Alternatives to FQHC RCM Management Services

Compare FQHC RCM Management Services alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to FQHC RCM Management Services in 2026. Compare features, ratings, user reviews, pricing, and more from FQHC RCM Management Services competitors and alternatives in order to make an informed decision for your business.

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    XpertCoding

    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.
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    MedEvolve

    MedEvolve

    MedEvolve

    MedEvolve Practice Management (PM) software provides unmatched transparency, automation and accountability for the healthcare revenue cycle. Built in automation and advanced analytics solutions reduce administrative burden and ensure staff are not only productive, but effective in the work effort they put in and that they are achieving the expected results. Additionally, MedEvolve’s effective intelligence solutions enable a remote workforce with task management, tracking and virtual communication tools that integrate directly with the practice management software. Increase margin, improve net collection rate and reduce overhead costs with effective intelligence. MedEvolve PM integrates with over 40 different EHR systems. We believe physician practices should be able to choose the best EHR for their clinicians, and the best practice management software for their administrative and billing staff.
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    Mercury One Plus
    Mercury One Plus is a Medical Practice Management solution that puts the fundamentals of Revenue Cycle Management at your fingertips; it acts as a stepping stone from standard billing to intermediate billing. Mercury One Plus is offered exclusively on the cloud, with the highest level of security- you can access your data anywhere 24/7. A complete product with big functionality, Mercury One Plus includes: patient demographics input, 100 plus reports to choose from, charge entry, full history of patient activity, ERA posting, credit card acceptance, and much more. Mercury Products are HIPAA compliant with a guaranteed connection to any clearinghouse or insurance company. Mercury One Plus's automated job system will facilitate a daily system tune-up: housecleaning; folder maintenance; daily backups; 837 exports; 835 imports;HL7. All subscriptions come with the expert help of CrisSoft Support. Willing to partner/intergrate with all EMR's through REST.
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    Mercury Medical
    Awarded among the Top 10 MPM and RCM solutions, Mercury Medical is a robust medical billing solution. With over 400 customizable reports, built in Scheduler and Patient Portal, Mercury Medical is the perfect solution for major billing, suitable for multiple specialties and RCM processes Mercury Medical is a reliable, proven professional Accounts Receivable solution that will reduce processing times, shorten payment cycles and increase cash flow. Mercury Medical is fully configurable to any vertical or process including: Anesthesiology, University, Physical Therapy, and more. Mercury Products are HIPAA compliant with a guaranteed connection to any clearinghouse or insurance company. Mercury Medical’s automated job system will facilitate a daily system tune-up: housecleaning; folder maintenance; daily backups; 837 exports; 835 imports; HL7. All subscriptions come with the expert help of CrisSoft Support.
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    OpenPM

    OpenPM

    OpenPractice

    Open Practice is pleased to present OpenPM, our cloud-based RCM platform that has propelled the company through 17 consecutive years of double-digit growth. OpenPM connects all the disparate elements of the revenue cycle including; Scheduling & Registration, Billing, Clearinghouse, and Patient Payments/Collections. The result is highly automated accounts receivables management for optimized cash flow, and extensive reporting to help you proactively manage your organization. All of this control is securely hosted and delivered through the browser you already have, providing the perfect combination of security and availability. Medical billing software, revenue cycle management solutions, practice management software, practice management system, medical practice management, EMR integration, EHR integration, practice management scheduling, patient scheduling, online patient billing, patient billing, automatic patient billing and payments, patient payments, electronic patient payments.
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    MedHeave

    MedHeave

    MedHeave

    MedHeave is a Massachusetts based Medical Billing Solution Provider, offering services all over the US. We have years of experience reducing medical staff’s administrative workload. We handle billing, coding, A/R services, medical credentialing, etc. Our medical billing specialists care for your paperwork and let you give your best when treating your patients. Nothing gets better than treating your patients without stress while we make your revenue cycle management neat.
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    Precision Practice Management

    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.
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    ZOLL Billing

