Quick Overview
- 1#1: Kareo - Cloud-based medical billing platform that automates claims submission, denial management, and revenue cycle optimization for practices of all sizes.
- 2#2: AdvancedMD - Integrated practice management and billing software with advanced claims scrubbing, electronic filing, and payment posting features.
- 3#3: athenaOne - Comprehensive EHR and revenue cycle management solution offering AI-driven claims processing and denial prevention.
- 4#4: DrChrono - Mobile-optimized EHR with robust medical billing tools for seamless claims submission and real-time eligibility verification.
- 5#5: Waystar - Revenue cycle management platform specializing in claims management, payer enrollment, and analytics to maximize reimbursements.
- 6#6: eClinicalWorks - EHR-integrated billing system that handles electronic claims, remittance advice, and AR management efficiently.
- 7#7: NextGen Healthcare - Enterprise-grade practice management software with advanced claims editing, tracking, and financial reporting capabilities.
- 8#8: Practice Fusion - Free cloud-based EHR with built-in billing services for claims processing and patient payments.
- 9#9: CharmHealth - Affordable EHR and practice management tool featuring claims clearinghouse integration and denial workflows.
- 10#10: CureMD - Cloud EHR platform with medical billing module for claims submission, ERA posting, and practice analytics.
Tools were ranked based on a balance of robust features (e.g., automation, denial management), user-centric design, reliability, and overall value, ensuring they address the diverse needs of modern medical practices.
Comparison Table
Efficient medical claims billing is essential for practice operations, and selecting the right software can significantly impact workflow. This comparison table explores top tools like Kareo, AdvancedMD, athenaOne, DrChrono, Waystar, and more, detailing their core features, strengths, and suitability to help providers identify the best fit.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Kareo Cloud-based medical billing platform that automates claims submission, denial management, and revenue cycle optimization for practices of all sizes. | specialized | 9.7/10 | 9.8/10 | 9.5/10 | 9.4/10 |
| 2 | AdvancedMD Integrated practice management and billing software with advanced claims scrubbing, electronic filing, and payment posting features. | specialized | 9.1/10 | 9.5/10 | 8.7/10 | 8.5/10 |
| 3 | athenaOne Comprehensive EHR and revenue cycle management solution offering AI-driven claims processing and denial prevention. | enterprise | 8.7/10 | 9.2/10 | 8.1/10 | 7.8/10 |
| 4 | DrChrono Mobile-optimized EHR with robust medical billing tools for seamless claims submission and real-time eligibility verification. | specialized | 8.4/10 | 9.1/10 | 8.0/10 | 7.6/10 |
| 5 | Waystar Revenue cycle management platform specializing in claims management, payer enrollment, and analytics to maximize reimbursements. | enterprise | 8.7/10 | 9.3/10 | 7.9/10 | 8.4/10 |
| 6 | eClinicalWorks EHR-integrated billing system that handles electronic claims, remittance advice, and AR management efficiently. | enterprise | 7.4/10 | 8.1/10 | 6.8/10 | 7.2/10 |
| 7 | NextGen Healthcare Enterprise-grade practice management software with advanced claims editing, tracking, and financial reporting capabilities. | enterprise | 8.1/10 | 8.7/10 | 7.2/10 | 7.8/10 |
| 8 | Practice Fusion Free cloud-based EHR with built-in billing services for claims processing and patient payments. | specialized | 7.2/10 | 6.8/10 | 8.1/10 | 9.5/10 |
| 9 | CharmHealth Affordable EHR and practice management tool featuring claims clearinghouse integration and denial workflows. | specialized | 8.4/10 | 8.6/10 | 9.1/10 | 8.7/10 |
| 10 | CureMD Cloud EHR platform with medical billing module for claims submission, ERA posting, and practice analytics. | specialized | 8.1/10 | 8.5/10 | 7.6/10 | 7.8/10 |
Cloud-based medical billing platform that automates claims submission, denial management, and revenue cycle optimization for practices of all sizes.
Integrated practice management and billing software with advanced claims scrubbing, electronic filing, and payment posting features.
Comprehensive EHR and revenue cycle management solution offering AI-driven claims processing and denial prevention.
Mobile-optimized EHR with robust medical billing tools for seamless claims submission and real-time eligibility verification.
