Quick Overview
- 1#1: Waystar - Provides cloud-based revenue cycle management solutions that streamline claims processing, payments, and denial management for healthcare providers.
- 2#2: athenahealth - Offers integrated EHR and revenue cycle management services with automated billing and patient payments for practices and health systems.
- 3#3: Epic Systems - Delivers Resolute Revenue Cycle platform for comprehensive financial management within its EHR suite for large hospitals and health systems.
- 4#4: Oracle Health - Provides advanced revenue cycle management integrated with EHR for claims, eligibility verification, and financial analytics in enterprise healthcare.
- 5#5: Change Healthcare - Offers cloud-based solutions for claims processing, payment accuracy, and revenue cycle intelligence across the healthcare ecosystem.
- 6#6: NextGen Healthcare - Delivers revenue cycle management with practice management, coding, and billing optimization for ambulatory care providers.
- 7#7: Veradigm - Provides revenue cycle tools including claims submission, denial management, and patient collections for physician practices.
- 8#8: Kareo - Simplifies revenue cycle management with billing, payments, and analytics for independent medical practices.
- 9#9: AdvancedMD - Offers integrated practice management and RCM software focused on scheduling, billing, and revenue recovery for specialty practices.
- 10#10: DrChrono - Combines EHR with revenue cycle features like mobile billing, claims scrubbing, and payment processing for modern practices.
Tools were ranked based on key metrics including feature depth (such as integration with EHRs and analytics), usability, reliability, and overall value, ensuring alignment with the varied needs of healthcare providers.
Comparison Table
Efficient revenue cycle management is vital for healthcare providers, with advanced software optimizing processes from claims to payment. This comparison table highlights top tools such as Waystar, athenahealth, Epic Systems, Oracle Health, and Change Healthcare, examining their key features, strengths, and ideal use cases. Readers will discover which solution aligns best with their practice's size and operational needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Waystar Provides cloud-based revenue cycle management solutions that streamline claims processing, payments, and denial management for healthcare providers. | enterprise | 9.5/10 | 9.8/10 | 9.2/10 | 9.4/10 |
| 2 | athenahealth Offers integrated EHR and revenue cycle management services with automated billing and patient payments for practices and health systems. | enterprise | 9.2/10 | 9.5/10 | 8.4/10 | 8.1/10 |
| 3 | Epic Systems Delivers Resolute Revenue Cycle platform for comprehensive financial management within its EHR suite for large hospitals and health systems. | enterprise | 9.2/10 | 9.8/10 | 7.4/10 | 8.1/10 |
| 4 | Oracle Health Provides advanced revenue cycle management integrated with EHR for claims, eligibility verification, and financial analytics in enterprise healthcare. | enterprise | 8.7/10 | 9.2/10 | 7.5/10 | 8.0/10 |
| 5 | Change Healthcare Offers cloud-based solutions for claims processing, payment accuracy, and revenue cycle intelligence across the healthcare ecosystem. | enterprise | 8.7/10 | 9.2/10 | 7.8/10 | 8.1/10 |
| 6 | NextGen Healthcare Delivers revenue cycle management with practice management, coding, and billing optimization for ambulatory care providers. | enterprise | 8.1/10 | 8.7/10 | 7.2/10 | 7.9/10 |
| 7 | Veradigm Provides revenue cycle tools including claims submission, denial management, and patient collections for physician practices. | enterprise | 8.1/10 | 8.6/10 | 7.4/10 | 7.9/10 |
| 8 | Kareo Simplifies revenue cycle management with billing, payments, and analytics for independent medical practices. | specialized | 8.2/10 | 8.7/10 | 7.9/10 | 8.0/10 |
| 9 | AdvancedMD Offers integrated practice management and RCM software focused on scheduling, billing, and revenue recovery for specialty practices. | specialized | 8.2/10 | 8.7/10 | 7.8/10 | 7.6/10 |
| 10 | DrChrono Combines EHR with revenue cycle features like mobile billing, claims scrubbing, and payment processing for modern practices. | specialized | 8.1/10 | 8.4/10 | 8.2/10 | 7.9/10 |
Provides cloud-based revenue cycle management solutions that streamline claims processing, payments, and denial management for healthcare providers.
Offers integrated EHR and revenue cycle management services with automated billing and patient payments for practices and health systems.
Delivers Resolute Revenue Cycle platform for comprehensive financial management within its EHR suite for large hospitals and health systems.
Provides advanced revenue cycle management integrated with EHR for claims, eligibility verification, and financial analytics in enterprise healthcare.