    ZOLL Billing

    ZOLL Data Systems

    Progressive revenue cycle management is, in many ways, the backbone of a thriving medical services operation. Controlling costs, increasing productivity, and accelerating reimbursements are essential activities that keep EMS agencies rolling. Yet efficiently progressing a claim through its lifecycle has traditionally been labor-intensive and prone to delays caused by documentation and coding inaccuracies. ZOLL® Billing is a cloud-based solution that enables revenue cycle professionals to turbo-charge billing performance and deliver more revenue. By automating workflows and eliminating billing errors, ZOLL Billing helps you process more claims with fewer resources and address compliance risk at the same time. Increase productivity and revenue with automated workflows that enable you to process more claims.
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    Clinical Info Solutions Medical Billing
    Clinical Info Solutions’ medical billing services are a complete, one-stop, full-service medical billing solutions. We are one of the top medical billing companies in the USA, offering medical billing, coding, revenue cycle management solutions and medical credentialing. Clinical Info Solutions is here to maximize your collections as much as possible while simultaneously eliminating your financial and human resources headaches, so you and your staff can focus on delivering unsurpassed patient care. We offer innovative medical billing services which are far more efficient and cost-effective than what is standard in the medical billing industry. We can logon to the client’s server remotely and utilize your software to conduct all medical billing operations. In this model, all the data and documents reside on the client’s server, which gives the client complete control of the billing operation.
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    Medical Billing

    Medical Billing

    Advantedge Healthcare Solutions

    Medical billing services, practice management and coding optimized for your specialty – and your bottom line. AdvantEdge customers have complete confidence working with a superior medical billing company. Comprehensive revenue cycle management that improves your bottom line! Our “future proof” physician billing solutions incorporate the best of today’s medical billing technology plus the ability to integrate it with other information, both today and tomorrow. AdvantEdge offers your group practice or hospital comprehensive medical billing services including telemedicine billing services. Our entire company is focused on achieving superior results for clients including ClientFirst service and fully transparent operations. Every medical billing service and operation is first measured by its results. At AdvantEdge, we take pride in net collections rates in the mid and upper 90’s, Days in A/R in the low to mid 30’s and, most importantly, consistent client cash flow.
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    Easy Coder

    Easy Coder

    Alpha II

    Easy Coder includes efficient procedure and diagnosis code search, encounter editing, and compliance tools all in one easy-to-use program. The solution leverages its web-based platform to provide real-time updates to content, rule changes, and policies, with no need to install the software. Verifies medical necessity. Saves coding time. Combines all aspects of coding. Allows for corrections early in the revenue cycle workflow. For almost 15 years, our medical billing service has been a daily user of Alpha II’s EasyCoder. It has proved to be an invaluable tool, providing my staff with quick access to current, comprehensive, and reliable coding resources. The E&M Generate, the policy reviewer, supporting diagnoses lists, and access to the Medicare fee schedules by locality have developed our staff’s knowledge and confidence as we strive to serve our clients as a trusted resource.
    Starting Price: $84 one-time payment
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    Pro Health Billing

    Pro Health Billing

    Pro Health Billing

    Pro Health Billing's Medical Billing Software has simple tools that help with data entry, automated task that take only minutes to setup and very easy to use. You can print your first claim in 20 minutes! With tools like Auto-Codes, Repeat Last Claim and Auto Co-Pays. Pro Health Billing is a wrist saver! Small Medical Practice Companies love Pro Health Billing's Claim and Patient Scheduling Modules. Together they become a powerful tool that cuts your workload almost in half! With tools like Non Payment and Non Billed Alerts your revenue will increase as your workload shrinks! 'Pro Health Billing' is the best medical billing software to help you bring in more income and quickly! With our Claim Catcher Dashboard and our industry leading 'Revenue Cycle Manager' to fix those alerts, claims never go unnoticed! Know the status of all your claims with just a glance.
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    P3care Medical Billing Software

    P3care Medical Billing Software

    P3 Healthcare Solutions

    Medical billing software prices vary from company to company. As a HIPAA medical billing company, we use software that is compliant and free from bugs. Not every source code meets the requirement of medical billing and coding. Therefore, we use the one that is authentic and has faced the test of time. Medical billing software is provider-friendly, and, virtually assists with billing problems. It is designed to handle calculations of reimbursement, financial data, and revenue cycle management to an advanced level of certainty. Medical billing software has the ability to track every part of the medical billing workflow, from making appointments to processing reimbursements. The following functions define its role in essence.
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    Clarus RCM
    Transform your revenue cycle with Clarus RCM. Clarus RCM specializes in risk adjustment coding solutions namely retrospective & prospective HCC coding, commercial risk adjustment coding, HEDIS abstraction, RADV audits, chart review & data validation, and revenue cycle management services. Our certified coders guarantee 95%+ accuracy & faster turn around time. Clarus RCM Inc provides comprehensive revenue cycle management (RCM) services through a robust, innovative technology suite. By integrating RCM services with healthcare consulting services, Clarus RCM can help hospitals and physicians increase their existing revenue stream, uncover new payment opportunities and elevate RCM performance. Clarus is certified with ISO/IEC 27001:2013 industry laurels. Our operations are 100% HIPAA and ISMS (information security management system) compliant. We have been assessed by UL-DQS (American accreditation) to deliver the highest quality of healthcare services.
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    Remittance360

