Quick Overview
- 1#1: Kareo - Delivers cloud-based medical billing, claims management, and revenue cycle optimization for practices and billing services.
- 2#2: athenahealth - Offers integrated EHR, practice management, and advanced medical billing services with AI-driven revenue cycle management.
- 3#3: AdvancedMD - Provides robust medical billing, scheduling, and practice management software tailored for efficient claims processing.
- 4#4: DrChrono - Combines EHR with streamlined medical billing, insurance verification, and patient payments in a mobile-friendly platform.
- 5#5: eClinicalWorks - Features comprehensive EHR and medical billing tools for claims submission, denial management, and financial reporting.
- 6#6: NextGen Healthcare - Supplies enterprise-grade practice management and medical billing software with analytics for revenue cycle improvement.
- 7#7: CollaborateMD - Specializes in medical billing software for clearinghouses and services handling multi-provider claims and ERA posting.
- 8#8: PracticeSuite - Offers all-in-one medical billing, EHR, and revenue management platform for practices and billing companies.
- 9#9: CureMD - Provides customizable medical billing software with EHR integration for efficient claims processing and payments.
- 10#10: Waystar - Focuses on revenue cycle management with advanced medical billing, claims scrubbing, and denial prevention tools.
Tools were evaluated based on robust feature sets (including claims management, integration capabilities, and denial prevention), user satisfaction, intuitive design, and overall value, ensuring they suit practices of all sizes and specialties
Comparison Table
Finding the right medical billing service software is essential for efficient practice management; this comparison table evaluates top tools like Kareo, athenahealth, AdvancedMD, DrChrono, and eClinicalWorks, highlighting key features, usability, and integration strengths. Readers will discover which solution aligns best with their needs, whether for small clinics or larger practices, by examining critical factors to inform their decision-making.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Kareo Delivers cloud-based medical billing, claims management, and revenue cycle optimization for practices and billing services. | enterprise | 9.4/10 | 9.6/10 | 9.2/10 | 9.0/10 |
| 2 | athenahealth Offers integrated EHR, practice management, and advanced medical billing services with AI-driven revenue cycle management. | enterprise | 9.2/10 | 9.5/10 | 8.4/10 | 8.7/10 |
| 3 | AdvancedMD Provides robust medical billing, scheduling, and practice management software tailored for efficient claims processing. | enterprise | 8.7/10 | 9.2/10 | 7.8/10 | 8.1/10 |
| 4 | DrChrono Combines EHR with streamlined medical billing, insurance verification, and patient payments in a mobile-friendly platform. | specialized | 8.6/10 | 9.1/10 | 8.4/10 | 8.0/10 |
| 5 | eClinicalWorks Features comprehensive EHR and medical billing tools for claims submission, denial management, and financial reporting. | enterprise | 8.1/10 | 8.7/10 | 7.2/10 | 7.8/10 |
| 6 | NextGen Healthcare Supplies enterprise-grade practice management and medical billing software with analytics for revenue cycle improvement. | enterprise | 8.2/10 | 9.1/10 | 7.4/10 | 7.8/10 |
| 7 | CollaborateMD Specializes in medical billing software for clearinghouses and services handling multi-provider claims and ERA posting. | specialized | 8.4/10 | 8.6/10 | 8.9/10 | 7.9/10 |
| 8 | PracticeSuite Offers all-in-one medical billing, EHR, and revenue management platform for practices and billing companies. | enterprise | 8.1/10 | 8.5/10 | 7.6/10 | 8.0/10 |
| 9 | CureMD Provides customizable medical billing software with EHR integration for efficient claims processing and payments. | specialized | 8.5/10 | 9.0/10 | 7.8/10 | 8.2/10 |
| 10 | Waystar Focuses on revenue cycle management with advanced medical billing, claims scrubbing, and denial prevention tools. | enterprise | 8.5/10 | 9.2/10 | 7.8/10 | 8.1/10 |
Delivers cloud-based medical billing, claims management, and revenue cycle optimization for practices and billing services.
Offers integrated EHR, practice management, and advanced medical billing services with AI-driven revenue cycle management.
Provides robust medical billing, scheduling, and practice management software tailored for efficient claims processing.
