Quick Overview
- 1#1: Kareo - Cloud-based medical billing and practice management software that automates coding, claims submission, and revenue cycle management.
- 2#2: AdvancedMD - Comprehensive EHR and billing platform with advanced coding support, claims scrubbing, and denial management for medical practices.
- 3#3: athenahealth - Integrated cloud-based EHR and revenue cycle management system featuring automated coding and billing optimization.
- 4#4: DrChrono - Mobile-first EHR and medical billing software with real-time coding assistance and seamless claims processing.
- 5#5: Waystar - Revenue cycle management platform specializing in claims editing, coding accuracy, and payer reimbursements.
- 6#6: eClinicalWorks - EHR system with integrated billing and coding tools for efficient practice management and compliance.
- 7#7: NextGen Healthcare - Ambulatory EHR and practice management software with robust revenue cycle and medical coding features.
- 8#8: CollaborateMD - Cloud-based medical billing software focused on simplifying coding, claims, and payments for small practices.
- 9#9: CureMD - EHR and practice management platform with automated medical coding and billing workflows.
- 10#10: Office Ally - Free online portal for medical billing, claims submission, and basic coding support with payer connectivity.
Tools were selected and ranked based on key attributes including coding automation capabilities, claims processing efficiency, denial management effectiveness, user interface intuitiveness, and overall value, ensuring a balanced assessment of both technical robustness and practical utility.
Comparison Table
This comparison table explores popular medical billing coding software tools, including Kareo, AdvancedMD, athenahealth, DrChrono, Waystar, and more, to guide healthcare practices in evaluating options. Readers will gain insights into key features, usability, integration capabilities, and pricing models, helping them find the software that aligns with their operational and financial needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Kareo Cloud-based medical billing and practice management software that automates coding, claims submission, and revenue cycle management. | specialized | 9.4/10 | 9.6/10 | 9.2/10 | 9.0/10 |
| 2 | AdvancedMD Comprehensive EHR and billing platform with advanced coding support, claims scrubbing, and denial management for medical practices. | enterprise | 9.1/10 | 9.4/10 | 8.7/10 | 8.2/10 |
| 3 | athenahealth Integrated cloud-based EHR and revenue cycle management system featuring automated coding and billing optimization. | enterprise | 8.7/10 | 9.2/10 | 7.8/10 | 8.0/10 |
| 4 | DrChrono Mobile-first EHR and medical billing software with real-time coding assistance and seamless claims processing. | specialized | 8.3/10 | 8.8/10 | 7.9/10 | 7.6/10 |
| 5 | Waystar Revenue cycle management platform specializing in claims editing, coding accuracy, and payer reimbursements. | enterprise | 8.7/10 | 9.2/10 | 8.0/10 | 8.3/10 |
| 6 | eClinicalWorks EHR system with integrated billing and coding tools for efficient practice management and compliance. | enterprise | 7.6/10 | 8.1/10 | 6.7/10 | 7.2/10 |
| 7 | NextGen Healthcare Ambulatory EHR and practice management software with robust revenue cycle and medical coding features. | enterprise | 8.1/10 | 8.6/10 | 7.4/10 | 7.8/10 |
| 8 | CollaborateMD Cloud-based medical billing software focused on simplifying coding, claims, and payments for small practices. | specialized | 8.1/10 | 8.4/10 | 7.9/10 | 7.7/10 |
| 9 | CureMD EHR and practice management platform with automated medical coding and billing workflows. | specialized | 8.1/10 | 8.6/10 | 7.4/10 | 7.8/10 |
| 10 | Office Ally Free online portal for medical billing, claims submission, and basic coding support with payer connectivity. | other | 7.2/10 | 6.8/10 | 7.6/10 | 9.1/10 |
Cloud-based medical billing and practice management software that automates coding, claims submission, and revenue cycle management.
Comprehensive EHR and billing platform with advanced coding support, claims scrubbing, and denial management for medical practices.
Integrated cloud-based EHR and revenue cycle management system featuring automated coding and billing optimization.
Mobile-first EHR and medical billing software with real-time coding assistance and seamless claims processing.
Revenue cycle management platform specializing in claims editing, coding accuracy, and payer reimbursements.
