Quick Overview
- 1#1: athenaOne - Cloud-based revenue cycle management platform that automates billing, claims processing, and patient payments for medical practices.
- 2#2: Waystar - End-to-end revenue cycle management solution optimizing claims, denials, and payments for healthcare providers.
- 3#3: Epic Resolute - Integrated revenue cycle management system within Epic EHR handling billing, eligibility verification, and financial reporting.
- 4#4: Kareo - Practice management and billing software streamlining revenue cycle tasks like claims submission and denial management.
- 5#5: AdvancedMD - Comprehensive RCM platform with automated billing, ERA posting, and analytics for specialty practices.
- 6#6: NextGen Enterprise - Revenue cycle tools integrated with EHR for claims management, patient collections, and financial performance tracking.
- 7#7: Oracle Health Revenue Cycle - Enterprise-grade RCM solution managing the full revenue cycle from patient registration to final payment.
- 8#8: eClinicalWorks - Integrated EHR and RCM software automating billing workflows, claims scrubbing, and reimbursement optimization.
- 9#9: Greenway Health - Revenue cycle management system with tools for charge capture, claims processing, and denial prevention.
- 10#10: DrChrono - Cloud-based platform combining EHR with RCM features for efficient billing and revenue capture in ambulatory settings.
We ranked these tools based on automation efficiency, integration capabilities, user experience, and holistic value, prioritizing those that balance functionality with practicality for modern healthcare environments.
Comparison Table
Selecting the right Medical Revenue Cycle Management (RCM) Software is vital for optimizing healthcare financial operations, and this comparison table explores tools including athenaOne, Waystar, Epic Resolute, Kareo, AdvancedMD, and more. Readers will gain insights into features, usability, and scalability to identify a solution that aligns with their practice’s unique needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | athenaOne Cloud-based revenue cycle management platform that automates billing, claims processing, and patient payments for medical practices. | enterprise | 9.4/10 | 9.6/10 | 9.0/10 | 9.2/10 |
| 2 | Waystar End-to-end revenue cycle management solution optimizing claims, denials, and payments for healthcare providers. | specialized | 9.2/10 | 9.5/10 | 8.4/10 | 8.7/10 |
| 3 | Epic Resolute Integrated revenue cycle management system within Epic EHR handling billing, eligibility verification, and financial reporting. | enterprise | 9.2/10 | 9.6/10 | 7.4/10 | 8.5/10 |
| 4 | Kareo Practice management and billing software streamlining revenue cycle tasks like claims submission and denial management. | enterprise | 8.7/10 | 8.9/10 | 8.8/10 | 8.4/10 |
| 5 | AdvancedMD Comprehensive RCM platform with automated billing, ERA posting, and analytics for specialty practices. | enterprise | 8.6/10 | 9.2/10 | 8.3/10 | 8.0/10 |
| 6 | NextGen Enterprise Revenue cycle tools integrated with EHR for claims management, patient collections, and financial performance tracking. | enterprise | 8.2/10 | 8.7/10 | 7.4/10 | 7.9/10 |
| 7 | Oracle Health Revenue Cycle Enterprise-grade RCM solution managing the full revenue cycle from patient registration to final payment. | enterprise | 8.2/10 | 8.8/10 | 7.4/10 | 7.7/10 |
| 8 | eClinicalWorks Integrated EHR and RCM software automating billing workflows, claims scrubbing, and reimbursement optimization. | enterprise | 7.9/10 | 8.4/10 | 7.1/10 | 7.5/10 |
| 9 | Greenway Health Revenue cycle management system with tools for charge capture, claims processing, and denial prevention. | enterprise | 7.8/10 | 8.2/10 | 7.1/10 | 7.5/10 |
| 10 | DrChrono Cloud-based platform combining EHR with RCM features for efficient billing and revenue capture in ambulatory settings. | specialized | 7.8/10 | 8.1/10 | 8.4/10 | 7.3/10 |
Cloud-based revenue cycle management platform that automates billing, claims processing, and patient payments for medical practices.
End-to-end revenue cycle management solution optimizing claims, denials, and payments for healthcare providers.
Integrated revenue cycle management system within Epic EHR handling billing, eligibility verification, and financial reporting.
Practice management and billing software streamlining revenue cycle tasks like claims submission and denial management.
Comprehensive RCM platform with automated billing, ERA posting, and analytics for specialty practices.
