Quick Overview
- 1#1: Kareo - Cloud-based medical billing and practice management software that automates claims submission, coding, and revenue cycle management for small to mid-sized practices.
- 2#2: AdvancedMD - Comprehensive billing and practice management platform with advanced coding assistance, claims scrubbing, and denial management tools.
- 3#3: athenaOne - Integrated EHR and revenue cycle management solution that optimizes medical coding, billing accuracy, and collections through AI-driven insights.
- 4#4: DrChrono - Mobile-optimized EHR with robust billing and coding features, including superbill generation and real-time claims processing.
- 5#5: Practice Fusion - Free cloud-based EHR offering integrated medical billing, coding support, and practice management for independent providers.
- 6#6: eClinicalWorks - Scalable EHR and practice management system with automated coding suggestions, claims management, and interoperability for diverse practice sizes.
- 7#7: NextGen Healthcare - Enterprise healthcare platform providing advanced revenue cycle management, precise coding tools, and analytics for ambulatory practices.
- 8#8: Epic - Leading EHR system with sophisticated billing, coding compliance, and financial modules tailored for large hospitals and health systems.
- 9#9: Oracle Health - Comprehensive health IT suite featuring revenue cycle management, automated coding, and billing optimization for complex healthcare environments.
- 10#10: Veradigm - Healthcare technology platform with EHR-integrated billing, coding accuracy tools, and payer connectivity for improved reimbursements.
These tools were selected based on advanced features (including automation, coding accuracy, and revenue cycle management), user-friendly design, reliability, and overall value, catering to practices of all sizes and complexity levels
Comparison Table
Navigating medical billing and coding software? This comparison table explores key tools including Kareo, AdvancedMD, athenaOne, DrChrono, Practice Fusion, and more, aiding readers in understanding features, workflows, and suitability for practice needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Kareo Cloud-based medical billing and practice management software that automates claims submission, coding, and revenue cycle management for small to mid-sized practices. | specialized | 9.3/10 | 9.6/10 | 8.9/10 | 8.7/10 |
| 2 | AdvancedMD Comprehensive billing and practice management platform with advanced coding assistance, claims scrubbing, and denial management tools. | specialized | 9.1/10 | 9.4/10 | 8.2/10 | 8.7/10 |
| 3 | athenaOne Integrated EHR and revenue cycle management solution that optimizes medical coding, billing accuracy, and collections through AI-driven insights. | enterprise | 9.1/10 | 9.4/10 | 8.7/10 | 8.5/10 |
| 4 | DrChrono Mobile-optimized EHR with robust billing and coding features, including superbill generation and real-time claims processing. | specialized | 8.7/10 | 9.1/10 | 8.0/10 | 8.4/10 |
| 5 | Practice Fusion Free cloud-based EHR offering integrated medical billing, coding support, and practice management for independent providers. | specialized | 7.6/10 | 7.2/10 | 8.4/10 | 8.9/10 |
| 6 | eClinicalWorks Scalable EHR and practice management system with automated coding suggestions, claims management, and interoperability for diverse practice sizes. | enterprise | 7.6/10 | 8.2/10 | 6.8/10 | 7.1/10 |
| 7 | NextGen Healthcare Enterprise healthcare platform providing advanced revenue cycle management, precise coding tools, and analytics for ambulatory practices. | enterprise | 8.1/10 | 8.7/10 | 7.4/10 | 7.8/10 |
| 8 | Epic Leading EHR system with sophisticated billing, coding compliance, and financial modules tailored for large hospitals and health systems. | enterprise | 8.2/10 | 9.4/10 | 6.1/10 | 7.3/10 |
| 9 | Oracle Health Comprehensive health IT suite featuring revenue cycle management, automated coding, and billing optimization for complex healthcare environments. | enterprise | 8.2/10 | 9.1/10 | 6.8/10 | 7.5/10 |
| 10 | Veradigm Healthcare technology platform with EHR-integrated billing, coding accuracy tools, and payer connectivity for improved reimbursements. | enterprise | 7.8/10 | 8.3/10 | 7.2/10 | 7.5/10 |
Cloud-based medical billing and practice management software that automates claims submission, coding, and revenue cycle management for small to mid-sized practices.
Comprehensive billing and practice management platform with advanced coding assistance, claims scrubbing, and denial management tools.
