Alternatives to AppealsPlus
Compare AppealsPlus alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to AppealsPlus in 2026. Compare features, ratings, user reviews, pricing, and more from AppealsPlus competitors and alternatives in order to make an informed decision for your business.
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1
XpertCoding
XpertDox
XpertCoding is an AI-powered medical coding software by XpertDox that uses advanced AI, natural language processing (NLP), and machine learning to code medical claims automatically within 24 hours. It automates the coding process, enabling faster and more accurate claims submissions to maximize financial gains for healthcare organizations. Features include minimal human supervision, easy EHR connectivity, flexible cost structure, a significant reduction in denials and coding costs, a HIPAA-compliant business intelligence platform, risk-free implementation with no initial fee and a free first month, and higher coding accuracy. XpertCoding's autonomous coding solution helps healthcare providers and organizations get paid faster, accelerating the revenue cycle and allowing them to focus on patient care. Opt for XpertCoding for a reliable and accurate medical coding software solution for your practice. -
2
Raintree
Raintree Systems
Running a successful therapy & rehab organization takes dedication, effort, and time. Hours spent on administrative tasks, billing, and planning can add up quickly, leaving you with little time to focus on the most important aspects of your practice. Taking on an Electronic Medical Records (EMR) system can help alleviate some of the burden and make the management of your practice more efficient. Raintree's EMR is the perfect solution for streamlining your practice's administrative duties while allowing you to focus on providing quality care to your clients. With Raintree's EMR, you can easily manage patient information and data, quickly generate reports, and easily access patient records. With our all-in-one solution, you’ll get the tools you need to streamline your therapy and rehab practice, improve patient care, and get back to doing what you love. Our electronic medical records solution is the most comprehensive and user-friendly EMR on the market. -
3
Healthicity Audit Manager
Healthicity
For medical auditing, Audit Manager streamlines the way you manage audits by merging audit workflow, management, education, and reporting into one easy-to-use, web-based solution. Audit Manager brings simplicity by helping you: Identify Revenue Evaluate financial impact. Minimize denials and identify up to 10%, per provider, in missed revenue with extensive reporting and analytics tools. Increase Efficiency Improve your auditing efficiency by up to 40%. Reduce the amount of time you spend completing audits with our user-friendly interface. Improve Accuracy Customize your audit templates. Include your own standards, MAC carrier guidelines, and claim scrubber tech for ideal results. Audit Manager features: Built-in Tableau integration for in-depth analytics and reporting. Flexible Audit Management: View the status, and each associated status, of every audit, by any auditor. E/M Calculator Automatically calculate E/M codes with a built-in calculator.Starting Price: $670/mo for 3 users -
4
ABN Assistant
Vālenz
For providers, medical necessity denials cost thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. For payers, the same is true on the other end of the claim management spectrum: Paying for medically unnecessary procedures and treatments – and time spent working on denial appeals – raises costs without improving outcomes. And of course, for the patient, there can be unnecessary copays and other out-of-pocket costs, not to mention a poor patient experience involving costs and moments of care they did not need. ABN Assistant™ from Vālenz® Assurance delivers the prior authorization tools providers need to validate medical necessity, print Medicare-compliant ABNs with estimated cost, and stop over 90 percent of medical necessity denials by verifying necessity before care is delivered to the patient.Starting Price: $1039.00/one-time/user -
5
Rivet
Rivet Health
Patient cost estimates and upfront collection. Understand patient responsibility instantly with automatic eligibility and benefit verification checks. Hyper-accurate estimates based on your own practice data, creating better care and a healthier business. Send estimates via HIPAA-compliant text or email. It's time to treat 2020 like 2020. Collect more than ever with upfront mobile patient payments. Ditch the write offs and decrease patient AR. Run eligibility checks and provide accurate cost estimates, even for multiple payers, treatments, facilities or providers. Collect payment up front via HIPAA-compliant text or email. Reduce A/R days, collect more revenue and increase patient satisfaction all at once. Identify, analyze and resolve denials, as well as track ROI from reworked claims. Automate denial assignments to team members via Rivet, and leave notes and links along the way to resolve future denials even faster. -
6
Experian Health
Experian Health
