Quick Overview
- 1#1: Kareo - Cloud-based medical billing and practice management software that automates claims submission, payments, and revenue cycle management for healthcare providers.
- 2#2: AdvancedMD - Integrated billing solution with EHR and practice management features for streamlined claims processing, denial management, and financial reporting.
- 3#3: athenahealth - Comprehensive revenue cycle management platform offering medical billing, patient payments, and analytics for practices of all sizes.
- 4#4: DrChrono - EHR-integrated medical billing software that handles electronic claims, superbills, and payments with mobile accessibility.
- 5#5: NextGen Healthcare - Enterprise-grade billing and practice management system with advanced revenue cycle tools, EDI, and compliance features.
- 6#6: eClinicalWorks - All-in-one EHR and billing platform that automates insurance verification, claims, and patient billing for ambulatory practices.
- 7#7: Practice Fusion - Free EHR with robust medical billing capabilities for claims submission, ERA posting, and denial tracking.
- 8#8: CureMD - Cloud-based medical billing software featuring rule-based scrubbing, real-time eligibility checks, and AR management.
- 9#9: Greenway Health - Practice management and billing solution with integrated clearinghouse services for efficient claims and remittance processing.
- 10#10: Allscripts - Scalable medical billing platform with revenue cycle management, analytics, and interoperability for large practices.
Tools were selected based on robust functionality, user experience, reliability, and value, ensuring they meet the varied needs of practices large and small while excelling in key areas like claims processing, denial management, and analytics.
Comparison Table
This comparison table explores popular billing medical software tools, such as Kareo, AdvancedMD, athenahealth, DrChrono, NextGen Healthcare, and more, to guide healthcare professionals in evaluating their options. Readers will find breakdowns of features, pricing, and usability to identify the best fit for their practice's needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Kareo Cloud-based medical billing and practice management software that automates claims submission, payments, and revenue cycle management for healthcare providers. | specialized | 9.4/10 | 9.7/10 | 9.2/10 | 9.3/10 |
| 2 | AdvancedMD Integrated billing solution with EHR and practice management features for streamlined claims processing, denial management, and financial reporting. | enterprise | 9.2/10 | 9.5/10 | 8.4/10 | 8.7/10 |
| 3 | athenahealth Comprehensive revenue cycle management platform offering medical billing, patient payments, and analytics for practices of all sizes. | enterprise | 8.7/10 | 9.2/10 | 7.9/10 | 8.1/10 |
| 4 | DrChrono EHR-integrated medical billing software that handles electronic claims, superbills, and payments with mobile accessibility. | specialized | 8.6/10 | 8.8/10 | 9.1/10 | 8.0/10 |
| 5 | NextGen Healthcare Enterprise-grade billing and practice management system with advanced revenue cycle tools, EDI, and compliance features. | enterprise | 8.1/10 | 8.6/10 | 7.2/10 | 7.7/10 |
| 6 | eClinicalWorks All-in-one EHR and billing platform that automates insurance verification, claims, and patient billing for ambulatory practices. | enterprise | 7.3/10 | 8.1/10 | 6.4/10 | 6.9/10 |
| 7 | Practice Fusion Free EHR with robust medical billing capabilities for claims submission, ERA posting, and denial tracking. | specialized | 7.4/10 | 7.2/10 | 7.8/10 | 9.0/10 |
| 8 | CureMD Cloud-based medical billing software featuring rule-based scrubbing, real-time eligibility checks, and AR management. | specialized | 8.2/10 | 8.7/10 | 7.4/10 | 7.9/10 |
| 9 | Greenway Health Practice management and billing solution with integrated clearinghouse services for efficient claims and remittance processing. | enterprise | 8.1/10 | 8.5/10 | 7.2/10 | 7.8/10 |
| 10 | Allscripts Scalable medical billing platform with revenue cycle management, analytics, and interoperability for large practices. | enterprise | 7.2/10 | 8.1/10 | 6.4/10 | 6.7/10 |
Cloud-based medical billing and practice management software that automates claims submission, payments, and revenue cycle management for healthcare providers.
Integrated billing solution with EHR and practice management features for streamlined claims processing, denial management, and financial reporting.
