Quick Overview
- 1#1: Kareo - Cloud-based platform that automates medical coding, billing, claims submission, and revenue cycle management for practices of all sizes.
- 2#2: athenahealth - Integrated EHR and revenue cycle management solution with advanced medical coding, billing, and denial management features.
- 3#3: AdvancedMD - Comprehensive practice management software offering electronic billing, coding compliance, and payment processing.
- 4#4: DrChrono - All-in-one EHR with mobile-friendly medical billing, superbilling, and automated coding tools.
- 5#5: Waystar - Revenue cycle management platform specializing in claims scrubbing, coding accuracy, and payer reimbursements.
- 6#6: eClinicalWorks - Cloud EHR system with integrated billing, coding support, and analytics for efficient reimbursements.
- 7#7: NextGen Healthcare - Enterprise EHR and practice management with robust medical coding, charge capture, and billing workflows.
- 8#8: PracticeSuite - Integrated RCM solution for medical coding, multi-specialty billing, and patient payments.
- 9#9: CureMD - Cloud-based EHR and billing software with automated coding, claims tracking, and reporting.
- 10#10: Office Ally - Web-based portal for electronic claims submission, coding verification, and practice billing management.
We selected and ranked these solutions by evaluating key factors, including advanced coding automation, denial management capabilities, ease of use, integration flexibility, and overall value to practices of all sizes.
Comparison Table
Medical coding and billing software is essential for optimizing healthcare practice workflows, and this comparison table details top tools like Kareo, athenahealth, AdvancedMD, DrChrono, Waystar, and more, exploring their core features, pricing structures, and user experiences. Readers will gain clarity on which software aligns with their practice’s size, needs, and compliance requirements, empowering informed decisions to enhance efficiency.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Kareo Cloud-based platform that automates medical coding, billing, claims submission, and revenue cycle management for practices of all sizes. | specialized | 9.3/10 | 9.6/10 | 8.9/10 | 9.1/10 |
| 2 | athenahealth Integrated EHR and revenue cycle management solution with advanced medical coding, billing, and denial management features. | enterprise | 9.2/10 | 9.5/10 | 8.7/10 | 8.3/10 |
| 3 | AdvancedMD Comprehensive practice management software offering electronic billing, coding compliance, and payment processing. | enterprise | 8.6/10 | 9.1/10 | 7.8/10 | 7.9/10 |
| 4 | DrChrono All-in-one EHR with mobile-friendly medical billing, superbilling, and automated coding tools. | specialized | 8.3/10 | 9.0/10 | 7.5/10 | 8.0/10 |
| 5 | Waystar Revenue cycle management platform specializing in claims scrubbing, coding accuracy, and payer reimbursements. | enterprise | 8.6/10 | 9.2/10 | 8.0/10 | 8.3/10 |
| 6 | eClinicalWorks Cloud EHR system with integrated billing, coding support, and analytics for efficient reimbursements. | enterprise | 8.1/10 | 8.7/10 | 7.4/10 | 7.9/10 |
| 7 | NextGen Healthcare Enterprise EHR and practice management with robust medical coding, charge capture, and billing workflows. | enterprise | 8.4/10 | 9.2/10 | 7.8/10 | 8.0/10 |
| 8 | PracticeSuite Integrated RCM solution for medical coding, multi-specialty billing, and patient payments. | specialized | 8.2/10 | 8.8/10 | 7.4/10 | 7.9/10 |
| 9 | CureMD Cloud-based EHR and billing software with automated coding, claims tracking, and reporting. | specialized | 8.1/10 | 8.5/10 | 7.7/10 | 7.9/10 |
| 10 | Office Ally Web-based portal for electronic claims submission, coding verification, and practice billing management. | specialized | 7.2/10 | 6.8/10 | 7.6/10 | 8.5/10 |
Cloud-based platform that automates medical coding, billing, claims submission, and revenue cycle management for practices of all sizes.
Integrated EHR and revenue cycle management solution with advanced medical coding, billing, and denial management features.
Comprehensive practice management software offering electronic billing, coding compliance, and payment processing.
All-in-one EHR with mobile-friendly medical billing, superbilling, and automated coding tools.
