Alternatives to PUREDI
Compare PUREDI alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to PUREDI in 2026. Compare features, ratings, user reviews, pricing, and more from PUREDI competitors and alternatives in order to make an informed decision for your business.
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1
Service Center
Office Ally
Service Center by Office Ally is a trusted Revenue Cycle Management and patient payments platform used by more than 80,000 healthcare providers and health services organizations, which process more than 950 million transactions annually. Service Center is a cost-effective solution enabling providers to control their revenue cycle. With a user-friendly interface, Service Center helps providers check and verify patients’ eligibility and benefits, submit, correct, and check the status of their claims online, and receive remittance advice. Accepting standard ANSI formats, data entry and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers. -
2
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. -
3
Azalea EHR
Azalea Health
Azalea Health Innovations (Azalea) is changing the way health IT platforms connect community-based healthcare providers and patients across the care continuum. Offering a 100% cloud-based, interoperable solution, Azalea delivers an electronic health record that is fully integrated with telehealth, revenue cycle management, and analytic solutions designed for rural, community, and urban practices and hospitals. Quick to deploy and intuitive to use, Azalea's EHR ensures better care coordination and communication, and the “one patient, one record” approach provides care teams the agility to achieve better outcomes. The Azalea platform also delivers tools and resources to help providers meet their Meaningful Use requirements, and informs their strategies to navigate accountable care and alternative payment models. -
4
NextGen Healthcare EHR
NextGen Healthcare
NextGen Healthcare provides ambulatory practices of all sizes award-winning solutions along with dedicated support and professional services. We align with your goals to achieve the success that results in healthier patients and happier providers. NextGen® Enterprise EHR offers your practice configurable clinical content, intuitive workflows, and an integrated patient experience platform that incorporates telehealth. With NextGen® Mobile, your providers’ smartphones become an extension of your EHR, which saves valuable time. Managed cloud hosting keeps your practice secure and makes upgrades easy, though on-premise options are also available. NextGen® Office is a cloud-based EHR designed to support your practice growth, save staff time, and increase patient volume. This fully integrated clinical and billing platform features specialty-specific EHR content, mobile accessibility, a revenue cycle management system, and a convenient patient portal. -
5
Mercury One Plus
CrisSoft
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.Starting Price: $249.00 -
6
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. -
7
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. -
8
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.Starting Price: 5k$ -
9
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. -
10
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. -
11
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. -
12
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. -
13
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.Starting Price: $149 per month -
14
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. -
15
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
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. -
17
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. -
18
eMedicalPractice
eMedicalPractice
eMedPractice is a cloud-based software system designed to streamline healthcare management functions. Our comprehensive solution begins with the seamless integration of our robust Electronic Health Records (EHR), Practice Management (PM) and Revenue Cycle Management (RCM) modules into one unified platform. This powerful combination of features is just the beginning. We offer a full suite of solutions and services to help you practice with efficiency and optimize workflows. Whether you're a small practice or a large healthcare organization, eMedPractice can help you save time, reduce costs, and enhance patient care. With our clinician-first software, you can manage patient data, automate administrative tasks, and improve revenue generation.Starting Price: $199.00/month -
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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. -
20
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. -
21
FQHC RCM Management Services
Visualutions
Revenue Cycle Management. With staffing costs and overhead constantly on the rise organizations need an experienced revenue cycle partner who can not only navigate complex billing requirements, but who produces a sizable return on their investment. Our fully-managed CHC billing management services take the guesswork out of getting paid. Our experience staff deals exclusively with CHC billing so we know what it takes to keep the money flowing in your direction. Services. Revenue Cycle Services. Our team of highly trained staff members leverage many years of CHC revenue cycle management experience to accurately prepare. A Visualutions RCM Health Check includes a rich visual representation of your revenue cycle including a multi-year Transaction Analysis, multi-year payer mix review, A/R trends, E/M coding analysis, and more. An efficient RCM workflow and a sound set of policies ensures smooth, reliable billing processes and a higher rate of collection on services rendered. -
22
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. -
23
Clarus RCM
Clarus
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. -
24
Coronis Health
Coronis Health
Through our personal, high-touch service, Coronis Health can provide an unparalleled level of professionalism you won’t find anywhere else. We won’t just help you collect your revenue. We will help you financially grow while progressing this industry into the modern technological age. Coronis Health is a global revenue cycle management company offering specialized solutions to healthcare practices and facilities. By using industry-leading technology combined with high-touch relationship building, Coronis Health allows healthcare practitioners to focus on patient care, maintain financial independence, and cultivate financial success. Coronis Health is comprised of the best of the best in medical billing. Thoughts leaders and experts in every practice area utilize global resources, technology, and best practices to provide successful partnerships for customers. -
