fitting for businesses large and small. My Clients Plus can be deployed in the cloud. Similar alternatives to My Clients Plus include EMR Bear, Curismed and MDVision.
User Sentiment User satisfaction level icon: excellent
Cost Breakdown
$10 or less
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
Mac Windows Linux Chromebook Android
Request with no obligation:
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CPSI

by CPSI
CPSI
CPSI offers an adaptable electronic health record (EHR) solution tailored for rural and community hospitals, as well as acute care centers. The robust system provides a comprehensive range of features including patient record management, customizable workflows, reporting tools, and patient engagement capabilities. Its intuitive interface and comprehensive features make it a valuable tool for healthcare providers seeking to enhance patient care, streamline financial processes, and improve operational efficiency. CPSI is particularly well-suited for rural and community hospitals, clinics, and post-acute care facilities due to its focus on these settings' unique needs and workflows. Key benefits include enhanced patient care through efficient record management and care coordination, optimized revenue cycle management, and improved financial performance. Some popular features include customizable workflows, robust patient record management, a HFMA peer-reviewed suite of revenue cycle management products, and detailed reporting and analytics. User experiences highlight the system's user-friendly charting system, which simplifies patient information documentation. For current pricing details, it is recommended to contact SelectHub for a personalized quote based on your specific requirements.
Cost Breakdown
$10 - $100
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
Mac Windows Linux Chromebook Android
Request with no obligation:
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athenaOne

by athenahealth, Inc.
athenaOne
athenahealth is a cloud-based clinical and financial solution for healthcare practices and organizations. It combines software services to alleviate administrative burdens and improve clinical efficiencies. Streamlined physician workflows promote a focus on patient-centric care. It incorporates engagement tools, such as telehealth services, patient portals and online scheduling to improve patient satisfaction.
User Sentiment User satisfaction level icon: good
Cost Breakdown
$500 - $1,000
Company Size
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Deployment
Cloud On-Premise
Platform
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Vericle

by Vericle
Vericle
Vericle is a well-known software product that ranks 62 among all Medical Practice Management Software according to our research analysts and 6 crowd-sourced reviews from 1 source. Vericle can be deployed in the cloud. Similar alternatives to Vericle include Tebra Practice Management, AdvancedMD PM and Lakmus.
User Sentiment User satisfaction level icon: excellent
Cost Breakdown
$100 - $500
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
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CollaborateMD

by CollaborateMD
CollaborateMD
CollaborateMD is a robust cloud-based medical billing and practice management solution designed to streamline healthcare practice operations. Its most suitable users include small to midsize medical practices and billing services looking for efficient claim processing, scheduling, and revenue management tools. Key features include customizable reporting, real-time data analytics, and seamless integrations with electronic health record systems. Benefits include improved cash flow, reduced administrative burdens, and enhanced compliance with industry standards. Compared to similar products, CollaborateMD is noted for its user-friendly interface and commendable customer support. However, it may not be as feature-rich as some of its competitors, potentially limiting larger practices seeking extensive modular customization. When considering pricing, it offers a transparent, value-based structure, making it a cost-effective choice. Real user experiences often highlight its reliability and performance, setting it apart from other practice management software with respect to ease of use and consistent uptime. Pros Cons Easy to use Affordable Secure HIPAA compliant Good support Limited features Not customizable Can be slow Not for large practices Some bugs reported
User Sentiment User satisfaction level icon: excellent
Cost Breakdown
$100 - $500
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
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AccuMed

by Accumedic Computer Systems
AccuMed
AccuMed is a well-known software solution that ranks 32 among all Mental Health Software according to our research analysts and 11 crowd-sourced reviews from 1 source. AccuMed is most fitting for small or medium sized businesses. AccuMed can be deployed in the cloud and on-premise and is accessible from a few platforms including Windows devices. Similar alternatives to AccuMed include AccuMed Behavioral Health, MedicsCloud and Provide Enterprise.
User Sentiment User satisfaction level icon: great
Cost Breakdown
$100 - $500
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
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ClearGage

by ClearGage
ClearGage
Cleargage offers a set of solutions to streamline healthcare payments and improve the patient experience. HIPAA and PCI compliant, it can be deployed to all stages of the appointment lifecycle – pre-registration, time-of-service or post-registration. Give patients convenient financing options and greater visibility. It ensures enhanced financial management with flexible financing, patient payment portal, receivables funding, automated collection, electronic statements, interactive voice response and more.
Cost Breakdown
$10 - $100
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
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MediSYS

