Best SYNERGEN RCM Alternatives in 2025
Find the top alternatives to SYNERGEN RCM currently available. Compare ratings, reviews, pricing, and features of SYNERGEN RCM alternatives in 2025. Slashdot lists the best SYNERGEN RCM alternatives on the market that offer competing products that are similar to SYNERGEN RCM. Sort through SYNERGEN RCM alternatives below to make the best choice for your needs
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Service Center
Office Ally
73 RatingsService Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status 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. -
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XpertCoding
XpertDox
37 RatingsXpertCoding by XpertDox is an AI medical coding software that utilizes advanced artificial intelligence, machine learning, and natural language processing (NLP) to automatically code medical claims within 24 hours. This software streamlines and enhances the coding process, ensuring faster and more accurate claim submissions and maximizing financial returns for healthcare organizations. Features include a comprehensive coding audit trail, minimal need for human supervision, a clinical documentation improvement module, seamless integration with EHR systems, a business intelligence platform, a flexible cost structure, significant reduction in claim denials and coding costs, and risk-free implementation with no initial fee and a free first month. XpertCoding's automated coding software ensures timely payments for healthcare providers & organizations, accelerating the revenue cycle and allowing them to focus on patient care. Choose XpertCoding for reliable, efficient, and precise medical coding tailored to your practice. -
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OpenPractice
15 RatingsOpenPM offers a fully integrated billing and claims management system that automates accounts receivables management while producing extensive reports to help you better manage your organization. As a browser-based application, OpenPM provides a level of access to your system never before possible. Our real-time claims management features will improve your cash flow and streamline billing and claims follow-up processes. We welcome you to explore OpenPM further and contact us for a customized demonstration for your practice. 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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MedEvolve Practice Management (PM) software is an intuitive solution that helps to reduces write-offs, denials and reimbursement delays. MedEvolve PM has automated features that help improve billing and collections with as little manual work effort as possible. MedEvolve Practice Management (PM) software allows front desk staff to easily make appointment changes, handle scheduling complications and quickly resolve physician delays. With an automated waitlist, practices can quickly fill empty appointment slots, even after last-minute cancellations. The solution also has built-in analytics, so you will have a complete view of your practice’s financial and operational performance. Advanced real-time analytics make it easy to monitor Key Performance Indicators (KPIs) and benchmarks so you can compare against similar practice. 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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Solventum 360 Encompass System
Solventum
The Solventum™ 360 Encompass™ System is a holistic, cloud-centric solution created to optimize revenue cycle management within healthcare entities. By seamlessly integrating computer-assisted coding (CAC), clinical documentation integrity (CDI), and auditing capabilities, it simplifies the workflows associated with both facility and professional services coding. Utilizing cutting-edge artificial intelligence (AI), the system automates the coding process, which lessens the reliance on onsite hardware and support, ultimately leading to a reduction in total ownership costs. Furthermore, it encourages teamwork among coding and CDI teams by breaking down barriers and advocating for a cohesive strategy to clinical documentation. The platform's adaptability empowers organizations to concentrate more effectively on business results, thereby enhancing both efficiency and precision in the revenue cycle. Its user-friendly interface and robust features make it an essential tool for modern healthcare management. -
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Opus
Opus
Opus is an all-encompassing platform that combines EHR, CRM, and RCM functionalities, specifically tailored to optimize the operations of treatment centers specializing in behavioral health, such as addiction, mental health, and substance use disorder clinics. This platform offers a suite of integrated features that facilitate patient management, billing processes, appointment scheduling, and telehealth capabilities. Opus significantly boosts operational efficiency through intelligent lead routing, insurance verification, automation of routine tasks, and customizable forms that cater to specific needs. Additional offerings include sophisticated reporting tools, AI-enhanced progress note creation, and smooth laboratory integrations. With its emphasis on adaptability and growth potential, Opus serves as an excellent choice for organizations of varying sizes, from small practices to large multi-center operations within the behavioral health sector. Ultimately, Opus stands out as a versatile solution designed to meet the evolving demands of the industry while ensuring high-quality care for patients. -
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Revolutionize your revenue cycle management with Oracle Health RevElate Patient Accounting, a solution that is not tied to any specific EHR and aims to enhance financial performance through integrated, cloud-based billing processes featuring automation and flexibility. With RevElate Patient Accounting, you can: Minimize redundancy in workflows by leveraging interconnected processes and analytics that enhance efficiency. Focus on recovering outstanding accounts receivable by utilizing built-in business rules that streamline task assignment and prioritization. Create a flexible and adaptable framework that facilitates workflows across Oracle Health solutions, third-party systems, and large organizations. Enhance compliance and optimize reimbursement efforts with integrated payer regulations. RevElate Patient Accounting provides a comprehensive perspective on both clinical and financial data, ensuring you gain greater insight into patient interactions and their corresponding accounts, ultimately leading to improved operational effectiveness. This solution empowers healthcare organizations to achieve their financial goals while maintaining high standards of patient care.
