Quick Overview
- 1#1: Epic Resolute - Comprehensive patient accounting and revenue cycle management system integrated with Epic's EHR for hospitals and health systems.
- 2#2: Oracle Health Revenue Cycle - End-to-end revenue cycle platform with advanced patient accounting, claims management, and financial reporting for healthcare providers.
- 3#3: MEDITECH Revenue Cycle - Integrated patient accounting solution within the Expanse EHR, handling billing, collections, and payer reimbursements efficiently.
- 4#4: athenaOne Revenue Cycle - Cloud-based revenue cycle management with patient accounting, automated claims processing, and denial management for practices.
- 5#5: Veradigm Revenue Cycle Management - Robust patient accounting and revenue cycle tools integrated with EHR for streamlined financial workflows in healthcare.
- 6#6: Waystar - Modern SaaS platform for patient accounting, claims submission, payment posting, and revenue integrity.
- 7#7: Optum Revenue Cycle Management - Scalable revenue cycle solution with patient accounting features like AR management and analytics for large providers.
- 8#8: NextGen Revenue Cycle Management - Patient accounting system for ambulatory practices, including billing, eligibility verification, and remittance processing.
- 9#9: Evident Revenue Cycle - Community hospital-focused patient accounting software with integrated billing and financial clearinghouse capabilities.
- 10#10: Kareo Billing - Cloud-based patient accounting and medical billing platform designed for independent practices and small groups.
These tools were ranked based on integrated capabilities, user experience, performance metrics, and value, balancing robust features with accessibility to meet the diverse needs of healthcare providers.
Comparison Table
This comparison table examines leading Patient Accounting Systems Software tools, featuring Epic Resolute, Oracle Health Revenue Cycle, MEDITECH Revenue Cycle, athenaOne Revenue Cycle, Veradigm Revenue Cycle Management, and more. It provides insights into each tool’s capabilities, functionalities, and suitability for varied healthcare settings, helping readers make informed decisions for optimizing financial workflows.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Epic Resolute Comprehensive patient accounting and revenue cycle management system integrated with Epic's EHR for hospitals and health systems. | enterprise | 9.7/10 | 9.9/10 | 7.8/10 | 9.2/10 |
| 2 | Oracle Health Revenue Cycle End-to-end revenue cycle platform with advanced patient accounting, claims management, and financial reporting for healthcare providers. | enterprise | 9.2/10 | 9.5/10 | 8.0/10 | 8.7/10 |
| 3 | MEDITECH Revenue Cycle Integrated patient accounting solution within the Expanse EHR, handling billing, collections, and payer reimbursements efficiently. | enterprise | 8.2/10 | 8.6/10 | 7.4/10 | 8.0/10 |
| 4 | athenaOne Revenue Cycle Cloud-based revenue cycle management with patient accounting, automated claims processing, and denial management for practices. | enterprise | 8.7/10 | 9.2/10 | 8.3/10 | 8.1/10 |
| 5 | Veradigm Revenue Cycle Management Robust patient accounting and revenue cycle tools integrated with EHR for streamlined financial workflows in healthcare. | enterprise | 8.3/10 | 9.1/10 | 7.4/10 | 8.0/10 |
| 6 | Waystar Modern SaaS platform for patient accounting, claims submission, payment posting, and revenue integrity. | enterprise | 8.5/10 | 9.2/10 | 7.8/10 | 8.1/10 |
| 7 | Optum Revenue Cycle Management Scalable revenue cycle solution with patient accounting features like AR management and analytics for large providers. | enterprise | 8.2/10 | 8.8/10 | 7.6/10 | 7.9/10 |
| 8 | NextGen Revenue Cycle Management Patient accounting system for ambulatory practices, including billing, eligibility verification, and remittance processing. | enterprise | 8.1/10 | 8.7/10 | 7.2/10 | 7.9/10 |
| 9 | Evident Revenue Cycle Community hospital-focused patient accounting software with integrated billing and financial clearinghouse capabilities. | enterprise | 8.1/10 | 8.5/10 | 7.7/10 | 8.0/10 |
| 10 | Kareo Billing Cloud-based patient accounting and medical billing platform designed for independent practices and small groups. | enterprise | 8.0/10 | 8.5/10 | 8.2/10 | 7.6/10 |
Comprehensive patient accounting and revenue cycle management system integrated with Epic's EHR for hospitals and health systems.