Patient access is the starting point for your entire revenue cycle process. Ensuring correct patient information on the front end reduces the errors that cause rework in the back office. 10 to 20 percent of a health system's revenue is forced to remediate denied medical claims and 30 to 50 percent of those occur during patient access. By adopting an automated, data-driven workflow—not only are you reducing the errors that lead to claim denials, you’re also improving access to care for your patients through capabilities like online scheduling options that are available 24/7. Access is further improved by reducing the friction around patient billing by leveraging real-time eligibility verification to deliver accurate patient estimates at registration. Increase staff efficiencies by improving registration accuracy. Correct discrepancies and errors in real time to avoid costly denials and rework. -
7
I-Med Claims
I-Med Claims
I-Med Claims provides top-tier medical billing and revenue cycle management (RCM) solutions, trusted by healthcare practices across the U.S. We handle all aspects of RCM, from eligibility verification to denial management, helping practices streamline operations and maximize reimbursements. With billing plans starting at just 2.95% of monthly collections, we offer affordable solutions that enhance financial workflows, maintain compliance, and improve cash flow. By outsourcing billing to us, practices can focus on patient care while benefiting from reduced claim denials and faster payments. -
8
WRS Health
WRS Health
We’ve automated and systematized the billing process so your medical practice will get paid correctly the first time and that you will collect the maximum for all services performed. Our cloud-based EHR Software and practice management system provides billers and clinicians with business intelligence and payor rules unrivaled in the industry. Many practices make little effort to market their services. This translates into lost opportunities and flat revenue. WRS provides scalable and sustainable marketing plans for practices of all sizes, specialties and budgets. Now more than ever, physicians are under increased pressure from new rules, increased scrutiny and ever-changing complexities in medical services. We can help remove these burdens, so that you can concentrate on patient care. -
9
Quadax
Quadax
How well you manage the challenges of your revenue cycle has a direct effect on your bottom line and the success of your entire organization. It doesn’t matter how many patients seek your care if it’s taking months to receive the expected payments for the services you provide. And, you shouldn’t have to spend hours each day tracking down the payments you’ve worked hard to earn. There’s a better way to maximize healthcare reimbursement. Let Quadax be your guide to creating a comprehensive, sustainable and orderly strategic plan, and select the right technology solutions and services that best fit your business model. With us as your partner, you can achieve operational efficiency, optimize financial performance and enhance the patient experience. The goal for every claim going out the door is to avoid a denial and get paid as quickly as possible. -
10
Availity
Availity
Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS. -
11
AGS Computer-Assisted Coding
AGS Health
AGS Health's Computer-Assisted Coding (CAC) software helps hospitals and physicians simplify the ICD-10, CPT, HCPCS, and E/M coding process; increases your coder productivity while cutting denials, missed charges, and low-risk scores. Computer-Assisted Coding also known as medical coding software helps to boost productivity and make critical decisions faster while reducing denials, missed charges, and low-risk scores. The AGS Computer-Assisted Coding (CAC) module enables flexible and scalable coding of professional and facility operations to increase accuracy, productivity, and flexibility. Features:- - NLP-Based ICD-10-CM, PCS, CPT, and E&M Code Automation: Leverages NLP to automatically suggest billable codes from different types of clinical documents. - One-Click Coder Validation & Acceptance: Automatically identify charts that have potential queries for seamless validation and acceptance. - Always Up to Date: Our Clinical NLP engine is always learning and improving base. -
12
Noble*Direct
Noble House
In 1989, Richard M. Mehan, founder and CEO of Noble House, Designed Noble*Direct software, with four goals in mind: to design a software that is easy to use, efficiently gets the job done, to innovate current and new features, and the most important goal is to make his customers happy. With his son, Evan Mehan coming into the scene, his plans are to establish the four goals at hand and take Noble House to the next level. Training new billing personnel becomes a quick and painless process allowing you to spend more time providing optimal service to your clients. Noble*Direct has many fully automated features that allows providers to run their company smoothly as possible while growing their patient clientele. We listen to our clients and learn their needs. This is why we continue to design and implement new features to assist in streamlining day to day processes. -
13
Paradigm
Paradigm
Paradigm Senior Services offers a full-service, AI-powered revenue cycle management platform specifically tailored to home-care agencies that bill third-party payers such as the U.S. Department of Veterans Affairs (VA), Medicaid, and other managed-care payers. It automates and streamlines every step of the billing and claims process: from eligibility/authorization verification, state- or payer-specific enrollment and credentialing, to submission of clean claims, denial handling, and payment reconciliation. It integrates with common agency management software and electronic visit verification tools to scrub shifts, verify authorizations weekly, and reconcile payments, reducing denials and minimizing administrative burden. Paradigm also supports “back-office as a service” for providers; even if they already have internal billing staff or scheduling software, Paradigm can take over claims processing as a specialized, expert billing department. -