Integrated EHR and revenue cycle management solution that optimizes medical coding, billing accuracy, and collections through AI-driven insights.
Mobile-optimized EHR with robust billing and coding features, including superbill generation and real-time claims processing.
Free cloud-based EHR offering integrated medical billing, coding support, and practice management for independent providers.
Scalable EHR and practice management system with automated coding suggestions, claims management, and interoperability for diverse practice sizes.
Enterprise healthcare platform providing advanced revenue cycle management, precise coding tools, and analytics for ambulatory practices.
Leading EHR system with sophisticated billing, coding compliance, and financial modules tailored for large hospitals and health systems.
Comprehensive health IT suite featuring revenue cycle management, automated coding, and billing optimization for complex healthcare environments.
Healthcare technology platform with EHR-integrated billing, coding accuracy tools, and payer connectivity for improved reimbursements.
Kareo
specializedCloud-based medical billing and practice management software that automates claims submission, coding, and revenue cycle management for small to mid-sized practices.
Intelligent Claims Scrubber that proactively identifies and corrects coding errors before submission to maximize reimbursements
Kareo is a comprehensive cloud-based platform specializing in medical billing and coding, offering end-to-end revenue cycle management for healthcare providers. It automates claims submission, scrubbing, coding with ICD-10 and CPT support, denial management, and patient payments. Integrated with EHR and practice management tools, it provides real-time analytics to optimize financial performance and reduce administrative burdens.
Pros
- Advanced automation for claims scrubbing and coding accuracy
- Proactive denial prevention and resolution tools
- Robust reporting and analytics for revenue insights
Cons
- Pricing can be steep for very small practices
- Initial setup and integration may require time
- Some advanced customizations are limited
Best For
Independent practices and small to mid-sized medical groups needing streamlined billing and coding with strong revenue cycle management.
Pricing
Subscription-based starting at around $300 per provider per month, with tiers for additional features and volume-based discounts.
AdvancedMD
specializedComprehensive billing and practice management platform with advanced coding assistance, claims scrubbing, and denial management tools.
Integrated revenue cycle management with real-time analytics and AI-driven coding suggestions
AdvancedMD is a comprehensive cloud-based platform specializing in medical billing and coding as part of its integrated EHR and practice management suite. It automates revenue cycle management with features like electronic claims submission, AI-assisted coding, denial scrubbing, and AR tracking to maximize reimbursements. Designed for healthcare providers, it ensures compliance with ICD-10, CPT, and HIPAA standards while integrating seamlessly with patient records for accurate billing.
Pros
- Robust claims scrubbing and denial management reduce errors and speed up payments
- Seamless EHR integration for accurate coding and documentation
- Scalable analytics and reporting for multi-provider practices
Cons
- Steep learning curve for new users
- Custom pricing can be expensive for smaller practices
- Occasional customer support delays reported
Best For
Mid-sized to large medical practices needing an all-in-one EHR and billing solution with advanced automation.
Pricing
Quote-based pricing starts at approximately $400-$700 per provider per month, depending on modules and practice size.
athenaOne
enterpriseIntegrated EHR and revenue cycle management solution that optimizes medical coding, billing accuracy, and collections through AI-driven insights.
AI-driven Intelligent Coding Engine that suggests optimal codes and predicts denials in real-time
athenaOne by athenahealth is a comprehensive cloud-based EHR and practice management platform with robust medical billing and coding capabilities, automating claims submission, coding suggestions, and revenue cycle management. It leverages AI-driven tools for accurate coding, denial prevention, and payment optimization, integrating seamlessly with clinical workflows. Designed for ambulatory practices, it ensures HIPAA compliance and provides real-time analytics for financial performance.
Pros
- Advanced AI-powered coding and claims scrubbing for high accuracy and low denial rates
- Seamless integration with EHR for streamlined workflows
- Robust revenue cycle analytics and denial management tools
Cons
- Higher pricing can be prohibitive for small practices
- Steep learning curve for advanced features
- Limited customization options compared to some competitors
Best For
Mid-sized to large medical practices seeking an integrated EHR and billing solution with strong automation and compliance features.
Pricing
Custom pricing based on practice size and revenue; typically starts at $140-$300 per provider per month, plus setup fees.
DrChrono
specializedMobile-optimized EHR with robust billing and coding features, including superbill generation and real-time claims processing.