End-to-end revenue cycle platform with advanced patient accounting, claims management, and financial reporting for healthcare providers.
Integrated patient accounting solution within the Expanse EHR, handling billing, collections, and payer reimbursements efficiently.
Cloud-based revenue cycle management with patient accounting, automated claims processing, and denial management for practices.
Robust patient accounting and revenue cycle tools integrated with EHR for streamlined financial workflows in healthcare.
Modern SaaS platform for patient accounting, claims submission, payment posting, and revenue integrity.
Scalable revenue cycle solution with patient accounting features like AR management and analytics for large providers.
Patient accounting system for ambulatory practices, including billing, eligibility verification, and remittance processing.
Community hospital-focused patient accounting software with integrated billing and financial clearinghouse capabilities.
Cloud-based patient accounting and medical billing platform designed for independent practices and small groups.
Epic Resolute
enterpriseComprehensive patient accounting and revenue cycle management system integrated with Epic's EHR for hospitals and health systems.
Real-time charge reconciliation and predictive denial management powered by Epic's unified data platform
Epic Resolute is a leading patient accounting system within the Epic EHR suite, designed specifically for healthcare providers to manage the entire revenue cycle. It handles patient registration, insurance verification, charge capture, billing, claims submission, denial management, and collections with high accuracy and automation. Integrated deeply with Epic's clinical modules, it enables real-time data synchronization between clinical encounters and financial workflows, reducing errors and accelerating reimbursements.
Pros
- Seamless integration with Epic EHR for real-time clinical-financial data flow
- Advanced analytics and AI-driven denial prediction and prevention
- Proven scalability for large health systems handling millions of claims annually
Cons
- Extremely high implementation costs and timelines (often 2-5 years)
- Steep learning curve requiring extensive training
- Vendor lock-in with limited interoperability outside Epic ecosystem
Best For
Large hospitals and integrated delivery networks needing enterprise-grade, fully integrated revenue cycle management.
Pricing
Custom enterprise licensing; implementation often exceeds $100M for major systems, plus annual maintenance fees of 15-20% of contract value.
Oracle Health Revenue Cycle
enterpriseEnd-to-end revenue cycle platform with advanced patient accounting, claims management, and financial reporting for healthcare providers.
AI-embedded Denial Intelligence that proactively identifies and resolves claims issues before submission
Oracle Health Revenue Cycle is a robust, enterprise-grade patient accounting system that manages the full spectrum of revenue cycle processes, including patient registration, billing, claims submission, denial management, and collections. It leverages AI-driven automation and cloud-based architecture to optimize cash flow and reduce administrative burdens for healthcare organizations. Seamlessly integrated with Oracle Health's EHR platform, it provides real-time financial insights and compliance tools tailored for complex hospital environments.
Pros
- Comprehensive end-to-end revenue cycle management with AI-powered denial prediction and prevention
- Deep integration with Oracle Health EHR for unified workflows and data accuracy
- Scalable cloud deployment supporting high-volume transactions for large enterprises
Cons
- Steep implementation timeline and customization costs for complex setups
- Interface can feel overwhelming for smaller teams without dedicated IT support
- Pricing is premium and less accessible for mid-sized providers
Best For
Large hospitals and health systems seeking enterprise-scale revenue optimization with EHR integration.
Pricing
Custom enterprise licensing, typically starting at $500K+ annually based on scale, with implementation fees.
MEDITECH Revenue Cycle
enterpriseIntegrated patient accounting solution within the Expanse EHR, handling billing, collections, and payer reimbursements efficiently.
Real-time bidirectional integration with EHR clinical documentation for automated, accurate charge capture
MEDITECH Revenue Cycle is a comprehensive patient accounting system integrated into the MEDITECH EHR platform, managing the full spectrum of financial operations from patient registration and charge capture to claims processing, denial management, and collections. It leverages real-time data from clinical workflows to streamline billing accuracy and accelerate reimbursements for hospitals and health systems. With robust reporting and analytics, it supports compliance with evolving payer requirements and optimizes cash flow.
Pros
- Seamless integration with MEDITECH EHR for real-time charge capture and reduced errors
- Advanced denial management and analytics tools for improved collections
- Scalable for mid-to-large hospitals with strong compliance features
Cons
- Steep learning curve and dated user interface in some modules
- Lengthy and costly implementation process
- Limited flexibility for custom integrations with non-MEDITECH systems
Best For
Mid-sized to large hospitals and health systems already using MEDITECH EHR that prioritize integrated clinical-financial workflows.