Revenue cycle tools integrated with EHR for claims management, patient collections, and financial performance tracking.
Enterprise-grade RCM solution managing the full revenue cycle from patient registration to final payment.
Integrated EHR and RCM software automating billing workflows, claims scrubbing, and reimbursement optimization.
Revenue cycle management system with tools for charge capture, claims processing, and denial prevention.
Cloud-based platform combining EHR with RCM features for efficient billing and revenue capture in ambulatory settings.
athenaOne
enterpriseCloud-based revenue cycle management platform that automates billing, claims processing, and patient payments for medical practices.
athenaOne Revenue Cycle Intelligence, an AI platform that proactively predicts denials, automates corrections, and recovers lost revenue with up to 20% collection improvements.
athenaOne by athenahealth is a cloud-based, all-in-one platform that integrates electronic health records (EHR), practice management, and advanced revenue cycle management (RCM) tools tailored for medical practices. It automates key RCM processes including claims submission, eligibility verification, denial management, patient billing, and collections to optimize cash flow and reduce revenue leakage. Leveraging AI-driven analytics, athenaOne provides actionable insights for revenue recovery, coding accuracy, and performance benchmarking against industry peers.
Pros
- AI-powered automation for denial prevention and revenue optimization, significantly reducing AR days
- Seamless integration with EHR for end-to-end workflow efficiency
- Robust analytics and reporting with real-time dashboards for financial insights
Cons
- Premium pricing that may be prohibitive for small practices
- Initial implementation and training can take several months
- Limited customization options compared to modular competitors
Best For
Mid-to-large medical practices and multi-specialty groups seeking a scalable, integrated RCM solution with strong AI capabilities.
Pricing
Custom quote-based subscription starting at around $300-$500 per provider per month, including RCM features; scales with practice size and modules.
Waystar
specializedEnd-to-end revenue cycle management solution optimizing claims, denials, and payments for healthcare providers.
RevCycleIQ AI platform for real-time denial prediction and automated resolution workflows
Waystar is a comprehensive cloud-based revenue cycle management (RCM) platform designed for healthcare providers, streamlining processes from patient access and eligibility verification to claims submission, denial management, and payments. It leverages AI and automation to optimize financial performance, reduce denials, and accelerate reimbursements across hospitals, physician groups, and health systems. The solution integrates seamlessly with EHRs and offers advanced analytics for actionable insights into revenue cycle operations.
Pros
- End-to-end RCM automation with high first-pass claims acceptance rates exceeding 95%
- AI-powered denial intelligence and predictive analytics for proactive revenue optimization
- Robust integrations with major EHRs and seamless patient payment solutions
Cons
- Complex implementation process that can take several months for large organizations
- Custom pricing often results in high costs unsuitable for small practices
- Steep learning curve for advanced analytics features despite intuitive core interface
Best For
Large hospitals, health systems, and multi-specialty groups needing scalable, enterprise-grade RCM with advanced AI capabilities.
Pricing
Custom enterprise pricing based on claims volume and organization size; typically subscription model starting at $X per claim or revenue percentage—contact sales for quote.
Epic Resolute
enterpriseIntegrated revenue cycle management system within Epic EHR handling billing, eligibility verification, and financial reporting.
End-to-end revenue cycle integration with Epic EHR, enabling automated workflows from clinical documentation to payment posting without data silos.
Epic Resolute is a leading revenue cycle management (RCM) platform from Epic Systems, designed specifically for healthcare organizations to handle billing, claims management, denials, patient accounting, and financial reporting. It excels in automating workflows from patient registration to final payment collection, with deep integration into Epic's electronic health record (EHR) system for unified clinical and financial data. Resolute leverages AI-driven analytics and rules engines to reduce denials, accelerate reimbursements, and improve cash flow for providers.
Pros
- Seamless integration with Epic EHR for real-time data synchronization
- Advanced AI and predictive analytics for denial prevention and revenue optimization
- Robust compliance tools supporting HIPAA, ICD-10, and payer-specific rules
Cons
- Steep learning curve and extensive training required for users
- High upfront implementation costs and long deployment timelines
- Less customizable for non-Epic environments or smaller practices
Best For
Large hospitals and multi-facility health systems already using Epic EHR that need enterprise-grade, integrated RCM capabilities.
Pricing
Custom enterprise pricing via quote; typically $500K+ annually for large implementations, based on modules, users, and organization size.
