Quick Overview
- 1#1: Kareo - Streamlines medical billing, claims submission, and revenue cycle management for independent practices.
- 2#2: AdvancedMD - Provides comprehensive practice management and patient billing with automated claims processing and denial management.
- 3#3: athenahealth - Offers cloud-based revenue cycle management and patient billing integrated with EHR for efficient collections.
- 4#4: DrChrono - Delivers all-in-one EHR with robust medical billing, superbilling, and patient payment processing.
- 5#5: eClinicalWorks - Integrates EHR and practice management with advanced patient billing and insurance claims handling.
- 6#6: NextGen Healthcare - Supports enterprise-level patient billing and revenue cycle management within its EHR platform.
- 7#7: Waystar - Specializes in revenue cycle management with AI-driven patient billing and claims optimization.
- 8#8: Practice Fusion - Free EHR platform featuring integrated patient billing, invoicing, and payment collection tools.
- 9#9: CureMD - Cloud-based EHR and practice management with efficient patient billing and ERA posting.
- 10#10: PracticeSuite - Offers scalable practice management and patient billing software with clearinghouse integration.
Tools were evaluated based on key factors like claims processing efficiency, integration capabilities, user-friendliness, and overall value, ensuring a balanced selection that addresses diverse practice sizes and needs.
Comparison Table
This comparison table explores key patient billing software tools including Kareo, AdvancedMD, athenahealth, DrChrono, eClinicalWorks, and more, offering a clear overview to help readers assess their options. It highlights critical details like workflow integration, cost, and user-friendliness, guiding informed choices for different practice needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Kareo Streamlines medical billing, claims submission, and revenue cycle management for independent practices. | enterprise | 9.5/10 | 9.7/10 | 9.2/10 | 9.1/10 |
| 2 | AdvancedMD Provides comprehensive practice management and patient billing with automated claims processing and denial management. | enterprise | 8.9/10 | 9.4/10 | 8.2/10 | 8.5/10 |
| 3 | athenahealth Offers cloud-based revenue cycle management and patient billing integrated with EHR for efficient collections. | enterprise | 8.5/10 | 9.2/10 | 7.8/10 | 8.0/10 |
| 4 | DrChrono Delivers all-in-one EHR with robust medical billing, superbilling, and patient payment processing. | specialized | 8.6/10 | 9.1/10 | 8.3/10 | 8.0/10 |
| 5 | eClinicalWorks Integrates EHR and practice management with advanced patient billing and insurance claims handling. | enterprise | 8.1/10 | 8.7/10 | 7.2/10 | 7.9/10 |
| 6 | NextGen Healthcare Supports enterprise-level patient billing and revenue cycle management within its EHR platform. | enterprise | 8.4/10 | 9.2/10 | 7.8/10 | 8.1/10 |
| 7 | Waystar Specializes in revenue cycle management with AI-driven patient billing and claims optimization. | specialized | 8.4/10 | 9.1/10 | 7.8/10 | 8.0/10 |
| 8 | Practice Fusion Free EHR platform featuring integrated patient billing, invoicing, and payment collection tools. | specialized | 7.2/10 | 6.8/10 | 8.1/10 | 8.4/10 |
| 9 | CureMD Cloud-based EHR and practice management with efficient patient billing and ERA posting. | enterprise | 8.1/10 | 8.5/10 | 7.6/10 | 7.9/10 |
| 10 | PracticeSuite Offers scalable practice management and patient billing software with clearinghouse integration. | enterprise | 7.4/10 | 8.2/10 | 6.8/10 | 7.1/10 |
Streamlines medical billing, claims submission, and revenue cycle management for independent practices.
Provides comprehensive practice management and patient billing with automated claims processing and denial management.
Offers cloud-based revenue cycle management and patient billing integrated with EHR for efficient collections.
Delivers all-in-one EHR with robust medical billing, superbilling, and patient payment processing.
Integrates EHR and practice management with advanced patient billing and insurance claims handling.
Supports enterprise-level patient billing and revenue cycle management within its EHR platform.