14
maxRVU
gingerCube
Designed by a physician, maxRVU is a fast, intuitive and easy solution that helps physicians, mid-levels, and facilities automate and minimize data entry for charge capture on-the-go. Capture, track, and submit charges for billing at the point of care. Reduce billing cycle by up to 85% with accurate charges sent in real time to the billers from the palm of your hand. Easily send photos of x-rays, patient charts, or screenshots of codes used. Quickly inquire about the group lunch that was being provided just in case you don’t make it in time. If you’re lucky, one of your colleagues will save you a plate because we all love a free lunch. Our HIPAA compliant server protects every message sent within our messaging feature of maxRVU. -
15
Remittance360
GAFFEY Healthcare
All organizations across the healthcare revenue cycle sector can utilize Remittance360. If an entity receives standard 835, business office staff of all levels will find this tool useful in making actionable decisions regarding cash and accounts receivable workflow. Remittance360 is simple and easy to use, start-up time is minimal, and the uploading process of 835 data takes seconds. Utilizing the standard 835 data set, information upload is obtainable for all organizations, with minimal IT involvement. Remittance360 takes advantage of the data organizations have, but delivers relevant reporting of denials, trends, and individual payer activities. Gaining insights into this information can determine specific workflow needs. The ability to query data is simple in Remittance360, and common queries can be saved for easy user functionality. Querying denials by remark code and by department can assist in identifying and fixing root cause issues. -
16
Charge Capture
PatientKeeper, Inc.
PatientKeeper Charge Capture increases practice revenue and cash flow through more efficient physician charge capture and smarter coding. By ridding your billing process of paper-based charges, PatientKeeper Charge Capture ensures that every charge gets submitted in a timely fashion – directly impacting your practice’s revenue. No more manually reconciling multiple patient lists with charge tickets. And PatientKeeper Charge Capture dramatically reduces the need for billing staff to consult clinicians about charges submitted days or weeks earlier. With ready access to clinical notes and communication tools, staff can easily resolve issues without the need to interrupt physicians or delay the submission. -
17
AveaOffice
Avea Solutions
Designed specifically to mirror the typical patient journey from pre-admission to post-discharge, yet flexible enough to adjust to your unique processes, every staff member is guided to push workflows forward effortlessly and capture the information needed to ensure clean claims and maximum reimbursements. From patient intake and benefit verification, across every Utilization Review, marking attendance and getting claims out the door, working denials and collecting payment, we’ve got you covered. It has never been more critical to work smarter and not harder in the industry. We’ve raised the bar when it comes to liberating your teams from the burden of manual processes and workarounds with our automation and powerful claim rules engines. Managing your revenue cycle is like watching dominoes fall in a harmonious pattern. Continuous industry changes, new payer rules, declining reimbursements, tighter margins. -
18
Quanum RCM
Quest Diagnostics
Quanum Revenue Cycle Management (RCM) delivers a holistic solution for managing the financial component of a medical practice with a focus on increasing revenue. Created by Quest Diagnostics, a leading provider of pre-employment drugs-of-abuse screening for employers and risk assessment services for the life insurance industry, Quanum RCM offers a complete medical billing solution, from billing claims to denial management and other billing related activities and support. -
19
MedClarity
Medusind
MedClarity is Medusind's turnkey RCM technology. MedClarity is a robust, web-based medical billing and practice-management software. The solution comes with a range of tools to enable medical practices of all sizes to take full control of their front-office and revenue operations. In addition to offering intuitive navigation and workflows, MedClarity boasts an advanced rules engine for clean claim submission, smart scheduler, comprehensive reporting and business analytics, real-time insurance eligibility verification, denial management and claim status lookup, and integration more than 30 EMR platforms. -
20
Medicall Billing Software
Quest National Services
One phone call is all it takes to identify whether our services are right for your practice. We can start serving you in as little as one week. We believe that your focus should be your patients. That’s why we take the headache out of billing. With a service level tailored to your practice, you only pay for the services that you need. That means higher net revenue and better control over your practice’s bottom line. We will work with your existing EMR so you can keep the system you’re happy with. If you don’t already have an EMR or aren’t happy with the one you have, we’ll help you select and implement the right one that meets your unique budget and needs. Having a single point of contact makes your practice run more efficiently. We schedule weekly conference calls with a familiar face who knows your business and therefore knows your requirements. We will assess the risks your practice may face and provide step-by-step guidance on ensuring your practice’s 100% HIPAA compliance. -