Revenue cycle management platform specializing in claims scrubbing, coding accuracy, and payer reimbursements.
Cloud EHR system with integrated billing, coding support, and analytics for efficient reimbursements.
Enterprise EHR and practice management with robust medical coding, charge capture, and billing workflows.
Integrated RCM solution for medical coding, multi-specialty billing, and patient payments.
Cloud-based EHR and billing software with automated coding, claims tracking, and reporting.
Web-based portal for electronic claims submission, coding verification, and practice billing management.
Kareo
specializedCloud-based platform that automates medical coding, billing, claims submission, and revenue cycle management for practices of all sizes.
AI-driven Intelligent Denial Prevention that automatically identifies and resolves claim issues before submission
Kareo is a comprehensive cloud-based platform specializing in medical coding and billing, offering end-to-end revenue cycle management for healthcare practices. It automates claim scrubbing, coding suggestions with AI-driven tools, electronic claims submission to over 4,000 payers, and denial management to maximize reimbursements. Integrated with EHR and practice management, Kareo reduces errors, accelerates payments, and provides detailed analytics for financial performance.
Pros
- Advanced AI-powered coding and claim scrubbing minimizes errors and denials
- Seamless integration with EHR and 4,000+ payers for efficient workflows
- Robust reporting and analytics for revenue optimization
Cons
- Pricing scales with practice size and can be costly for solos
- Steeper learning curve for advanced features
- Customer support response times vary during peak periods
Best For
Small to mid-sized medical practices seeking an all-in-one solution for streamlined coding, billing, and revenue cycle management.
Pricing
Revenue-based pricing starts at $110/provider/month for core billing, with tiered plans (Starter, Growth, Pro) scaling by claims volume and features; custom enterprise quotes available.
athenahealth
enterpriseIntegrated EHR and revenue cycle management solution with advanced medical coding, billing, and denial management features.
AI-driven Revenue Cycle Intelligence for predictive denial management and automated coding optimization
Athenahealth's athenaOne platform offers robust medical coding and billing capabilities through its integrated Revenue Cycle Management (RCM) tools. It automates coding with AI-driven suggestions based on clinical documentation from the EHR, streamlines claims submission, scrubbing, and denial management to achieve high first-pass acceptance rates. The cloud-based system provides real-time eligibility verification, payer connectivity, and analytics for optimizing revenue cycles in healthcare practices.
Pros
- AI-powered coding automation and claim scrubbing for high accuracy and efficiency
- Seamless EHR integration reducing errors in documentation-to-billing workflow
- Advanced analytics and denial prevention tools boosting revenue recovery
Cons
- High subscription costs that may strain smaller practices
- Steep learning curve and lengthy implementation process
- Limited customization options for unique practice workflows
Best For
Mid-sized to large medical practices needing an integrated EHR and RCM solution for scalable coding and billing.
Pricing
Custom subscription pricing typically $300-$700 per provider per month, plus setup fees and usage-based add-ons.
AdvancedMD
enterpriseComprehensive practice management software offering electronic billing, coding compliance, and payment processing.
AI-driven Smart Claim Scrubber that proactively identifies and corrects coding errors before submission
AdvancedMD is a cloud-based practice management and EHR platform with robust medical coding and billing capabilities, designed to streamline revenue cycle management for healthcare providers. It automates claims submission, coding suggestions using AI, and denial management while integrating seamlessly with electronic health records. The software supports specialties like primary care, orthopedics, and behavioral health, offering tools for eligibility verification, payment posting, and compliance reporting.
Pros
- Advanced claims scrubbing and auto-coding reduce errors and denials
- Seamless EHR integration for efficient workflow
- Comprehensive reporting and analytics for revenue insights
Cons
- High cost with custom pricing that may strain smaller practices
- Steep learning curve for full feature utilization
- Occasional customer support delays reported by users
Best For
Mid-sized to large medical practices seeking an integrated EHR and billing solution with strong automation.
Pricing
Custom quote-based pricing; typically starts at $400-$600 per provider/month for core billing modules, with add-ons increasing costs.
DrChrono
specializedAll-in-one EHR with mobile-friendly medical billing, superbilling, and automated coding tools.