by MediSYS
MediSYS
MediSYS provides cloud-based software and in-person or remote services to assist healthcare organizations with managing records, interacting with patients, monitoring finances and adhering to government regulations. AI capabilities and automated processes reduce staff workloads to promote increased patient engagement.Offering an all-in-one product or pick-and-choose modules, the vendor tailors its offerings to the needs of individual healthcare providers.
Cost Breakdown
$100 - $500
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
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Psyquel

by Psyquel
Psyquel
Psyquel is a comprehensive software solution designed to streamline Behavioral Health Billing and practice management tasks. It is particularly well-suited for mental health professionals and clinics seeking to enhance their administrative efficiency and reduce billing errors. The software offers a range of benefits, including automated billing processes, claim tracking, and detailed reporting, which collectively help to minimize administrative burdens and improve revenue cycles. Popular features of Psyquel include electronic claim submission, patient scheduling, and integrated payment processing. These functionalities enable users to manage their practices more effectively, ensuring timely reimbursements and better patient care. Users have reported that Psyquel's intuitive interface and robust support services make it easier to navigate complex billing scenarios compared to similar products. Pricing details for Psyquel are not readily available, and it is recommended that potential users contact SelectHub for a personalized pricing quote based on their specific needs. This ensures that the solution is tailored to their unique requirements and budget.
User Sentiment User satisfaction level icon: excellent
Cost Breakdown
$10 - $100
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
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Genesis Chiropractic

by Billing Precision
Genesis Chiropractic
Genesis Chiropractic is an ONC-certified, cloud-based software for general and specialty chiropractic health organizations. It offers all-in-one inclusions for data storage, scheduling, patient engagement, visit documentation and financial management. It is accessible from any device with a web browser.In addition, this vendor offers financial services. Users can outsource billing and claims processing to focus on providing care instead of administrative work. Chiropractors starting their first practice are eligible for Kickstart, a three-year payment plan.
User Sentiment User satisfaction level icon: excellent
Cost Breakdown
$10 - $100
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
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Intergy

by Greenway Health
Intergy
Intergy by Greenway Health is a medical billing and practice management platform designed for healthcare providers of all sizes. It helps streamline workflows, enhance billing accuracy, and improve compliance with HIPAA and HL7 standards.Key features include batch claim generation, claim scrubbing, automated payment posting and advanced reporting capabilities, helping practices reduce denials and optimize revenue cycle management.Its flexibility and robust analytics make it especially valuable for practices transitioning to value-based care models like MIPS.Its ability to handle complex billing scenarios and provide actionable insights has helped practices like Sammartino Ophthalmology and HealthLinc streamline their operations and improve financial outcomes.Pricing is tailored to the specific needs of each practice.Our Research Process for IntergyThough we couldn’t get trial access, we were able to compare the system against competitors like athenaOne using our Jumpstart Platform.We also went through case studies and infographics available on the vendor’s website, and went through tutorial videos on YouTube to see how the system works. Read on to discover our findings.
User Sentiment User satisfaction level icon: great
Cost Breakdown
$100 - $500
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
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Medisoft

by Computerized Business Systems
Medisoft
Medisoft is a notable software system that ranks 94 among all EMR Software according to our research analysts and 1 crowd-sourced review from 1 source. Starting from $1299, Medisoft is priced below average, commonly offers a free trial and is most suitable for companies large and small. Medisoft can be deployed on-premise and is accessible from a limited number of platforms including Windows devices. Similar alternatives to Medisoft include MEDHOST EDIS, Innate and Hypnotes.
User Sentiment User satisfaction level icon: great
Cost Breakdown
$1,000 or more
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
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Apex EDI

by Therapy Brands
Apex EDI
Apex EDI is a popular solution that ranks 19 among all Insurance Software according to our research analysts and 1 crowd-sourced review from 1 source. Starting from $89, Apex EDI is priced fairly. Similar alternatives to Apex EDI include Wellnex, VCA Software and SIBRO.
User Sentiment User satisfaction level icon: excellent
Cost Breakdown
$10 - $100
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
Mac Windows Linux Chromebook Android
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Therapy Partner