Comprehensive revenue cycle management platform offering medical billing, patient payments, and analytics for practices of all sizes.
EHR-integrated medical billing software that handles electronic claims, superbills, and payments with mobile accessibility.
Enterprise-grade billing and practice management system with advanced revenue cycle tools, EDI, and compliance features.
All-in-one EHR and billing platform that automates insurance verification, claims, and patient billing for ambulatory practices.
Free EHR with robust medical billing capabilities for claims submission, ERA posting, and denial tracking.
Cloud-based medical billing software featuring rule-based scrubbing, real-time eligibility checks, and AR management.
Practice management and billing solution with integrated clearinghouse services for efficient claims and remittance processing.
Scalable medical billing platform with revenue cycle management, analytics, and interoperability for large practices.
Kareo
specializedCloud-based medical billing and practice management software that automates claims submission, payments, and revenue cycle management for healthcare providers.
Kareo Intelligence, an AI-powered analytics engine that predicts denials and optimizes revenue capture proactively.
Kareo is a comprehensive cloud-based medical billing software platform designed to optimize revenue cycle management for healthcare practices and billing companies. It handles everything from claims scrubbing and submission to denial management, payment processing, and advanced analytics. With seamless integrations to major clearinghouses and EHRs, Kareo ensures faster reimbursements and reduced errors in billing workflows.
Pros
- Powerful claims management with high first-pass acceptance rates
- Robust denial prevention and AR management tools
- Excellent analytics and reporting for revenue insights
Cons
- Pricing can be high for very small practices
- Steep initial setup for complex integrations
- Limited customization in some reporting templates
Best For
Small to mid-sized medical practices and billing services seeking to maximize revenue recovery and streamline billing operations.
Pricing
Custom subscription pricing starting at ~$300/month for basic plans, scales per provider or claim volume with enterprise options.
AdvancedMD
enterpriseIntegrated billing solution with EHR and practice management features for streamlined claims processing, denial management, and financial reporting.
AI-powered claims scrubber with 99%+ clean claims rate and proactive denial prevention
AdvancedMD is a comprehensive cloud-based medical practice management platform with robust billing features tailored for healthcare providers. It automates revenue cycle management, including claims scrubbing, electronic submission to over 2,500 payers, denial management, and automated payment posting. The software integrates seamlessly with its EHR and scheduling modules, providing real-time analytics and reporting to optimize cash flow and reduce administrative burdens.
Pros
- Exceptional claims scrubbing engine achieving 99%+ first-pass acceptance rates
- Full revenue cycle automation from eligibility verification to AR management
- Seamless integration with EHR, scheduling, and patient portal for streamlined workflows
Cons
- Steep initial learning curve for complex features
- Custom pricing can be expensive for smaller practices
- Occasional reports of slower customer support response times
Best For
Mid-sized to large specialty practices or multi-location groups needing enterprise-level billing automation integrated with practice management.
Pricing
Custom subscription pricing starting at around $400 per provider/month for billing modules, scaling up to $729+ for full suites; includes implementation fees.
athenahealth
enterpriseComprehensive revenue cycle management platform offering medical billing, patient payments, and analytics for practices of all sizes.
AI-driven Revenue Intelligence that proactively identifies and prevents claim denials using predictive analytics
athenahealth is a cloud-based electronic health record (EHR) and revenue cycle management (RCM) platform that excels in medical billing through automated claims processing, eligibility verification, and denial management. It integrates clinical documentation with financial workflows to streamline billing operations, reduce errors, and accelerate reimbursements for healthcare providers. Designed for practices of various sizes, it offers real-time analytics and payer-specific rules to optimize revenue capture and compliance.
Pros
- Robust automation for claims scrubbing and submission with high first-pass acceptance rates
- Integrated denial management and AR tracking tools
- Advanced analytics and reporting for revenue cycle insights
Cons
- Higher subscription costs compared to standalone billing solutions
- Steep learning curve during initial setup and training
- Limited flexibility for heavy customization
Best For
Mid-sized to large medical practices needing a fully integrated EHR and billing system with strong revenue cycle management.
Pricing
Custom subscription pricing based on practice size and modules, typically $300-$500 per provider per month for billing-inclusive plans.