Pricing
Custom pricing based on facility size, modules, and deployment (on-premises or cloud); typically involves perpetual licenses or subscriptions starting at $500K+ annually for mid-sized facilities, plus implementation fees.
athenaOne Revenue Cycle
enterpriseCloud-based revenue cycle management with patient accounting, automated claims processing, and denial management for practices.
AI-driven Revenue Cycle Intelligence for predictive denial management and performance benchmarking
athenaOne Revenue Cycle is a comprehensive cloud-based revenue cycle management (RCM) platform from athenahealth designed specifically for healthcare providers. It automates key patient accounting processes including claims submission, denial management, patient billing, collections, and accounts receivable tracking. Seamlessly integrated with athenaOne EHR, it uses AI-driven insights and analytics to optimize financial workflows and improve cash flow.
Pros
- Advanced AI-powered automation for claims scrubbing and denial prevention
- Seamless integration with athenaOne EHR for unified workflows
- Robust analytics and reporting for revenue optimization
Cons
- High subscription costs may strain smaller practices
- Initial setup and training can be time-intensive
- Limited flexibility for highly customized reporting
Best For
Mid-sized to large healthcare practices needing scalable, integrated RCM with strong automation.
Pricing
Quote-based subscription model, typically $400-$600 per provider per month including RCM services.
Veradigm Revenue Cycle Management
enterpriseRobust patient accounting and revenue cycle tools integrated with EHR for streamlined financial workflows in healthcare.
AI-powered predictive denial management that proactively identifies and resolves issues before claims submission
Veradigm Revenue Cycle Management is a robust, enterprise-grade platform tailored for healthcare providers, handling everything from patient registration and insurance verification to claims submission, denial management, and accounts receivable. It leverages automation, AI-driven analytics, and integration with Veradigm's EHR systems to optimize financial workflows and improve cash flow. Designed for hospitals and large practices, it provides detailed reporting and compliance tools to ensure accurate billing and regulatory adherence.
Pros
- Comprehensive end-to-end RCM automation including claims scrubbing and denial prevention
- Powerful analytics and predictive insights for revenue optimization
- Seamless integration with Veradigm EHR and other healthcare systems
Cons
- Steep learning curve and complex implementation for new users
- High upfront costs and lengthy setup process
- Occasional reports of slower customer support response times
Best For
Mid-to-large hospitals and health systems needing scalable, integrated revenue cycle management with strong analytics.
Pricing
Custom enterprise pricing via quote; typically $10,000+ per month for mid-sized practices, based on modules and user volume.
Waystar
enterpriseModern SaaS platform for patient accounting, claims submission, payment posting, and revenue integrity.
Industry-leading payer connectivity to over 1,000 payers for accelerated claims submission and faster reimbursements
Waystar provides cloud-based revenue cycle management (RCM) software with a strong focus on patient accounting systems for healthcare providers. It automates claims processing, patient billing, payments, denials management, and financial analytics to optimize cash flow and reduce administrative burdens. The platform integrates with major EHRs like Epic and Cerner, offering real-time visibility into revenue cycles.
Pros
- Comprehensive RCM suite with advanced analytics and AI-driven insights
- Seamless integrations with EHRs and over 1,000 payers
- Strong patient payment portal for improved collections
Cons
- High implementation costs and timeline
- Steep learning curve for non-technical users
- Pricing lacks transparency and can be expensive for smaller practices
Best For
Mid-to-large hospitals and health systems needing scalable, end-to-end patient accounting and RCM solutions.
Pricing
Custom enterprise pricing based on transaction volume or subscriptions; typically starts at $50K+ annually, quote required.
Optum Revenue Cycle Management
enterpriseScalable revenue cycle solution with patient accounting features like AR management and analytics for large providers.
AI-powered Revenue Performance Advisor for real-time denial prediction and optimization
Optum Revenue Cycle Management is an enterprise-grade solution from Optum (part of UnitedHealth Group) that streamlines the entire revenue cycle for healthcare providers, with a strong focus on patient accounting systems. It automates billing, claims processing, accounts receivable management, payment posting, and financial reporting to improve cash flow and reduce denials. The platform integrates seamlessly with major EHR systems and leverages analytics for performance insights.