Native iPad/iPhone apps for full mobile billing and coding functionality
DrChrono is a cloud-based EHR and practice management platform with integrated medical billing and coding tools tailored for healthcare providers. It automates ICD-10 and CPT coding, claims scrubbing, electronic submission to clearinghouses, and revenue cycle management including eligibility verification and AR tracking. The software ensures HIPAA compliance and offers specialty-specific templates to streamline workflows for efficient reimbursement.
Pros
- Seamless EHR-billing integration reduces errors and speeds up claims
- Automated coding suggestions and claims scrubbing minimize denials
- Mobile iOS apps enable billing from anywhere
Cons
- Steep learning curve for new users
- Pricing scales quickly for small practices with add-ons
- Customer support response times can vary
Best For
Small to mid-sized specialty practices needing an integrated EHR and billing platform.
Pricing
Starts at $199 per provider/month for basic plans; higher tiers $300+ with implementation fees and custom enterprise options.
Practice Fusion
specializedFree cloud-based EHR offering integrated medical billing, coding support, and practice management for independent providers.
Clinical documentation-driven code suggestions that automate accurate ICD-10 and CPT coding within patient encounter notes
Practice Fusion is a cloud-based EHR platform that incorporates medical billing and coding tools, primarily designed for small to mid-sized medical practices. It enables users to generate superbills, access ICD-10 and CPT code suggestions integrated with clinical documentation, and submit claims via third-party clearinghouse integrations. While its billing features are embedded within the broader EHR workflow, they support basic revenue cycle management without requiring separate software.
Pros
- Free core EHR platform with integrated basic billing and coding
- User-friendly interface that embeds coding suggestions in charting
- Cloud-based access with no upfront hardware costs
Cons
- Billing relies on third-party integrations for claims processing and payments
- Limited advanced features for complex multi-provider or specialty billing
- Historical reports of system downtime affecting workflows
Best For
Solo practitioners and small clinics needing affordable, integrated EHR with straightforward billing and coding support.
Pricing
Free EHR including superbill generation and basic coding; claims submission and advanced billing via partner integrations (fees typically 3-7% of collections or flat monthly rates).
eClinicalWorks
enterpriseScalable EHR and practice management system with automated coding suggestions, claims management, and interoperability for diverse practice sizes.
AI-driven claims optimization and predictive denial prevention
eClinicalWorks is a comprehensive EHR and practice management platform with integrated medical billing and coding tools designed for healthcare providers. It automates claims processing, supports ICD-10, CPT, and HCC coding, and includes features like electronic remittance advice (ERA) posting and denial management. The system streamlines revenue cycle management by integrating billing directly with patient records and scheduling.
Pros
- Seamless EHR-billing integration reduces errors
- Robust claims scrubbing and real-time eligibility checks
- Advanced reporting for revenue cycle analytics
Cons
- Steep learning curve for new users
- Frequent software updates cause disruptions
- Expensive for smaller practices
Best For
Mid-to-large multi-provider practices needing an all-in-one EHR and billing solution.
Pricing
Custom quotes; typically $450-$700 per provider/month plus implementation fees.
NextGen Healthcare
enterpriseEnterprise healthcare platform providing advanced revenue cycle management, precise coding tools, and analytics for ambulatory practices.
AI-powered predictive analytics for denial management and revenue forecasting
NextGen Healthcare offers a comprehensive EHR and practice management platform with advanced medical billing and coding capabilities, including automated claims processing, ICD-10/CPT coding assistance, and revenue cycle management (RCM). The software integrates seamlessly with clinical workflows to ensure accurate charge capture and reduce coding errors. It supports eligibility verification, denial management, and detailed financial reporting for efficient reimbursement.
Pros
- Robust RCM tools with AI-driven coding suggestions and denial prevention
- Seamless EHR integration for accurate charge capture
- Advanced analytics and reporting for revenue optimization
Cons
- Steep learning curve and complex implementation process
- High pricing suitable only for larger practices
- Occasional reports of slower customer support response times
Best For
Large multi-specialty practices or health systems seeking an integrated EHR and billing solution with enterprise-level scalability.
Pricing
Custom enterprise pricing, typically starting at $300-$500 per provider/month plus implementation fees; quotes required.
