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Healthcare Medicine

Top 10 Best Patient Accounting Software of 2026

Discover top 10 patient accounting software solutions. Improve efficiency & accuracy. Explore top picks now.

Gitnux Team

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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Patient accounting software is indispensable to modern healthcare, critical for optimizing revenue cycles, enhancing patient experiences, and ensuring operational efficiency. With a diverse array of tools designed to serve large systems, clinics, and independent practices alike, choosing the right solution is key to aligning financial workflows with organizational needs.

Quick Overview

  1. 1#1: Epic Resolute - Delivers comprehensive revenue cycle management including patient registration, billing, claims processing, and financial analytics for large healthcare systems.
  2. 2#2: Oracle Cerner Revenue Cycle - Provides integrated patient accounting, eligibility verification, and payment posting within a unified EHR ecosystem for hospitals and clinics.
  3. 3#3: MEDITECH Patient Accounting - Offers end-to-end patient billing, collections management, and reporting tailored for community hospitals and acute care facilities.
  4. 4#4: athenaOne - Cloud-native platform for automated patient billing, claims submission, and revenue cycle optimization in ambulatory practices.
  5. 5#5: Veradigm Revenue Cycle Management - Streamlines patient financial workflows with advanced analytics, denial management, and interoperability for multi-specialty groups.
  6. 6#6: NextGen Enterprise - Integrates patient accounting, scheduling, and EHR functionalities with robust billing features for ambulatory and enterprise practices.
  7. 7#7: Waystar - AI-driven revenue cycle platform excelling in claims processing, patient payments, and denial prevention across healthcare providers.
  8. 8#8: TruBridge - Full-service revenue cycle solution with patient accounting, AR management, and analytics for rural and community hospitals.
  9. 9#9: Kareo - User-friendly billing software for independent practices handling claims, payments, and patient statements efficiently.
  10. 10#10: AdvancedMD - Cloud-based patient accounting system with era processing, collections tools, and reporting for small to mid-sized practices.

These tools were selected based on robust features like revenue cycle management, integration with EHR systems, usability, and value, ensuring they meet the varied demands of healthcare providers across settings.

Comparison Table

Patient accounting software is essential for efficient revenue cycle management in healthcare environments. This comparison table explores key options, including Epic Resolute, Oracle Cerner Revenue Cycle, MEDITECH Patient Accounting, athenaOne, Veradigm Revenue Cycle Management, and more, to help users identify tools aligned with their operational needs.

Delivers comprehensive revenue cycle management including patient registration, billing, claims processing, and financial analytics for large healthcare systems.

Features
9.7/10
Ease
7.2/10
Value
8.6/10

Provides integrated patient accounting, eligibility verification, and payment posting within a unified EHR ecosystem for hospitals and clinics.

Features
9.4/10
Ease
7.6/10
Value
8.2/10

Offers end-to-end patient billing, collections management, and reporting tailored for community hospitals and acute care facilities.

Features
8.7/10
Ease
7.3/10
Value
7.9/10
4athenaOne logo8.6/10

Cloud-native platform for automated patient billing, claims submission, and revenue cycle optimization in ambulatory practices.

Features
9.1/10
Ease
7.9/10
Value
8.2/10

Streamlines patient financial workflows with advanced analytics, denial management, and interoperability for multi-specialty groups.

Features
8.7/10
Ease
7.4/10
Value
7.9/10

Integrates patient accounting, scheduling, and EHR functionalities with robust billing features for ambulatory and enterprise practices.

Features
9.1/10
Ease
7.6/10
Value
8.0/10
7Waystar logo8.6/10

AI-driven revenue cycle platform excelling in claims processing, patient payments, and denial prevention across healthcare providers.

Features
9.1/10
Ease
8.0/10
Value
8.4/10
8TruBridge logo7.9/10

Full-service revenue cycle solution with patient accounting, AR management, and analytics for rural and community hospitals.

Features
8.4/10
Ease
7.1/10
Value
7.6/10
9Kareo logo8.2/10

User-friendly billing software for independent practices handling claims, payments, and patient statements efficiently.

Features
8.5/10
Ease
8.0/10
Value
7.8/10
10AdvancedMD logo8.1/10

Cloud-based patient accounting system with era processing, collections tools, and reporting for small to mid-sized practices.

Features
8.6/10
Ease
7.4/10
Value
7.7/10
1
Epic Resolute logo

Epic Resolute

enterprise

Delivers comprehensive revenue cycle management including patient registration, billing, claims processing, and financial analytics for large healthcare systems.