Specializes in revenue cycle management with AI-driven patient billing and claims optimization.
Free EHR platform featuring integrated patient billing, invoicing, and payment collection tools.
Cloud-based EHR and practice management with efficient patient billing and ERA posting.
Offers scalable practice management and patient billing software with clearinghouse integration.
Kareo
enterpriseStreamlines medical billing, claims submission, and revenue cycle management for independent practices.
Intelligent denial prevention engine that automatically scrubs claims and predicts denials before submission
Kareo is a cloud-based medical billing and revenue cycle management platform designed specifically for independent healthcare practices, offering end-to-end patient billing solutions from claims submission to payment collection. It automates patient statements, online payments, denial management, and eligibility verification to streamline revenue workflows. Integrated with EHR and practice management tools, Kareo helps practices maximize reimbursements while minimizing administrative overhead.
Pros
- Robust automation for claims scrubbing, denial management, and patient payments
- Seamless integration with popular EHR systems and real-time eligibility checks
- Excellent analytics and reporting for revenue cycle insights
Cons
- Pricing can escalate with high-volume claims or additional modules
- Steeper learning curve for non-tech-savvy users during initial setup
- Limited advanced customization for highly specialized billing needs
Best For
Small to mid-sized independent medical practices seeking an all-in-one, cloud-based solution for efficient patient billing and revenue optimization.
Pricing
Subscription starts at $135 per provider/month for core billing, plus pay-per-use fees (~$0.09/charge) and managed services options.
AdvancedMD
enterpriseProvides comprehensive practice management and patient billing with automated claims processing and denial management.
AI-powered denial prevention and automated revenue cycle management
AdvancedMD is a comprehensive cloud-based practice management platform with robust patient billing capabilities, automating claims submission, payment posting, and denial management to optimize revenue cycles. It integrates seamlessly with EHR and scheduling for accurate charge capture and patient statements. The software supports online patient payments, eligibility verification, and detailed financial reporting, making it ideal for medical practices handling complex billing workflows.
Pros
- Automated claims scrubbing and submission with high first-pass acceptance rates
- Integrated patient portal for self-service payments and statements
- Advanced denial management and analytics for revenue optimization
Cons
- Steep learning curve for full customization and setup
- Higher pricing tiers can be costly for smaller practices
- Customer support response times vary
Best For
Mid-sized to large medical practices seeking an integrated, scalable billing solution with strong RCM automation.
Pricing
Custom subscription pricing starting at around $400 per provider/month, scaling with modules, users, and practice size; includes implementation fees.
athenahealth
enterpriseOffers cloud-based revenue cycle management and patient billing integrated with EHR for efficient collections.
AI-powered predictive denial management that proactively identifies and prevents claim denials before submission
athenahealth is a cloud-based electronic health record (EHR) and practice management platform with robust patient billing capabilities through its athenaOne Revenue Cycle Management suite. It automates claims submission, eligibility verification, patient statements, and payment posting to streamline billing workflows and reduce administrative burdens. The software provides denial management tools, analytics for revenue optimization, and patient self-service portals for online payments.
Pros
- Advanced automation for claims scrubbing and submission with high first-pass acceptance rates
- Seamless integration with EHR for end-to-end revenue cycle management
- Powerful analytics and reporting for identifying billing trends and denials
Cons
- High subscription costs that may not suit small practices
- Steep learning curve for new users due to comprehensive feature set
- Occasional reports of slow customer support response times
Best For
Mid-sized to large medical practices needing integrated EHR and billing with strong revenue cycle automation.
Pricing
Subscription-based pricing starts at around $400-$500 per provider per month, with custom quotes based on practice size and modules.
DrChrono
specializedDelivers all-in-one EHR with robust medical billing, superbilling, and patient payment processing.
Native iOS apps enabling real-time mobile billing and claims management from anywhere
DrChrono is a cloud-based EHR and practice management platform with integrated patient billing features designed for medical practices. It automates key billing processes including insurance claims submission, eligibility checks, denial management, and patient payment processing via a patient portal. The system supports electronic remittance advice (ERA) posting and customizable statements, ensuring efficient revenue cycle management.