Revenue cycle management platform specializing in claims management, payer enrollment, and analytics to maximize reimbursements.
EHR-integrated billing system that handles electronic claims, remittance advice, and AR management efficiently.
Enterprise-grade practice management software with advanced claims editing, tracking, and financial reporting capabilities.
Free cloud-based EHR with built-in billing services for claims processing and patient payments.
Affordable EHR and practice management tool featuring claims clearinghouse integration and denial workflows.
Cloud EHR platform with medical billing module for claims submission, ERA posting, and practice analytics.
Kareo
specializedCloud-based medical billing platform that automates claims submission, denial management, and revenue cycle optimization for practices of all sizes.
Kareo Intelligence AI-driven analytics that predict denials and provide actionable insights to boost collections by up to 20%.
Kareo is a leading cloud-based medical billing software that specializes in revenue cycle management for healthcare providers. It automates claims submission, scrubbing, denial management, and patient payments while integrating seamlessly with EHR and practice management systems. Designed to maximize reimbursements and minimize administrative overhead, Kareo delivers high first-pass claim acceptance rates and comprehensive reporting tools.
Pros
- Exceptional claims scrubbing and submission with 99%+ first-pass acceptance rates
- Advanced denial management and automated workflows that accelerate reimbursements
- Robust analytics and reporting via Kareo Intelligence for revenue optimization
Cons
- Pricing can be steep for very small solo practices
- Customer support response times vary during high-volume periods
- Limited advanced customization options for complex enterprise needs
Best For
Small to mid-sized independent medical practices needing a comprehensive, user-friendly platform for efficient claims billing and revenue cycle management.
Pricing
Subscription-based starting at ~$110 per provider/month for core billing, with tiered plans scaling by volume and add-ons for advanced features.
AdvancedMD
specializedIntegrated practice management and billing software with advanced claims scrubbing, electronic filing, and payment posting features.
Intelligent claims scrubber with AI-driven error detection that boasts up to 50% denial reduction rates
AdvancedMD is a comprehensive cloud-based medical billing and revenue cycle management (RCM) solution designed for healthcare practices, offering automated claims creation, scrubbing, and electronic submission to over 2,500 payers. It includes denial management, AR tracking, patient payment processing, and real-time eligibility verification to optimize cash flow. Integrated with its EHR and practice management suite, it provides end-to-end billing workflows with advanced analytics for performance insights.
Pros
- Extensive integrations with major payers and clearinghouses for high first-pass acceptance rates
- Powerful denial management tools with automated workflows and root cause analysis
- Real-time reporting and dashboards for AR aging, collections, and revenue forecasting
Cons
- Premium pricing that may strain budgets for small or solo practices
- Steep initial learning curve and lengthy onboarding process
- Occasional reports of system performance issues during peak usage
Best For
Mid-sized to large multi-specialty practices needing scalable, integrated RCM with EHR capabilities.
Pricing
Custom quote-based pricing; core billing modules start around $400-$600 per provider/month, with full suite $700+ depending on practice size and add-ons.
athenaOne
enterpriseComprehensive EHR and revenue cycle management solution offering AI-driven claims processing and denial prevention.
AI-powered Revenue Intelligence that proactively predicts denials and optimizes cash flow
athenaOne by athenahealth is a comprehensive cloud-based EHR and practice management platform with robust medical claims billing capabilities integrated into its revenue cycle management suite. It automates claims creation, submission, scrubbing, and denial management while providing real-time eligibility verification and payer analytics to maximize reimbursements. Designed for ambulatory care, it supports high-volume billing with compliance tools for HIPAA and other regulations, achieving industry-leading first-pass acceptance rates.
Pros
- Advanced claims scrubbing and automation for high first-pass acceptance rates
- Integrated denial management with AI-driven insights and analytics
- Seamless real-time eligibility checks and payer connectivity
Cons
- High subscription costs, especially for smaller practices
- Steep initial learning curve for full customization
- Limited flexibility in custom reporting without add-ons
Best For
Mid-sized to large ambulatory practices needing an integrated EHR and revenue cycle solution with strong claims processing.
Pricing
Custom quote-based pricing; typically $300-$500 per provider per month including EHR, PM, and RCM features.