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Oracle Health
Oracle
Interconnected technologies and consolidated data enhance individual capabilities while driving the health sector to foster innovation and improve health results. Oracle Health is creating a comprehensive healthcare platform equipped with intelligent solutions designed for data-focused, patient-centered healthcare interactions that link consumers, healthcare professionals, insurers, and organizations in public health and life sciences. Holding the largest share of the global electronic health record (EHR) market allows us to unify data, empowering clinicians, patients, and researchers to take significant actions that promote health and enhance outcomes on a global scale. Recognized as the leading provider in revenue cycle management (RCM) by IDC MarketScape, we deliver timely, predictive, and actionable health insights that help automate workflows, maximize resource efficiency, and streamline operations. By accelerating innovation and leveraging flexible infrastructure alongside platform resources, we enhance clinical intelligence through our expansive and adaptable ecosystem of partners and technologies, ultimately striving to create a healthier future for all. This unified approach not only improves the efficiency of healthcare delivery but also strengthens the connections within the entire health ecosystem. -
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RevvPro
RevvPro
$199 per monthThe intricacies of medical billing for healthcare providers have made traditional billing approaches outdated, given the rising demands for thorough documentation, compliance, and diminished reimbursements. Utilizing advanced technologies such as artificial intelligence, machine learning, and robotic process automation, RevvPro effectively addresses the critical shortage of certified medical billing professionals while offering essential visibility into real-time data like claim statuses and denials through automation. Accessible via both smartphones and desktops, RevvPro presents a promising solution for revenue cycle management, tackling reimbursement challenges head-on. Healthcare facilities have the flexibility to continue using their preferred practice management and EMR/EHR systems if they find them satisfactory. RevvPro operates as an overlay on existing systems, extracting necessary information to enhance provider transparency. Additionally, it enables various members of the revenue cycle team to effortlessly collaborate and manage their specific workflows and processes, ensuring a more efficient billing environment. This integrated approach not only simplifies operations but also helps healthcare providers adapt to the evolving landscape of medical billing. -
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Janus Health
Janus Health
Janus Health is revolutionizing the landscape of revenue cycle management through our innovative, comprehensive artificial intelligence platform. With a deep-rooted background in both healthcare and technology, we possess an intrinsic understanding of the complexities that revenue cycle management presents to healthcare organizations. Our solutions, grounded in operational intelligence and intelligent automation, empower revenue cycle teams to streamline their processes, allowing them to achieve greater outcomes with fewer resources while maximizing cash collections. Our all-encompassing revenue cycle platform delivers insightful, data-driven analyses of your operations and facilitates the implementation of workflow automation that enhances team productivity. Uniquely focused on revenue cycle management, Janus Health stands out as the sole process improvement platform tailored specifically for RCM. We offer a distinctive blend of operational intelligence tools and automations designed to be easily integrated, ensuring that healthcare organizations can seamlessly enhance their revenue cycle processes for better performance and financial results. -
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Inovalon Provider Cloud
Inovalon
Streamline revenue cycle management, care quality oversight, and workforce optimization through a unified, user-friendly portal featuring single sign-on capabilities. Over 47,000 provider locations depend on our cutting-edge tools to ease the complexities of the patient care experience. Transform the financial experience for patients while alleviating administrative and clinical challenges with the Inovalon Provider Cloud, eliminating the need for fragmented workflows. Our SaaS offerings are designed to enhance both financial and clinical results throughout the patient journey, facilitating improved revenue cycle processes for enhanced reimbursement and ensuring optimal staffing levels for high-quality care. This all-in-one portal enables your organization to elevate its performance, boosting revenue, staff satisfaction, and care standards. By enhancing operational efficiency, productivity, and overall effectiveness, you can unlock the full potential of your organization. Explore the transformative capabilities of the Provider Cloud today. -
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ZEUS
Calpion