Pros
- Seamless integration of billing with EHR and scheduling
- Mobile app support for on-the-go claims and payments
- Advanced automation for claims scrubbing and denial prevention
Cons
- Steep learning curve for complex billing setups
- Pricing scales quickly for multi-provider practices
- Limited customization in patient statement templates
Best For
Small to mid-sized U.S. medical practices needing integrated EHR billing with mobile accessibility.
Pricing
Per-provider pricing starts at $239/month for basic plans, up to $439/month for premium features; volume discounts and custom enterprise quotes available.
eClinicalWorks
enterpriseIntegrates EHR and practice management with advanced patient billing and insurance claims handling.
Prism Revenue Cycle Management with AI-powered claim scrubbing and predictive analytics
eClinicalWorks is a comprehensive electronic health records (EHR) and practice management platform with integrated patient billing capabilities designed for medical practices. It handles the full revenue cycle, including claims submission, eligibility verification, denial management, patient statements, and online payments through its Healow patient portal. The software automates billing workflows to reduce errors and accelerate reimbursements, making it suitable for multi-specialty practices.
Pros
- Seamless integration with EHR for accurate coding and claims
- Advanced denial management and RCM analytics
- Patient portal supports easy online payments and statements
Cons
- Steep learning curve for new users
- Occasional interface glitches and slow performance
- Customer support can be inconsistent
Best For
Medium to large medical practices seeking an all-in-one EHR with robust billing integration.
Pricing
Custom subscription pricing starting at around $500 per provider per month, including EHR and billing modules; additional fees for implementation and RCM services.
NextGen Healthcare
enterpriseSupports enterprise-level patient billing and revenue cycle management within its EHR platform.
Predictive revenue cycle analytics that forecast denials and optimize collections
NextGen Healthcare provides a robust patient billing solution as part of its integrated EHR and practice management platform, specializing in revenue cycle management for ambulatory care providers. It automates claims processing, denial management, payment posting, and patient collections with advanced analytics and EDI capabilities. The system supports complex multi-specialty billing workflows while ensuring HIPAA compliance and interoperability.
Pros
- Seamless integration with EHR for streamlined workflows
- Advanced denial management and revenue analytics tools
- Strong compliance features and customizable reporting
Cons
- Steep learning curve for new users
- High implementation and customization costs
- Less intuitive interface compared to simpler billing tools
Best For
Large multi-provider practices needing enterprise-grade billing integrated with comprehensive EHR systems.
Pricing
Custom enterprise pricing, typically $400-$700 per provider/month including billing modules, with additional setup fees.
Waystar
specializedSpecializes in revenue cycle management with AI-driven patient billing and claims optimization.
Waystar Payments: AI-powered patient payment platform with dynamic estimates, one-click payments, and personalized plans to boost collections by up to 30%
Waystar is a comprehensive revenue cycle management (RCM) platform specializing in patient billing for healthcare providers, offering tools for accurate patient estimates, claims processing, denial management, and payment collection. Its patient billing solutions include digital statements, self-service portals, flexible payment plans, and integrated analytics to optimize collections and reduce A/R days. Designed for scalability, Waystar integrates seamlessly with major EHRs and PMS systems, helping large organizations streamline financial operations from patient access to final payment.
Pros
- Advanced AI-driven tools for denial prevention and accurate patient estimates
- Robust integrations with EHRs like Epic and Cerner for seamless workflows
- Powerful analytics dashboard for real-time revenue cycle insights
Cons
- High implementation costs and lengthy onboarding for enterprise-scale deployments
- Steep learning curve for non-technical users
- Pricing lacks transparency and may be prohibitive for small practices
Best For
Large hospitals, health systems, and multi-specialty groups needing scalable, integrated patient billing within full RCM.
Pricing
Custom enterprise pricing based on volume and modules; typically subscription per claim or annual contracts starting at $100K+; contact sales for quotes.