DrChrono
specializedMobile-optimized EHR with robust medical billing tools for seamless claims submission and real-time eligibility verification.
Auto-population of billing codes directly from EHR charting notes using natural language processing
DrChrono is a cloud-based electronic health record (EHR) and practice management platform with integrated medical claims billing capabilities, enabling seamless workflows from patient charting to claims submission. It supports electronic claims processing for over 3,000 payers, real-time eligibility verification, automated scrubbing, and payment posting directly within the EHR interface. Designed for ambulatory practices, it streamlines revenue cycle management while ensuring HIPAA compliance and mobile accessibility via iOS and web apps.
Pros
- Fully integrated EHR-to-billing workflow reduces errors and manual data entry
- Real-time eligibility checks and claims status tracking improve cash flow
- Mobile app supports billing tasks on-the-go for providers
Cons
- Pricing can be expensive for small practices with per-provider fees
- Steep learning curve for non-tech-savvy users despite intuitive design
- Customer support response times vary, with some reports of delays
Best For
Small to mid-sized ambulatory practices seeking an all-in-one EHR and billing solution with strong mobile support.
Pricing
Starts at $199/provider/month for basic plans, up to $439/provider/month for enterprise features; includes setup fees and add-ons for telehealth or advanced analytics.
Waystar
enterpriseRevenue cycle management platform specializing in claims management, payer enrollment, and analytics to maximize reimbursements.
RevMax AI intelligence for predictive denial prevention and automated revenue recovery
Waystar is a leading cloud-based revenue cycle management platform focused on medical claims billing for healthcare providers. It automates claims scrubbing, submission, eligibility verification, and denial management to accelerate reimbursements and reduce errors. With advanced analytics and AI-driven insights, it integrates seamlessly with EHRs and practice management systems to optimize financial performance across large-scale operations.
Pros
- Highly automated claims processing with AI-powered scrubbing for high first-pass acceptance rates
- Robust denial prevention and appeals management tools
- Comprehensive analytics and payer contract optimization
Cons
- Enterprise-focused pricing that's expensive for smaller practices
- Steep learning curve and lengthy implementation timeline
- Customization requires significant IT involvement
Best For
Large hospitals, health systems, and multi-location providers handling high-volume claims.
Pricing
Custom enterprise pricing, typically per-claim fees or a percentage of collections (e.g., $0.50-$2 per claim plus setup fees); quotes start at $50K+ annually.
eClinicalWorks
enterpriseEHR-integrated billing system that handles electronic claims, remittance advice, and AR management efficiently.
Prism revenue cycle analytics for predictive denial prevention and performance insights
eClinicalWorks is a comprehensive EHR and practice management platform with integrated medical claims billing software that automates the revenue cycle from charge entry to payment reconciliation. It features claims scrubbing, electronic submission to major payers, denial management, and ERA auto-posting to minimize errors and accelerate reimbursements. The system supports eligibility checks, superbilling, and customizable reporting for efficient financial oversight in medical practices.
Pros
- Seamless EHR integration for accurate charge capture
- Advanced claims scrubbing and denial management tools
- Scalable for high-volume practices with robust analytics
Cons
- Steep learning curve and outdated interface
- Inconsistent customer support response times
- High implementation and customization costs
Best For
Mid-sized to large medical practices needing an integrated EHR and billing solution for complex revenue cycles.
Pricing
Custom subscription pricing starts at around $449 per provider per month for the full EHR/PM suite, plus setup fees and add-ons.
NextGen Healthcare
enterpriseEnterprise-grade practice management software with advanced claims editing, tracking, and financial reporting capabilities.
Precision Claims Engine with AI-powered predictive denial management
NextGen Healthcare offers a comprehensive EHR and practice management platform with robust medical claims billing features, automating the entire revenue cycle from charge capture to payment posting. It excels in claims scrubbing, electronic submission to major payers, denial management, and AR analytics to optimize reimbursements. Ideal for ambulatory and specialty practices, it ensures HIPAA compliance and interoperability with clearinghouses.
Pros
- Seamless integration of EHR and billing for efficient workflows
- Advanced AI-driven denial prediction and automated resubmissions
- Scalable analytics dashboard for revenue cycle insights
Cons
- Steep learning curve and complex setup process
- High implementation costs and custom pricing
- Occasional glitches in payer connectivity reported by users
Best For
Mid-sized to large specialty practices needing integrated EHR and advanced revenue cycle management.