Zeus represents our latest cutting-edge technology specifically designed to streamline your healthcare billing operations. By taking over the repetitive tasks associated with revenue cycle management, Zeus frees your staff from these burdensome duties. As leaders in revenue cycle management solutions, we have developed a distinctive methodology that merges machine learning with robotic process automation to solve our clients' most challenging issues. With our comprehensive solutions, we aim to enhance your clean claims rate and optimize your revenue, all while reducing your overall operational costs. Unlike human employees, your robotic assistant doesn't require sleep, bathroom breaks, or meal times, allowing Zeus to work continuously to keep your medical billing tasks current and efficiently processed. Given that human error is a major contributor to claim denials, Zeus stands out as an ideal solution, tirelessly operating without distractions or mistakes. Embracing Zeus in your practice means a more reliable and efficient billing process, ultimately leading to greater financial stability and peace of mind. -
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Infinx
Infinx Healthcare
Utilize automation and advanced intelligence to tackle challenges related to patient access and the revenue cycle while enhancing reimbursements for the care provided. Even with the advancements in AI and automation streamlining patient access and revenue cycle operations, there remains a critical requirement for personnel skilled in revenue cycle management, clinical practices, and compliance to ensure that patients are financially vetted and that services rendered are billed and reimbursed correctly. We offer our clients a comprehensive combination of technology and team support, backed by extensive knowledge of the intricate reimbursement landscape. Drawing insights from billions of transactions processed for prominent healthcare providers and over 1,400 payers nationwide, our technology and team are uniquely equipped to deliver optimal results. Experience faster financial clearance for patients prior to receiving care with our patient access platform, which offers a holistic approach to eligibility verifications, benefit checks, patient payment estimates, and prior authorization approvals, all integrated into a single system. By streamlining these processes, we aim to enhance the overall efficiency of healthcare delivery and financial operations. -
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edgeMED
edgeMED
Regardless of whether you operate a standalone outpatient wound care center or oversee a network of facilities, edgeMED's specialized revenue cycle management services, along with our comprehensive clinical, financial, and regulatory tools, significantly improve both operational performance and the quality of patient care. Prepare to elevate the standards of care and outcomes for your practice. Our proficient revenue cycle management oversees the complete revenue cycle, ensuring that wound care professionals receive prompt and enhanced reimbursements. When combined with our advanced healthcare software, you can maintain a practice that is not only competitive but also focused on quality, while being assured that your documentation meets the requirements for MIPS and other value-based payment initiatives. Furthermore, leveraging our vast expertise in medical billing specific to wound care, we seamlessly integrate telehealth into your daily operations, enabling secure and remote communication with patients. This allows wound care providers to conduct virtual consultations effortlessly, utilize online messaging, and grant patients easy access to their health records, thereby improving patient engagement and satisfaction. Overall, our solutions are designed to streamline your operations while enhancing the overall patient experience. -
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AGS AI Platform
AGS Health
AGS AI Platform is an end-to-end revenue cycle management platform that offers a full spectrum of revenue cycle solutions that can be tailored to any organization's specific requirements. -
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AKASA
AKASA
Introducing the inaugural unified automation™ solution tailored exclusively for the management of healthcare revenue cycles. Establishing trust within healthcare starts with enhanced revenue cycle practices. It's time for RCM to undergo a transformation, and it should be a comprehensive one. Our conviction is that every dollar allocated to healthcare is significant. This belief inspired the creation of AKASA (previously known as Alpha Health), designed to harness advanced technology to tackle the obstacles in revenue cycle management. These obstacles ultimately have financial repercussions for everyone involved. The current methods in RCM hinder the reduction of administrative expenses in healthcare and fail to enhance performance, while existing solutions tend to complicate matters further and inflate costs. The intricacies surrounding medical reimbursements in the United States contribute to rising hidden expenses that affect us all, diminishing the trust individuals have in the healthcare system's ability to meet their needs effectively. In fact, in 2019, the United States incurred an estimated $500 billion in medical billing and insurance administrative costs, highlighting the pressing need for reform. Addressing these challenges is essential for creating a more efficient and reliable healthcare environment. -
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Finvi
Finvi
With more than 40 years’ experience in receivables management, nobody understands the business of getting paid better than Finvi. Finvi’s all-in-one revenue acceleration platform allows clients to automate repetitive tasks and focus on high–potential accounts. Our clients can drive outreach with consumer-preferred digital contact methods with the utmost intelligence for improved outcomes. Simplifying and streamlining revenue cycle management, Finvi’s payment solutions have enabled faster collection rates, shorter recovery time, and increased agent productivity -
