Quick Overview
- 1#1: Epic Systems - Delivers enterprise-grade revenue cycle management integrated with EHR, including claims processing, patient billing, and financial analytics for large health systems.
- 2#2: Oracle Health - Provides comprehensive revenue cycle and financial management solutions with advanced billing, claims adjudication, and reporting for healthcare organizations.
- 3#3: athenahealth - Offers cloud-based practice management and revenue cycle tools with automated billing, claims submission, and denial management for ambulatory practices.
- 4#4: Veradigm - Delivers revenue cycle management software for claims processing, patient payments, and financial optimization across ambulatory and acute care settings.
- 5#5: NextGen Healthcare - Provides integrated EHR and practice management with robust financial tools for billing, collections, and revenue cycle performance.
- 6#6: Waystar - Specializes in revenue cycle management with AI-driven claims automation, payment acceleration, and denial prevention for providers.
- 7#7: eClinicalWorks - Combines EHR with financial management features for streamlined billing, eligibility verification, and revenue cycle tracking.
- 8#8: Kareo - Cloud platform for medical billing, practice management, and revenue cycle management tailored to independent practices.
- 9#9: AdvancedMD - All-in-one solution for practice management, EHR, and financials with automated claims, payments, and reporting capabilities.
- 10#10: DrChrono - iPad-native EHR and billing platform with tools for claims submission, patient payments, and financial dashboards.
We curated these tools by evaluating features, reliability, user experience, and value, ensuring they deliver robust performance across diverse healthcare environments and provider needs.
Comparison Table
In healthcare, efficient financial management relies on tailored software to navigate billing, compliance, and operational needs. This comparison table examines tools including Epic Systems, Oracle Health, athenahealth, Veradigm, and NextGen Healthcare, outlining key features, strengths, and ideal use cases to help providers identify the best fit for their practice or organization. Readers will discover how each solution addresses critical financial challenges, from revenue cycle management to cost tracking.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Epic Systems Delivers enterprise-grade revenue cycle management integrated with EHR, including claims processing, patient billing, and financial analytics for large health systems. | enterprise | 9.4/10 | 9.8/10 | 7.2/10 | 8.5/10 |
| 2 | Oracle Health Provides comprehensive revenue cycle and financial management solutions with advanced billing, claims adjudication, and reporting for healthcare organizations. | enterprise | 8.7/10 | 9.4/10 | 7.2/10 | 8.1/10 |
| 3 | athenahealth Offers cloud-based practice management and revenue cycle tools with automated billing, claims submission, and denial management for ambulatory practices. | enterprise | 8.7/10 | 9.2/10 | 7.8/10 | 8.1/10 |
| 4 | Veradigm Delivers revenue cycle management software for claims processing, patient payments, and financial optimization across ambulatory and acute care settings. | enterprise | 8.4/10 | 8.7/10 | 7.8/10 | 8.2/10 |
| 5 | NextGen Healthcare Provides integrated EHR and practice management with robust financial tools for billing, collections, and revenue cycle performance. | enterprise | 8.2/10 | 8.7/10 | 7.4/10 | 7.9/10 |
| 6 | Waystar Specializes in revenue cycle management with AI-driven claims automation, payment acceleration, and denial prevention for providers. | specialized | 8.7/10 | 9.2/10 | 7.9/10 | 8.4/10 |
| 7 | eClinicalWorks Combines EHR with financial management features for streamlined billing, eligibility verification, and revenue cycle tracking. | enterprise | 7.2/10 | 8.1/10 | 6.4/10 | 7.0/10 |
| 8 | Kareo Cloud platform for medical billing, practice management, and revenue cycle management tailored to independent practices. | specialized | 8.2/10 | 8.7/10 | 8.0/10 | 7.8/10 |
| 9 | AdvancedMD All-in-one solution for practice management, EHR, and financials with automated claims, payments, and reporting capabilities. | enterprise | 8.2/10 | 9.0/10 | 7.5/10 | 7.8/10 |
| 10 | DrChrono iPad-native EHR and billing platform with tools for claims submission, patient payments, and financial dashboards. | specialized | 8.1/10 | 8.4/10 | 7.9/10 | 7.7/10 |
Delivers enterprise-grade revenue cycle management integrated with EHR, including claims processing, patient billing, and financial analytics for large health systems.
Provides comprehensive revenue cycle and financial management solutions with advanced billing, claims adjudication, and reporting for healthcare organizations.