    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.
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    F1RSTAnesthesia

    F1RSTAnesthesia

    Anesthesia Business Consultants

    F1RSTAnesthesia is the Oracle-based proprietary software platform that best distinguishes our unique approach to accounts receivable management. As the culmination of more than 40 years of experience in anesthesia billing services and practice management, F1RSTAnesthesia is designed to allow ABC staff to interface with providers, patients and their insurance plans real-time thereby ensuring that client practices are optimally and accurately paid for the valuable services they provide. Unlimited capability to enhance the retrieval of the documentation received for the most accurate coding possible. Features and functionality anticipate the complex triage of medical billing, including the monitoring of payment accuracy and compliance with governmental and payer guidelines. Web portal applications give clients access to the details of their practice and the ability to drill down on practice trends in the comfort and convenience of their own home.
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    Paradigm

    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.
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    Cvikota MBS

    Cvikota MBS

    The Cvikota Company

    Cvikota Medical Business Services – Your partner for medical billing results. Cvikota MBS, a USA based medical billing company, has been in the business of revenue cycle management for over 50 years. Through five decades we have carefully developed our best practices in order to provide attentive, boutique-level billing services while offering outstanding value. As a proven provider of medical billing services and comprehensive practice management, we bring our unique experience and proven medical billing processes to all of our business relationships. Independent physicians, hospitals, and office based practices alike rely on us as their trusted comprehensive revenue cycle team. Can we put our practice management and medical billing expertise to work for you? We are a USA medical billing business working with independent physicians who want outstanding results in their accounts receivables.
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    Centauri Health Solutions

    Centauri Health Solutions

    Centauri Health Solutions

    Centauri Health Solutions is a healthcare technology and services company driven by our desire to make the healthcare system work better for our clients and to provide compassionate support for individuals in need. Our analytics-powered software enables hospitals and health plans (Medicare, Medicaid, Exchange and Commercial) to manage their variable revenue through a custom-built workflow platform. While our tailored support of their patients and members provides them with access to life-enhancing benefits. Our solutions include Risk Adjustment (Medical Record Retrieval, Medical Record Coding, Analytics and RAPS/EDPS Submissions), HEDIS® and Stars Quality Program Management, Clinical Data Exchange, Eligibility and Enrollment, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, Referral Management & Analytics, and Social Determinants of Health.
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    Charge Capture

    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.
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    Essential RCM

    Essential RCM

    edgeMED Healthcare

    edgeMED's Essential medical billing and collection service handles the complete revenue cycle to ensure your organization is running at maximum efficiency and profitability. Medical practices and health systems strive to provide the best possible outcomes among their patients. But at the heart of what allows them to provide the best quality care are the strong financial outcomes resulting from a well-managed revenue cycle. With edgeMED Essential, we increase your collections and dig deeper to analyze cost and profitability, monitor contract under and overpayments and investigate new revenue opportunities, resulting in mutual success and long-lasting partnerships. Whether you are an independent physician practice, health system, Accountable Care Organization (ACO) or medical home, we are your revenue cycle management experts so you don't have to be. At edgeMED, we utilize our more than 40 years of expertise in medical billing and consulting to achieve maximum revenue.
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    CodaMetrix

    CodaMetrix

    CodaMetrix

    Physicians didn’t go to medical school to learn how to code. We are reimagining the future of the revenue cycle with AI-powered autonomous coding. The company’s platform is in use at more than a dozen premier provider organizations and health systems, representing over 200 hospitals, and 50K providers. CodaMetrix’s platform is a multi-specialty coding AI platform that translates clinical information into accurate sets of medical codes for patient care and revenue cycle processes, from fee-for-service to value-based care models. The automation is touchless, transparent, and completely traceable. CodaMetrix's cutting-edge, multi-specialty autonomous medical coding platform leverages AI to continuously learn from and act upon the clinical evidence in the EHR. We autonomously translate clinical notes into billing codes that satisfy coding requirements, ensuring claims consistently represent the unique and complete episode of care, reducing human coding workload.
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    E-COMB