DrChrono
specializedEHR-integrated medical billing software that handles electronic claims, superbills, and payments with mobile accessibility.
AI-assisted superbill generation and denial management with automated resubmission workflows
DrChrono is a cloud-based EHR and practice management platform with integrated medical billing tools designed to streamline revenue cycle management for healthcare providers. It automates claims submission to major clearinghouses, handles electronic remittance advice (ERA), and supports eligibility verification in real-time. The software also includes features like charge capture, superbilling, and denial management to optimize collections and reduce administrative burdens.
Pros
- Seamless EHR-billing integration reduces errors and speeds up workflows
- Real-time eligibility checks and automated claims scrubbing improve cash flow
- Mobile app enables charge entry and superbilling on the go
Cons
- Pricing scales quickly with add-ons and per-claim fees for high-volume practices
- Customer support can have delays during peak times
- Advanced reporting and customization options are somewhat limited
Best For
Small to medium-sized medical practices needing an intuitive, all-in-one EHR and billing solution.
Pricing
Starts at $199 per provider/month for core features; additional costs for claims processing ($0.09-$0.19/claim), advanced modules, and setup.
NextGen Healthcare
enterpriseEnterprise-grade billing and practice management system with advanced revenue cycle tools, EDI, and compliance features.
AI-driven predictive analytics for claims denial prevention and revenue forecasting
NextGen Healthcare provides a robust EHR and practice management platform with integrated medical billing software, focusing on revenue cycle management (RCM) for ambulatory practices. It automates claims processing, eligibility verification, denial management, and payment posting while integrating seamlessly with clinical documentation. Ideal for multi-specialty groups, it offers analytics-driven insights to optimize financial performance and reduce administrative burdens.
Pros
- Comprehensive RCM automation including AI-powered denial prediction
- Seamless EHR-billing integration for efficient workflows
- Advanced reporting and analytics for revenue optimization
Cons
- Steep learning curve and complex interface for new users
- High implementation costs and lengthy onboarding process
- Pricing lacks transparency and can be expensive for smaller practices
Best For
Mid-sized to large multi-specialty practices needing an enterprise-grade integrated EHR and billing solution.
Pricing
Custom enterprise pricing starting at $400-$600 per provider/month, plus one-time implementation fees of $50K+ and ongoing support costs.
eClinicalWorks
enterpriseAll-in-one EHR and billing platform that automates insurance verification, claims, and patient billing for ambulatory practices.
AI-driven intelligent claims editing and auto-posting for faster reimbursements
eClinicalWorks is a comprehensive EHR and practice management platform with robust medical billing features designed for healthcare providers. It streamlines revenue cycle management through automated claims submission, eligibility verification, denial management, and payment posting. The system supports multiple specialties and scales well for mid-sized to large practices, integrating billing seamlessly with clinical workflows.
Pros
- Integrated EHR and billing for seamless workflows
- Advanced claims scrubbing and denial management tools
- Comprehensive reporting and analytics for revenue optimization
Cons
- Steep learning curve and outdated interface
- Frequent user complaints about customer support response times
- High implementation costs and ongoing fees
Best For
Mid-to-large medical practices seeking an all-in-one EHR with strong billing capabilities despite a complex setup.
Pricing
Subscription-based starting at $449 per provider/month, plus implementation fees of $5,000-$20,000 and per-patient charges; custom quotes required.
Practice Fusion
specializedFree EHR with robust medical billing capabilities for claims submission, ERA posting, and denial tracking.
Completely free, ad-supported cloud EHR with direct linkage from clinical documentation to automated claim generation
Practice Fusion is a cloud-based electronic health record (EHR) system with integrated medical billing features, enabling practices to create superbills, submit claims electronically to major insurers, post electronic remittances (ERAs), and manage denials. It streamlines the revenue cycle by linking patient encounters directly to billing codes like CPT and ICD-10. While primarily an EHR, its billing module supports eligibility verification and basic practice management for small to mid-sized practices.