Native iPad app enabling full coding, billing, and claims management directly from mobile devices
DrChrono is a comprehensive cloud-based EHR platform with integrated medical coding and billing tools designed for healthcare providers. It automates coding with ICD-10 and CPT support, electronic claims submission to thousands of payers, eligibility verification, and revenue cycle management within a unified workflow. The software enhances efficiency by linking clinical documentation directly to billing codes, reducing errors and accelerating reimbursements.
Pros
- Seamless EHR-billing integration for streamlined workflows
- Automated coding suggestions and claims scrubbing
- Strong mobile app support for iOS devices
Cons
- Steep learning curve for new users
- Higher pricing may strain small practices
- Occasional reports of billing glitches or slow support
Best For
Mid-sized specialty practices needing an all-in-one EHR with robust coding and billing tied to mobile charting.
Pricing
Starts at $199/provider/month for basic EHR+billing; premium tiers up to $439/provider/month; custom enterprise quotes and setup fees apply.
Waystar
enterpriseRevenue cycle management platform specializing in claims scrubbing, coding accuracy, and payer reimbursements.
AI-driven RevMax with predictive denial intelligence that proactively identifies and resolves coding issues before submission
Waystar is a leading cloud-based revenue cycle management (RCM) platform that excels in medical coding and billing for healthcare providers of all sizes. It automates claims processing, coding accuracy, denial management, and patient payments using AI-driven insights and extensive payer integrations. The software integrates with major EHR systems to reduce errors, accelerate reimbursements, and optimize financial performance.
Pros
- Extensive payer network with over 4,000 connections for high first-pass claim acceptance
- AI-powered coding intelligence and denial prevention tools that improve accuracy and speed
- Comprehensive analytics dashboard for real-time revenue cycle visibility
Cons
- Custom pricing can be expensive for small practices
- Initial implementation and integration may take several months
- Advanced features require training for full utilization
Best For
Mid-to-large hospitals and health systems needing scalable, enterprise-grade coding and billing automation.
Pricing
Custom enterprise pricing, typically transaction-based (e.g., per claim or percentage of collections) starting around $50K+ annually for mid-sized users.
eClinicalWorks
enterpriseCloud EHR system with integrated billing, coding support, and analytics for efficient reimbursements.
AI-powered revenue intelligence platform with predictive denial management and automated coding suggestions
eClinicalWorks is a comprehensive EHR and practice management platform with robust medical coding and billing capabilities, automating charge capture, ICD-10/CPT/HCPCS coding, and claims processing. It features built-in scrubbers, eligibility verification, denial management, and revenue cycle analytics to optimize reimbursements. The system integrates seamlessly with patient records for accurate coding based on clinical documentation.
Pros
- Seamless integration of EHR, coding, and billing for efficient workflows
- Advanced claims scrubbing and denial prediction tools reduce errors
- Scalable for multi-provider and multi-location practices
Cons
- Steep learning curve and complex interface for new users
- Reported customer support delays and customization challenges
- Higher costs may not suit very small practices
Best For
Medium to large medical practices requiring an all-in-one EHR with strong revenue cycle management and coding automation.
Pricing
Custom quotes based on practice size; typically $400-$700 per provider/month plus implementation fees and add-ons.
NextGen Healthcare
enterpriseEnterprise EHR and practice management with robust medical coding, charge capture, and billing workflows.
NextGen Revenue Cycle Management with AI-powered coding optimization and predictive denial prevention
NextGen Healthcare offers a comprehensive EHR platform with integrated medical coding and billing solutions tailored for ambulatory practices. It automates CPT and ICD-10 coding, claims scrubbing, and revenue cycle management to reduce errors and accelerate reimbursements. The system supports eligibility verification, denial management, and compliance with HIPAA and other regulations, seamlessly connecting clinical documentation to billing workflows.
Pros
- Seamless EHR-billing integration for efficient workflows
- AI-driven coding suggestions and automation
- Robust denial management and analytics reporting
Cons
- Steep learning curve and complex setup
- High implementation and customization costs
- Less ideal for very small practices due to scalability
Best For
Mid-sized to large ambulatory practices needing a fully integrated EHR and revenue cycle management system.
