Quick Overview
- 1#1: Kareo - Cloud-based medical billing and revenue cycle management software with full HIPAA compliance for healthcare providers.
- 2#2: AdvancedMD - Comprehensive practice management and billing platform ensuring HIPAA-compliant claims processing and payments.
- 3#3: athenahealth - Integrated EHR and revenue cycle management system with robust HIPAA-compliant billing for medical practices.
- 4#4: DrChrono - All-in-one EHR and medical billing software featuring HIPAA-secure electronic claims submission.
- 5#5: SimplePractice - HIPAA-compliant practice management tool with streamlined billing and superbills for therapists.
- 6#6: TherapyNotes - Secure EHR and billing software designed for behavioral health with strict HIPAA compliance.
- 7#7: eClinicalWorks - Cloud EHR platform with integrated HIPAA-compliant billing and practice management features.
- 8#8: NextGen Healthcare - Enterprise healthcare software suite offering HIPAA-secure revenue cycle and billing solutions.
- 9#9: CureMD - EHR and practice management system with HIPAA-compliant medical billing and claims processing.
- 10#10: Practice Fusion - Web-based EHR with HIPAA-compliant billing integrations for small to mid-sized practices.
Tools were ranked based on robust HIPAA compliance features, comprehensive functionality, user-friendly design, and overall value, ensuring they cater to varying practice sizes and specialties while prioritizing efficiency and security.
Comparison Table
This comparison table explores key HIPAA-compliant billing software tools, such as Kareo, AdvancedMD, athenahealth, DrChrono, SimplePractice, and others, highlighting features, pricing, and usability to help healthcare providers find their ideal fit.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Kareo Cloud-based medical billing and revenue cycle management software with full HIPAA compliance for healthcare providers. | enterprise | 9.5/10 | 9.7/10 | 9.2/10 | 9.1/10 |
| 2 | AdvancedMD Comprehensive practice management and billing platform ensuring HIPAA-compliant claims processing and payments. | enterprise | 8.9/10 | 9.3/10 | 8.1/10 | 8.4/10 |
| 3 | athenahealth Integrated EHR and revenue cycle management system with robust HIPAA-compliant billing for medical practices. | enterprise | 8.5/10 | 9.2/10 | 7.4/10 | 7.9/10 |
| 4 | DrChrono All-in-one EHR and medical billing software featuring HIPAA-secure electronic claims submission. | enterprise | 8.7/10 | 9.2/10 | 8.4/10 | 8.1/10 |
| 5 | SimplePractice HIPAA-compliant practice management tool with streamlined billing and superbills for therapists. | specialized | 8.6/10 | 8.8/10 | 9.2/10 | 8.0/10 |
| 6 | TherapyNotes Secure EHR and billing software designed for behavioral health with strict HIPAA compliance. | specialized | 8.7/10 | 9.0/10 | 9.2/10 | 8.5/10 |
| 7 | eClinicalWorks Cloud EHR platform with integrated HIPAA-compliant billing and practice management features. | enterprise | 7.8/10 | 8.4/10 | 6.7/10 | 7.5/10 |
| 8 | NextGen Healthcare Enterprise healthcare software suite offering HIPAA-secure revenue cycle and billing solutions. | enterprise | 8.3/10 | 9.1/10 | 7.4/10 | 8.0/10 |
| 9 | CureMD EHR and practice management system with HIPAA-compliant medical billing and claims processing. | enterprise | 8.1/10 | 8.5/10 | 7.5/10 | 7.8/10 |
| 10 | Practice Fusion Web-based EHR with HIPAA-compliant billing integrations for small to mid-sized practices. | enterprise | 7.2/10 | 6.8/10 | 8.4/10 | 9.1/10 |
Cloud-based medical billing and revenue cycle management software with full HIPAA compliance for healthcare providers.
Comprehensive practice management and billing platform ensuring HIPAA-compliant claims processing and payments.
Integrated EHR and revenue cycle management system with robust HIPAA-compliant billing for medical practices.
All-in-one EHR and medical billing software featuring HIPAA-secure electronic claims submission.
HIPAA-compliant practice management tool with streamlined billing and superbills for therapists.
Secure EHR and billing software designed for behavioral health with strict HIPAA compliance.