Epic
enterpriseLeading EHR system with sophisticated billing, coding compliance, and financial modules tailored for large hospitals and health systems.
Intelligent Charge Router that automates coding and routing based on real-time clinical documentation
Epic is a comprehensive electronic health record (EHR) system with robust integrated medical billing and coding capabilities through modules like Resolute Professional and Hospital Billing. It automates claims submission, supports advanced ICD-10 and CPT coding with AI-driven suggestions, and provides end-to-end revenue cycle management tightly linked to clinical documentation. Primarily designed for large-scale healthcare organizations, it excels in handling high-volume, complex billing scenarios while ensuring regulatory compliance.
Pros
- Seamless integration with EHR for accurate charge capture from clinical data
- Advanced denial management and analytics for revenue optimization
- High compliance with HIPAA, MIPS, and coding standards like ICD-10/CPT/HCCS
Cons
- Steep learning curve and lengthy implementation (often 2+ years)
- Extremely high cost prohibitive for small practices
- Overly complex interface requiring extensive customization and training
Best For
Large hospital networks and health systems needing fully integrated EHR and revenue cycle management.
Pricing
Custom enterprise pricing, typically $500K–millions annually based on beds/patients, plus implementation fees exceeding $1M.
Oracle Health
enterpriseComprehensive health IT suite featuring revenue cycle management, automated coding, and billing optimization for complex healthcare environments.
AI-driven clinical documentation and coding automation that extracts billable codes directly from unstructured clinician notes
Oracle Health, formerly Cerner, offers a comprehensive enterprise-grade platform that includes advanced revenue cycle management (RCM) tools tailored for medical billing and coding within its broader electronic health records (EHR) ecosystem. It automates coding with AI-driven suggestions, handles claims processing, denial management, and ensures compliance with HIPAA and coding standards like ICD-10 and CPT. The solution integrates seamlessly with clinical workflows to capture charges accurately and streamline reimbursements for healthcare providers.
Pros
- Robust AI-powered coding assistance and natural language processing for accurate charge capture
- Seamless integration with EHR and clinical systems for end-to-end revenue cycle management
- Scalable for large hospitals and health systems with strong compliance and analytics tools
Cons
- Steep learning curve and complex interface requiring extensive training
- High implementation costs and long deployment timelines
- Less ideal for small practices due to overkill features and pricing
Best For
Large hospitals and health systems seeking an integrated EHR-RCM platform for high-volume billing and coding.
Pricing
Enterprise custom pricing; typically starts at $500K+ annually for mid-sized implementations, plus significant upfront setup fees.
Veradigm
enterpriseHealthcare technology platform with EHR-integrated billing, coding accuracy tools, and payer connectivity for improved reimbursements.
AI-powered predictive denial management that proactively identifies and resolves claim issues before submission
Veradigm provides a comprehensive revenue cycle management platform tailored for medical billing and coding, integrating seamlessly with its EHR systems to automate claims submission, scrubbing, and payment posting. It leverages AI-driven coding suggestions and denial management tools to enhance accuracy and reimbursement rates for healthcare providers. Ideal for larger practices, it supports complex billing workflows across multiple specialties while ensuring HIPAA compliance.
Pros
- Strong EHR integration for streamlined workflows
- Advanced AI tools for coding accuracy and denial prevention
- Robust analytics for revenue cycle optimization
Cons
- Steep learning curve for new users
- High cost for smaller practices
- Occasional customer support delays
Best For
Mid-to-large medical practices seeking an integrated EHR and billing solution for high-volume claims processing.
Pricing
Custom enterprise pricing, typically $300-$600 per provider/month depending on practice size and modules.
Conclusion
Evaluating top medical billing and coding software reveals Kareo as the leading choice, with its automation of claims submission, coding, and revenue cycle management ideal for small to mid-sized practices. AdvancedMD and athenaOne follow closely, offering strong alternatives—AdvancedMD’s advanced coding and denial management, and athenaOne’s AI-driven insights for optimized accuracy. Each tool addresses unique practice needs, ensuring there’s a standout option for every setup, whether prioritizing efficiency, coding support, or integrated EHR capabilities.
Take the first step to refine your billing workflow: explore Kareo’s features and experience the streamlined operations and improved reimbursements it delivers.
Tools Reviewed
All tools were independently evaluated for this comparison