21
Dastify Solutions
Dastify Solutions
Dastify Solutions is a U.S.-based, AI-powered medical billing company trusted by 1,000+ healthcare providers nationwide. They specialize in high-accuracy RCM, leveraging advanced AI and a team of 500+ AAPC/AHIMA-certified coders to reduce errors by up to 99%. They offer end-to-end services, including coding, AR recovery, credentialing, and denial management, customised for 75+ specialities on a flexible pay-for-paid model. Their platform integrates seamlessly with 600+ EHR / EMR systems.Starting Price: $50 -
22
PulsePro Practice Management
Pulse Systems
PulsePro practice management system applies automated workflow logic to join financial, clinical and administrative processes into one package. PulsePro is easy to use and implement, offering advanced scheduling, patient registration, medical billing, coding and claims processing. And because implementation is quick and PulsePro is so easy to learn, your team will be up and running in hours — not days or weeks — performing daily tasks using an industry leading practice management system. Pulse is a leading EHR/PM Company that is a part of the Amazing Charts and Harris Healthcare family. We have a long history supporting medical practices with technology and value-added services. -
23
Adonis
Adonis
Adonis is an AI-powered platform designed to revolutionize revenue cycle management by providing monitoring, alerting, and dynamic issue resolution capabilities. It enhances task prioritization across RCM organizations through insights into denial trends, underpayments, and performance metrics. By leveraging AI-driven insights, Adonis aims to increase first-pass acceptance rates and minimize human errors, going beyond basic automation. The platform proactively prevents denials, automating routine tasks to allow teams to focus on patient care and experience. Adonis seamlessly integrates with existing electronic health records, practice management, billing systems, and patient portals in real time, eliminating data silos and ensuring a cohesive workflow. Its solutions are tailored for various healthcare organizations, including physician group practices, hospitals, healthcare systems, digital health providers, and practice management services. -
24
Cedar Pay
Cedar Cares
It pays to care. Discover the healthcare financial engagement platform that keeps patients happy and businesses healthy. We take care of end-to-end billing, so you can take care of patients We combine expertise from the worlds of healthcare, tech and design to create a seamless financial experience for every patient. From pre-visit registration to post-visit billing, we personalize the care journey to take each patient to payment with ease. Next-level personalization. We tailor patient engagement and messaging to maximize the chance of payment. A standout user experience. We take a patient-first approach to design to create an intuitive platform and straightforward billing. yellow Dependable implementation. Our implementation complements your workflows, requires minimal lift and is designed to meet your needs. Real-time insights. We give you full visibility into your revenue cycle, with actionable analytics about your performance. -
25
PatientClick
PatientClick
Becoming meaningful use compliant can have a positive impact on your practice. Improving transparency and efficiency, engaging patients and maintaining the privacy and security of all health information are just a few of the benefits you can enjoy using PatientClick Certified EHR. PatientClick's Virtual Visit TELEMEDICINE SOLUTION allows physician practices to utilize secured web-based technology to reach out to patients beyond the geographical boundaries of their office location. Let us improve your practice performance. While evaluating the overall workflow of the office we will help optimize existing processes to increase productivity and revenue. Our highly trained Implementation Specialists are available 24/7 to assist with the go live process. Our effective training specialists coupled with other knowledgeable team members makes for a smooth transition. -
26
Optum360
Optum
Optum360 offers physician advisor expertise, evidence-based medical research and sophisticated artificial intelligence (AI) technology to support appropriate reimbursement and accurate documentation. We team up with your physicians to pinpoint improvement opportunities. Choose from services, technology or a combination of both to fit your needs. Our on-site and remote services can apply AI to drive timely patient-status determinations. We deliver greater efficiency, accuracy and integrity to your utilization review process and outcomes. Our Physician Advisor Services and our Case Advisor™ technology can help you reduce denial rates, improve appropriate reimbursement and minimize audit risk. Our technology can help your internally sourced physician advisors become more effective and efficient. -
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Qure4u
Qure4u