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Zentist
Zentist
Zentist is an advanced technology platform that automates insurance revenue cycle management (RCM), for dental practices. Zentist uses machine learning and robotic process automation (RPA), to automate tedious billing tasks at a time when dental practices are losing an estimated $2.1 million due to legacy billing systems. Zentist's platform can be easily scaled to meet the increasingly complex billing needs of modern dentistry, which has seen a lot of consolidation and unprecedented pressures to scale RCM. It minimizes human error, maximizes insurance payouts, provides advanced analytics on revenues, and improves patient-provider relationships. -
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Adonis
Adonis
Adonis is an innovative platform powered by artificial intelligence that seeks to transform revenue cycle management through its capabilities in monitoring, alerting, and resolving dynamic issues. It significantly improves task prioritization within RCM organizations by offering insights into denial patterns, underpayments, and performance metrics. Utilizing AI-driven analytics, Adonis aims not only to boost first-pass acceptance rates but also to reduce human errors, effectively surpassing traditional automation methods. The platform takes a proactive approach to preventing denials while automating routine tasks, thereby enabling teams to dedicate more time to enhancing patient care and overall experience. Moreover, Adonis integrates effortlessly with current electronic health records, practice management systems, billing frameworks, and patient portals in real-time, which helps to eliminate data silos and ensures a streamlined workflow. Its adaptable solutions cater to a range of healthcare organizations, including physician group practices, hospitals, healthcare systems, digital health providers, and practice management services, making it a versatile choice in the industry. By focusing on collaboration and efficiency, Adonis not only improves operational performance but also elevates the standard of care delivered to patients. -
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Certive Health
Certive Health
$1000.00/month Certive’s Revenue Integrity Analytics platform uniquely combines data science, clinical insights, and administrative knowledge. The extensive experience of Certive Health safeguards the revenue integrity and process compliance of hospitals. Central to Certive Health's offerings is the Revenue Integrity Analytics™ platform, which serves as the foundation of their Revenue Solutions. Furthermore, the advanced capabilities in analytics, workflow, and marketing automation, paired with expertise from both clinical and payer perspectives, empower clients to cut costs, enhance outcomes, and boost patient satisfaction levels effectively. This comprehensive approach not only streamlines operations but also fosters a more efficient healthcare environment overall. -
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TELCOR RCM
Telcor
Regardless of whether you operate as an independent reference lab, a pathology practice, an outreach lab, or a public health laboratory, TELCOR RCM billing software equips you with essential tools to tackle complex billing obstacles and enhance your profitability. This comprehensive revenue cycle management solution facilitates claim submissions, monitoring, remittance processes, accounts receivable management, and billing for both clients and patients, all while accommodating multiple NPIs. By leveraging the right technology, you can reduce the need for extensive billing staff and significantly boost productivity in your revenue cycle by automating daily tasks such as claims submissions and patient information collection, along with generating detailed financial reports. Additionally, you can streamline the handling of payments by automating the processing of electronic payments received from payers through 835 ERAs or bank lockbox payment files, thereby eliminating cumbersome manual adjudication tasks. Moreover, improving billing communication with patients can simplify their experience, making payment processes quicker and more intuitive, ultimately fostering a smoother revenue cycle. This holistic approach to billing not only enhances efficiency but also contributes to a better overall experience for both healthcare providers and patients. -
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athenaIDX offers an innovative revenue cycle management solution designed to enhance accounts receivable processes while significantly lowering collection expenses through advanced automation features. This solution not only minimizes days in accounts receivable but also streamlines your collection efforts for quicker payments and reduced workload. With athenaIDX, large practices, health systems, billing services, and hospitals can expect to see substantial improvements in their revenue cycle management. By leveraging automation, eliminating unnecessary redundancies, and promoting optimal workflows, we effectively cut down A/R days and collection costs. The reason top-tier large practices, billing services, hospitals, and health systems prefer partnering with us is our understanding that each organization has distinct needs. Our team of RCM specialists takes the initiative to deeply comprehend your specific requirements and crafts a customized solution that aligns with your objectives. This personalized approach is key to helping healthcare institutions achieve remarkable financial results and improved operational efficiency. Ultimately, athenaIDX empowers organizations to navigate the complexities of revenue cycles with ease and effectiveness.