Cloud EHR platform with integrated HIPAA-compliant billing and practice management features.
Enterprise healthcare software suite offering HIPAA-secure revenue cycle and billing solutions.
EHR and practice management system with HIPAA-compliant medical billing and claims processing.
Web-based EHR with HIPAA-compliant billing integrations for small to mid-sized practices.
Kareo
enterpriseCloud-based medical billing and revenue cycle management software with full HIPAA compliance for healthcare providers.
AI-powered Intelligent Denial Management that proactively identifies and resolves claim issues to boost collections by up to 20%
Kareo is a leading cloud-based medical billing software platform designed specifically for independent healthcare practices, offering end-to-end revenue cycle management. It handles claims processing, denial management, patient payments, and analytics while maintaining full HIPAA compliance through robust security features like encryption and audit trails. Kareo integrates seamlessly with EHR systems to streamline workflows and maximize reimbursements, making it a top choice for efficient billing operations.
Pros
- Comprehensive revenue cycle management with AI-driven denial prevention and analytics
- Seamless HIPAA compliance, including secure data handling and regular compliance audits
- Strong integrations with major EHRs and clearinghouses for efficient claims submission
Cons
- Pricing can be steep for very small practices or solo providers
- Customer support response times vary, especially during peak periods
- Advanced customization requires additional setup or professional services
Best For
Mid-sized independent medical practices looking for a scalable, all-in-one HIPAA-compliant billing solution to optimize revenue and reduce denials.
Pricing
Subscription-based starting at $110/provider/month for core billing, with tiers up to $300+ for full RCM; includes per-claim fees and custom enterprise pricing.
AdvancedMD
enterpriseComprehensive practice management and billing platform ensuring HIPAA-compliant claims processing and payments.
Intelligent Claims Engine with real-time scrubbing and predictive denial prevention for maximizing reimbursements
AdvancedMD is a cloud-based, all-in-one practice management and EHR platform with robust medical billing capabilities, fully HIPAA compliant for secure handling of protected health information. It streamlines revenue cycle management through automated claims processing, eligibility verification, and denial management tools. Designed for specialty and multi-location practices, it integrates billing seamlessly with patient engagement and analytics features.
Pros
- Comprehensive HIPAA-compliant revenue cycle management with automated claims scrubbing and denial prevention
- Seamless integration of billing with EHR and practice management for efficient workflows
- Advanced reporting and analytics for optimizing financial performance
Cons
- Higher cost structure, especially for smaller practices
- User interface feels somewhat dated and requires training
- Customer support response times can be inconsistent
Best For
Mid-sized to large medical practices seeking an integrated, scalable HIPAA-compliant billing solution with strong revenue cycle tools.
Pricing
Custom subscription pricing starting at ~$400/provider/month for core billing modules; full suites range $700-$1,500+/provider/month.
athenahealth
enterpriseIntegrated EHR and revenue cycle management system with robust HIPAA-compliant billing for medical practices.
AI-powered Revenue Intelligence that proactively identifies and resolves claim issues to optimize cash flow
athenahealth is a comprehensive cloud-based platform providing integrated electronic health records (EHR), practice management, and revenue cycle management (RCM) solutions tailored for healthcare providers. It specializes in HIPAA-compliant medical billing, featuring automated claims submission, scrubbing, denial management, and analytics to maximize reimbursements. The software supports seamless interoperability and offers robust security measures to protect patient data.
Pros
- Advanced revenue cycle management with high first-pass claim acceptance rates over 98%
- Seamless integration with EHR and telehealth for streamlined workflows
- Strong HIPAA compliance and data security with SOC 2 and HITRUST certifications
Cons
- High pricing that may be prohibitive for small practices
- Steep learning curve due to extensive features and customization needs
- Occasional reports of slower customer support response times
Best For
Mid-sized to large medical practices needing an all-in-one EHR and HIPAA-compliant billing solution with strong RCM capabilities.
Pricing
Quote-based pricing typically ranges from $300-$500 per provider per month, plus implementation fees and add-ons for advanced services.
DrChrono
enterpriseAll-in-one EHR and medical billing software featuring HIPAA-secure electronic claims submission.