Qure4u's Complete Virtual Care Platform offers patients and providers a fully integrated solution that supports the entire patient journey and will optimize care before, during, and after office visits. Want to learn what Remote Patient Monitoring can do for your bottom line? Current reimbursement models are making remote patient monitoring more practical and profitable – and Qure4u’s Platform will help you take full advantage of this opportunity for you and your patients. Try our ROI Calculator to learn how much revenue RPM can generate for your organization. Qure4u drives brand equity, in-office efficiency, and revenue while enhancing clinical insight and improving the patient experience. Qure4u's complete virtual care platform offers patients and providers a fully integrated solution that supports the entire patient journey and optimizes care before, during, and after office visits. Our flagship solution, MyCarePlan, improves patient outcomes and communications. -
28
ENTER
ENTER Health
Enter gets Providers (doctors, practices & hospitals) paid faster than anyone in history. Enter processes health insurance claims and pays in 24 hours while automatically communicating and collecting patient responsibility with a white label collection engine, complete with payment plans. Enter is 30x faster at getting claims paid and 45x faster at getting patients billed at the same cost as existing medical billers. - $150mm+ of claims processed in just 1 year of operations. - $100mm credit facility actively being deployed for providers. - Revenue Cycle Management Partner for United Healthcare Nevada. - Enter supports a wide variety of specialties including ASC, Orthopedics, Neurology, Dermatology, Emergency Rooms, Behavioral Health, Pain Management and more. - Enter works with all commercial and government health insurance carriers. - Enter integrates with all EMR / practice management systems. - No monthly fees. No integration fees. - Enter is venture backed -
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Bridge
BridgeInteract
Bridge delivers patient engagement technology designed with digital empathy to restore the human connection in healthcare while reducing friction for patients, physicians, and staff. Its unified platform brings together access, communication, intake, scheduling, and payments into a single, seamless digital experience that works inside the EHR. Unlike competitors that rely on autonomous automation, we prioritize the provider-patient relationship. We ensure technology supports the compassionate care provided by your staff, rather than erecting a barrier of bots between the patient and provider. By eliminating fragmented tools and unnecessary administrative work, Bridge helps care teams spend less time managing systems and more time focusing on patients. The result is a simpler, more intuitive experience that patients actually use, staff can manage with ease, and physicians trust — driving a measurable return on experience and efficiency across your organization.Starting Price: $500.00/month -
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AltuMED PracticeFit
AltuMED
Conducting thorough checks on the financial eligibility of the patients, running their insurance’s analysis and monitoring discrepancies, the eligibility checker covers all. If however any error does creeps in the data submitted, our scrubber working on deep AI&ML algorithms is capable of scrubbing errors be it coding errors, incomplete or wrong patient financial information. The software, at present, has 3.5 Million edits pre-loaded in its memory. To further streamline the process, automatic updates are issued by the clearing house to inform about the status of in-process claims. Covering the entire billing spectrum from verifying the patient financials to working on denied or lost claims and also has a through follow-up feature for appeals. Our intuitive systems warns if a claim could be denied, taking corrective actions to prevent it but also is capable of tracking and appealing for lost or denied claims. -
31
Crosby Health Apollo
Crosby Health
Thousands of providers use Apollo by Crosby Health to generate, submit, and track appeals. Reducing the provider burden from clinical denials. Apollo has been trained to understand the clinical context and beats every other medical language model on core metrics. Apollo has been fine-tuned to handle billing tasks with high precision such as auditing, charge capture, and denial management. The fastest clinical language model with the largest context length. Outputs are generated on average at 60 words per second and can intake up to 300 pages. Our AI crafts winning appeal letters for every denial with meticulous arguments for maximum recovery. Eliminate multiple payor portals and fax numbers. One platform that submits and tracks every appeal. Eliminate the provider burden to generate appeals. AI trained to identify medical necessity within documentation. One-click submission to any insurance company. -
32
theBillingBridge
BillingParadise
Lost important financial information due to a cluttered inbox? Grab updated and actionable financial data, the way you'd grab a cup of coffee at a takeaway counter! BillingBridge is a secure, HIPAA compliant, mobile app built for Smartphone users. We make data mining and tracking key metrics easy. Get daily, weekly and monthly financial reports, delivered right into your Smartphone. Gain not just retrospective insight but also predictive capabilities with BillingBridge's reporting features. Forget written notes! Dictate instructions into BillingBridge. Yes, our Touch and Go feature makes it possible for physicians and medical practice managers to dictate notes and instructions. There is no recording limit and all audio notes are securely saved in the application. Click on the recording button and provide our billers with instructions, alerts and corrections. All recordings are auto-saved.Starting Price: $5.00/month/user -