Combines EHR with streamlined medical billing, insurance verification, and patient payments in a mobile-friendly platform.
Features comprehensive EHR and medical billing tools for claims submission, denial management, and financial reporting.
Supplies enterprise-grade practice management and medical billing software with analytics for revenue cycle improvement.
Specializes in medical billing software for clearinghouses and services handling multi-provider claims and ERA posting.
Offers all-in-one medical billing, EHR, and revenue management platform for practices and billing companies.
Provides customizable medical billing software with EHR integration for efficient claims processing and payments.
Focuses on revenue cycle management with advanced medical billing, claims scrubbing, and denial prevention tools.
Kareo
enterpriseDelivers cloud-based medical billing, claims management, and revenue cycle optimization for practices and billing services.
Revenue Intelligence dashboard with AI-driven predictive analytics for forecasting cash flow and identifying reimbursement risks
Kareo is a cloud-based medical billing and revenue cycle management platform tailored for independent practices, offering automated claims submission, scrubbing, denial management, and patient payment processing. It integrates seamlessly with EHR and practice management tools to streamline the entire billing workflow from charge capture to collections. As a top-ranked solution, Kareo emphasizes scalability, analytics, and compliance to maximize reimbursements.
Pros
- Advanced automation for claims scrubbing and denial prevention reduces errors and accelerates reimbursements
- Comprehensive revenue cycle analytics provide actionable insights into financial performance
- Seamless integration with popular EHR systems and strong HIPAA compliance
Cons
- Pricing can be steep for very small practices or solo providers
- Occasional reports of slower customer support response times during peak periods
- Limited advanced customization options for highly specialized billing workflows
Best For
Independent medical practices and small to mid-sized groups looking for an all-in-one, scalable billing solution to optimize revenue without heavy IT overhead.
Pricing
Starts at $155/provider/month for core billing software; full-service managed billing and enterprise plans are custom-priced based on volume and needs.
athenahealth
enterpriseOffers integrated EHR, practice management, and advanced medical billing services with AI-driven revenue cycle management.
AI-powered Revenue Intelligence that leverages a vast dataset for predictive denial management and benchmarking against industry peers
Athenahealth offers a cloud-based, integrated platform for medical billing and revenue cycle management (RCM) as part of its athenaOne suite, which combines EHR, practice management, and billing tools. It automates claims scrubbing, electronic submission, denial management, and patient collections to maximize reimbursements and reduce administrative burdens. With advanced analytics and AI-driven insights, it helps practices optimize financial performance and achieve high first-pass claim acceptance rates.
Pros
- Exceptional automation for claims processing with 98%+ clean claims rate
- Seamless integration with EHR and patient engagement tools
- Powerful AI analytics for denial prevention and revenue optimization
Cons
- High implementation costs and custom pricing
- Steep learning curve for full feature utilization
- Limited flexibility for highly customized workflows
Best For
Mid-sized to large medical practices needing a comprehensive, integrated EHR and billing solution with strong RCM capabilities.
Pricing
Custom quotes based on practice size; typically $140-$425 per provider/month for core EHR/billing, plus RCM fees (often 4-7% of collections or flat rates).
AdvancedMD
enterpriseProvides robust medical billing, scheduling, and practice management software tailored for efficient claims processing.
AI-powered claims scrubbing engine that proactively identifies and resolves errors before submission
AdvancedMD is a comprehensive cloud-based platform offering robust medical billing services as part of its integrated EHR and practice management suite. It automates revenue cycle management, including claims submission, scrubbing, denial management, and patient payments. Designed for healthcare providers, it ensures compliance with HIPAA and supports multiple specialties with real-time analytics and reporting.
Pros
- Powerful claims scrubbing and denial management tools reduce errors and accelerate reimbursements
- Seamless integration with major clearinghouses and EHR for end-to-end workflow
- Advanced analytics and reporting for revenue optimization
Cons
- Steep learning curve for full feature utilization
- Pricing can be high for smaller practices
- Customer support response times vary
Best For
Mid-sized to large medical practices needing integrated billing with EHR and advanced revenue cycle tools.
Pricing
Custom subscription pricing starting at around $400 per provider/month for billing modules, scaling with practice size and add-ons.