    E-COMB

    KBTS Technologies

    EDI Compatible Medical Billing (E-COMB) is a web based solution for generating medical claims complying with the HIPAA transaction and code set standards, regulated by the US Government following the recommendations of American National Standards Institute (ANSI). The application is designed to generate, submit and reconcile the claims to the insurance carriers, guarantors and/or patients. This is one of the most important tools for doctors in realizing their revenue by reducing the turnaround time in the claims reimbursement. All the information related to environment of the Doctor’s Office/Hospital is grouped together as Master Data. This information is frequently used for claims processing and is less likely to change quite often. Master Data contains details of the Procedures, Diagnoses, Doctors, Payers, and Billing Providers etc. This data is created as part of the initial set up and can be updated easily at any time.
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    Transcure

    Transcure

    Transcure

    Transcure is a healthcare IT company offering EHR solutions and medical billing services to practices in the USA. We offer advanced EHR solutions, medical billing solutions and practice management making healthcare practices thrive. Our products and services help providers to ensure effective practice management and improve revenue cycle management. Embark on a transformative journey with Transcure, where innovation converges with excellence in healthcare IT solutions. Established in 2002, we have proudly stood at the forefront of providing comprehensive Revenue Cycle Management (RCM) solutions in the USA. We are dedicated to empowering hospitals, group practices, and solo practices. We have grown to a team of +1100 highly qualified billers and coders strategically headquartered in Woodbridge, New Jersey, and Dallas, Texas. Our customized approach ensures providers achieve a strong revenue cycle process with timely reimbursements in the healthcare industry.
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    Prestige Billing
    Elevos understands our customers must have complete confidence in our revenue cycle management process. As one of the nation’s leading providers of EMS software and ambulance medical billing services, we have developed a proven business model focused on process execution and the patient experience. Our goal is to give our customers every advantage to elevate patient care by optimizing revenue recovery with technology, expertise, and unsurpassed customer service. Our billing solution generates over 60 financial and statistical reports out of the box. On top of that, we have used Microsoft’s Power BI to develop one of the industry’s most advanced Business Intelligence (BI) web-based reporting platforms. With Elevos you get enhanced visibility into your financials including views into charges and payments trending, revenue projections by payer, and more.
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    maxRVU

    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.
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    Benchmark PM

    Benchmark PM

    Benchmark Solutions

    Benchmark PM enhances patient engagement from initial intake through final encounter with features such as patient onboarding, easy appointment scheduling, customizable reminders, robust reporting, and user-friendly dashboards. For billing, Benchmark PM simplifies filing, processing, and follow-up with integrated claims management, an integrated clearinghouse, electronic billing, insurance verification, and a versatile payment portal. Benchmark Solutions operates as healthcare practices’ one-stop management solution, comprising of Benchmark EHR software, Benchmark PM software, and Benchmark RCM services. Benchmark Solutions' offerings come together to form a comprehensive electronic toolset that can streamline daily internal operations and increase revenue earned all while improving the overall patient experience. Each piece of the Benchmark Solutions suite is modular so it can easily integrate with other technologies already in place.
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    Quanum RCM

    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.
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    OptiPayRCM

    OptiPayRCM

    OptiPayRCM

    OptiPayRCM’s platform delivers seamless, “last-mile” revenue cycle management automation by integrating with EHRs, clearing houses, payer portals, and other systems via flexible adapters so your billing workflows can be processed end-to-end. Its unified core engine handles eligibility checks, claim submissions, payment postings, denial management, and full accounts receivable workflows using AI and robotic process automation to reduce manual effort and accelerate cash flow. Real-time dashboards and reports provide visibility into key metrics and enable predictive insights, while customizable automation supports exceptions and unique workflows. It reduces first-pass denials by up to 63%, speeds claim status checks up to 50 times faster than human processing, and reduces payment cycle time by up to 35%. It is compatible with more than 200 healthcare systems and supports direct integrations via EHRs, FHIR, EDI, and HL7.
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    PUREDI

    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
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    Altruis