Automated claims scrubbing and payer-specific rules engine that achieves up to 99% clean claim rates
DrChrono is a comprehensive cloud-based EHR and practice management platform with integrated medical billing software designed for healthcare providers. It supports HIPAA-compliant electronic claims submission to over 3,000 payers, automated ERA posting, denial management, and eligibility verification to streamline revenue cycle management. The platform combines patient scheduling, charting, and billing in a mobile-accessible interface, reducing administrative burdens while ensuring data security and compliance.
Pros
- Integrated EHR and billing for seamless workflows
- Real-time eligibility checks and claims scrubbing to minimize denials
- Mobile app enables billing on-the-go with full HIPAA security
Cons
- Pricing can be steep for solo practitioners
- Steep learning curve for advanced billing customizations
- Customer support response times vary during peak periods
Best For
Small to mid-sized medical practices needing an all-in-one HIPAA-compliant platform for EHR, scheduling, and efficient billing.
Pricing
Custom quotes starting at ~$200/provider/month; scales with users and add-ons like telehealth or advanced analytics.
SimplePractice
specializedHIPAA-compliant practice management tool with streamlined billing and superbills for therapists.
Seamless end-to-end billing automation with claims scrubbing and direct clearinghouse integration from within the EHR
SimplePractice is a comprehensive practice management platform tailored for mental health and wellness professionals, providing HIPAA-compliant tools for scheduling, EHR documentation, telehealth, and billing. Its billing module supports electronic claims submission to multiple clearinghouses, automated superbills, ERA posting, and patient invoicing with secure payment processing. Designed for ease of use, it streamlines revenue cycle management while maintaining strict HIPAA standards through encrypted data and BAAs.
Pros
- Fully HIPAA-compliant with robust security features
- Integrated billing workflow from EHR to claims submission
- Intuitive interface that reduces administrative time
Cons
- Pricing scales quickly for multi-provider practices
- Limited advanced analytics for complex billing reports
- Customer support can have wait times during peak hours
Best For
Solo practitioners or small mental health groups seeking an all-in-one HIPAA-secure billing and practice management solution.
Pricing
Starts at $29/user/month (Essentials), $69/user/month (Professional), $99/user/month (Enterprise), with add-ons for telehealth ($12/month/provider) and eRx ($35/month/provider).
TherapyNotes
specializedSecure EHR and billing software designed for behavioral health with strict HIPAA compliance.
Seamless conversion of progress notes into billable claims with one-click submission to major insurers
TherapyNotes is a comprehensive, cloud-based practice management software tailored for mental health professionals, offering HIPAA-compliant tools for progress notes, scheduling, billing, and telehealth. Its billing module automates electronic claims submission to over 700 payers, handles ERA posting, superbills, and patient statements seamlessly within the same platform. Designed specifically for behavioral health, it ensures secure handling of sensitive PHI while streamlining revenue cycle management.
Pros
- Integrated billing directly from therapy notes with automated claims to 700+ payers
- Fully HIPAA-compliant with robust security and no per-claim fees
- Intuitive interface praised by therapists for quick adoption
Cons
- Primarily optimized for mental health practices, less ideal for other specialties
- Limited advanced reporting and analytics compared to enterprise solutions
- Customer support response times can vary during peak periods
Best For
Solo practitioners or small mental health group practices seeking an all-in-one HIPAA-compliant billing and EHR solution.
Pricing
$49 per user per month (billed annually) with unlimited clients and claims; 60-day free trial available.
eClinicalWorks
enterpriseCloud EHR platform with integrated HIPAA-compliant billing and practice management features.
AI-powered denial prediction and automated workflows to optimize reimbursements and reduce revenue leakage
eClinicalWorks is a comprehensive EHR and practice management platform with integrated HIPAA-compliant billing software designed for medical practices. It handles the full revenue cycle, including electronic claims submission, real-time eligibility verification, denial management, and payment posting. The solution ensures secure data handling and compliance with HIPAA standards while integrating billing seamlessly with patient records to minimize errors and accelerate reimbursements.
Pros
- Robust revenue cycle management with electronic claims and denial analytics
- Strong HIPAA compliance and data security features
- Seamless integration with EHR for accurate coding and billing
Cons
- Steep learning curve and outdated interface for new users
- Reported issues with customer support response times
- Higher pricing may not suit very small practices
Best For
Medium to large medical practices seeking an integrated EHR and billing platform with advanced revenue cycle tools.