Offers cloud-based practice management and revenue cycle tools with automated billing, claims submission, and denial management for ambulatory practices.
Delivers revenue cycle management software for claims processing, patient payments, and financial optimization across ambulatory and acute care settings.
Provides integrated EHR and practice management with robust financial tools for billing, collections, and revenue cycle performance.
Specializes in revenue cycle management with AI-driven claims automation, payment acceleration, and denial prevention for providers.
Combines EHR with financial management features for streamlined billing, eligibility verification, and revenue cycle tracking.
Cloud platform for medical billing, practice management, and revenue cycle management tailored to independent practices.
All-in-one solution for practice management, EHR, and financials with automated claims, payments, and reporting capabilities.
iPad-native EHR and billing platform with tools for claims submission, patient payments, and financial dashboards.
Epic Systems
enterpriseDelivers enterprise-grade revenue cycle management integrated with EHR, including claims processing, patient billing, and financial analytics for large health systems.
Closed-loop revenue cycle fully embedded in clinical workflows, enabling real-time charge capture from provider documentation
Epic Systems offers a comprehensive suite of healthcare software, with its Resolute modules providing end-to-end revenue cycle management (RCM) for healthcare financial operations, including patient registration, billing, claims processing, denials management, and financial reporting. Deeply integrated with its flagship EHR platform, Epic enables seamless data flow between clinical documentation and financial workflows, reducing errors and accelerating reimbursements. As the market leader adopted by over 250 major U.S. health systems, it scales to handle massive volumes while ensuring HIPAA compliance and regulatory adherence.
Pros
- Unparalleled integration of clinical and financial data for accurate charge capture and reduced denials
- Scalable for enterprise-level health systems with proven reliability handling billions in annual revenue
- Advanced analytics and AI-driven tools (e.g., Cogito apps) for predictive financial insights and optimization
Cons
- Prohibitively high implementation costs and timelines, often 2-5 years and tens of millions
- Steep learning curve requiring extensive training and ongoing customization
- Vendor lock-in with limited interoperability outside Epic ecosystems despite Care Everywhere
Best For
Large hospitals, academic medical centers, and integrated health systems seeking a fully unified clinical-financial platform.
Pricing
Custom enterprise licensing with upfront implementation costs of $50M+, annual fees ~$100-$200 per bed/full-time equivalent, negotiated based on organization size.
Oracle Health
enterpriseProvides comprehensive revenue cycle and financial management solutions with advanced billing, claims adjudication, and reporting for healthcare organizations.
AI-powered Revenue Cycle Cloud with predictive analytics for proactive denial management and cash flow optimization
Oracle Health provides a comprehensive suite of healthcare financial software solutions, including revenue cycle management (RCM), billing, claims processing, and financial analytics, deeply integrated with its electronic health records (EHR) platform. It streamlines operations from patient registration and eligibility verification to payment posting and denial management, leveraging AI and automation for efficiency. Designed for enterprise-scale healthcare organizations, it supports complex financial workflows across hospitals, clinics, and health systems.
Pros
- Seamless integration with EHR for unified clinical-financial data
- Advanced AI-driven tools for denial prediction and revenue optimization
- Scalable for large health systems with robust analytics and reporting
Cons
- Steep learning curve and complex implementation process
- High upfront costs and long deployment timelines
- Limited flexibility for smaller practices due to enterprise focus
Best For
Large hospitals and multi-facility health systems needing integrated EHR and financial management at scale.
Pricing
Custom enterprise pricing, typically subscription-based starting at $500K+ annually depending on size, modules, and users.
athenahealth
enterpriseOffers cloud-based practice management and revenue cycle tools with automated billing, claims submission, and denial management for ambulatory practices.
AthenaCollector with predictive denial prevention and real-time revenue cycle optimization
Athenahealth is a cloud-based electronic health record (EHR) and revenue cycle management (RCM) platform designed specifically for healthcare providers, offering integrated tools for billing, claims processing, patient payments, and financial analytics. It automates key financial workflows such as claims scrubbing, denial management, and eligibility verification to maximize revenue capture and reduce administrative burdens. With strong interoperability via FHIR standards and a vast provider network, it supports scalable financial operations for practices transitioning to value-based care.