Overall Rating9.4/10
Features
9.7/10
Ease of Use
7.2/10
Value
8.6/10
Standout Feature

Intelligent Revenue Cycle Management with AI-driven denial prediction and worklist optimization

Epic Resolute is a leading patient accounting software module within the Epic Systems EHR platform, designed specifically for healthcare revenue cycle management. It handles end-to-end processes including patient registration, charge capture, claims submission, denial management, and collections. Resolute excels in integrating seamlessly with clinical workflows to ensure accurate billing and maximize reimbursements while maintaining compliance with healthcare regulations.

Pros

  • Seamless integration with Epic's EHR for unified clinical and financial data
  • Advanced automation for claims processing, denial prevention, and predictive analytics
  • Robust reporting and compliance tools tailored to healthcare payers

Cons

  • Steep learning curve and extensive training required for users
  • High implementation costs and long deployment timelines
  • Limited flexibility for customization outside Epic's ecosystem

Best For

Large hospitals and health systems seeking a fully integrated, enterprise-grade revenue cycle solution.

Pricing

Custom enterprise licensing with upfront implementation costs often exceeding $1M+ and ongoing subscription fees based on beds/users.

2
Oracle Cerner Revenue Cycle logo

Oracle Cerner Revenue Cycle

enterprise

Provides integrated patient accounting, eligibility verification, and payment posting within a unified EHR ecosystem for hospitals and clinics.

Overall Rating8.8/10
Features
9.4/10
Ease of Use
7.6/10
Value
8.2/10
Standout Feature

AI-driven Revenue Cycle Command Center for real-time visibility, predictive denial management, and automated workflow optimization

Oracle Cerner Revenue Cycle is a comprehensive enterprise-grade patient accounting solution within Oracle Health's suite, handling everything from patient registration and insurance verification to claims processing, billing, and collections. It tightly integrates with Cerner Millennium EHR for real-time charge capture and denial management, leveraging AI-driven analytics to optimize revenue performance. Designed for complex healthcare environments, it supports multi-facility operations and compliance with evolving regulations like HIPAA and ICD-10.

Pros

  • Seamless EHR integration for accurate charge capture and reduced errors
  • AI-powered analytics for denial prediction and revenue optimization
  • Scalable for large health systems with robust compliance tools

Cons

  • Complex implementation often requiring 12-24 months and extensive training
  • High enterprise-level costs prohibitive for mid-sized or smaller providers
  • Steep learning curve due to customizable but intricate interface

Best For

Large hospitals and integrated health systems needing a fully integrated, scalable revenue cycle platform with advanced analytics.

Pricing

Custom enterprise pricing, typically subscription-based starting at $1M+ annually for large implementations, based on beds/users/facilities.

3
MEDITECH Patient Accounting logo

MEDITECH Patient Accounting

enterprise

Offers end-to-end patient billing, collections management, and reporting tailored for community hospitals and acute care facilities.

Overall Rating8.1/10
Features
8.7/10
Ease of Use
7.3/10
Value
7.9/10
Standout Feature

Real-time bidirectional integration between clinical documentation and billing for automated, accurate charge capture

MEDITECH Patient Accounting is a robust module within the MEDITECH Expanse EHR platform, designed to manage the full revenue cycle including patient registration, charge capture, billing, claims processing, and collections. It offers seamless integration with clinical systems for accurate financial data flow and supports complex payer contracts and denial management. This solution is tailored for healthcare providers seeking comprehensive financial oversight alongside electronic health records.

Pros

  • Deep integration with EHR for real-time charge capture and reduced errors
  • Advanced analytics and reporting for revenue cycle optimization
  • Scalable for large hospitals and health systems with multi-facility support

Cons

  • Steep learning curve and complex interface requiring extensive training
  • Customization can be time-consuming and costly during implementation
  • Less intuitive for smaller practices compared to modern cloud-native alternatives

Best For

Large hospitals and integrated health systems that require tightly coupled patient accounting with comprehensive EHR functionality.

Pricing

Custom enterprise pricing, typically involving upfront implementation fees plus annual subscription or maintenance costs; quotes available upon request from MEDITECH.

4
athenaOne logo

athenaOne

enterprise

Cloud-native platform for automated patient billing, claims submission, and revenue cycle optimization in ambulatory practices.

Overall Rating8.6/10
Features
9.1/10
Ease of Use
7.9/10
Value
8.2/10
Standout Feature

AI-powered Revenue Intelligence that predicts denials and provides payer-specific benchmarking via the athenahealth network

athenaOne by athenahealth is a comprehensive cloud-based platform that integrates electronic health records (EHR), practice management, and patient accounting into a single solution. It excels in revenue cycle management (RCM) with automated billing, claims submission, denial management, patient payments, and financial reporting tailored for healthcare providers. The software leverages AI-driven insights and a vast payer network to optimize cash flow and reduce administrative burdens.