Pricing
Custom quotes based on practice size; typically $400-$700 per provider per month, plus setup fees.
NextGen Healthcare
enterpriseEnterprise healthcare software suite offering HIPAA-secure revenue cycle and billing solutions.
Predictive denial management powered by analytics to proactively identify and resolve claims issues before submission
NextGen Healthcare provides an integrated electronic health records (EHR) and practice management platform with robust HIPAA-compliant billing software designed for medical practices. It automates revenue cycle management, including claims submission, scrubbing, denial management, and patient payments. The solution supports specialty-specific billing workflows and ensures secure handling of protected health information (PHI) in compliance with HIPAA regulations.
Pros
- Comprehensive revenue cycle management with advanced claims scrubbing and denial prediction
- Seamless integration with EHR for end-to-end workflow efficiency
- Strong HIPAA compliance features including audit trails and role-based access controls
Cons
- Steep learning curve and complex interface for new users
- High implementation costs and lengthy onboarding process
- Custom pricing can be expensive for smaller practices
Best For
Mid-sized to large specialty practices seeking scalable, enterprise-grade HIPAA-compliant billing integrated with full EHR functionality.
Pricing
Custom enterprise pricing starting at approximately $400 per provider per month, plus implementation fees; volume discounts available.
CureMD
enterpriseEHR and practice management system with HIPAA-compliant medical billing and claims processing.
Integrated clearinghouse with AI-powered claims scrubbing and denial prediction to minimize rejections
CureMD is a cloud-based EHR and practice management platform with integrated HIPAA-compliant medical billing software, designed to handle the full revenue cycle from claims submission to payment reconciliation. It supports electronic claims processing, insurance verification, denial management, and detailed financial reporting, all while maintaining strict data security standards. Ideal for specialty practices, it integrates with major clearinghouses and offers tools for AR management and compliance auditing.
Pros
- Robust HIPAA-compliant revenue cycle management with claims scrubbing and auto-posting
- Seamless integration with EHR for end-to-end workflow
- Customizable reporting and analytics for billing optimization
Cons
- Steep learning curve for advanced billing features
- Customer support can be inconsistent
- Pricing escalates quickly for multi-provider practices
Best For
Mid-sized specialty practices needing integrated HIPAA-compliant billing within a comprehensive EHR system.
Pricing
Quote-based pricing starting at around $395 per provider/month, with tiers scaling based on users, features, and add-ons like outsourced RCM.
Practice Fusion
enterpriseWeb-based EHR with HIPAA-compliant billing integrations for small to mid-sized practices.
100% free, web-based EHR with fully integrated, HIPAA-secure billing workflow
Practice Fusion is a cloud-based electronic health record (EHR) platform that offers HIPAA-compliant billing features integrated into its core system for managing patient records, e-prescribing, and claim submissions. It supports electronic claims processing through a built-in clearinghouse, scheduling, and basic revenue cycle management tailored for small practices. While not a standalone billing solution, it provides essential billing tools within a free EHR environment, certified for HIPAA security and Meaningful Use.
Pros
- Completely free core EHR and basic billing features
- HIPAA-compliant with strong data security and encryption
- Intuitive interface with seamless EHR-billing integration
Cons
- Limited advanced billing capabilities like complex superbilling or analytics
- Customer support can be slow and less responsive
- Requires reliable internet; occasional platform outages reported
Best For
Small practices or solo providers seeking a cost-free, all-in-one EHR with basic HIPAA-compliant billing.
Pricing
Free for core EHR and basic claims submission; optional paid clearinghouse fees (typically 4-7% per claim) and premium add-ons.
Conclusion
Among the reviewed HIPAA-compliant billing tools, Kareo leads as the top choice, offering reliable cloud-based revenue cycle management. AdvancedMD and athenahealth follow closely, each with unique strengths—from comprehensive practice management to integrated EHR systems—ensuring there’s a strong fit for diverse needs. With rigorous security and efficient functionality, the top options deliver on compliance while streamlining billing processes, making the decision between them a matter of specific practice requirements.
Begin with Kareo to unlock seamless, compliant billing; whether you’re a solo provider or a busy practice, its robust tools can elevate your revenue cycle management.
Tools Reviewed
All tools were independently evaluated for this comparison