Pros
- Comprehensive revenue cycle automation with AI-driven claims intelligence
- Seamless integration with EHR and patient engagement tools
- Robust analytics and reporting for financial performance insights
Cons
- High implementation costs and lengthy onboarding process
- Steep learning curve for advanced customization
- Pricing can be opaque and escalate with add-ons
Best For
Mid-sized to large medical practices seeking an all-in-one EHR and financial management solution with strong network effects.
Pricing
Custom enterprise pricing; typically $300-$500 per provider/month plus setup fees and usage-based charges.
Veradigm
enterpriseDelivers revenue cycle management software for claims processing, patient payments, and financial optimization across ambulatory and acute care settings.
Veradigm Network Manager, providing payer contract optimization and real-time reimbursement benchmarking via the industry's largest clinical data network.
Veradigm offers comprehensive revenue cycle management (RCM) software tailored for healthcare providers, handling everything from claims submission and denial management to patient billing and financial analytics. Integrated with its EHR platform, it streamlines financial workflows and improves cash flow efficiency. The solution leverages a vast data network for payer insights and benchmarking to optimize reimbursements.
Pros
- Seamless integration with EHR systems for unified workflows
- Advanced analytics and AI-driven denial prevention
- Access to the largest healthcare data network for benchmarks
Cons
- Steep learning curve for full utilization
- Custom pricing lacks transparency
- Lengthy implementation process
Best For
Mid-to-large healthcare practices and hospitals needing integrated EHR and robust RCM capabilities.
Pricing
Quote-based enterprise pricing; typically $500-$2,000+ per provider/month depending on modules and scale.
NextGen Healthcare
enterpriseProvides integrated EHR and practice management with robust financial tools for billing, collections, and revenue cycle performance.
AI-powered Revenue Cycle Advisor for predictive analytics and denial prevention
NextGen Healthcare provides an integrated EHR and practice management platform with robust financial software capabilities tailored for ambulatory practices. Its revenue cycle management (RCM) tools handle claims processing, billing, denial management, patient payments, and financial analytics, all seamlessly linked to clinical workflows. This solution supports scalability for mid-sized to large practices, offering compliance with HIPAA and meaningful use requirements.
Pros
- Comprehensive RCM with claims scrubbing and denial prediction
- Strong integration between financial and clinical modules
- Advanced reporting and analytics for financial insights
Cons
- Steep learning curve for new users
- High implementation costs and time
- Customer support can be inconsistent
Best For
Mid-sized to large ambulatory healthcare practices seeking scalable, integrated financial management.
Pricing
Custom enterprise pricing, typically $300-$600 per provider/month plus implementation fees starting at $50,000+.
Waystar
specializedSpecializes in revenue cycle management with AI-driven claims automation, payment acceleration, and denial prevention for providers.
AI-powered RevCycleONE platform for proactive denial intelligence and automated workflows
Waystar is a comprehensive revenue cycle management (RCM) platform designed for healthcare providers, hospitals, and health systems to optimize financial operations. It handles claims processing, prior authorizations, denial management, patient payments, and analytics to accelerate reimbursements and reduce administrative burdens. The solution integrates with major EHRs like Epic and Cerner, leveraging AI for predictive insights and automation.
Pros
- Robust AI-driven tools for denial prevention and claims scrubbing, significantly reducing write-offs
- Seamless integrations with EHRs and PMS systems for streamlined workflows
- Advanced analytics dashboard providing real-time visibility into revenue cycle performance
Cons
- Complex implementation process that can take several months
- High cost structure, especially for smaller practices
- Occasional reports of customer support delays during peak periods
Best For
Large hospitals and health systems seeking enterprise-grade RCM with advanced automation and analytics.
Pricing
Custom enterprise pricing based on organization size and modules; typically ranges from $500K+ annually for mid-sized providers.
eClinicalWorks
enterpriseCombines EHR with financial management features for streamlined billing, eligibility verification, and revenue cycle tracking.
Integrated revenue cycle management with AI-powered denial prediction and predictive analytics
eClinicalWorks is a comprehensive EHR and practice management platform with strong healthcare financial software capabilities, including revenue cycle management, automated billing, claims submission, and denial management. It integrates financial tools directly with patient records and scheduling to streamline workflows and reduce administrative burdens. The system provides detailed financial reporting and analytics to help practices optimize revenue and compliance.