EHR system with integrated billing and coding tools for efficient practice management and compliance.
Ambulatory EHR and practice management software with robust revenue cycle and medical coding features.
Cloud-based medical billing software focused on simplifying coding, claims, and payments for small practices.
EHR and practice management platform with automated medical coding and billing workflows.
Free online portal for medical billing, claims submission, and basic coding support with payer connectivity.
Kareo
specializedCloud-based medical billing and practice management software that automates coding, claims submission, and revenue cycle management.
Kareo Intelligence analytics engine for predictive denial prevention and revenue forecasting
Kareo is a cloud-based medical billing and practice management platform that specializes in revenue cycle management, offering tools for accurate medical coding, automated claims submission, and denial management. It integrates seamlessly with EHR systems to streamline workflows from patient intake to payment posting, ensuring compliance with coding standards like ICD-10 and CPT. Designed for independent practices and small to mid-sized groups, Kareo uses analytics and automation to maximize reimbursements and reduce administrative burdens.
Pros
- Advanced automation for claims scrubbing and submission with high first-pass acceptance rates
- Robust denial management and analytics for improved collections
- Seamless integration with popular EHRs and strong compliance tools for coding accuracy
Cons
- Higher pricing tiers can be costly for very small practices
- Occasional reports of customer support delays during peak times
- Limited advanced customization options compared to enterprise-level competitors
Best For
Independent medical practices and small to mid-sized groups focused on efficient revenue cycle management and medical billing optimization.
Pricing
Starts at $135 per provider/month for core billing, with tiered plans up to $300+ including RCM services; custom enterprise pricing available.
AdvancedMD
enterpriseComprehensive EHR and billing platform with advanced coding support, claims scrubbing, and denial management for medical practices.
AI-driven claims intelligence engine that predicts and prevents denials with proactive coding recommendations
AdvancedMD is a comprehensive cloud-based platform specializing in medical billing and coding as part of its integrated practice management and EHR solution. It automates revenue cycle management, including patient eligibility verification, charge capture, ICD-10/CPT/HCC coding assistance, claims scrubbing, submission, and denial management. The software ensures compliance and maximizes reimbursements through real-time analytics and seamless EHR integration, making it suitable for multi-provider practices.
Pros
- Advanced claims scrubbing with 99%+ clean claim rates
- Seamless EHR integration for accurate coding and charge capture
- Robust denial management and analytics for revenue optimization
Cons
- High subscription costs unsuitable for solo practitioners
- Steep learning curve for full feature utilization
- Customer support response times can vary
Best For
Mid-sized to large medical practices needing an integrated EHR and billing solution with strong revenue cycle management.
Pricing
Quote-based pricing starts at around $729 per provider/month for core billing features, scaling up with EHR and additional modules.
athenahealth
enterpriseIntegrated cloud-based EHR and revenue cycle management system featuring automated coding and billing optimization.
AI-powered Revenue Intelligence that proactively predicts denials and optimizes coding before submission
Athenahealth is a comprehensive cloud-based EHR and revenue cycle management (RCM) platform designed for medical practices, with strong capabilities in medical billing and coding. It automates ICD-10 and CPT coding suggestions using AI, handles claims scrubbing, submission, and denial management, while integrating seamlessly with patient records for accurate charge capture. The software provides real-time eligibility verification, payer contract analytics, and performance dashboards to optimize revenue cycles.
Pros
- Advanced AI-driven coding assistance and denial prediction for high accuracy
- Integrated EHR and RCM with robust analytics and reporting tools
- Excellent interoperability via FHIR standards and nationwide payer networks
Cons
- High implementation costs and lengthy onboarding process
- Complex interface with a steep learning curve for smaller practices
- Pricing is opaque and scales expensively for multi-provider setups
Best For
Mid-sized to large medical practices needing an integrated EHR and billing solution with enterprise-level automation.
Pricing
Custom quote-based pricing; typically $300-$700 per provider/month for athenaOne suite including billing/RCM, plus setup fees.
DrChrono
specializedMobile-first EHR and medical billing software with real-time coding assistance and seamless claims processing.