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Gentem
Gentem Health
Gentem Health revolutionizes the reimbursement process by efficiently managing the complete billing and revenue cycle while also providing advance payments to private medical practices. With our platform, nothing is overlooked, as it acts as a comprehensive hub for understanding billing operations and tracking essential metrics, ensuring you maintain control over your revenue. We recognize the critical importance of cash flow and access to capital to enable sustainable growth for your practice. By partnering with Gentem, you can secure working capital while we meticulously submit, review, and follow up on your claims. Our team of specialized experts, equipped with cutting-edge technology, is committed to optimizing your collections. Our innovative technology is designed to deliver impactful results. Additionally, our advanced analytical tools and AI-driven automations empower you with unprecedented control over your practice’s financial health. With real-time performance analytics and timely notifications, you will have complete visibility into your claims process, guaranteeing that every claim receives the attention it deserves and nothing is ever overlooked. Thus, by leveraging our platform, healthcare providers can focus more on delivering quality patient care while we handle the complexities of revenue management. -
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Anatomy
Anatomy
Anatomy's range of financial automation tools is designed to assist any healthcare entity that processes insurance claims, encompassing medical and dental offices, management service organizations, billing and revenue cycle management firms, as well as digital health companies. By consolidating all relevant data, Anatomy facilitates automated financial reconciliation and insightful analytics. Eliminate the tedious task of manually entering Explanation of Benefits (EOBs) into your practice management system; Anatomy’s innovative AI technology swiftly transforms EOBs into Electronic Remittance Advices (ERAs), streamlining your workflow. Additionally, you can forgo the hassle of tracking bank deposits using Excel spreadsheets, as Anatomy guarantees that crucial data is readily accessible to authorized personnel whenever needed. No longer will you be left in the dark about discrepancies between your bank statements and practice management system at month-end; with Anatomy’s real-time dashboards and comprehensive reporting, clarity is assured. Committed to revolutionizing financial operations for healthcare providers, Anatomy enables professionals to prioritize delivering high-quality patient care. With Anatomy, the modernization of your financial processes is not just a possibility; it is an attainable reality that enhances efficiency and accuracy. -
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Experian Health
Experian Health
The process of patient access serves as the foundation for the entire revenue cycle management in healthcare. By ensuring that patient information is accurate from the outset, healthcare providers can minimize errors that often lead to additional work in administrative departments. A significant portion, between 10 to 20 percent, of a healthcare system's revenue is spent on addressing denied claims, with a staggering 30 to 50 percent of these denials originating from the initial patient access phase. Transitioning to an automated, data-oriented workflow not only mitigates the risk of claim denials but also enhances patient care access, thanks to features such as round-the-clock online scheduling options. Furthermore, patient access can be refined by streamlining billing processes through real-time eligibility checks, which provide patients with precise cost estimates during registration. Additionally, enhancing registration accuracy leads to greater staff efficiency, allowing for immediate rectification of discrepancies and errors, thereby preventing expensive claim denials and the need for further administrative corrections. Ultimately, focusing on these elements not only safeguards revenue but also elevates the overall patient experience. -
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DENmaar Guardian
DENmaar
FreeThe DENmaar Guardian provides users with the ability to monitor their status and access a variety of features. This platform presents a comprehensive array of services aimed at enhancing financial performance and delivering quantifiable results. Our advanced automated revenue cycle management (RCM) and insurance credentialing services ensure that behavioral and mental health providers achieve optimal financial outcomes. Efficient patient scheduling is essential for maintaining operational effectiveness, minimizing missed appointments, and ensuring timely patient care. When evaluating a patient scheduling system, the DENmaar scheduler includes several important features that can significantly improve quality. Additionally, DENpay enables practitioners to collect payments while adhering to HIPAA regulations, ensuring the confidentiality of patients' medical, financial, and personal data. As patients face increasing responsibilities for deductibles and medical costs, it's vital to have robust solutions in place. Furthermore, our medical EHR software is not only advanced but also user-friendly, tailored specifically to meet the needs of behavioral healthcare professionals, ultimately enhancing their workflow and patient interactions. -
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GoRev
GoRev
GoRev offers advanced functionality tailored for enterprise use within an affordable Health Information System. Our features are shaped by direct feedback from clients, providing us with a distinct edge over our competitors. Every tool we offer is crafted to enhance the profitability of your practice by automating tasks that typically consume valuable employee time. With a comprehensive selection of reports, visual data representation, and a robust grading system, you gain vital insights and resources necessary for achieving success. Additionally, our dedicated team of data analysts is on hand to help create any custom reports you require, often at no extra cost. GoRev also includes expedited registration processes, a complete scheduling module, real-time eligibility checks, electronic outreach campaigns for patients, and bar-code charge capture capabilities. These features work together to streamline your operations, elevate user satisfaction, and enhance the effectiveness of your revenue cycle management. Furthermore, our commitment to continuous improvement ensures that we adapt to the evolving needs of your practice. -
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MediFusion
MediFusion