Pros
- Robust revenue cycle management with claims scrubbing and automated posting
- Integrated EHR-financial workflows for efficiency
- Advanced reporting and analytics for financial insights
Cons
- Clunky user interface with steep learning curve
- Customer support can be slow and inconsistent
- Higher costs for smaller practices
Best For
Small to mid-sized medical practices seeking an all-in-one EHR and financial management solution.
Pricing
Custom pricing; typically $400-$700 per provider/month plus implementation fees and add-ons.
Kareo
specializedCloud platform for medical billing, practice management, and revenue cycle management tailored to independent practices.
AI-powered claims scrubbing and intelligent denial prevention that reduces errors and accelerates reimbursements
Kareo is a cloud-based healthcare financial software platform designed primarily for independent medical practices, focusing on revenue cycle management, medical billing, and practice payments. It streamlines claims processing, denial management, patient billing, and financial reporting with integrations to popular EHR systems. Kareo helps practices improve cash flow by automating scrubbing, eligibility verification, and AR follow-up, making it a robust tool for financial efficiency in healthcare.
Pros
- Comprehensive revenue cycle management with strong claims scrubbing and denial tools
- Seamless integrations with EHRs and clearinghouses
- Robust analytics and reporting for financial insights
Cons
- Pricing can be steep for very small practices
- Some users report a learning curve for advanced features
- Limited customization options compared to enterprise solutions
Best For
Small to mid-sized independent medical practices looking to optimize billing and revenue collection without complex setups.
Pricing
Subscription-based starting at ~$300/provider/month plus per-claim fees (custom quotes typical; revenue-share options available).
AdvancedMD
enterpriseAll-in-one solution for practice management, EHR, and financials with automated claims, payments, and reporting capabilities.
AI-powered revenue cycle intelligence for predictive denial management and faster reimbursements
AdvancedMD is a comprehensive cloud-based platform offering practice management, EHR, and specialized healthcare financial software for medical practices. It excels in revenue cycle management (RCM), including automated billing, claims submission, denial management, and financial analytics to optimize cash flow and reimbursements. The solution integrates financial tools with clinical workflows, providing real-time reporting and compliance features tailored for ambulatory and specialty practices.
Pros
- Robust revenue cycle management with automated claims scrubbing and denial prevention
- Seamless integration with EHR and practice management for streamlined financial workflows
- Advanced analytics and customizable reporting for financial insights
Cons
- Steep learning curve and complex interface for new users
- Higher pricing that may not suit small practices
- Customer support response times can be inconsistent
Best For
Mid-sized specialty medical practices needing integrated financial and clinical tools for efficient revenue management.
Pricing
Subscription-based starting at $729/month per provider for full suite (billed annually); custom enterprise quotes available.
DrChrono
specializediPad-native EHR and billing platform with tools for claims submission, patient payments, and financial dashboards.
Automated revenue cycle management with AI-driven denial prediction and one-click claims scrubbing
DrChrono is a cloud-based electronic health record (EHR) and practice management platform with robust healthcare financial tools, including medical billing, claims submission, denial management, and revenue cycle management. It integrates patient scheduling, eligibility verification, and payment processing to help practices optimize cash flow and reduce administrative burdens. Designed for ambulatory care, it supports customization for specialties and offers mobile accessibility for on-the-go financial oversight.
Pros
- Integrated EHR and billing streamline claims processing and reimbursements
- Real-time eligibility checks and patient payment portals accelerate revenue collection
- Customizable templates and reporting tools enhance financial accuracy
Cons
- Learning curve for advanced billing features can be steep for new users
- Customer support response times vary, especially for complex financial issues
- Additional fees for premium modules increase costs for growing practices
Best For
Small to mid-sized ambulatory practices seeking an all-in-one EHR with strong built-in financial management capabilities.
Pricing
Starts at $199 per provider per month for core features; enterprise plans custom-quoted with add-ons for advanced billing and analytics.
Conclusion
Epic Systems secures the top spot, delivering enterprise-grade revenue cycle management tightly integrated with EHR to support large health systems. Oracle Health follows as a strong contender, offering comprehensive solutions for billing and reporting across diverse care settings, while Athenahealth leads with cloud-based tools tailored for ambulatory practices, streamlining denials management and claims processing. Together, these three top tools highlight the diversity of options, with each excelling in different organizational needs.
Begin your journey by exploring Epic Systems to leverage its integrated, end-to-end capabilities; if your practice has unique requirements, Oracle Health or Athenahealth also stand out as excellent alternatives.
Tools Reviewed
All tools were independently evaluated for this comparison