by Therapy Partner
Therapy Partner
Therapy Partner is a rising application that ranks 45 among all Mental Health Software according to our research analysts and 33 crowd-sourced reviews from 1 source. Starting from $37, Therapy Partner is priced fairly, commonly offers a free trial and is most advisable for companies large and small. Therapy Partner can be deployed in the cloud. Similar alternatives to Therapy Partner include AccuMed Behavioral Health, EMR Bear and MedicsCloud.
User Sentiment User satisfaction level icon: great
Cost Breakdown
$10 - $100
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
Mac Windows Linux Chromebook Android
Request with no obligation:
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Office Practicum

by Connexin Software
Office Practicum
Office Practicum is an end-to-end cloud-based solution dedicated to pediatric clinics to effectively coordinate patient care and streamline day-to-day operations. It efficiently manages patient charting, documentation, scheduling, billing, payment and communication workflows from any device. Pediatricians and nurses can easily access in-depth patient data and automate documentation. They can provide better care with vaccination and medication management, e-prescribing, telemedicine and population health engines. It handles the entire patient flow — starting from patient scheduling, registration and intake to e-prescribing, status tracking, payment processing and follow-ups. It also provides surveillance, screening and triage call protocols. In addition to optimizing practice workflows to see more patients, it can maximize cash flow using its claims and payment management modules. It provides data-driven reports and visualizations on different practice areas. It also offers HIPAA, SOC and PCI compliance with a secure AWS environment and encrypted communication and payment. Users can enrich its functionality with several preset and third-party integrations.
User Sentiment User satisfaction level icon: great
Cost Breakdown
$10 - $100
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
Mac Windows Linux Chromebook Android
Request with no obligation:
Demo Pricing

Pricing & Cost Guide

See the Price/User for the top Medical Billing software systems… plus the most important considerations and questions to ask when shopping.

Buyer's Guide

Medical Billing Software Is All About Streamlining Financial Activities for Your Practice

By Riya Jamble, Technical Content Writer at SelectHub

Medical Billing Software Buyer's Guide

Health care processes generate significant paperwork for medical practices and billing companies, including admin tasks like patient data collection and claims management. Medical billing software helps you streamline these processes, enhancing your practice’s financial health and allowing you to focus more on patient care.

Whether used as a stand-alone solution, as part of a medical practice management system or as an integrated EHR solution, billing solutions assist you in performing multiple tasks to ensure accurate, cost-effective and timely payment for your services.

We know it’s difficult to assess hundreds of products and select the perfect application. We’ve designed this buyer’s guide to help make your software selection journey a breeze.

Executive Summary

  • Medical billing software simplifies financial and administrative activities for your medical practice or company.
  • Some core features you should look for in digital billing software are medical coding, insurance verification, claim submission, denial resolution and reporting.
  • Stay informed about key industry trends: built-in medical coding capabilities, payment method acceptance and blockchain integration.
  • Before selecting a medical billing program, you should ask questions to yourself and shortlisted vendors to select a product that best suits your business needs.
What This Guide Covers
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What Is Medical Billing Software?

Medical billing software is a medical solution that automates billing tasks to help practices get paid faster, improve workflow efficiencies and keep patient information up to date.

They enable you to verify insurance coverage, process payments and submit claims for reimbursement.

They assist you in managing invoices and following up on denied claims. Furthermore, they help you cut down on paperwork, creating smooth digital workflows for critical processes.

They automate patient registration, verify insurance plans and eligibility, and translate reports and diagnoses into codes.

These solutions aid you in accommodating different needs and reducing billing errors to enhance patient experiences and boost satisfaction.

Advanced billing systems offer features like reporting, profitability analysis and workflow management.

Some vendors offer custom billing products for your specialty, including:

Medical billing is an important part of your revenue cycle management process. And billing tools help you simplify revenue cycle operations, including all administrative and clinical functions that contribute to capturing, managing and collecting patient service payments.

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Deployment Methods

The most popular deployment options are cloud-based and on-premise, though some vendors provide hybrid and hosted options too.

In this section, we’ll discuss some benefits and limitations of implementing cloud-based and on-premise solutions.