Kareo
enterprisePractice management and billing software streamlining revenue cycle tasks like claims submission and denial management.
AI-driven Revenue Cycle Intelligence that proactively identifies denials and revenue opportunities before they impact cash flow
Kareo is a cloud-based revenue cycle management (RCM) platform tailored for independent medical practices, offering tools for claims management, billing, patient payments, and denial resolution. It integrates seamlessly with EHR and practice management to automate workflows, reduce errors, and accelerate reimbursements. Advanced analytics provide insights into revenue performance, helping practices optimize cash flow and minimize denials.
Pros
- Robust claims scrubbing and denial management tools reduce errors and speed up reimbursements
- Cloud-based accessibility with strong mobile support for on-the-go billing
- Integrated analytics dashboard for real-time revenue insights and forecasting
Cons
- Pricing can be steep for solo practitioners or very small practices
- Customer support response times vary, with some users reporting delays
- Limited advanced customization options for complex enterprise needs
Best For
Small to mid-sized independent medical practices seeking an integrated, user-friendly RCM solution to streamline billing and maximize revenue.
Pricing
Subscription-based starting at around $160 per provider/month for RCM core features, with tiers up to $300+ including EHR integration; custom quotes available.
AdvancedMD
enterpriseComprehensive RCM platform with automated billing, ERA posting, and analytics for specialty practices.
AdvancedAnalytics with predictive revenue intelligence for proactive AR management and denial resolution
AdvancedMD is a comprehensive cloud-based platform specializing in medical revenue cycle management (RCM), offering tools for claims submission, denial management, patient billing, and payment processing. It integrates seamlessly with EHR and practice management features to automate workflows from patient registration to final collections. Designed for healthcare providers, it emphasizes compliance, analytics, and revenue optimization to reduce AR days and improve cash flow.
Pros
- Robust end-to-end RCM with automated claims scrubbing and denial prevention
- Advanced analytics and reporting for revenue forecasting and performance insights
- Seamless integration with EHR and practice management for unified workflows
Cons
- Pricing can be steep for small practices with custom quotes required
- Initial setup and training may involve a learning curve
- Limited flexibility for highly customized reporting needs
Best For
Mid-sized to large medical practices seeking an integrated, scalable RCM solution with strong analytics.
Pricing
Custom quote-based pricing starting at around $400-$700 per provider per month, plus implementation fees and add-ons for advanced modules.
NextGen Enterprise
enterpriseRevenue cycle tools integrated with EHR for claims management, patient collections, and financial performance tracking.
Predictive denial management powered by AI analytics to proactively identify and resolve claim issues before submission
NextGen Enterprise is a robust, enterprise-grade electronic health record (EHR) and revenue cycle management (RCM) platform designed for large medical practices and health systems. It streamlines the entire revenue cycle, from patient registration and eligibility verification to claims submission, denial management, and financial analytics. The software integrates seamlessly with EHR workflows, offering automation and compliance tools to maximize reimbursements and reduce administrative burdens.
Pros
- Comprehensive RCM automation including claims scrubbing and denial prevention
- Advanced analytics and reporting for revenue forecasting and performance insights
- Strong HIPAA compliance and interoperability with major clearinghouses
Cons
- Steep learning curve due to complex interface for non-technical users
- High implementation costs and lengthy setup time
- Customization requires significant vendor involvement
Best For
Large multi-specialty practices or health systems seeking scalable, integrated RCM with deep EHR ties.
Pricing
Custom enterprise pricing via quote; typically $500-$1,500 per provider/month plus implementation fees starting at $50K+.
Oracle Health Revenue Cycle
enterpriseEnterprise-grade RCM solution managing the full revenue cycle from patient registration to final payment.
AI-driven predictive denials management that proactively identifies and prevents claim rejections
Oracle Health Revenue Cycle is an enterprise-grade revenue cycle management (RCM) solution from Oracle Health (formerly Cerner) that automates key processes like claims submission, denials management, patient billing, and financial reporting. It integrates seamlessly with Oracle's EHR platform to provide end-to-end visibility into revenue workflows, leveraging AI and predictive analytics to optimize reimbursements and reduce errors. Designed for healthcare providers, it supports scalability across hospitals and health systems, focusing on compliance, revenue integrity, and operational efficiency.