MediFusion offers a comprehensive suite of software that delivers cutting-edge EHR and medical billing solutions aimed at optimizing clinical, administrative, and financial functions within healthcare practices. Our dedicated team is always just a phone call away to provide continuous EHR training and support whenever you require assistance. Accelerate your clinical workflows and streamline your operations with our all-in-one integrated solution. This system effectively oversees the entire revenue cycle, encompassing everything from Eligibility Verification to Claim Processing and ensuring timely payments. Our cloud-based Electronic Health Record (EHR) software serves as a scalable and integrated solution, empowering your practice to enhance the quality of care delivered to patients. Designed for ease of use, this web-based EHR platform allows you to document, access, and monitor your clinical and financial data from any internet-enabled device, regardless of your location, ensuring you remain connected and efficient in your practice. -
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Zuub
Zuub
Zuub is a cutting-edge platform that leverages artificial intelligence to enhance revenue cycle management for dental practices by streamlining essential administrative functions. It features a variety of tools, including instant insurance verification, digital treatment plans, online payment processing, accounts receivable oversight, and electronic consent forms. By effortlessly integrating with existing practice management software, Zuub minimizes the need for manual tasks, boosts overall operational efficiency, and fosters greater transparency for patients regarding the costs and insurance coverage of their procedures. Supporting a network of more than 350 insurance payers, the platform can perform insurance verifications in under five seconds. Furthermore, Zuub’s digital treatment plans not only improve patient comprehension but also encourage acceptance of proposed services, while its collaboration with Sunbit offers convenient financing solutions for patients. This innovative approach positions Zuub as an invaluable asset for dental practices striving to enhance both their financial performance and patient experience. -
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NikoHealth
BBMK Technologies
Smart, simple solution that enables innovation for HME/DME professionals. We simplify everything, from order intake & distribution, scheduling, inventory control and billing, to reporting and reporting. Our goal is to challenge your existing processes and make healthcare easier for everyone. The administrative process of filling orders, communicating and getting patients what they want when they need it, can be improved. Where Workflow Happens To manage your business, download the NikoHealth mobile delivery software. Electronic documentation management allows you to go paperless, including scheduling, inventory control, and workflows. HME DME software is intuitive and easy to use to engage your team and reduce the learning curve while increasing productivity. Expert support and services to assist you in your digital transformation journey. Our reliable implementation supports your business goals while fostering best practices. -
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SSI Claims Director
SSI Group
Enhance your claims management process while reducing denials with superior edits and a top-tier clean claim rate. Healthcare organizations need advanced technology to ensure precise claim submissions and swift reimbursements. Claims Director, the claims management solution from SSI, simplifies billing procedures and offers transparency by assisting users throughout the entire electronic claim submission and reconciliation journey. As reimbursement criteria from payers undergo modifications, the system continuously tracks these changes and adapts accordingly. Furthermore, with an extensive array of edits across industry, payer, and provider levels, this solution empowers organizations to maximize their reimbursement efforts effectively. Ultimately, utilizing such a comprehensive tool can significantly improve financial outcomes for health systems. -
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RCM Cloud
Medsphere Systems Corporation
The RCM Cloud® employs a "software as a service" (SaaS) framework designed to modernize the demanding processes of medical billing through digital solutions that minimize manual intervention and enhance workflow via automation. This innovative system not only boosts operational efficiency but also enables the organization to increase its service delivery capabilities while requiring only slight growth in administrative personnel. By investing in this technology, businesses can expand and thrive without the need to significantly increase their workforce. On the administration front, RCM Cloud® and its related services operate on the robust, reliable, and secure medsphere cloud services platform. The RCM Cloud® suite encompasses various modules such as patient and resource scheduling, enterprise registration, real-time payer eligibility verification, contract management, medical records handling, billing processes, claims management, collections for both payer and self-pay, point-of-sale payment processing, and bad debt management, empowering healthcare organizations to revolutionize their revenue cycles effectively. This comprehensive approach not only streamlines operations but also positions healthcare entities for sustained growth in a competitive market. -
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CombineHealth AI
CombineHealth AI
$1000/month CombineHealth AI is the creator of Amy, Marc, Emily, and Diana, an innovative AI workforce engineered to support comprehensive Revenue Cycle and Practice Management services across healthcare organizations in the U.S. Powered by a proprietary foundational model, these AI employees provide an industry-leading 99.2% accuracy rate while maintaining 100% compliance with all coding and billing guidelines. The AI workforce effectively reduces coding mistakes, boosts coder efficiency, and helps resolve physician documentation issues. Organizations leveraging these solutions have seen a 35% uplift in clean claim submissions alongside a marked decrease in claim denials. The AI employees collaborate seamlessly with human teams to handle crucial tasks such as medical coding, billing, data entry, accounts receivable follow-up, and denial management. Beyond performing these functions, the AI provides transparent, auditable reasoning for every decision and action taken. This combination of accuracy, compliance, and accountability helps healthcare groups optimize revenue cycles and improve financial performance. CombineHealth AI is revolutionizing healthcare administration through intelligent automation. -
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MediSYS
MediSYS