Native iPad/iOS app for real-time charting, coding, and claims submission directly from mobile devices
DrChrono is a cloud-based electronic health record (EHR) and practice management platform with robust medical billing and coding capabilities tailored for healthcare providers. It streamlines revenue cycle management through automated ICD-10 and CPT coding suggestions, real-time eligibility verification, claims scrubbing, and direct electronic submission to major payers. The software integrates billing seamlessly with patient scheduling, charting, and telehealth, helping practices reduce denials and accelerate reimbursements.
Pros
- Integrated EHR and billing workflow reduces manual entry errors
- Strong automation for coding, claims scrubbing, and denial management
- Mobile app supports on-the-go billing and coding via iOS devices
Cons
- Steep learning curve for full customization and advanced features
- Pricing can be high for solo or very small practices
- Reporting tools lack depth compared to dedicated billing software
Best For
Small to mid-sized medical practices seeking an all-in-one EHR with reliable billing and coding integrated into daily workflows.
Pricing
Starts at $199 per provider/month for basic plans; full EHR + billing suite around $399/provider/month, plus setup fees and add-ons.
Waystar
enterpriseRevenue cycle management platform specializing in claims editing, coding accuracy, and payer reimbursements.
AI-driven RevView platform for predictive denial prevention and coding accuracy
Waystar is a comprehensive revenue cycle management (RCM) platform designed for healthcare providers, specializing in medical billing, claims processing, and coding optimization. It leverages AI-driven tools for claim scrubbing, denial prevention, and accurate coding to maximize reimbursements and reduce administrative burdens. The platform integrates seamlessly with EHR systems and offers advanced analytics for performance insights across the entire billing lifecycle.
Pros
- Robust AI-powered claim scrubbing and denial management reduce errors and accelerate payments
- Extensive analytics and reporting for revenue optimization
- Strong integrations with major EHRs and PMS systems
Cons
- Steep learning curve for new users due to extensive features
- Pricing is enterprise-level and opaque without custom quotes
- Overkill for small practices with simpler billing needs
Best For
Mid-to-large healthcare organizations and hospitals seeking an end-to-end RCM solution with advanced analytics.
Pricing
Custom enterprise pricing based on volume and revenue share; typically starts at $50K+ annually for mid-sized providers, with per-claim or subscription models.
eClinicalWorks
enterpriseEHR system with integrated billing and coding tools for efficient practice management and compliance.
Prerendered Charges technology that automatically generates accurate bills from clinical encounters without manual entry
eClinicalWorks is a comprehensive EHR and practice management platform with integrated medical billing and coding capabilities, enabling automated claims processing, ICD-10/CPT coding, and revenue cycle management. It streamlines charge capture directly from clinical documentation, supports eligibility verification, and includes denial management tools to optimize reimbursements. Suitable for multi-provider practices, it ensures HIPAA compliance while handling complex billing workflows across specialties.
Pros
- Seamless EHR integration for accurate charge capture and coding
- Robust claims scrubbing and denial management tools
- Advanced analytics for revenue cycle optimization
Cons
- Steep learning curve and complex user interface
- Reported customer support delays and responsiveness issues
- High implementation and ongoing costs
Best For
Mid-to-large medical practices needing an integrated EHR and billing solution for high-volume claims processing.
Pricing
Custom subscription pricing starting at $449 per provider/month, plus one-time implementation fees of $5,000+ and add-ons for advanced features.
NextGen Healthcare
enterpriseAmbulatory EHR and practice management software with robust revenue cycle and medical coding features.
AI-powered AutoCoding with real-time HCC and specialty coding intelligence
NextGen Healthcare provides a comprehensive EHR and practice management platform with integrated medical billing and coding tools tailored for ambulatory care. Its revenue cycle management (RCM) suite automates ICD-10 and CPT coding, claims scrubbing, and denial management to optimize reimbursements. The software supports specialty-specific workflows and scalability for mid-to-large practices.
Pros
- Seamless EHR integration reduces manual data entry for coding and billing
- AI-driven coding suggestions improve accuracy and compliance
- Robust analytics and reporting for revenue cycle optimization
Cons
- Steep learning curve due to complex interface
- High implementation and customization costs
- Limited flexibility for small practices
Best For
Mid-sized to large specialty practices needing integrated EHR and advanced RCM capabilities.