DrChrono
specializedCombines EHR with streamlined medical billing, insurance verification, and patient payments in a mobile-friendly platform.
Native iPad and iOS app with full billing functionality for tablet-based claims entry and patient payments
DrChrono is a comprehensive cloud-based EHR and practice management platform with integrated medical billing services, enabling automated claims submission, scrubbing, and revenue cycle management. It supports electronic remittance advice (ERA) posting, denial management, patient eligibility checks, and payment processing within a unified interface. Designed for ambulatory practices across specialties, it streamlines billing workflows alongside scheduling, charting, and telehealth.
Pros
- Seamless integration of billing with EHR and scheduling
- Strong automation for claims scrubbing and denial management
- Mobile-first design with iOS app for on-the-go billing
Cons
- Pricing can escalate quickly with add-ons and user counts
- Initial setup and customization require significant time
- Customer support response times vary by plan tier
Best For
Small to mid-sized medical practices seeking an all-in-one EHR solution with robust, integrated billing capabilities.
Pricing
Starts at $199 per provider/month for core plans; scales to $439+/month for Pro/Enterprise with full billing features; custom quotes for larger practices.
eClinicalWorks
enterpriseFeatures comprehensive EHR and medical billing tools for claims submission, denial management, and financial reporting.
AI-powered predictive denial prevention and revenue cycle analytics
eClinicalWorks is a comprehensive EHR and practice management platform with integrated medical billing capabilities, enabling electronic claims submission, eligibility verification, and revenue cycle management. It supports automated scrubbing, denial management, payment posting, and compliance with HIPAA standards, making it suitable for streamlining billing workflows in healthcare settings. The software also includes patient payment portals and reporting tools to track AR and optimize reimbursements.
Pros
- Seamless integration with EHR for end-to-end workflow
- Advanced denial management and AR tracking tools
- Strong support for multi-payer claims and real-time eligibility checks
Cons
- Steep learning curve and complex interface
- Customer support response times can be inconsistent
- High costs for implementation and customization
Best For
Mid-sized to large medical practices needing an all-in-one EHR with robust billing features.
Pricing
Custom quote-based pricing; typically $450-$700 per provider/month for full EHR and billing suite, plus setup fees.
NextGen Healthcare
enterpriseSupplies enterprise-grade practice management and medical billing software with analytics for revenue cycle improvement.
AI-powered revenue cycle analytics that predict and prevent claim denials proactively
NextGen Healthcare provides a comprehensive electronic health record (EHR) and practice management platform with robust revenue cycle management (RCM) tools tailored for medical billing. It automates claims submission, denial management, patient eligibility verification, and payment posting to streamline billing workflows for healthcare providers. The software integrates clinical documentation with financial processes, offering analytics for optimizing reimbursements and reducing errors.
Pros
- Seamless integration of EHR and billing for accurate charge capture
- Advanced denial management and analytics for revenue optimization
- Support for multiple specialties with customizable rules engines
Cons
- Steep learning curve due to extensive features
- High implementation costs and time requirements
- Customer support can be inconsistent for smaller practices
Best For
Mid-sized to large ambulatory practices seeking an all-in-one EHR and billing solution with strong RCM capabilities.
Pricing
Custom enterprise pricing starting at $400+ per provider/month, plus one-time implementation fees of $10,000+ and optional RCM services.
CollaborateMD
specializedSpecializes in medical billing software for clearinghouses and services handling multi-provider claims and ERA posting.
Advanced AI-powered claims scrubbing engine that achieves over 99% first-pass acceptance rates
CollaborateMD is a cloud-based medical billing and practice management software designed to streamline revenue cycle management for healthcare providers. It offers comprehensive tools for electronic claims submission, scrubbing, patient eligibility verification, denial management, and payment posting. The platform integrates with popular EHR systems and provides customizable reporting to help practices maximize reimbursements and reduce administrative burdens.
Pros
- Intuitive, user-friendly interface with minimal training required
- Robust claims scrubbing and denial management tools
- Strong customer support and HIPAA-compliant security
Cons
- Pricing scales quickly for high-volume practices
- Limited advanced analytics compared to enterprise competitors
- Some users report occasional EHR integration delays
Best For
Small to mid-sized medical practices seeking an efficient, all-in-one billing solution without complex setup.