Our comprehensive clinic solution integrates a single sign-on for practice management and electronic health records, enhancing workflow efficiency, accelerating cash flow, and optimizing reimbursement rates. By collaborating with our skilled team of medical billing and revenue specialists, healthcare practices often experience substantial improvements in their financial performance, including reductions in fixed costs. Furthermore, aligning with our revenue services team allows you to devote more time to what truly matters: delivering exceptional patient care and fostering patient engagement. Equip your team with our top-tier implementation, training, support, data migration services, and interoperability solutions. Our reliable tools are crafted to help both patients and providers navigate health management more effectively. We also offer ongoing education and training that align with industry standards and regulations. Additionally, our built-in tools enable quick and efficient communication with patients, specifically designed to meet the needs of medical practices, ensuring a seamless experience. This approach not only enhances operational efficiency but also strengthens the relationship between providers and patients. -
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Iodine Software
Iodine Software
We firmly believe that the future of healthcare and the sustainability of healthcare systems hinge on a robust, mutually beneficial partnership between committed clinicians and advanced predictive tools, enabling them to confidently navigate the intricate balance of delivering high-quality care while ensuring financial stability. Our innovative predictive engine enhances the expertise and judgment of healthcare providers by transforming and enriching raw clinical data into real-time, precise insights that can be utilized by clinicians and hospital administrators. This approach significantly improves the management of care delivery by aiding in critical decision-making, automating processes to scale clinical teams, and enhancing the financial health of health systems. Additionally, the Artifact mobile application by Iodine allows physicians to quickly and accurately address CDI and coding queries, streamlining their workflow. This integration of technology and clinical expertise not only supports better patient outcomes but also fosters a more efficient healthcare environment overall. -
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EZDI
EZDI, an AGS Health Company
$0.15 per patientEZDI is Acquired by AGS Health Company. Our revenue cycle management platform allows businesses of all sizes, large and small, to access our APIs and revenue cycle management platform to gain insights from their healthcare data. A platform that integrates medical coding and clinical documentation. Fully integrated platform that allows you to increase documentation and coding specialist productivity by upto 45%. It also increases revenue through improved case mix and risk scoring. Modern clinical APIs that seamlessly integrate into your infrastructure. To provide cutting-edge accuracy, we have been trained on more than 7,000,000 real clinical documents. We use millions of knowledge graph records, deep-learning, and machine learning to provide clear code suggestions and query suggestions. We are ready to lead the next wave in AI in healthcare. Built for coders, documentation specialists to work smarter, faster and more efficiently from the beginning. Our Deep Learning NLP models help the most brilliant minds in healthcare navigate a seaof data with confidence. -
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Transcure
Transcure
5k$Transcure is a healthcare solutions provider aimed at empowering hospitals, group practices, and independent practices. We enable healthcare providers to attain high-performing revenue cycle management. Similarly, our team of revenue cycle experts helps medical practices to optimize their financial and clinical outcomes. As a result, providers achieve a healthy revenue cycle management and get faster and on-time reimbursements. Further, we offer medical billing services across 32 specialties. 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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PatientPay
PatientPay
PatientPay provides an all-encompassing, adaptable, and secure billing and payment technology aimed at improving revenue cycle management for healthcare providers. By seamlessly integrating with current practice management or health information systems, PatientPay simplifies the payment experience, minimizing administrative workload and speeding up cash flow. The platform accommodates a variety of payment options, such as credit cards, HSA/FSA, eCheck/ACH, and digital wallets like Apple Pay, Venmo, PayPal, and Google Pay, thereby appealing to a wide array of patient preferences. Importantly, PatientPay's solution adheres to HIPAA and TCPA regulations, facilitating effective communication with patients through their chosen channels, including text and email, which enhances engagement and satisfaction levels. Furthermore, PatientPay features a sophisticated dunning engine that guarantees timely and appropriate interactions with patients, resulting in quicker payments, averaging under 14 days in comparison to the typical industry timeframe of 45 to 60 days. This commitment to efficiency not only boosts the financial health of practices but also reinforces positive patient relationships. -
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Myndshft
Myndshft
Experience a streamlined workflow with real-time transactions integrated into current technology platforms. This approach enables providers and payers to cut down on time and effort by as much as 90% when it comes to benefits and utilization management. By eliminating the opaque nature of the existing benefits and utilization management system, confusion is significantly reduced for patients, providers, and payers alike. With self-learning automation and fewer clicks required, more time can be dedicated to patient care, allowing providers and payers to concentrate on what truly matters. Myndshft addresses the complexities of multiple point solutions by offering a cohesive, end-to-end platform that facilitates immediate interactions among payers, providers, and patients. The platform not only dynamically updates its automated workflows and rules engines based on real-time feedback from provider-payer interactions but also continually adapts to the specific rules utilized by payers. As usage increases, the system becomes increasingly intelligent, drawing from a comprehensive library of thousands of regularly updated rules tailored for national, state, and regional payers, thereby enhancing efficiency and effectiveness in the healthcare landscape. Ultimately, as the technology evolves, it fosters an environment where care delivery can be optimized, benefiting all stakeholders involved. -
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Approved Admissions
Approved Admissions