33
Precision Practice Management
Precision Practice Management
Whether you're looking to outsource all of your revenue cycle management functions or just some of them, Precision Practice Management has the experience and expertise to help you stay on top of the constantly changing landscape in this most important area. Precision can successfully address all areas of revenue cycle management, from compliance, credentialing, coding, claims processing, clearinghouse edits and electronic lockbox to claim denial management, reporting, financial analyses and more. Your in-house staff may be doing a tremendous job in managing some or most aspects of your medical billing, but your office staff has many other important clinical functions to perform. Sometimes billing matters receive lower priority and suffer as a result. Precision's medical billing experts are focused entirely on medical billing and nothing else; that's all they do. -
34
MD Synergy
MD Synergy Solutions
We're on a mission to modernize today's physician practices. We strive to simplify the lives of physicians and all staff with modern, innovative tools built to boost productivity and efficiency. Unlimited use of on-demand HD video/audio calls; Engage with patients with HIPAA compliant virtual visits from your EHR & Practice Management; Notification when patient arrives and handover patient to other practice user; Multiple participants can join; Share documents; Capture screen image; Appointment Reminder sent with Text & Email; No need to download any app; Patients can use iPhone, Android, or any browser; Patient satisfaction surveys. Minimal learning curve & maximum efficiency. Our clinically intelligent algorithms, curated around MIPS/MACRA standards ensure you provide accurate documentation for maximizing practice revenue.Starting Price: $260 per month -
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NovoClinical
NovoMedici
NovoClinical is a fully integrated EMR system designed by practicing physicians to make the medical practice more efficient and more profitable. NovoMedici is a true 360 practice driven solutions. We Believe Doctors should Practice Medicine. Not Accounting. NovoClinical’s revenue cycle management takes the worry out of getting paid and allows the doctor the ability to focus on medicine and patient care. CCM can dramatically improve the health of affected patients. At the same time, CCM can increase the revenue for a practice. Telemedicine feature allows providers the ability see patients with limited mobility and limited ability to schedule physical visits with their provider. Using NovoClinical, a 20015 level 3 certified system can help practices not only avoid the penalty but be eligible for the 7 percent bonus. The NovoClinical portal allows provides patients with the ability to go online and input their demographic information, their medical history, e-sign mandatory.Starting Price: $100 per month -
36
eClaimStatus
eClaimStatus
eClaimStatus provides simple, practical, efficient and cost effective real time Medical Insurance Eligibility Verification system and Claim Status solutions that power value added healthcare environments. At a time when healthcare insurance companies are reducing reimbursement rates, medical practitioners must monitor their revenue closely and eliminate all possible leakages and payment risks. Inaccurate insurance eligibility verification causes more than 75% of claim rejections and denials by payers. Furthermore, refiling rejected claims cost an organization $50,000 to $250,000 in annual net revenue for every 1% of claims rejected (HFMA.org). To overcome the revenue leakages, you need a no-fuss, affordable and effective Health Insurance Verification and Claim Status software. eClaimStatus was designed to solve these specific challenges. -
37
Amber Clinic Manager
Gray Swan Software
Amber Clinic Manager™ is a robust, full-featured medical office billing and management package accessible to physicians and their staff from virtually any internet-connected computer – anywhere. Running on almost any Windows, Linux or Macintosh computer, the Amber Clinic Manager™ gives you access to the information you need, when you need it, where you need it. Amber Clinic Manager™ is a full desktop application implemented in the newest Java technology connected via encrypted connection to the secure servers of Gray Swan Software. The result is an unprecedented feature set that presents your clinic's patient and billing information to the properly authenticated physician or office staff you designate, any time day or night, wherever they may be. On-the-go attendant and caregiver timesheet clock-in and -out with telephony for iOS and Android. Designed for practice managers, physicians and their staff. Get the information you need, when you need it, where you need it.Starting Price: $299 per month -
38
Nextech
Nextech Systems