Cloud-Based

Several health care organizations prefer SaaS products today. Some reasons to choose cloud-based software include:

  • Mobile accessibility
  • Elastic scalability
  • Easy deployment
  • No infrastructure requirement
  • Cost-effective pricing
  • Integrative capabilities

Its limitations include:

  • Accumulated costs over time
  • Disrupted performance due to limited bandwidth or poor connection
  • Limited customization options

On-Premise

Some facilities still prefer an on-premise billing solution to keep data in-house. Its advantages are:

  • High customizability
  • One-time upfront licensing fee
  • Complete security and management control
  • Offline access

Its disadvantages include:

  • Significant expenditure and infrastructure costs
  • Challenging implementation process
  • Costly scaling endeavors
  • In-house IT team indispensability
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Primary Benefits

We’ve outlined some key advantages of implementing medical billing and coding software below.

Medical Billing Software Benefits

Reduce Errors

Most medical billing software programs act as a clearinghouse, identifying duplicate data and flagging potential billing and claim errors. They help you reduce discrepancies by ensuring accurate costs and terminologies for specific codes, minimizing costly mistakes and eliminating human error.

Boost Productivity

Medical billing solutions help you streamline operations by automating tasks such as appointment scheduling, payment processing and report generation.

Patients can book appointments online, access their records through a secure portal, and even settle bills with a few clicks. Convenience? You've got it. Communication? Secure and seamless.

Additionally, these solutions offer mobile access for remote staff to help them update patient records from anywhere, keeping the gears of your practice well-oiled, even when they're not physically present.

Ultimately, fostering happy staff and empowering patients contributes to the success of a thriving medical practice.

Increase Revenue

By reducing administrative tasks and paperwork, these systems help your practice provide better care to patients. They enable you to automate processes to minimize claim denials and maximize reimbursements, helping your practice generate more revenue.

Today, patients prefer paying online. According to Salucro’s 2023 Patient Payment Technology report, 70% of patients prefer paying through credit/debit cards and 33% prefer paying via Paypal.

Recognizing this digital trend, medical billing solutions are embracing online payment gateways and demonstrating adaptability by retaining support for traditional methods such as cash or cards.

This dual approach caters to the diverse preferences of patients, ensuring a seamless and inclusive payment experience for individuals of all age groups.

Additionally, these solutions provide patient portal tools to help clients clear their medical debts online, helping you deliver better patient financial experiences and boost collection rates.

Maintain Regulatory Compliance

The health care industry keeps evolving, making it difficult to keep up with its regulations and compliances. These billing programs offer a range of security features and reminders to ensure you’re compliant with:

Gain Real-Time Visibility

Medical billing systems provide real-time access to bills, claims or patient data. They integrate with EHRs, helping you store lab reports, X-rays, insurance details, payment information and care histories in a secure cloud environment.

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Implementation Goals

Goal 1

Reduce Staffing Needs

Paper records are inefficient and can get stolen or lost. Moving from paper records to digital billing makes it easy for you to transfer, search for and store files.

Medical billing solutions can reduce the number of employees who’d otherwise need to manage claims, billing and collections manually.

Automated entries help improve health outcomes and reduce data-entry mistakes.

Goal 2

Track and Measure Practice Performance

While EHR systems support reporting and analytics, medical billing software helps track your practice’s revenue and compare it across selected periods.

They provide detailed information about your financial operations, patient insights and other organizational trends to help you evaluate your company’s performance.

Reporting and business intelligence tools enable you to analyze data, assisting you in making informed decisions.

Goal 3

Manage Cash Flow

Efficient cash flow tracking is crucial for managing payments from both patients and insurance companies.

Health care billing solutions offer claims management, collection and billing capabilities that help you monitor and track revenue flow.

You can track financial activities across various categories and departments to improve revenue cycle workflows.

Goal 4

Achieve Interoperability

Medical billing software helps you achieve interoperability by communicating using standardized data formats and protocols. Some of the most common health care data standards include HL7 FHIR, and X12.
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Basic Features & Functionality

We’ve listed some basic capabilities you should look for in medical billing systems in the table below.

Insurance Validation and Verification

Medical billing applications help you verify insurance eligibility, reducing billing delays and denials.

Manage your claims seamlessly, from code capturing to receiving reimbursements, ensuring a smooth and efficient process.

Health care facilities often lose revenue due to non-payment, stemming from various reasons like claims not reaching payers or small discrepancies.

Fortunately, you can prevent most claim denials using medical billing software programs. They scrub claims for errors before you submit them to insurance providers.
Payment Processing

While the medical billing process may seem tedious, medical invoicing systems can easily handle payment tasks.