    Altruis

    Altruis

    Revenue cycle management touches so many aspects of healthcare that the term means different things to different audiences. But at the core—at the heart—it’s about capturing the revenue needed to power a healthcare organization’s mission. Altruis never loses sight of that simple fact. The revenue cycle management services we offer translate to more patients served, new and expanded services for those patients, and a more reliable, robust pool of resources to enable strategic planning, talent retention, and community-health investments. Whether you find yourself in need of a temporary billing solution, assistance with unresolved AR in a previously used system, or help successfully appealing denied claims, Altruis can help. We resolve backlogged AR by conducting in-depth forensic investigations of both isolated and systemic issues. Through root-cause analysis, we identify ways to help providers realize immediate financial benefits.
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    iNtelli-Bill

    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.
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    CureAR

    CureAR

    TechMatter

    CureAR is an AI-powered medical billing and revenue cycle management software designed for in-house billers, billing companies managed-service providers and DME companies. The software consolidates eligibility verification, charge capture, AI-assisted coding suggestions, claim scrubbing, electronic claim submission, ERA ingestion, and automated payment posting into a single cloud-hosted system. It is configurable for specialty billing rules and supports multi-tenant operations for practices that handle multiple client accounts. Key Features: AI-assisted coding and claim scrubbing: Machine learning highlights likely coding errors and applies payer-specific validation rules before submission. Real-time claim status and alerts: Tracks claims from submission to adjudication and surfaces exceptions for prioritized follow-up. ERA ingestion and automated posting: Electronic remittance advice handling with configurable reconciliation workflows reduces manual posting effort.
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    Inovalon Provider Cloud
    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.
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    Iridium Suite

    Iridium Suite

    Medical Business Systems

    Iridium Suite was developed with a focus on seamless processing of electronic claims and electronic remittances through its fully-integrated, web-based program. Shavara is an innovator in the field of medical billing software. Shavara's differentiator is the cumulative experience of 100+ years of laser focus in solving gaps and vulnerabilities in billing, coding and connectivity. Iridium Suite is purpose-built for Oncology. Built-in capability to enable Record & Verify integration; OncoChart integration; CureMD integration are powerful features matched to the requirements for Medical Oncology and Urology Billing Software. Shavara's Iridium Suite features leading-edge technology such as a built-in scheduler, a customizeable automatic medical claim scrubber, seamless electronic billing, and premium reporting. Iridium Suite is platform-agnostic, allowing you to use it as Medical Billing Software for Mac, PC, and even Linux systems.
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    ESO Billing
    Automate your workflow and integrations, and put an end to the repetitive manual work associated with revenue cycle management. ESO Billing frees your team to focus on what they do best. In today’s reimbursement world, efficiency counts. ESO Billing was built to save you time at every possible point in the billing process. Even its interface has been freshly redesigned for the ultimate in speed and ease of use. Customize your workflow based on your business process, task-based workflow moves each claim through its stages with minimal touches. It even alerts you automatically when payments aren’t on time, for the ultimate peace of mind. Our payer-specific proprietary audit process ensures that each claim contains all critical billing information prior to claim submission. The result? The lowest clearinghouse and payer rejection rate in the industry. Pair billing with ESO Health Data Exchange (HDE) and ESO Payer Insights to tap into hospital-generated billing information with one click.
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    MedSuite

    MedSuite

    Abeo Management

    abeo’s MedSuite software is the most widely used anesthesia billing solution in the nation. Purpose-built with an unparalleled understanding of the unique complexities of anesthesia billing, MedSuite helps both practices and billing services protect rightful reimbursement. Fully optimized for anesthesia, MedSuite’s cloud-based platform supports integrated workflows that make the most of vital coding and billing staff resources. As their needs evolve, so does MedSuite. The reason is simple: MedSuite isn’t just a system we sell, it’s also the system we use every day to code and bill for our own anesthesia practice clients. MedSuite is the only software solution that allows you to cross-reference the surgery schedule against billing to be certain you bill and collect for every one of your cases. Because it’s built from the ground up for anesthesia, MedSuite’s anesthesia specific database offers clear views into valuable metrics through robust, flexible reporting.
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    Rexpert

    Rexpert

    Practice Alternatives

    Rexpert includes medical scheduling, billing, reporting & an entire suite of productivity-enhancement tools to help streamline the business side of your practice. Our practice management software solution creates a positive experience for your staff while increasing cashflow. The end goal of every Rexpert feature is to enhance staff efficiency, cost management & patient satisfaction. Rexpert gives your practice the latest updates to medical codes & rules that are essential for effective coding & billing, including ICD-10. Advanced scheduler allows practices to balance the maximum number of patients for their capacity and goals. Rexpert's Recall/Follow-Up Processing automatically recalls patients back to the practice for follow-ups or procedures.
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    Oryx