Pricing
Custom enterprise pricing via quote; typically $300-$600 per provider/month plus implementation fees.
PracticeSuite
specializedIntegrated RCM solution for medical coding, multi-specialty billing, and patient payments.
Revenue Intelligence dashboard with predictive analytics for claims optimization and cash flow forecasting
PracticeSuite is a cloud-based, all-in-one practice management platform tailored for medical practices, with robust medical coding and billing capabilities integrated into its EHR and revenue cycle management suite. It automates claims processing, scrubbing, submission, and denial management while ensuring compliance with HIPAA and coding standards like ICD-10 and CPT. The software provides real-time analytics, eligibility verification, and patient payment portals to optimize revenue cycles for specialties such as behavioral health, orthopedics, and primary care.
Pros
- Comprehensive revenue cycle management with automated claims scrubbing and denial resolution
- Integrated EHR and scheduling for seamless workflows
- Detailed reporting and analytics for financial insights
Cons
- Steep learning curve for new users due to extensive features
- Custom pricing lacks transparency and can be costly for larger practices
- Customer support response times can vary
Best For
Small to mid-sized medical practices seeking an integrated solution for efficient coding, billing, and practice management.
Pricing
Custom quote-based pricing starting around $199 per provider/month, scaling with practice size, users, and modules selected.
CureMD
specializedCloud-based EHR and billing software with automated coding, claims tracking, and reporting.
AI-driven coding intelligence that achieves up to 98% accuracy in code suggestions and compliance checks
CureMD is a cloud-based EHR and practice management platform with integrated medical coding and billing tools tailored for healthcare providers. It supports automated ICD-10, CPT, and HCPCS coding, claims scrubbing, eligibility verification, and electronic remittance advice (ERA) posting to streamline revenue cycle management. The software ensures HIPAA compliance and offers denial management features to optimize reimbursements.
Pros
- Seamless integration of EHR with coding and billing workflows
- Automated coding suggestions and scrubber to reduce errors and denials
- Robust revenue cycle management with real-time eligibility checks
Cons
- Steep learning curve for non-tech-savvy users
- Pricing can be high for small practices
- Occasional reports of slow customer support response times
Best For
Mid-sized medical practices seeking an all-in-one EHR solution with strong coding and billing automation.
Pricing
Starts at around $295 per provider per month for basic plans, scaling to $495+ for advanced features; custom enterprise quotes available.
Office Ally
specializedWeb-based portal for electronic claims submission, coding verification, and practice billing management.
Completely free ANSI 5010 claim submission and real-time eligibility verification for unlimited transactions
Office Ally is a web-based medical billing and clearinghouse platform that provides free tools for electronic claim submission, eligibility verification, and ERA processing to major payers. It includes coding support with ICD-10 and CPT scrubbers to reduce claim denials, along with basic practice management features in its paid tiers. Designed for small to mid-sized practices, it streamlines revenue cycle management without requiring software installation.
Pros
- Free core clearinghouse services with no per-claim fees
- Straightforward claim scrubbing and coding validation
- Quick eligibility checks and payer connectivity
Cons
- Limited advanced analytics and reporting
- Dated user interface in some modules
- Customer support can be slow for non-premium users
Best For
Small medical practices seeking affordable, no-frills billing and clearinghouse services without complex EHR requirements.
Pricing
Free for basic clearinghouse; Practice Mate PM/EHR starts at $30/user/month with tiered plans up to $199/practice.
Conclusion
The reviewed medical coding and billing tools present a diverse set of powerful solutions, each tailored to boost practice efficiency. Leading the pack, Kareo emerges as the top choice, excelling in automating coding, billing, claims submission, and revenue cycle management for practices across sizes. Athenahealth and AdvancedMD follow closely—Athenahealth for its integrated EHR and denial management, and AdvancedMD for its comprehensive practice management and payment processing—offering strong alternatives to suit varying needs. With such robust options, practices can find a platform to optimize their workflows effectively.
Don't wait to streamline your operations—explore Kareo today to experience its seamless coding, billing, and revenue cycle management capabilities firsthand.
Tools Reviewed
All tools were independently evaluated for this comparison