Payment processing functionality enables you to process co-pays, deductibles or coinsurance payments during office visits via cash, online wallets or credit/debit cards.

You can generate, preview and modify customizable statements before sending them to clients.
Collection Letters

You can save money by removing third-party agencies from the payment collection process using medical billing systems. They help you manage and produce customizable collection letters for various payers.
Charge Capture/Medical Coding

The charge capture feature renders medical services into billable charges. It allows you to input the correct diagnosis (ICD-11) and procedure (CPT) codes used in a medical claim, reducing coding mistakes and preventing denials.

Most medical billing solutions update their coding databases annually.
Claim Submissions

Medical billing software helps you detect claim errors before submitting the claim to payers. They also enable you to send claims to clearinghouses to ensure they meet requirements and stipulations.
Reimbursement Tracking

Billing solutions let you track revenue from claims reimbursements as well as the portion of your patient services that comes from patient self-pay, co-pays and deductibles.

They create and maintain a detailed record of all transactions for thorough analysis and financial insights.
Remittance Processing and Electronic Remittance Advice

You can approve or reject payments through the remittance processing functionality.

You can import electronic remittance advice documents supplied by the insurance payer that provide notices and explanations of reasons for payment, adjustment, denial and/or uncovered charges of a medical claim.

You don’t need to chase explanations of benefits or even match payments manually. This feature lets you post payments with a single click.
Collections/Billing

Electronic billing solutions enable you to collect payments from third-party payers, track claim statuses, monitor A/R days and follow up with patients carrying balances after insurer payments (as well as patient non-payment/bad debt).

They help you create customizable, paperless superbills for patients, consolidating transactions, diagnoses, services and insurance procedures in a single bill.
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Advanced Features To Consider

These features may be key to your business, but not all medical billing software systems will offer them all. Some vendors may provide them at an extra cost.

Identify which advanced features your practice will need ahead of time to guide your selection from the table below.

Insurance Relationships

Medical billing software enables you to track different contract rates and discounts of accepted payers.

They integrate with CRM tools to help you manage relationships with payers and insurance companies alike.
Reporting

Generating reports can give important insights into the overall productivity and profitability of your practice.

You can filter report data by individual providers, codes and procedures. This helps you set benchmarks for your practice, measuring against the company’s norms and identifying key performance indicators.

Furthermore, these systems enable you to conduct risk assessments, helping you identify high-risk dues based on patients' payment history.
Payment Reminders

Medical billing software allows you to send automated reminders to patients of upcoming or overdue payments to facilitate timely collections.
Workflow Management

Some medical billing tools provide workflow dashboards, a rules management engine, and scheduling and pre-registration modules, assisting you in streamlining staff tasks and promoting organized business operations.
Accounting and Financial Management

The accounting and financial management functionality helps you track and manage employee payroll, timesheets, accounts payable and receivable, outstanding payments, and other administrative tasks, reducing double entries and staff workload.
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Current & Upcoming Trends

Due to the constant evolution of the health care industry, the need for innovations in medical billing rose too.

According to a Data Bridge Market Research report, the medical billing software market is anticipated to grow at a CAGR of 12% through 2029.

With so many new technologies and regulations coming into the picture, it can be difficult to keep up with the latest trends or get a clear picture of which direction things are moving.

We’ve summarized a list of upcoming trends that you should look out for below.

Medical Billing Software Trends

Built-In Medical Coding

Most medical billing solutions provide coding capabilities, allowing you to code diagnoses and procedures directly within the program.

These solutions assist you in:

  • Eliminating the need for separate coding software
  • Reducing coding errors through access to ICD-11 and CPT libraries
  • Improving coding compliance through real-time checks and suggestions

Artificial Intelligence and Computer-Assisted Coding

It’s not humanly possible to remember all medical billing codes. Thankfully, you don’t have to anymore.

Some medical billing programs integrate with artificial intelligence (AI) and natural language processing (NLP) coding systems, helping you enhance the coding process.

These solutions enable you to analyze charts and documents to assist you in identifying correct classification codes with unparalleled agility.

Billing systems use machine learning technology to train themselves on massive amounts of medical keywords, learning to recognize and code them.

Computer-assisted coding technology helps eliminate billing errors and increases efficiency compared to manual coding. It also reduces coding time without sacrificing accuracy, learning to be more precise over time.