Revenue cycle management platform with payment processing, claims management, patient access, and denials management. Nextech’s specialty-focused technology solutions are personalized to meet the unique workflow requirements of specialty providers, helping practices increase efficiencies across their clinical, administrative, financial and marketing functions using a single platform. Offering all-in-one, ONC-certified electronic medical records (EMR/EHR), practice management, revenue management, and patient engagement software and services, Nextech is recognized as the top single solution provider for ophthalmology, plastic surgery and dermatology, serving a client base of more than 9,000 providers and 50,000 office staff members. Offering physicians intelligent healthcare technology, Nextech focuses on the success of its specialty practices through consultative guidance and implementation of solutions tailored to the speed and workflows of individual providers. -
39
ChartLogic
Medsphere Systems
Enhance patient care, office efficiency, and profitability with ChartLogic, an integrated Electronic Health Record (EHR) software suite for private physician practices. Designed to intuitively match a practice's workflow, as well as its specialty and personal preferences, ChartLogic EHR helps physicians document patient encounters and store information securely and cost-effectively. ChartLogic EHR suite includes Electronic Medical Record (EMR) tools, practice management, and medical billing services. -
40
PUREDI
PUREDI
We ensure accurate and efficient reimbursements with our expert revenue cycle management services and 100% cloud-based software. Our options include cloud-based software and expert revenue cycle management services. With over two decades of providing medical billing and practice management services, PUREDI combines proven industry knowledge with the best of technology to drive better results. You shouldn’t have to maneuver through the world of regulations alone. We use our industry expertise to stay a step ahead for you. Customized revenue cycle management services are just the beginning for us. Our mission is to be your partner and secure well-deserved financial rewards. Our powerful analytics engine ensures access to data you need when you need it. You’re in good hands with our onshore account and denial management teams, FTE and time savings, and dashboard visibility.Starting Price: $199 per provider per month -
41
NexHealth
NexHealth
Deliver an end-to-end patient experience that integrates in real-time with your practice management system. The only solution that reads and writes data in real-time with your practice management system. We spend most of our engineering resources on creating the best bidirectional integrations with EHR and practice management systems. Now you can develop and deploy your product in weeks, not years. Our engineers consume our own API to build our own doctor-facing SaaS product, so you know you will always get an experience that is tested and can scale. Online patient scheduling allows visitors to see your availability in real-time and schedule appointments on-demand from any location or device. NexHealth scheduling software fully customizes your schedule right out of the box. Our team of product experts helps implement both your calendar of record and your EHR system – no matter how complex your schedule. -
42
MedicsPremier
Advanced Data Systems
Keep your practice on track with MedicsPremier (MedicsPM), a reliable practice management software from Advanced Data Systems. MedicsPremier comes with a wealth of tools that enables practices to streamline operations and get paid more, faster. This includes specialty-specific scheduling, automated patient workflow, patient information management, tax rates, products and inventory, specialty-specific EDI, patient statements, and integrated document scanning. With our system, get out-of-network alerts while scheduling patients. Access the patient responsibility estimator for an approximation of what they’ll owe after insurance. Remind patients about their copayments. Perform pre-appointment batch eligibility verifications. Get proactive alerts on claims likely to be denied. Yes…protect your revenue in advance! -
43
Inovalon Provider Cloud
Inovalon
Optimize revenue cycle management, care quality management, and workforce management all in one single-sign-on, easy-to-use portal. More than 47,000 provider sites rely on our innovative tools to simplify complicated operations across the patient care journey. Improve the patient financial experience and simplify administrative and clinical complexities with the Inovalon Provider Cloud – all while saying goodbye to siloed workflows. Our SaaS solutions help you strengthen financial and clinical outcomes across the patient journey, from creating front- and back-end revenue cycle processes for better reimbursement to ensuring appropriate staffing levels for optimal care. This is all managed in one comprehensive portal to take your organization to new heights improving revenue, staff equity, and care quality. Enhance your organization’s efficiency, productivity, and overall effectiveness. Discover what the Provider Cloud can do. -
44
iNtelli-Bill
iNtelli-Bill
iNtelli-Bill provides you a Highly Skilled Medical Billing Staff relieving you from the tedious and time consuming back office duties required to successfully complete the revenue cycle for your practice. Our expertise is physicians medical billing and no one does it better. We absolutely can increase your bottom line and at times quite dramatically. Outsource your medical billing to iNtelli-Bill and collect every dollar your practice deserves. Now you can use the time you save not chasing payments to focus on what you do best... Taking care of your patients!!! iNtelli-Bill provides professional Medical Billing Services with Practice Management Solutions to Physicians in General Practice, Primary Care, Pediatrics, Neurology, Urology, Cardiology, Psychiatry, Pain Management, Anesthesiology, Surgeons and many others can benefit from our services. -