Offers cloud-based solutions for claims processing, payment accuracy, and revenue cycle intelligence across the healthcare ecosystem.
Delivers revenue cycle management with practice management, coding, and billing optimization for ambulatory care providers.
Provides revenue cycle tools including claims submission, denial management, and patient collections for physician practices.
Simplifies revenue cycle management with billing, payments, and analytics for independent medical practices.
Offers integrated practice management and RCM software focused on scheduling, billing, and revenue recovery for specialty practices.
Combines EHR with revenue cycle features like mobile billing, claims scrubbing, and payment processing for modern practices.
Waystar
enterpriseProvides cloud-based revenue cycle management solutions that streamline claims processing, payments, and denial management for healthcare providers.
RevView AI analytics platform providing real-time denial intelligence and predictive revenue forecasting
Waystar is a leading cloud-based Revenue Cycle Management (RCM) platform designed for healthcare providers, streamlining claims processing, denial management, patient payments, and financial analytics. It integrates seamlessly with EHRs and practice management systems to automate workflows, reduce administrative burdens, and accelerate cash flow. With AI-driven insights and extensive payer connectivity, Waystar helps organizations achieve higher clean claim rates and lower days in A/R.
Pros
- Comprehensive end-to-end RCM capabilities with industry-leading clean claims rates over 98%
- AI-powered analytics and denial prevention tools that significantly reduce A/R days
- Robust integrations with major EHRs, PM systems, and over 2,000 payers
Cons
- Custom pricing can be expensive for smaller practices
- Steep learning curve for advanced analytics features
- Implementation time may extend several months for large enterprises
Best For
Large hospitals, health systems, and multi-specialty groups seeking scalable, enterprise-grade RCM automation.
Pricing
Custom enterprise pricing based on revenue volume, modules selected, and payer mix; typically subscription-based with quotes starting at $50K+ annually—contact sales for details.
athenahealth
enterpriseOffers integrated EHR and revenue cycle management services with automated billing and patient payments for practices and health systems.
athenahealth Network for direct payer connectivity and superior first-pass claim acceptance rates
athenahealth's athenaOne platform offers a robust cloud-based Revenue Cycle Management (RCM) solution that streamlines billing, claims processing, denial management, and patient collections. It integrates seamlessly with its EHR system to provide end-to-end revenue optimization through automation and analytics. Key capabilities include AI-driven insights, high clean claims rates via the athenahealth Network, and tools for AR management and compliance.
Pros
- Comprehensive automation for claims scrubbing and denial prevention with 98%+ clean claims rate
- Integrated EHR-RCM workflow reduces errors and accelerates reimbursements
- Advanced analytics and AI-powered revenue intelligence for performance optimization
Cons
- High pricing makes it less accessible for small practices
- Initial implementation can be time-intensive and costly
- Reporting customization options are somewhat limited
Best For
Mid-to-large healthcare practices and hospitals needing scalable, integrated RCM with EHR capabilities.
Pricing
Quote-based subscription starting at $400-$700 per provider/month, plus implementation fees and add-ons.
Epic Systems
enterpriseDelivers Resolute Revenue Cycle platform for comprehensive financial management within its EHR suite for large hospitals and health systems.
Cognitive Computing AI platform for predictive denials management and revenue integrity across the entire cycle
Epic Systems offers a robust Revenue Cycle Management (RCM) solution as part of its integrated electronic health record (EHR) platform, primarily through modules like Resolute Professional and Hospital Billing. It streamlines the entire revenue cycle, from patient registration, eligibility verification, and charge capture to claims management, denials prevention, payment posting, and financial analytics. Designed for large-scale healthcare organizations, Epic's RCM leverages AI-driven tools and interoperability to optimize cash flow and reduce revenue leakage while ensuring compliance with complex payer requirements.
Pros
- Unparalleled integration with clinical EHR workflows to prevent revenue leakage
- Advanced AI and analytics for denials prediction and management
- Scalable for enterprise-level hospitals and health systems with high-volume claims processing
Cons
- Extremely high implementation costs and lengthy deployment timelines (often 2-5 years)
- Steep learning curve requiring extensive training and customization
- Overkill and cost-prohibitive for small to mid-sized practices
Best For
Large hospitals, academic medical centers, and integrated health systems needing a fully integrated EHR-RCM platform.
Pricing
Custom enterprise pricing; implementation often exceeds $100M for large systems, with annual subscription fees based on beds/users (typically undisclosed but in the tens of millions).
Oracle Health
enterpriseProvides advanced revenue cycle management integrated with EHR for claims, eligibility verification, and financial analytics in enterprise healthcare.