25
Gentem
Gentem Health
Gentem Health is a platform that transforms the reimbursement experience by not only handling the end-to-end billing and revenue cycle processes, but also advancing payments to private medical practices. Nothing falls through the cracks. Our platform serves as a single source of truth to understand your billing operations and monitor your core metrics so you’re always on top of your revenue. We support the imperative need for cash flow and capital to fuel sustainable growth. Get access to working capital while Gentem submits, scrubs, and pursues your claims. Our specialty-focused experts — empowered by cutting edge technology — are dedicated to maximizing your collections. Technology built to drive results. State-of-the-art analytical tools and A.I. powered automations give you more control over your practice’s revenue than ever before. Gain complete transparency into your claim process with real-time performance analytics and timely alerts to ensure that no claim is left behind. -
26
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. -
27
XIFIN RPM
XIFIN
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. -
28
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. Starting Price: Free -
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Prestige Billing
Elevos
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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TruBridge
TruBridge
In the ever-changing world of healthcare, business and financial health is critical to the success of your healthcare organization. Get the people, products and processes you need for success that goes beyond simply getting paid. Revenue cycle management suite that helps businesses manage claims scrubbing, and review patients' eligibility through verifications. TruBridge is in the business of helping hospitals of all sizes get paid faster and get paid more through a combination of people, products and process optimization. Our arsenal of RCM offerings ranges from revenue cycle consulting, to an HFMA Peer Reviewed® product to complete business office outsourcing. TruBridge has been helping hospitals, physician clinics, and skilled nursing organizations become more efficient at serving their communities for years. Today, our trained experts stand ready to do the same for your organization, enabling you to overcome the unique revenue cycle challenges you face every day. -
31
ARIA RCM Services
CompuGroup Medical US
ARIA RCM Services is an end-to-end medical billing and revenue cycle management solution designed to enhance financial operations for practices, hospitals, and laboratories. The service offers flexibility by allowing clients to leverage their existing billing technology or utilize ARIA's systems, ensuring full transparency through a dedicated RCM team. Services are tailored to address specific needs, ranging from comprehensive revenue cycle management to focused areas such as aging accounts receivable and coding oversight. ARIA's team of regulatory and payment experts assists clients in navigating the latest CMS and payer requirements, aiming to minimize denials, reduce AR, and accelerate payment processes. The service emphasizes operational efficiency by combining industry best practices with proprietary workflow technology, delivering optimal results at a lower cost. -
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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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CareCloud
CareCloud
Grow your practice with the number one cloud-based EHR and practice management software, CareCloud. CareCloud offers a complete suite of tools for healthcare professionals and providers of all sizes and practices. These include Concierge, a comprehensive revenue cycle management solution; Central, a user-friendly practice management tool; Charts, an easy-to-use electronic health records solution; Community, patient engagement and social tools; and Companion, a clinical and administrative mobile app. -
34
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. -
35
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. -
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Clinical Info Solutions Medical Billing
Clinical Info Solutions
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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BHRev
BHRev
BHRev is a specialized revenue cycle management service and automation platform built for behavioral health providers that helps practices streamline and optimize their entire financial workflow from claims submission to payment collection with AI-powered automation, expert oversight, and industry-specific expertise. It focuses on the unique challenges behavioral health organizations face, including complex payer rules, documentation requirements, high denial rates, and evolving compliance standards, by automating up to 80% of RCM tasks while human experts handle exceptions, compliance checks, and more nuanced billing functions to ensure faster reimbursement and fewer administrative errors. It combines advanced automation with human review to handle critical steps such as insurance eligibility verification, claims processing and scrubbing, denial management and follow-up, and patient payment posting so clinics can reduce operational burden and increase cash flow. -
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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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PracticeStudio
MicroFour
PracticeStudio is a best-of-breed Electronic Health Records software that has successfully served medical clinics for more than 25 years. From the very beginning, we have been committed to a complete solution that is seamlessly integrated between our Practice Management and Medical Records. The EHR features touch screens, customizable forms, e-prescribing, as well as discipline-specific workflows. The Practice Management features scheduling, billing, insurance verification and processing, reporting, and a robust revenue management cycle. When you purchase PracticeStudio to help you run your practice, you are purchasing a complete system ready to go in all areas out-of-the-box! Additionally, you will enjoy a relationship with committed medical software professionals that care about your success. -