    Oryx

    Oryx

    ​Oryx is a cloud-based dental practice management software designed to streamline various aspects of dental operations, including billing, imaging, patient communication, and data security. It offers features such as data-driven billing and practice management, advanced imaging and charting tools, efficient patient scheduling and communication, robust data security measures ensuring HIPAA compliance, and comprehensive revenue cycle management services. Oryx serves a diverse clientele, including independent practices, multi-location dental service organizations, specialists, pediatric dentists, and Canadian dental professionals. It emphasizes modern, tech-enabled solutions to enhance patient experiences and practice efficiency, with transparent pricing that can result in significant savings compared to other dental software options. ​
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    Easy Billing Professional
    Easy Medical Billing Professional has been established since 1994 as a leading-edge medical billing software program. Our billing software is designed for Medical Billing including features specific to the needs of Pathology Labs, Chiropractic, Physical Therapy, Surgical Assistants and Billing Services. We take pride in remaining current with industry changes and continue to offer affordable medical billing packages. We include ICD-10 coding and have implemented the 5010 electronic submission requirements. Let us show you the amazing report engine we offer, allowing you to customize search categories and to create custom forms. We offer an option for custom reports with Exports for your Excel Templates, CSS, SQL and HTML. (charges do apply). Our ongoing mission has been to provide a medical billing program that is easy to learn and comprehensive while being the most affordable medical billing program on the market today! ​
    Starting Price: $3995.00/one-time
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    TELCOR RCM
    Whether you are an independent reference lab, a pathology practice, an outreach lab or a public health lab, TELCOR RCM billing software provides the tools to overcome tough billing challenges and improve profitability. Perform claim submission, claim monitoring, remittance processes, AR management, client and patient billing, and much more for multiple NPIs all in a single revenue cycle management solution. Minimize billing staffing needs and maximize revenue cycle productivity by using the right tools to automate daily billing functions such as claims submission, collecting patient information, as well as generating revenue cycle management financial reports. Eliminate labor-intensive manual adjudication processes by processing electronic payments received from your payers via 835 ERAs or from your bank via lockbox payment files. Send quick and easy-to-understand billing communication to patients, simplify your patient billing process, and make it easier for patients to pay.
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    Medica Billing

    Medica Billing

    Medica Billing Solutions

    Our infrastructure helps Medica Billing Solutions maintain a higher standard of performance than other billing companies. This means we have the ability to secure more client revenue. The built-in flexibility of our system allows for customizing the process to fit the specific needs of each client, ensuring we are maximizing the collections you should be earning. Medica's clients thrive with benefits and robust services. Medica's Full Service Billing includes software at no additional cost packed full of features you'll grow to depend upon. Medica is a next-level revenue cycle management provider with solutions to maximize your efficiency and collections. We work fast, we're smart, we care-and our employees have a Zen Den (Yes, it helps). Seriously, our fast collection retrieval process means more client revenue and fewer medical billing headaches. We're so confident in our services, we guarantee them.
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    CompuMed

    CompuMed

    Acadiana Computer Systems

    i3-ACS Medical Business Solutions’ proprietary software, CompuMed, was originally developed in 1983. Its focus to simplify and facilitate the billing functions of medical practices continues today with our staff of in-house programmers. The strength of i3-ACS Medical Business Solutions is the unique advantage we enjoy of being a software vendor as well as a provider of revenue cycle management services. This allows us to create the appropriate software tools to ultimately maximize reimbursement for the thousands of providers who select our services. Developed to organize and facilitate the billing functions of medical practices to maximize reimbursement for providers. An additional layer of encryption is added between the client and server sides of all i3-ACS Medical Business Solutions developed software applications.
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    Dr. Bill