Pricing
Starts at $399/month for up to 400 claims per provider, with tiered plans scaling by volume and custom enterprise options.
PracticeSuite
enterpriseOffers all-in-one medical billing, EHR, and revenue management platform for practices and billing companies.
AI-powered denial prevention and auto-resubmission engine that reduces claim rejections by up to 50%
PracticeSuite is a cloud-based medical billing and practice management software tailored for healthcare providers, offering end-to-end revenue cycle management (RCM) including claims submission, denial management, and payment posting. It integrates electronic health records (EHR), scheduling, and patient engagement tools to streamline operations. The platform supports multi-specialty practices with robust analytics and compliance features for HIPAA and MIPS reporting.
Pros
- Comprehensive RCM with automated claims scrubbing and denial resolution
- Strong integration with major EHRs and over 5,000 payers
- Detailed financial reporting and analytics for revenue optimization
Cons
- Steep learning curve for new users due to extensive features
- Customer support response times can be inconsistent
- Customization requires additional setup time and costs
Best For
Small to mid-sized medical practices seeking an integrated billing and practice management solution with strong payer connectivity.
Pricing
Custom pricing starting at around $199 per provider/month, with tiers based on practice size, users, and modules; includes implementation fees.
CureMD
specializedProvides customizable medical billing software with EHR integration for efficient claims processing and payments.
AI-driven claims intelligence engine for predictive denial management and optimized reimbursements
CureMD is a cloud-based all-in-one healthcare platform offering integrated EHR, practice management, and medical billing solutions tailored for medical practices. Its billing module automates revenue cycle management, including claims submission to major clearinghouses, eligibility verification, denial tracking, and payment posting. Designed for efficiency, it supports ICD-10/CPT coding, HIPAA compliance, and customizable reporting to optimize cash flow.
Pros
- Comprehensive RCM tools with automated claims scrubbing and 98%+ clean claims rate
- Seamless integration with EHR and major payers/clearinghouses
- Advanced analytics for AR management and denial prevention
Cons
- Steeper learning curve for non-tech-savvy users
- Custom pricing can be expensive for solo/small practices
- Occasional reports of slow support response times
Best For
Mid-sized specialty practices seeking an integrated EHR and billing platform with strong revenue cycle automation.
Pricing
Custom subscription starting at ~$395/user/month for core PM/billing; scales with users/modules (enterprise quotes required).
Waystar
enterpriseFocuses on revenue cycle management with advanced medical billing, claims scrubbing, and denial prevention tools.
AI-driven RevView analytics that predict and prevent denials before submission
Waystar is a comprehensive revenue cycle management (RCM) platform designed for healthcare providers, specializing in medical billing services through automated claims processing, denial management, and payment optimization. It integrates seamlessly with EHR systems and offers tools for patient collections, analytics, and compliance. Waystar processes billions of transactions annually, helping organizations improve cash flow and reduce revenue leakage.
Pros
- High first-pass claims acceptance rates exceeding 98%
- Robust AI-powered analytics for denial prevention and revenue forecasting
- Extensive integrations with major EHRs and practice management systems
Cons
- Complex interface with a steeper learning curve for new users
- Pricing lacks transparency and can be costly for small practices
- Implementation may require significant time and consulting support
Best For
Mid-sized to large healthcare providers and hospitals needing enterprise-grade RCM with high-volume claims processing.
Pricing
Custom enterprise pricing, typically based on claims volume or percentage of collections; starts around $500/month for basic plans but scales significantly for full features—contact for demo and quote.
Conclusion
Having reviewed the top medical billing service software, Kareo emerges as the top choice, delivering robust cloud-based tools for efficient revenue cycle management. Athenahealth and AdvancedMD also stand out, with integrated features and tailored solutions to suit various practice needs. Each option offers unique strengths, ensuring there’s a strong fit for different operational requirements.
Take the next step in optimizing your practice—try Kareo today to leverage its seamless, comprehensive approach to medical billing and enhance your revenue cycle efficiency.
Tools Reviewed
All tools were independently evaluated for this comparison