45
Medisoft
AZCOMP Technologies
Designed to support Independent Physicians, Medisoft is a proven practice management solution. Medisoft offers an all-in-one interface combining scheduling and billing functions as well as integrated revenue management capabilities. However, it is so much more than just a scheduling and billing program. With Medisoft EHR, you will have access to both the practice management system and an advanced electronic health record solution at a price that smaller physicians will like. In today’s ever-changing healthcare environment, delivering the best patient care while improving and growing your practice can be a huge challenge. You need technology, and partners such as AZCOMP that will help you to deliver the best patient care without sacrificing revenue, profitability, or efficiency in order to succeed. Medisoft Monthly™ is something our physician offices have been asking about for years. -
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Medcubics
Medcubics
Medcubics provides a unique strategy from the front office to the back office. Saves time, facilitates process, provides flexibility, and provides rapid access. Because we are a partner for both physicians and patients, you can rely on our trustworthy software and corporate dedication to customer service. As a medical practitioner, you want to open a practice that is profitable, reliable and will allow you to handle the patients with care and respect. Whether you’re separating from your current medical practice partners or no longer want to work for another doctor, you need a plan to make sure that your business can continue to provide the same level of care you would. Patients can schedule appointments with ease and get notified when their appointment is near reducing no-show considerably.Starting Price: $99 per month -
47
Casamba Revenue
Casamba
Fewer denials and delays in claim submission + a dedicated team to manage follow-ups. Grow revenue by 4% and net payment per visit by 10%. Improved collection efficiency and consistent follow-up help net collection percentages grow. Reduce your DSO by 10 days or more. Claims that meet exact requirements shorten collection timelines and increase cash flow. Dashboards and metrics allow you to make informed decisions and move your business forward. The integration of Casamba and IKS Health creates a unified solution tailored for physical therapy practices and the challenges you face. By combining technology and services, we bring exponential value. We make your practice more efficient by freeing you and your therapists to focus on the delivery of excellent care. Contact us to find out how our RCM service can help you grow your business. -
48
CircleLink Health
CircleLink Health
Our setup process is simple. We do the work to integrate our HIPAA compliant software and services into your existing workflow. The software helps stratify your patient population to identify patients who may qualify for CCM and other preventative programs. Our care team + software can manage enrollment/eligibility, patient call cycles, administrative record keeping and more. With our seamless integration, we have our fingers on the pulse of your patients’ needs. Our one-click interface gets physicians crucial information about patients who need immediate attention. Here’s how it works: -
49
Nexus EHR
Nexus Clinical
Nexus EHR is a cloud-based EHR and PM platform for clinical healthcare providers. Our EHR works with your clinical workflow and maximizes the physician-patient encounter. Access anywhere, any time, and with any device (PC, Tablet, Mobile). Breeze through encounters via our intuitive, easy-to-use interface that allows you to practice naturally. Multi-modal data input allows for maximum flexibility. Nexus Practice Management systems help you manage all billing activities, claims, and ERAs to maximize your revenues. Nexus EHR offers telemedicine to connect with your patients remotely. Nexus's Patient portal offers great flexibility to patients to fill all the demographics, insurance information, and histories online at their convenience. -
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MDaudit
MDaudit
MDaudit is a cloud-based platform that unifies billing compliance, coding audits, and revenue-integrity workflows for healthcare providers, hospitals, physician networks, ambulatory surgical centers, and the like. It supports all types of audits, scheduled, risk-based, retrospective, and denial-focused. MDaudit automates data ingestion from pre-bill charges, claims, and remittance data; triggers audit workflows; flags anomalies and high-risk patterns; and delivers real-time dashboards and drill-down analytics revealing root causes of billing errors, denials, and revenue leakage. Its modules, including a “Denials Predictor” for pre-submission claim validation and a “Revenue Optimizer” for continuous risk monitoring, help organizations prevent claim denials, reduce recoupments, and capture more legitimate revenue. MDaudit also provides payer-audit management: a secure, centralized workflow to respond to external audit requests and manage documentation exchange.