Pros
- Free core EHR software with no subscription fees, reducing upfront costs
- Seamless integration between charting, scheduling, and billing workflows
- Cloud-based accessibility with mobile support for on-the-go claim management
Cons
- Billing module lacks advanced analytics and customizable reporting compared to dedicated solutions
- Customer support can be slow and limited to email/ticket systems
- Dependency on their clearinghouse introduces per-claim fees and occasional processing delays
Best For
Small independent practices or solo providers seeking an affordable, all-in-one EHR with reliable basic billing capabilities.
Pricing
Free EHR platform; billing via integrated clearinghouse with fees starting at $0.09 per claim submission plus setup costs.
CureMD
specializedCloud-based medical billing software featuring rule-based scrubbing, real-time eligibility checks, and AR management.
AI-driven claims intelligence that predicts denials and suggests corrections before submission
CureMD is a comprehensive cloud-based EHR and practice management platform with robust medical billing capabilities, enabling practices to handle claims submission, scrubbing, denial management, and revenue cycle optimization seamlessly. It integrates billing directly with electronic health records, automating eligibility verification, charge capture, and payment posting to reduce errors and accelerate reimbursements. Designed for specialty practices, it supports HIPAA compliance, ICD-10 coding, and advanced reporting for financial insights.
Pros
- Integrated EHR-billing workflow minimizes data entry errors
- Advanced claims scrubbing and denial management tools improve collection rates
- Customizable reporting and analytics for revenue cycle performance
Cons
- Steep learning curve for non-tech-savvy users
- Customer support response times can be inconsistent
- Pricing scales up quickly for larger practices
Best For
Mid-sized specialty practices seeking an all-in-one solution for EHR-integrated medical billing and revenue cycle management.
Pricing
Custom pricing starting at around $300 per provider per month, with tiers based on users, features, and implementation needs; includes setup fees.
Greenway Health
enterprisePractice management and billing solution with integrated clearinghouse services for efficient claims and remittance processing.
AI-powered denial management and predictive analytics for revenue optimization
Greenway Health's Prime Suite is a comprehensive EHR and practice management platform with robust medical billing functionality tailored for ambulatory practices. It streamlines revenue cycle management through automated claims processing, electronic remittance advice, and denial management tools. The software supports eligibility verification, payment posting, and reporting to help practices maximize reimbursements and reduce administrative burdens.
Pros
- Integrated RCM with automated claims scrubbing and denial prevention
- Strong interoperability with clearinghouses and payers
- Customizable workflows for various specialties
Cons
- Steep learning curve for new users
- Mixed customer support experiences
- Pricing lacks transparency and can be costly for smaller practices
Best For
Mid-sized ambulatory practices needing an all-in-one EHR and billing solution with advanced revenue cycle tools.
Pricing
Custom quote-based pricing; typically $300-$600 per provider/month depending on modules and practice size.
Allscripts
enterpriseScalable medical billing platform with revenue cycle management, analytics, and interoperability for large practices.
Veradigm Network for direct, real-time connectivity to thousands of payers streamlining claims and remittances
Allscripts, rebranded as Veradigm, provides a robust medical billing solution integrated into its comprehensive EHR and practice management platform. It handles end-to-end revenue cycle management, including claims submission, scrubbing, eligibility checks, denial management, and payment posting. The software supports compliance with HIPAA and other regulations while offering analytics for financial performance.
Pros
- Strong integration with EHR for accurate coding and reduced errors
- Advanced claims scrubbing and denial management tools
- Real-time eligibility verification and payer connectivity
Cons
- Steep learning curve and outdated interface
- High implementation and ongoing costs
- Reported customer support delays and occasional system glitches
Best For
Mid-to-large medical practices or hospitals needing integrated EHR billing with enterprise-level revenue cycle tools.
Pricing
Custom enterprise pricing; typically $400-$800 per user/month depending on modules and practice size, plus setup fees.
Conclusion
The reviewed medical billing software offers versatile solutions to meet varied practice needs, but Kareo rises as the top choice, excelling in automating claims submission, payments, and revenue cycle processes. AdvancedMD and athenahealth stand out as strong alternatives, each bringing unique strengths like integrated EHR capabilities or comprehensive analytics to suit different practice priorities.
Explore Kareo to discover streamlined billing efficiency and take control of your practice's revenue cycle—your next step in optimizing care delivery.
Tools Reviewed
All tools were independently evaluated for this comparison