Payment Method Acceptance

Medical billing software now accommodates diverse payment methods, including online options like credit/debit cards and digital wallets.

Integration with health care payment networks streamlines processing, promoting convenient and efficient payments, ultimately improving revenue collection.

Blockchain Integration

Blockchain is a database that stores data in blocks or chunks, chained together. Data entered in blockchains are decentralized, irreversible, immutable, incorruptible and transparent, making it ideal for security applications.

According to HIPAA Journal’s Health Care Data Breach report, more than 3.5 million records were exposed in October 2023. This highlights the urgency for enhanced security.

Several health care applications use blockchain technology to provide enhanced protection.

Adopting blockchain reduces billing errors and fraud by providing transaction transparency. Increasing visibility into transactions makes the records kept in blockchain a reliable source to resolve claim disputes.

Combined with computer-assisted coding tools, blockchain streamlines and speeds up the medical billing process. It also helps with payment processing, thanks to its decentralized nature.

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Software Comparison Strategy

With several medical billing applications on the market, it becomes difficult to evaluate them. We recommend you start by listing your business needs. How many employees will use the software? What features do you need to resolve existing problems?

You should look for a solution that offers core billing functionalities like insurance verification, claim submission, denial resolution and charge capture.

You should also ensure the platform integrates with other third-party medical solutions like EHRs and practice management tools.

Additionally, you’ll need to decide on the deployment type — whether cloud solutions with internet-enabled access or on-premise applications that require installation on company servers.

Some even offer offline data accessibility (information gets updated once your connection’s restored.)

For cloud-based products, ensure that they offer SSL/TLS encryption capabilities to safeguard confidential files.

In discussions with potential vendors, understand their solution’s ability to handle the dual requirements of fee-for-service and value-based reimbursements.

Once you cut your list down to the top two or three vendors, ask them to demonstrate how their system will work and how it performs when in action.

See if they offer trials, and test the software to make sure it’s easy to use and meets your practice’s needs.

Be thorough and talk to references for each vendor. Don’t only rely on your providers’ references, who’re likely to offer the most positive reviews.

Ideally, you should reach out to additional contacts for more information and opinions to get a complete picture of your candidates.

The key is selecting a medical billing solution that suits your practice’s unique needs now and as it evolves. It would be a lot easier if there were a one-size-fits-all solution, but unfortunately, one probably doesn’t exist. That’s why you need to be careful while conducting software evaluations.

Still wondering where to begin? Check out our Lean Selection methodology to choose a solution that best suits your company's requirements.

Cost & Pricing Considerations

The cost of medical billing systems varies widely based on how they're deployed.

Self-hosted platforms, which require a significant upfront investment for installation, are more suitable for large-scale operations.

On the other hand, cloud-based systems, a more common choice, involve in-app purchases and subscription fees, along with additional costs like maintenance, server, training and support fees.

When considering pricing, it's important to strike a balance. Cheaper options may lack crucial features, while all-inclusive packages with features like claims scrubbing and analytics tend to be pricier.

Regardless of your chosen system, be prepared for extra costs related to training, maintenance, licensing, upgrades and ongoing support.

Price Guide for Medical Billing Software

See prices for the top Medical Billing Software... Plus get important questions to ask.

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Questions To Ask Yourself

To gain clarity about your company’s needs, ask yourself these guiding questions:

  • What’re our current pain points?
  • Do we need a scalable solution?
  • What features are essential vs. nice to have?
  • What’re our reporting requirements?
  • What technical resources do we need to implement the new application?

Questions to Ask About Medical Billing Software

 

 

 

Questions To Ask Vendors

Use these questions as a starting point for conversations with vendors:

About the Software

  • Is the solution HIPAA-compliant?
  • What type of reports can the system generate?
  • Is the software customizable to specific business needs?
  • Does the app integrate with third-party systems?
  • Does the solution provide real-time claim-tracking functionality?
  • Is the software accessible for users with disabilities?

About the Vendor

  • How many years of expertise do you have in the industry?
  • Do you have ONC-ATCB certification?
  • Are there any hidden fees or costs outside of the initial contract?
  • How do you handle updates? Will future updates change your databases?
  • What training options do you provide?

FAQs

What’s the difference between medical billing and revenue cycle management software?

