End-to-End Revenue Cycle Management
End-to-End Revenue Cycle Management (RCM) refers to the full set of processes associated with ensuring providers are reimbursed accurately and in a timely manner. Solutions in this category cover the majority of the functions across the revenue cycle. This includes: (1) front-end processes, such as eligibility verification and pre-visit patient payments, (2) mid-cycle processes, such as medical coding and claim creation, and (3) back-end processes, such as claim submission, payment posting, and denials management.
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Canvas
Canvas
(8 Transcripts)Canvas Medical is an EHR and revenue cycle management platform that focuses on providing a complete UI for clinicians while providing SDKs and APIs for extending capabilities.
AthenaHealth
AthenaHealth
(6 Transcripts)Athenahealth provides a platform featuring integrated electronic health records, telehealth services, interoperability, revenue cycle management, and population health management, designed to streamline clinical workflows and improve patient care delivery.
Candid Health
Candid Health
(4 Transcripts)Candid Health is an end-to-end revenue cycle management platform. It enables claims submission, detects and resolves billing issues, integrates with existing healthcare infrastructure via API, and provides real-time analytics for tracking and improving financial performance.
Enter Health
Enter Health
(2 Transcripts)Enter Health is a revenue cycle management platform offering automated claims processing, payment posting, denial management, patient collection, and real-time reporting.
Adonis
Adonis
(1 Transcripts)Adonis is a revenue cycle management platform that offers end-to-end billing solutions, revenue cycle automation, and integrates with EHR and practice management systems to provide medical billing and revenue-related insights.
Apero
Apero
(1 Transcripts)Apero is a healthcare management platform offering integrated solutions for note-taking, scheduling, billing, and prescriptions, with automated workflows, payer enrollment, and robust security features.
NextGen
NextGen RCM
(1 Transcripts)NextGen RCM streamlines financial processes from patient appointment scheduling to final payment, focusing on optimizing revenue and ensuring regulatory compliance.
Waystar
Waystar
(1 Transcripts)Waystar is an end-to-end revenue cycle management company, offering eligibility verification, claims submission, payment posting, denials management, and analytics.
Athelas
Athelas RCM
Athelas RCM provides a platform for healthcare revenue cycle management focusing on financial reporting and end-to-end billing cycles.
Availity
Availity Essentials
Availity Essentials is a healthcare provider portal offering functionalities like eligibility and benefits checking , claims processing, remittance advice, provider information management, prior authorization and referral management.
CollaborateMD
CollaborateMD
CollaborateMD offers practice management and billing software for small to mid-sized practices.
Conifer Health Solutions
Conifer Health Solutions
Conifer Health Solutions provides revenue cycle management services and value-based care solutions for health systems, provider groups and employers to improve financial outcomes.
Ensemble Health Partners
EIQ
EIQ by Ensemble Health Partners is a cloud-based, analytics-driven workflow tool for end-to-end RCM.
EZClaim
EZClaim
EZClaim is a medical billing platform with features like electronic billing, eligibility verification, and reporting, tailored for small to medium-sized healthcare providers and billing companies.
Gentem
Gentem
Gentem is revenue cycle management software that helps automate medical billing and payment processes for providers.
Office Ally
Office Ally
Office Ally enables healthcare providers to submit electronic claims to payers, and has features like claim scrubbing, status tracking, and integration with various practice management systems.
pMD
pMD
pMD offers integrated healthcare solutions that enhance care delivery and practice efficiency, featuring mobile charge capture, telehealth, and revenue cycle management services
R1
R1
R1 RCM offers a revenue cycle management platform for hospitals and healthcare systems across payment models, patient engagement strategies, or settings of care.
SimiTree
SimiTree
SimiTree RCM provides tech-enable medical billing for post-acute and behavioral health organizations.
Trek Health
Trek Health
Trek Health is a revenue cycle management provider, enabling payer enrollment and claims submission, with the ability to do instant payments for claims.
TriZetto
Trizetto
TriZetto RCM aims to optimize financial outcomes for healthcare providers by handling billing processes and enhancing payment accuracy.
Trucare Billing
Trucare Billing
Trucare Billing provides medical billing services, including revenue cycle management, practice management, and credentialing for telehealth and private practice.