Pros

  • Advanced automation for claims processing and denial prevention with high first-pass acceptance rates
  • Seamless integration with EHR and a nationwide payer network for real-time eligibility checks
  • Robust analytics and benchmarking tools for revenue optimization

Cons

  • High implementation costs and lengthy onboarding process
  • Steep learning curve for non-technical users
  • Pricing can be opaque and scales expensively with practice size

Best For

Mid-to-large healthcare practices needing an all-in-one EHR and patient accounting system with strong RCM automation.

Pricing

Custom subscription pricing, typically $250-$450 per provider per month plus implementation fees starting at $10,000+.

Visit athenaOneathenahealth.com
5
Veradigm Revenue Cycle Management logo

Veradigm Revenue Cycle Management

enterprise

Streamlines patient financial workflows with advanced analytics, denial management, and interoperability for multi-specialty groups.

Overall Rating8.2/10
Features
8.7/10
Ease of Use
7.4/10
Value
7.9/10
Standout Feature

AI-driven predictive denial management that proactively identifies and resolves issues before claims submission

Veradigm Revenue Cycle Management is a comprehensive platform that automates and optimizes the entire revenue cycle for healthcare providers, from patient registration and eligibility verification to claims submission, denial management, and payment posting. It integrates seamlessly with Veradigm's EHR systems, enabling real-time data flow and reducing errors in patient accounting. The solution leverages analytics and automation to improve cash flow, AR days, and overall financial performance in complex healthcare environments.

Pros

  • Robust end-to-end automation for claims processing and denial prevention
  • Seamless integration with Veradigm EHR and third-party systems
  • Advanced reporting and predictive analytics for revenue optimization

Cons

  • Steep learning curve and complex implementation for new users
  • Higher pricing suitable mainly for mid-to-large practices
  • Occasional customization needs leading to longer setup times

Best For

Mid-sized hospitals and multi-specialty practices needing integrated RCM with EHR for efficient patient accounting.

Pricing

Custom enterprise pricing, typically subscription-based starting at $5,000+ per month depending on modules, practice size, and usage.

6
NextGen Enterprise logo

NextGen Enterprise

enterprise

Integrates patient accounting, scheduling, and EHR functionalities with robust billing features for ambulatory and enterprise practices.

Overall Rating8.4/10
Features
9.1/10
Ease of Use
7.6/10
Value
8.0/10
Standout Feature

Real-time revenue cycle dashboard with predictive analytics for denial prevention and cash flow optimization

NextGen Enterprise is a robust, enterprise-grade healthcare platform from NextGen Healthcare that includes advanced patient accounting within its Revenue Cycle Management (RCM) suite. It handles end-to-end financial processes such as claims processing, denial management, patient billing, payments, and reporting for large practices and health systems. Seamlessly integrated with NextGen's EHR, it provides unified clinical and financial workflows to optimize revenue capture and compliance.

Pros

  • Deep integration with EHR for streamlined workflows
  • Advanced denial management and analytics tools
  • Scalable for enterprise-level operations with strong compliance features

Cons

  • Steep learning curve and complex setup
  • High implementation costs and timelines
  • Custom pricing can be opaque and expensive for smaller users

Best For

Large multi-specialty groups and health systems requiring integrated EHR and scalable patient accounting.

Pricing

Quote-based enterprise licensing, typically $400-$800 per provider/month plus implementation fees.

7
Waystar logo

Waystar

specialized

AI-driven revenue cycle platform excelling in claims processing, patient payments, and denial prevention across healthcare providers.

Overall Rating8.6/10
Features
9.1/10
Ease of Use
8.0/10
Value
8.4/10
Standout Feature

Real-time patient cost estimation engine using AI to reduce bad debt and accelerate collections

Waystar is a comprehensive revenue cycle management platform focused on patient accounting for healthcare providers, enabling efficient handling of billing, payments, collections, and financial reconciliation. It offers tools for real-time patient eligibility verification, accurate cost estimates, denial management, and self-service payment portals to improve collections and patient experience. The cloud-based solution integrates seamlessly with major EHRs and practice management systems, providing analytics to optimize revenue capture.

Pros

  • Extensive integrations with EHRs like Epic and Cerner
  • AI-powered denial prediction and prevention tools
  • Robust analytics for revenue cycle performance

Cons

  • Custom pricing can be expensive for small practices
  • Implementation requires significant setup time
  • Interface may feel complex for new users

Best For

Mid-sized to large hospitals and health systems needing scalable patient accounting with advanced RCM capabilities.