Medical Billing Software Revenue Cycle Management Software
Purpose Automates claims submission, coding and billing processes Optimizes the entire financial cycle of patient care, from scheduling to payment collection
Functions
  • Submits claims to insurance companies
  • Manages patient demographics and scheduling
  • Generates bills and statements
  • Tracks payments and denials
  • Registers patients
  • Verifies insurance benefits
  • Manages and resolves denials
  • Posts payments
  • Analyzes financial data
Goals
  • Increases revenue collection
  • Reduces errors and denials
  • Improves billing efficiency and accuracy
  • Maximizes overall financial performance
  • Optimizes revenue flow
  • Enhances financial transparency and control

Do I need a medical billing system?

Whether you need medical billing software depends on the scale and complexity of your health care practice or organization.

Here are some factors to consider when deciding if medical billing software is necessary for you:

Practice Size

For small practices with limited patients, manual billing or simple tools may suffice. However, as practices grow, the complexity increases, making billing software beneficial.

Larger practices with higher patient volumes and multiple providers benefit significantly from streamlined workflows and enhanced efficiency through billing systems.

Billing Complexity

If your billing processes are straightforward, and you have minimal issues with claim rejections or denials, manual methods or basic software may be sufficient.

Practices dealing with complex insurance plans, multiple payers and various services may find that medical billing software programs help manage intricacies, reduce errors and ensure compliance with coding and billing regulations.

EHR Integration Needs

If you use an electronic health record system, consider whether your billing processes need to integrate seamlessly with it.

Reporting and Analytics

Medical billing software often comes with reporting and analytics features, providing insights into your practice's financial performance. If detailed financial analysis is crucial for your decision-making, a dedicated system may be beneficial.

How do I know when it's time to replace my medical billing app?

Deciding when to replace your medical billing app can be tricky, but several signs might indicate it's time for a change:

  • Outdated Technology: If your current medical billing software is outdated and no longer supported by the vendor, it may expose your practice to security risks and compliance issues.
  • Inefficiency and Errors: If you notice a rise in billing errors, claim rejections or denials, it could indicate that your current system isn’t effectively managing your billing process.
  • Scalability Issues: If your health care practice is struggling to handle increased patient volume, transactions and claims, it may be time for an upgrade to a more scalable solution.
  • Integration Challenges: If your billing system doesn’t integrate well with other essential systems in your practice, it can result in inefficient workflows and data silos.
  • Regulatory Changes: Changes in health care regulations, coding standards or billing requirements may render your current software non-compliant.
  • Poor Support and Customer Service: If you experience difficulties getting timely support or if your vendor is unresponsive to your needs, it may be a sign that it's time to consider a more customer-focused solution.
  • High Total Cost of Ownership (TCO): If the total cost of ownership for your current medical billing app, including maintenance, updates and support, is disproportionately high compared to the value it provides, it may be cost-effective to explore alternative solutions.
  • User Resistance: If your staff finds the software difficult to use or if there's widespread dissatisfaction with the user interface, it may be worth exploring user-friendly alternatives to improve efficiency.

What are the benefits of in-house billing?

The benefits of in-house billing include

Control and Oversight

In-house billing allows you to have direct control and oversight of the entire billing process. This can be particularly important for maintaining quality, accuracy and compliance with regulatory standards.

Customization

In-house billing enables you to customize your billing processes to suit your specific needs and workflow. This adaptability is crucial if your practice has unique requirements or specialties.

Immediate Issue Resolution

With in-house billing, you can address issues and discrepancies as they arise. This can lead to faster resolution of billing errors, reduced claim denials and improved cash flow.

Improved Communication

In-house billing fosters close collaboration between billing staff, front-office personnel and health care providers. Improved communication can contribute to a more efficient and streamlined billing process.

Knowledge Retention

By managing billing in-house, you can retain institutional knowledge about its unique billing requirements, payer relationships and patient population, which may be lost when outsourcing.

Cost Control

In some cases, managing billing in-house may lead to cost savings compared to outsourcing. While this depends on various factors, such as your practice size and transaction volume, it can be a consideration for some health care providers.

Who should use it?

Medical billing solutions can be useful to:

  • Solo practitioners, small to medium-sized practices, and outpatient facilities.
  • Specialty practices, DME suppliers, home health care agencies and mental health clinics.
  • Rehabilitation centers, billing service companies, and larger health care organizations with in-house billing departments.

What potential issues will I have to face if I invest in a billing solution?