Pros
- Comprehensive end-to-end RCM automation including denial management
- Advanced AI-driven analytics and predictive insights
- Strong scalability and integration with EHRs like Epic and Cerner
Cons
- Steep learning curve and complex implementation
- High customization costs for smaller providers
- Limited transparency on standalone pricing
Best For
Large hospitals and multi-facility health systems needing robust, scalable patient accounting and full RCM capabilities.
Pricing
Custom enterprise licensing; annual costs typically range from $500K+ based on facility size, volume, and modules selected.
NextGen Revenue Cycle Management
enterprisePatient accounting system for ambulatory practices, including billing, eligibility verification, and remittance processing.
AI-powered claims intelligence for proactive denial prevention and faster reimbursements
NextGen Revenue Cycle Management is a comprehensive platform designed to optimize the financial operations of healthcare practices, handling everything from patient registration and claims submission to payment posting and denial management. It integrates tightly with NextGen's EHR system, providing end-to-end automation for revenue cycle tasks in ambulatory settings. The solution emphasizes data analytics and compliance to help providers maximize reimbursements and streamline patient accounting.
Pros
- Seamless integration with NextGen EHR for unified workflows
- Advanced denial management and claims scrubbing tools
- Robust reporting and analytics for revenue optimization
Cons
- Steep learning curve for new users
- Higher costs unsuitable for small practices
- Limited flexibility in custom configurations
Best For
Mid-sized to large ambulatory practices needing integrated EHR and RCM for efficient patient accounting.
Pricing
Quote-based pricing, typically $400-$800 per provider per month when bundled with EHR.
Evident Revenue Cycle
enterpriseCommunity hospital-focused patient accounting software with integrated billing and financial clearinghouse capabilities.
AI-driven predictive denial prevention and revenue intelligence integrated directly with EHR data
Evident Revenue Cycle is a comprehensive revenue cycle management (RCM) platform from Evident (formerly eClinicalWorks) designed specifically for healthcare providers to optimize patient accounting processes. It automates key tasks such as claims submission, denial management, insurance eligibility verification, patient billing, and payment posting. Deeply integrated with the Evident EHR system, it provides real-time analytics and AI-driven insights to improve financial performance and reduce revenue leakage.
Pros
- Seamless integration with Evident EHR for unified workflows
- Advanced denial management and AI-powered analytics
- Robust automation for claims scrubbing and eligibility checks
Cons
- Limited flexibility for non-Evident EHR users
- Steep learning curve for complex configurations
- Pricing lacks transparency and can be higher for smaller practices
Best For
Mid-sized healthcare practices already using the Evident EHR ecosystem seeking integrated RCM automation.
Pricing
Custom subscription pricing based on practice size and modules; typically $300-$600 per provider/month, available upon request.
Kareo Billing
enterpriseCloud-based patient accounting and medical billing platform designed for independent practices and small groups.
Intelligent denial prevention with AI-driven scrubbing and real-time eligibility checks
Kareo Billing is a cloud-based patient accounting system tailored for healthcare providers, automating revenue cycle management with features like electronic claims submission, denial management, and patient payment processing. It integrates with popular EHRs and practice management tools to streamline billing workflows and provide real-time financial insights. Designed for independent practices and small to mid-sized groups, it emphasizes efficiency in accounts receivable and compliance with healthcare regulations.
Pros
- Comprehensive claims scrubbing and auto-posting to reduce errors
- Integrated patient portal for self-service payments
- Strong analytics and reporting for AR tracking
Cons
- Pricing can escalate with claims volume for small practices
- Occasional delays in customer support response times
- Limited advanced customization options compared to enterprise solutions
Best For
Small to medium-sized independent medical practices needing reliable, integrated billing without heavy IT overhead.
Pricing
Starts at $110 per provider/month plus per-claim fees; custom quotes for higher volumes.
Conclusion
The top patient accounting systems reviewed cater to diverse healthcare needs, from large hospitals to small practices, with clear standouts. Epic Resolute leads as the top choice, offering unmatched integration with Epic's EHR for comprehensive revenue cycle management. Oracle Health Revenue Cycle and MEDITECH Revenue Cycle follow closely, excelling in end-to-end processing and EHR integration respectively, making them strong alternatives for specific needs.
Dive into Epic Resolute to unlock streamlined financial workflows, and consider Oracle or MEDITECH if your operations prioritize end-to-end capabilities or tight EHR alignment.
Tools Reviewed
All tools were independently evaluated for this comparison