Researched and Edited by Rajat Gupta
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Editor's Summary · Revenue Cycle Management Software
Find where your money is actually leaking before shortlisting, because the products here address different leaks and none address all of them.
If it is denials and underpayments, look at Waystar, FinThrive and Rivet — Rivet's underpayment detection compares remittances against contract terms, which surfaces claims quietly paid short. If it is coverage never identified, Experian Health's insurance discovery finds active coverage on accounts already headed for write-off. If it is prior authorization delay, Infinx and AKASA automate the submission and chasing.
If it is patient balances, that is now the fastest-growing category of bad debt and it is a communication problem more than a collections one. Cedar is built specifically for it.
Size decides the model. Health systems can buy managed services from R1 or Ensemble and contract on performance. Practices are better served by athenahealth, AdvancedMD, Tebra or NextGen, where RCM comes attached to the EHR — and athenahealth's percentage-of-collections pricing aligns cost with what you actually collect.
Quick picks for Revenue Cycle Management Software
- Best for health systems — R1 RCM
- Best for independent practices — athenahealth
- Best for patient collections — Cedar
Who gets the most from Revenue Cycle Management Software
- 1Practice managers reducing denials and shortening days in A/R
- 2Health system revenue cycle leaders evaluating outsourcing against in-house operations
- 3Billing companies standardizing claims and denial workflows across clients
How to choose Revenue Cycle Management Software
Measure your own leakage first — clean claim rate, denial rate by reason, days in A/R, patient balance collection rate — because those numbers point at which product category you need, and buying without them means buying whatever was demonstrated best. Be clear whether you are buying software or a service: managed RCM can pay for itself at health system scale and is usually poor value for a small practice. Check EHR integration explicitly, since a bolt-on RCM tool that cannot read clinical documentation cannot help with coding.
Our research is independent and data-backed. We review thousands of tools and use real buyer signals — without the hype.
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eClinicalWorks
Revolutionize healthcare with eClinicalWorks.
Best for: SMB teams · Mid-market · Enterprise
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What is eClinicalWorks?
eClinicalWorks is a healthcare solution to streamline the workflow for professionals and provide complete patient care. It grants access to various services, such as Telehealth, messages, health data, configurable reminders, and patient interaction. The software's data capture processes, trend ...
Read more about eClinicalWorksStarts from $449/Month
Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].