While investing in a billing solution can offer numerous benefits, there are potential issues you might encounter. Here are some to consider:

Implementation Challenges
  • Integration Complexity: Integrating the new solution with your existing systems may be complex and require technical expertise or costly consultants.
  • Data Migration: Moving existing billing data to the new system can be time-consuming and prone to errors if not done meticulously.
  • User Adoption: Getting your team comfortable with the new system and workflows might require training and support, impacting productivity in the short term.
Cost and Value
  • Initial Investment: Billing solutions can come with upfront costs for software, hardware, implementation and training. Ensure the long-term benefits outweigh these initial expenses.
  • Subscription Fees: Many solutions are subscription-based, meaning ongoing costs. Calculate the total cost of ownership before committing.
  • Return on Investment (ROI): It may take time to see a clear ROI from the new system. Ensure you have measurable goals and track progress to assess its effectiveness.
Technical Issues
  • System Downtime: Any system can experience downtime, potentially disrupting your billing process and revenue collection. Choose a solution with high uptime guarantees and good customer support.
  • Security Vulnerabilities: Billing systems handle sensitive financial data, so ensure the solution has robust security measures and data encryption.
  • Scalability Limitations: As your business grows, the chosen solution should be able to scale to accommodate increased usage and complexity.
Medical Billing Software Report

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Next Steps

While EHR and medical billing software can have overlapping capabilities, their core focuses differ. Medical billing solutions help you maintain detailed records of billing-related financial and administrative tasks for diagnoses, tests, examinations and procedures.

Remember, a medical billing app is only as good as the billing team it supports. A well-trained and experienced billing team can help your practice avoid coding errors and incorrect data entry, which impact revenue.

Are you ready to drive your organization towards success with medical billing systems? If yes, get started today with our free comparison report to gain insights about the top software leaders.

Our interactive report enables you to determine functional and technical requirements, uncover product benefits, and send RFPs to vendors.

Need further assistance? Please don’t hesitate to reach out via email and phone mentioned on our website.

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About The Contributors

The following expert team members are responsible for creating, reviewing, and fact checking the accuracy of this content.

Riya
By Riya Jamble
Technical Content Writer
Riya is a Technical Content Writer at SelectHub. She writes content for our construction scheduling and bidding, CMMS and medical billing categories. She's also a part of the social media team where she crafts posts that engage and resonate with our audience. Riya holds a Graduate Degree in Journalism and Mass Communication from Lovely Professional University, Punjab, India. Fueled by a love for black coffee, her day begins and ends with its energizing ritual. Riya enjoys a variety of TV series, including Friends, Suits, American Horror Story, and How to Get Away with Murder. During her free time, you'll find her reading or spending time with her close ones. She believes in magic and is waiting for that day when reality compromises and fairytale swirls around with a smile.
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Dhanasri
Technical Research By Dhanasri Yasam
Senior Analyst
As a Senior Research Analyst, Dhanasri Yasam works in key categories like EHR, EMR, business intelligence and HR. In her role, she conducts primary research, collects and analyzes empirical data, and draws evidence-based conclusions. She also has extensive experience gathering requirements for client projects. Dhanasri holds a B-tech in Computer Science and Engineering from Dr. M.G.R. Educational and Research Institute, Chennai and an MBA in Finance and Marketing from Aurora's Business School, Hyderabad.
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Manan
Technical Review By Manan Roy
Principal Analyst
Manan is a native of Tezpur, Assam (India), who currently lives in Kolkata, West Bengal (India). At SelectHub, he works on categories like CRM, HR, PPM, BI, and EHR. He has a Bachelor of Technology in CSE from The Gandhi Institute of Engineering and Technology, a Master of Technology from The Institute of Engineering and Management IT, and an MBA in Finance from St. Xavier's College. He's published two research papers, one in a conference and the other in a journal, during his Master of Technology.
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Ryan
Edited By Ryan McElroy
Content Editor
Ryan McElroy is a Content Editor and Senior Market Analyst at SelectHub who writes and edits content on various software types, along with their broader concepts and the industries they serve, including medical, construction, CMMS, supply chain management and legal. He studied at the University of Missouri (Mizzou) and earned his BA in Journalism in 2016. During his free time, you’ll find Ryan playing video/card/board games, sipping coffee and reading speculative fiction, or listening to music his loved ones often describe as “headache-inducing.”
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