Practice Fusion
specializedFree EHR platform featuring integrated patient billing, invoicing, and payment collection tools.
One-click claims generation directly from EHR encounter notes
Practice Fusion is a cloud-based electronic health record (EHR) system that includes integrated patient billing features, enabling practices to generate superbills, submit electronic claims to over 2,000 payers, and manage patient payments and statements seamlessly within the EHR workflow. Designed primarily for small to mid-sized practices, it automates billing processes like claims scrubbing and denial management to reduce errors and speed up reimbursements. While not a standalone billing solution, its tight integration with clinical documentation makes it efficient for practices already using the platform.
Pros
- Seamless integration with EHR for one-click claims from patient charts
- Free core EHR platform offsets billing costs for small practices
- Supports electronic claims submission to major payers with built-in scrubbing
Cons
- Limited advanced billing features like complex AR management compared to dedicated tools
- Transaction-based fees for claims processing can add up for high-volume practices
- Customer support for billing issues is often slow or outsourced
Best For
Small primary care practices seeking affordable, EHR-integrated basic billing without needing enterprise-level customization.
Pricing
Free EHR software; billing via integrated clearinghouse with $0.09-$0.25 per claim fee plus setup costs.
CureMD
enterpriseCloud-based EHR and practice management with efficient patient billing and ERA posting.
Real-time eligibility verification and AI-driven claims scrubbing that minimizes rejections upfront
CureMD is a cloud-based EHR and practice management platform with integrated patient billing software that automates revenue cycle management for healthcare providers. It supports electronic claims submission to over 4,000 payers, real-time insurance eligibility verification, denial management, and patient payment processing via a secure portal. The solution offers customizable reporting and analytics to track accounts receivable and optimize collections.
Pros
- Comprehensive claims scrubbing and auto-posting reduce errors and denials
- HIPAA-compliant patient portal for self-service payments and statements
- Robust analytics and AR management tools for financial insights
Cons
- Steep learning curve for full customization and setup
- Pricing can escalate with add-ons and user count
- Customer support response times vary based on user feedback
Best For
Mid-sized medical practices seeking an all-in-one EHR with strong billing integration to streamline revenue cycles.
Pricing
Custom quotes starting at $295 per provider/month, with additional fees for advanced modules and implementation.
PracticeSuite
enterpriseOffers scalable practice management and patient billing software with clearinghouse integration.
Advanced AI-driven claims scrubbing that proactively identifies and corrects errors before submission
PracticeSuite is an integrated practice management and billing software tailored for healthcare providers, focusing on streamlining patient billing workflows. It automates insurance claims submission, payment posting, denial management, and patient statement generation, while integrating with EHR and scheduling modules. The platform supports eligibility verification, AR management, and reporting to optimize revenue cycles for medical practices.
Pros
- Robust claims scrubbing and denial management tools reduce errors and accelerate reimbursements
- Seamless integration with EHR and practice management for end-to-end workflows
- Customizable reports and analytics for detailed financial insights
Cons
- Outdated user interface with a noticeable learning curve for new users
- Customer support response times can be inconsistent
- Limited transparency in pricing without a demo
Best For
Small to mid-sized medical practices seeking an all-in-one billing solution with strong revenue cycle management.
Pricing
Custom subscription pricing starting at around $250 per provider/month, scaled by practice size and features; includes setup fees.
Conclusion
Across the reviewed patient billing tools, the top three deliver exceptional solutions, each with unique strengths. Kareo leads as the top choice, excelling in streamlining billing, claims, and revenue cycle management for independent practices. AdvancedMD and athenahealth stand out as strong alternatives—AdvancedMD with automated processing and denial management, and athenahealth with integrated EHR—to meet diverse practice needs. Ultimately, the best option depends on specific requirements, but all three prove valuable for optimizing financial operations.
Don't miss out on Kareo's streamlined approach; try it today to enhance your practice's billing efficiency and revenue cycle management.
Tools Reviewed
All tools were independently evaluated for this comparison