Pricing

Custom enterprise pricing, typically subscription-based with per-claim or revenue percentage fees starting around $50K+ annually.

Visit Waystarwaystar.com
8
TruBridge logo

TruBridge

enterprise

Full-service revenue cycle solution with patient accounting, AR management, and analytics for rural and community hospitals.

Overall Rating7.9/10
Features
8.4/10
Ease of Use
7.1/10
Value
7.6/10
Standout Feature

AI-driven predictive denial analytics that proactively identifies and prevents claim rejections before submission

TruBridge offers a robust revenue cycle management (RCM) platform with a core focus on patient accounting software tailored for healthcare providers like hospitals and physician practices. It streamlines patient registration, billing, claims submission, denial management, and accounts receivable to improve financial outcomes. The solution integrates with EHR systems and provides analytics for optimizing cash flow and reducing revenue leakage.

Pros

  • Comprehensive denial prevention and management tools
  • Strong integration with major EHR platforms like Epic and Cerner
  • Dedicated customer support and managed services option

Cons

  • Steep learning curve for non-technical users
  • Custom pricing can be opaque and expensive for smaller practices
  • Limited out-of-the-box customization without professional services

Best For

Mid-sized hospitals and health systems needing integrated patient accounting with outsourced RCM support.

Pricing

Custom quotes based on facility size, volume, and services; typically subscription-based with per-claim fees starting around $5-10 per encounter.

Visit TruBridgetrubridge.com
9
Kareo logo

Kareo

specialized

User-friendly billing software for independent practices handling claims, payments, and patient statements efficiently.

Overall Rating8.2/10
Features
8.5/10
Ease of Use
8.0/10
Value
7.8/10
Standout Feature

Kareo Intelligence dashboard for AI-powered revenue analytics and performance benchmarking

Kareo is a cloud-based platform specializing in medical billing and revenue cycle management for independent practices, handling patient accounting tasks like claims submission, payment posting, denial management, and AR tracking. It integrates with EHR systems to streamline financial workflows and provide real-time eligibility verification. With robust analytics, it helps practices maximize reimbursements and improve cash flow efficiency.

Pros

  • Automated claims scrubbing and submission with high clean claim rates
  • Integrated patient payment portal that boosts collections
  • Comprehensive denial management and AR aging reports

Cons

  • Pricing can be steep for very small practices
  • Some users report a learning curve for advanced reporting
  • Limited customization in patient statements

Best For

Independent medical practices and small to mid-sized groups focused on efficient revenue cycle management.

Pricing

Starts at $110 per provider/month for core billing, with tiered plans up to $300+ including advanced features; custom quotes for full suite.

Visit Kareokareo.com
10
AdvancedMD logo

AdvancedMD

specialized

Cloud-based patient accounting system with era processing, collections tools, and reporting for small to mid-sized practices.

Overall Rating8.1/10
Features
8.6/10
Ease of Use
7.4/10
Value
7.7/10
Standout Feature

Intelligent claims scrubbing engine that proactively identifies and corrects errors to minimize denials

AdvancedMD is a cloud-based healthcare platform offering comprehensive patient accounting software integrated with EHR and practice management tools. It handles billing, insurance claims submission, payment processing, denial management, and financial reporting to optimize revenue cycles for medical practices. The solution automates AR tracking, patient statements, and eligibility verification, making it suitable for streamlining financial operations in busy practices.

Pros

  • Robust revenue cycle management with claims scrubbing and denial prevention
  • Seamless integration with EHR for end-to-end workflows
  • Advanced reporting and analytics for financial insights

Cons

  • Steep learning curve and complex interface for new users
  • High pricing with additional fees for customizations
  • Mixed customer support experiences

Best For

Mid-sized medical practices needing integrated patient accounting with EHR capabilities.

Pricing

Custom enterprise pricing, typically starting at $400-$700 per provider per month plus implementation fees.

Visit AdvancedMDadvancedmd.com

Conclusion

Evaluating the top patient accounting tools highlights [Epic Resolute] as the clear leader, offering comprehensive revenue cycle management for large systems. [Oracle Cerner Revenue Cycle] excels with EHR integration, while [MEDITECH Patient Accounting] tailored for community and acute care facilities stands out as a strong alternative. Together, these solutions redefine efficiency in healthcare financial workflows.

Epic Resolute logo
Our Top Pick
Epic Resolute

To elevate your practice, [Epic Resolute] is the top choice—don’t miss its robust features that simplify revenue processes and enhance patient financial experiences. Try it today to unlock streamlined, effective management.