40
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. -
41
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. -
42
Waystar
Waystar
The financial and administrative challenges facing healthcare providers are daunting. Waystar’s technology platform simplifies and unifies healthcare payments across the revenue cycle. We empower healthcare organizations to automate manual work, gain insight into processes and performance, and ultimately collect more revenue. At Waystar, we know there’s a better, more efficient way forward. Let’s climb the mountain ahead of us to reach new heights in healthcare. We know that adopting new revenue cycle technology can seem like an obstacle. Whatever your existing systems, our cost-effective technology is compatible and gets up and running quickly. Our single sign-on platform lets you manage commercial, government and patient payments all in one place, so you can consolidate vendors and eliminate the hassle of multiple systems. Give your staff intuitive solutions that will make their jobs easier and their workflows more productive.Starting Price: $100 per month -
43
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. -
44
eClinicalWorks
eClinicalWorks
Patient medical record retrieval is just a search away. The PRISMA health information search engine is here to bring together medical records from primary care providers, specialists, clinics, urgent care centers, and hospitals to create a searchable, timeline view of a patient’s health history. Our Customer Success Stories illustrate real-world applications of our healthcare IT. See how eClinicalWorks customers are achieving value-based care and improving healthcare. At eClinicalWorks, we are 5,000 employees dedicated to improving healthcare together with our customers. More than 130,000 physicians nationwide — and more than 850,000 medical professionals around the globe — rely upon our EHR software for comprehensive clinical documentation, along with solutions for telehealth, Population Health, Patient Engagement, and Revenue Cycle Management. Privately held, and driven by innovation and excellence, we have a single focus — providing our customers with secure, cloud-based solutions.Starting Price: $499.00/month/user -
45
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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MediFusion
MediFusion
MediFusion is a fully integrated suite of software designed to offer innovative EHR and medical billing solutions to healthcare practices and enhance clinical, administrative and financial operations. Our team is just a phone call away to provide ongoing EHR training and be there for you whenever you need help and support. Speed-up your clinical processes and automate your workflow with our all-in-one integrated solution. A system that manages the entire revenue cycle from Eligibility Verification to Claim Processing and getting paid. Our cloud-based Electronic Health Record (EHR) software is an integrated and scalable solution to enable your practice to improve the quality of care provided to patients. This easy to use web-based EHR platform allows you to document, access and track your Clinical and Financial information on any internet-ready device no matter where you are. -
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AKASA
AKASA
The first unified automation™ solution built specifically for healthcare revenue cycle management. Trust in healthcare begins with better revenue cycle practices. RCM Is Ready for a Change. Make It a Holistic One. We believe every dollar spent on healthcare matters. That’s why we started AKASA (formerly Alpha Health): to leverage cutting-edge technology against the challenges of revenue cycle management. Because these challenges ultimately cost everyone. Current RCM processes make it virtually impossible to reduce administrative costs in healthcare or improve performance, and existing solutions often add complexity and costs. Complexity in medical reimbursement in the United States drives up hidden costs that we all pay, both in terms of dollars and in the erosion of trust people have that our healthcare system will serve them well. The U.S. spent an estimated $500 billion on medical billing and insurance administrative costs in 2019 alone. -
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CollaborateMD
EverCommerce
CollaborateMD delivers a cloud-based practice management and medical billing software that avoids complicated workflows in the front office and simplifies the billing process for the back office. Detailed analytics offer you visual insights to key information that keeps your practice running at a high level of efficiency. Now you can get back to what matters most, patient care. From the front of your office to the back, managing your practice and your revenue cycle has never been easier. Now you can reduce the burden on your staff and increase the strength of your financials with one easy-to-use software. Quickly understand your financial performance with 125+ reporting options that help you track your finances and grow your practice. Eliminate the time your staff spends on verifying insurance and benefit information. Find out within seconds if a patient is eligible.Starting Price: $194 per user per month -
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HARMONY
Harmony Medical
Harmony Medical is a trusted leading provider of electronic health record, practice management, and revenue cycle management software solutions. Purpose-built for independent medical practices, Harmony is a fully integrated HIPAA compliant practice management platform that helps streamline your practice in order to improve patient care and enhance your bottom line. The solution features a variety of tools for easy scheduling, robust reporting, comprehensive claims scrubbing, insurance and patient billing, patient history, patient tracking, patient referral tracking, and so much more. -
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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.