Pricing
Custom enterprise pricing; typically $400-$700 per provider/month plus one-time implementation fees starting at $50,000+.
Practice Fusion
specializedFree cloud-based EHR with built-in billing services for claims processing and patient payments.
Its ad-supported, entirely free model that combines EHR and basic billing without upfront costs
Practice Fusion is a free, cloud-based electronic health record (EHR) platform that includes integrated basic medical claims billing functionalities for small practices. It enables users to generate superbills, CMS-1500 forms, patient statements, and track payments within the same interface as clinical documentation. While it supports claims export and integration with third-party clearinghouses for electronic submission, it is not a dedicated revenue cycle management solution and focuses more on EHR capabilities.
Pros
- Completely free core platform with no subscription fees
- Seamless integration of billing with EHR charting
- Cloud-based accessibility from any device
Cons
- Lacks advanced features like automated denial management or full AR tracking
- Requires third-party clearinghouses for direct claims submission
- Customer support can be inconsistent and slow
Best For
Solo practitioners or small clinics seeking a cost-free EHR with basic billing tools integrated into clinical workflows.
Pricing
Free for core EHR and billing features; optional paid integrations or add-ons for advanced functionality.
CharmHealth
specializedAffordable EHR and practice management tool featuring claims clearinghouse integration and denial workflows.
Automated claims scrubbing and denial management integrated directly with EHR documentation
CharmHealth is a cloud-based EHR and practice management platform with integrated medical claims billing features, enabling electronic claims submission to major payers like Medicare, Medicaid, and commercial insurers. It streamlines revenue cycle management through automated scrubbing, denial tracking, ERA auto-posting, and patient payment portals. Designed primarily for small to mid-sized practices, it combines clinical documentation with billing workflows to minimize errors and improve cash flow.
Pros
- Seamless integration of EHR and billing for efficient workflows
- User-friendly interface with quick claims submission and ERA processing
- Affordable pricing suitable for small practices
Cons
- Limited advanced reporting and analytics compared to dedicated billing software
- Customization options are somewhat restricted
- Customer support can have variable response times
Best For
Small to mid-sized medical practices needing an integrated, easy-to-use EHR and billing solution without high costs.
Pricing
Starts at $325 per provider per month (billed annually), with tiers scaling based on users and features; additional setup fees may apply.
CureMD
specializedCloud EHR platform with medical billing module for claims submission, ERA posting, and practice analytics.
AI-driven claims scrubbing and denial management that proactively identifies and resolves issues before submission
CureMD is a comprehensive cloud-based EHR and practice management platform with integrated medical claims billing software designed for healthcare providers. It automates electronic claims submission for CMS-1500 and UB-04 forms, supports real-time eligibility verification across major payers, and includes advanced tools for AR management, denial scrubbing, and payment posting. The solution emphasizes seamless integration between clinical documentation and billing workflows to reduce errors and accelerate reimbursements.
Pros
- Robust claims scrubbing and error checking to minimize denials
- Seamless EHR integration for efficient coding and billing
- Real-time eligibility verification and patient payment portals
Cons
- Steep learning curve for new users due to extensive features
- Custom pricing can be costly for small practices
- Occasional reports of customer support delays
Best For
Mid-sized specialty practices needing an all-in-one EHR and billing system for streamlined revenue cycle management.
Pricing
Custom quote-based pricing, typically starting at $295 per provider per month plus setup fees.
Conclusion
This review highlighted 10 leading medical claims billing software solutions, with Kareo rising as the top pick for its comprehensive automation of claims submission, denial management, and revenue cycle optimization across practice sizes. AdvancedMD and athenaOne emerged as strong alternatives, offering advanced features like claims scrubbing and AI-driven processing to cater to specific practice needs. For any practice, the key is to align software with its unique workflow, but the top contenders—including Kareo—consistently deliver on efficiency and reimbursement success.
Don’t miss out on streamlining your billing process: start exploring Kareo today to unlock seamless operations, faster reimbursements, and improved practice profitability.
Tools Reviewed
All tools were independently evaluated for this comparison