$100 per monthApproved Admissions is a secure platform that automates tracking of coverage changes for Medicare, Medicaid, and commercial payers bundled with real-time eligibility verification and coverage discovery. The platform's primary goal is to help providers minimize the number of claim denials due to a missed insurance coverage change and accelerate the billing cycle. Approved Admissions Features: - Automated eligibility verifications and re-verifications - Email or API notifications if any coverage changes are detected - Real-time verifications - Batch eligibility verification - Seamless integration with RCM, EHR platforms (PointClickCare, MatrixCare, SigmaCare, DKS/Census, FacilitEase, and many others) - RPA-powered cross/platform synchronization -
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XIFIN RPM
XIFIN
Utilizing our cutting-edge, cloud-driven technology platform, XIFIN RPM offers a robust and highly automated Revenue Cycle Management solution that enhances efficiency, streamlines medical billing processes, boosts cash collection, and elevates financial precision. Diagnostic providers require financial management solutions that not only enhance cash collection but also offer insight and control over their financial operations while ensuring connectivity both internally and externally. As the demands on these providers grow more intricate, traditional billing systems often fall short, lacking the necessary financial and referential integrity to provide precise and verifiable data. Consequently, it is essential for these providers to have a technology framework grounded in solid financial and accounting principles, granting comprehensive visibility into the financial status of each diagnostic activity throughout every phase, from the submission of orders to the final payment. This approach ensures that providers can navigate the complexities of revenue management with confidence and clarity. -
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RevSpring
RevSpring
Everywhere, precise consumer engagement and payments. There are financial obligations that people can manage in life. Some they can't. It is essential to understand where consumers are on their financial journey in order to engage them effectively. RevSpring uses what we know about people in order to predict their payment outcomes and help them improve. RevSpring is a leader in financial communications and payment solutions that encourage action, from the front-office to back-office to collections. RevSpring is trusted by North America's top healthcare organizations, revenue cycle management companies, and accounts receivables management firms to maximize their financial results. RevSpring offers dynamic and personalized print, phone and text communications, as well as payment options. RevSpring solutions use proprietary data analytics to personalize the engagement workflows to suit individual circumstances and preferences. This improves the consumer's financial experience and drives better outcomes. -
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Briq
Briq
Briq offers a solution that ensures predictable profits, minimizes workload, and provides precise data to facilitate well-informed business choices. Outdated spreadsheets, inaccurate data, and sluggish processes are barriers preventing your business from achieving its maximum potential. By incorporating Briq into your operations, you can transform your business with automated workflows, intelligent data-entry bots, and streamlined financial processes. While accounting, project management, and CRM systems help digitize various aspects of your operations, they often leave a gap at the core of your business management. By unifying your systems with Briq’s innovative platform, you can bridge that gap. Our commitment to fostering a culture of innovation means that we deliver solutions that are both modern and state-of-the-art. We collaborate closely with your finance team, ensuring that we build tailored solutions together. Your success is our priority, and our platform is designed to enhance business outcomes significantly. Embrace the future of business management with Briq and experience the difference. -
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Veradigm Payerpath
Veradigm
Veradigm Payerpath offers a comprehensive suite of revenue cycle management solutions designed to enhance financial performance for healthcare organizations by improving communications with both payers and patients, ultimately increasing practice profitability across various specialties and sizes. By addressing issues such as incomplete information, incorrect coding, and data entry mistakes, the system ensures that claims are submitted cleanly and accurately. It also guarantees that claims are correctly coded, devoid of missing details, and free from errors before submission. With advanced analytical reporting, practices can benchmark their performance against state, national, and specialty peers, enabling them to optimize productivity and boost financial outcomes. Additionally, Veradigm Payerpath helps remind patients about their appointments while confirming their insurance coverage and benefits, streamlining the process. The platform further automates the billing and collection of patient responsibilities, making it easier for practices to manage finances. Notably, Veradigm Payerpath's integrated solutions are agnostic to practice management systems, ensuring seamless compatibility with all major PM platforms, which enhances its versatility in various healthcare settings. This flexibility allows practices to focus more on patient care while efficiently managing their financial operations. -
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Centauri Health Solutions
Centauri Health Solutions
Centauri Health Solutions is a company specializing in healthcare technology and services, motivated by our commitment to enhance the efficiency of the healthcare system for our clients while offering compassionate assistance to those in need. Our software, powered by advanced analytics, supports hospitals and health plans—including Medicare, Medicaid, Exchange, and Commercial sectors—in effectively managing their fluctuating revenue through a bespoke workflow platform. Moreover, our personalized support for patients and members grants them access to vital benefits that can significantly improve their quality of life. Our array of solutions encompasses Risk Adjustment (including Medical Record Retrieval, Medical Record Coding, Analytics, and RAPS/EDPS Submissions), management of HEDIS® and Stars Quality Programs, Clinical Data Exchange, Eligibility and Enrollment services, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, and both Referral Management & Analytics, as well as addressing Social Determinants of Health to further bolster healthcare outcomes and accessibility. Each of these components is designed to work in harmony, ultimately creating a more effective and compassionate healthcare experience for everyone involved.