    Dr. Bill

    Grouse Software Labs

    Dr. Bill makes billing on the go easy and pain free. Add a patient in as little as 3 seconds and submit a claim with just a few taps. Remove the pain of manual data entry, paper, index cards and clunky software. Take a picture of a patient label and log your claims in seconds. We alert you in real-time with tips and suggestions to help you maximize your billing. No need to memorize codes. Select from a list of favorites or simply search by keyword. Our easy-to-use app makes billing simple and convenient. As new patients roll in, Dr.Bill keeps up. All it takes is a simple snap of a patient’s label to add their profile information to your account. Find the Right Codes Quickly. When it’s time to find the code you need, Dr.Bill is ready. We make it easy to search and even save the ones you use the most. Get Helpful Tips. It pays to know the ways to maximize your claims. Dr.Bill keeps you up to date with tips and suggestions.
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    HCC Coding Engine
    Aptarro’s HCC Coding Engine is an AI‑powered solution that integrates seamlessly with electronic medical records and practice management systems to scan every patient encounter in real time, automatically identifying and closing coding gaps to ensure all Hierarchical Condition Category (HCC) diagnoses are accurately captured for optimal risk adjustment and revenue. By applying industry‑proven rules and machine learning models, it prioritizes high‑value encounters for coder review, boosts productivity up to 300% per coder without adding provider workload, and reduces denials through real‑time validation and compliance updates. With exception‑based workflows, clear dashboards for RAF score trends, built‑in audit trails and logging, and fast implementation within existing workflows, organizations see immediate ROI in their first billing cycle and unlock millions in missed revenue while maintaining clinical focus and documentation integrity.
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    XIFIN RPM
    Powered by our advanced, cloud-based technology platform, XIFIN RPM is a comprehensive, highly automated Revenue Cycle Management solution that maximizes efficiency, refines medical cycle billing, improves cash collection, and increases financial accuracy. Diagnostic providers need financial management technology that not only helps improve cash collections, but also delivers visibility and control over financial operations, and provides connectivity within and beyond the organization. With these increasingly complex needs, diagnostic providers are poorly served by traditional billing systems that lack the referential and financial integrity required to deliver accurate, auditable information. Instead, they need a technology infrastructure with a solid financial and accounting foundation that delivers full visibility to understand the financial status of every diagnostic activity a provider performs, at every stage from order submission to payment.
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    NeuralRev

    NeuralRev

    NeuralRev

    NeuralRev is an AI-powered Revenue Cycle Management (RCM) platform that automates and accelerates end-to-end financial workflows in healthcare, reducing manual effort and errors while improving cash flow and operational efficiency. It automates insurance eligibility verification by connecting to clearinghouse networks in real time so patient intake and coverage checks happen instantly, and it handles prior authorization by assembling clinical and payer requirements, submitting requests electronically, and tracking approvals to reduce denials and delays. It also delivers real-time patient cost estimates by combining eligibility data with payer rules to improve transparency and upfront collections, and it streamlines medical coding, claim submission, claims processing, post-claim follow-up, and recovery, so teams spend less time chasing paperwork.
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    I-Med Claims

    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.
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    Givzey

    Givzey

    Givzey

    Easily create, sign, review, and manage all forms of gift documentation in one place. Spend more time cultivating a major gift and demonstrating impact by securing multi-year commitments for the annual gift. 3x your mid-level revenue and scale multi-year pledges to every level for 90%+ retention. Make 100% participation the standard by documenting commitments for all of your advisory boards. Digitize the bequest intention process to ensure fast and accurate documentation. Empower all of your ambassadors to secure pledges from your most loyal supporters. Start every year ahead with multi-year membership agreements. Givzey is a rapidly-growing, Boston-based digital fundraising solutions company, built by fundraisers for nonprofit organizations. As fundraising’s first digital gift agreement platform, Givzey empowers fundraisers to easily and immediately formalize and book pledges of all sizes by scaling multi-year giving strategies to all levels of giving.
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    PhysicianXpress

    PhysicianXpress

    Doctor Office Management

    PhysicianXpress and the PediatricXpress E.H.R. was built from the ground up, around an independent Pediatric practice. Our team mapped out the entire revenue cycle and leveraged developers to build the Revenue Cycle Management System of PhysicianXpress. Our Pediatric EMR, PediatricXpress, was developed in an independent Pediatric Practice over 10 years ago and continues to receive enhancements. We are an independent company with over ten years in the market. We serve each and every Pediatric practice with consistent results. Our technology is up to date with continuous enhancements that help pediatric practices become more efficient and effective. The PediatricXpress system is a software-as-a-service e-business suite developed by the PhysicianXpress team. The system is used for Pediatric Practices as a complete solution for the simplification and management of their pediatric electronic health records and related pediatric practice activities.
    Starting Price: $99 per user per month