Pros
- Deep integration with Oracle Health EHR for unified workflows
- AI-powered analytics for denials prediction and revenue optimization
- Scalable for large health systems with robust compliance tools
Cons
- Steep implementation timeline and high upfront costs
- Complex user interface requiring extensive training
- Less ideal for small practices due to enterprise focus
Best For
Large hospitals and multi-facility health systems seeking integrated, scalable RCM with advanced AI capabilities.
Pricing
Custom enterprise pricing, typically subscription-based starting at $500K+ annually for mid-sized implementations, plus significant setup fees.
eClinicalWorks
enterpriseIntegrated EHR and RCM software automating billing workflows, claims scrubbing, and reimbursement optimization.
AI-powered predictive analytics for denial prevention and revenue forecasting
eClinicalWorks is a comprehensive electronic health records (EHR) platform with integrated Revenue Cycle Management (RCM) tools designed to streamline billing, claims processing, and financial workflows for healthcare providers. It offers features like automated claims submission, eligibility verification, denial management, and patient payment collections through its Healow patient portal. The system emphasizes seamless integration between clinical documentation and revenue operations to reduce errors and accelerate reimbursements.
Pros
- Seamless integration with EHR for unified clinical and financial workflows
- Robust denial management and claims scrubbing to minimize revenue loss
- Patient-centric payment tools via Healow portal for improved collections
Cons
- Steep learning curve and dated user interface requiring extensive training
- Reported customer support delays and responsiveness issues
- Custom pricing can be expensive for smaller practices without clear ROI visibility
Best For
Medium to large medical practices needing an all-in-one EHR and RCM solution with strong integration capabilities.
Pricing
Quote-based pricing, typically $400-$700 per provider per month including RCM features in bundled EHR plans.
Greenway Health
enterpriseRevenue cycle management system with tools for charge capture, claims processing, and denial prevention.
Intelligent Claims Scrubber that proactively identifies and corrects errors before submission to maximize first-pass acceptance rates
Greenway Health offers Prime SUITE, a comprehensive EHR and practice management platform with robust revenue cycle management (RCM) capabilities tailored for ambulatory practices. It streamlines claims processing, denial management, patient billing, and financial reporting through integrated workflows. The solution emphasizes interoperability, compliance with healthcare standards like HIPAA, and tools to optimize cash flow and reduce administrative burdens.
Pros
- Seamless integration of RCM with EHR for unified clinical-financial workflows
- Advanced denial management and analytics to improve collections
- Strong support for specialty practices with customizable billing rules
Cons
- Steep learning curve and dated user interface in some modules
- Lengthy implementation process requiring significant setup time
- Pricing can be opaque and higher for smaller practices
Best For
Mid-sized ambulatory and specialty practices needing an integrated EHR-RCM solution with strong interoperability.
Pricing
Quote-based subscription pricing, typically $300-$600 per provider/month including RCM modules, with additional fees for implementation and services.
DrChrono
specializedCloud-based platform combining EHR with RCM features for efficient billing and revenue capture in ambulatory settings.
Revenue Intelligence dashboard offering real-time visibility into claims status, denials, and AR aging
DrChrono is an all-in-one cloud-based EHR and practice management platform with robust revenue cycle management (RCM) capabilities tailored for medical practices. It automates billing workflows, including claims submission, eligibility verification, denial management, and patient payment collections. The software integrates seamlessly with EHR data to minimize errors and accelerate reimbursements, supported by analytics for financial performance tracking.
Pros
- Seamless EHR integration reduces billing errors and speeds up claims processing
- Mobile-friendly interface supports on-the-go revenue management
- Comprehensive reporting and analytics for RCM insights
Cons
- Pricing can be expensive for very small practices
- Customer support response times vary and may require premium plans
- Limited advanced customization for complex enterprise billing needs
Best For
Small to mid-sized medical practices seeking an intuitive, integrated EHR-RCM solution without needing extensive IT support.
Pricing
Custom subscription starting at $199/provider/month, plus $100-150/user/month, with setup fees and add-ons for advanced RCM features.
Conclusion
The reviewed tools demonstrate exceptional value, with athenaOne leading as the top choice for its robust cloud-based automation across billing, claims, and patient payments. Waystar stands out for end-to-end optimization of claims, denials, and payments, while Epic Resolute excels through seamless integration with EHR systems, ensuring efficient workflow. Together, they highlight the innovation and reliability in modern revenue cycle management.
Don’t wait—explore athenaOne to unlock streamlined financial operations and elevate your practice’s success.
Tools Reviewed
All tools were independently evaluated for this comparison