Pricing
Custom enterprise pricing, typically $400-$700 per provider/month including EHR and RCM modules, with setup fees.
CollaborateMD
specializedCloud-based medical billing software focused on simplifying coding, claims, and payments for small practices.
Built-in clearinghouse with automated scrubbing that boasts industry-leading 99%+ clean claims rate on first submission
CollaborateMD is a cloud-based medical billing and practice management software tailored for healthcare providers, focusing on revenue cycle management. It automates claims processing, coding with ICD-10 and CPT support, electronic submissions, denial management, and patient payments through an integrated clearinghouse. The platform also includes scheduling, eligibility verification, and reporting tools to enhance billing efficiency and cash flow.
Pros
- Integrated clearinghouse with high first-pass claim acceptance rates (over 99%)
- Real-time eligibility checks and robust denial management tools
- Comprehensive reporting and analytics for revenue insights
Cons
- Pricing can be steep for very small practices or low-volume users
- Limited native EHR depth compared to full-suite competitors
- Occasional reports of customer support delays during peak times
Best For
Small to mid-sized medical practices prioritizing efficient claims processing and revenue cycle optimization without needing advanced EHR functionality.
Pricing
Subscription-based starting at $399/month for up to 5 providers (Essentials plan), with per-claim ($0.25+) or per-provider scaling; custom Enterprise quotes available.
CureMD
specializedEHR and practice management platform with automated medical coding and billing workflows.
AI-driven intelligent coding engine that provides real-time code suggestions and validation during documentation.
CureMD is a cloud-based EHR and practice management platform with robust medical billing and coding capabilities, automating ICD-10 and CPT code assignment, claim scrubbing, and electronic submissions to over 4,000 payers. It includes revenue cycle management tools like eligibility verification, denial tracking, AR aging analysis, and compliance reporting to minimize errors and optimize reimbursements. Ideal for healthcare providers, it integrates seamlessly with EHR for a unified workflow.
Pros
- Integrated EHR and billing for streamlined workflows
- Advanced claim scrubbing and denial management
- Comprehensive analytics for revenue optimization
Cons
- Steep learning curve for complex interface
- Custom pricing lacks upfront transparency
- Customer support response times vary
Best For
Mid-sized to large medical practices needing an all-in-one EHR-integrated billing and coding solution.
Pricing
Custom pricing starting around $300-$500 per provider/month, based on practice size, users, and modules selected.
Office Ally
otherFree online portal for medical billing, claims submission, and basic coding support with payer connectivity.
Completely free electronic claims clearinghouse service supporting unlimited submissions and rejections without monthly fees
Office Ally is a web-based platform providing medical billing and coding solutions through its free claims clearinghouse, practice management (Practice Mate), and EHR (Ally) tools. It supports electronic claims submission to multiple payers, patient eligibility verification, ERA auto-posting, and standard coding libraries like ICD-10 and CPT/HCPCS. Designed for small practices, it streamlines revenue cycle management with minimal upfront costs.
Pros
- Free claims clearinghouse with no subscription fees for basic use
- Straightforward claims scrubbing and submission to over 4000 payers
- Integrated eligibility checks and ERA posting to reduce manual work
Cons
- Limited advanced analytics and custom reporting options
- Customer support primarily via email/tickets with slower response times
- Some features like full PM/EHR require paid add-ons or per-claim fees
Best For
Small independent practices or solo providers needing cost-effective basic medical billing and coding without complex enterprise features.
Pricing
Free clearinghouse for claims/ERAs; Practice Mate PM at $0.19/claim or $299+/month subscriptions; basic EHR free with premium upgrades.
Conclusion
The reviewed medical billing coding software tools cater to diverse practice needs, with Kareo leading as the top choice due to its robust automation of coding, claims, and revenue cycle management. AdvancedMD and athenahealth stand out as strong alternatives, offering comprehensive EHR integration and billing optimization respectively, ensuring practices of all sizes find a fit. Ultimately, the right solution balances features like accuracy, efficiency, and ease of use, with these tools setting the standard.
Take the next step for your practice—try Kareo today and leverage its streamlined workflows to enhance revenue cycle performance and focus on patient care.
Tools Reviewed
All tools were independently evaluated for this comparison