AI-powered Predictive Analytics for proactive denial management and revenue forecasting
Oracle Health Revenue Cycle Management is a comprehensive, cloud-based platform that automates and optimizes the entire revenue cycle for healthcare providers, from patient registration and claims submission to denials management and payment posting. Integrated with Oracle's EHR systems, it leverages AI and analytics to reduce denials, accelerate reimbursements, and improve financial performance. Designed for enterprise-scale operations, it supports complex workflows across hospitals and health systems.
Pros
- Advanced AI-driven denial prevention and revenue integrity tools
- Seamless integration with Oracle Health EHR and ERP systems
- Highly scalable for large multi-facility health systems
Cons
- High implementation costs and lengthy deployment timelines
- Steep learning curve for non-technical users
- Custom pricing lacks transparency for smaller organizations
Best For
Large hospitals and health systems needing an integrated, enterprise-grade RCM solution with deep EHR connectivity.
Pricing
Custom enterprise licensing, typically $500K+ annually for mid-sized implementations, based on modules, users, and volume.
Change Healthcare
enterpriseOffers cloud-based solutions for claims processing, payment accuracy, and revenue cycle intelligence across the healthcare ecosystem.
AI-driven predictive analytics for proactive denial management and revenue optimization
Change Healthcare offers a comprehensive Revenue Cycle Management (RCM) platform designed for healthcare providers, automating key processes like claims submission, denial management, eligibility verification, and patient payments. It integrates advanced analytics and AI-driven tools to optimize revenue capture, reduce administrative burdens, and improve financial outcomes across hospitals and physician practices. The solution supports end-to-end RCM workflows, from charge capture to remittance posting, with strong interoperability with major EHR systems.
Pros
- Robust AI-powered analytics for denial prediction and prevention
- Seamless integration with EHRs and practice management systems
- Scalable for enterprise-level healthcare organizations
Cons
- Steep learning curve and complex implementation process
- High costs with custom enterprise pricing
- Occasional reports of slower customer support response times
Best For
Large hospitals, health systems, and multi-specialty groups seeking scalable, analytics-driven RCM solutions.
Pricing
Custom enterprise pricing upon request; typically subscription-based with fees per claim, user, or revenue percentage.
NextGen Healthcare
enterpriseDelivers revenue cycle management with practice management, coding, and billing optimization for ambulatory care providers.
AI-driven predictive analytics for denial prediction and cash flow forecasting
NextGen Healthcare's Revenue Cycle Management (RCM) solution is a comprehensive platform integrated within their EHR ecosystem, automating billing, claims submission, denial management, and patient collections. It leverages advanced rules-based scrubbing and analytics to minimize errors and accelerate reimbursements. Designed primarily for ambulatory and specialty practices, it provides end-to-end visibility from patient registration to final payment posting.
Pros
- Robust claims scrubbing and denial prevention tools reduce revenue leakage
- Advanced reporting and analytics for performance insights
- Seamless integration with NextGen EHR for streamlined workflows
Cons
- Steep learning curve and dated user interface
- Lengthy implementation and customization process
- Pricing lacks transparency and can be high for smaller practices
Best For
Mid-sized ambulatory and specialty practices needing tightly integrated EHR and RCM capabilities.
Pricing
Quote-based pricing, typically $300-$700 per provider per month depending on practice size, modules, and customization.
Veradigm
enterpriseProvides revenue cycle tools including claims submission, denial management, and patient collections for physician practices.
AI-powered predictive denial management that proactively identifies and resolves issues before submission
Veradigm Revenue Cycle Management (RCM) is a robust, enterprise-grade solution tailored for healthcare providers, streamlining the entire revenue cycle from patient registration and claims processing to denial management and analytics. It integrates seamlessly with Veradigm's EHR systems, offering automation tools, predictive analytics, and real-time reporting to minimize revenue leakage and improve cash flow. Designed for hospitals and large practices, it emphasizes compliance with evolving payer rules and scalability across multi-facility environments.
Pros
- Deep integration with EHR for end-to-end workflows
- Advanced AI-driven analytics for denial prediction and prevention
- Comprehensive compliance tools and customizable reporting
Cons
- Steep learning curve for non-technical users
- High implementation costs and customization fees
- Customer support response times can vary
Best For
Mid-sized to large healthcare organizations or hospitals seeking integrated RCM with strong analytics and EHR compatibility.
Pricing
Custom enterprise pricing starting at $10,000+ annually per provider, based on modules, practice size, and implementation; quote required.
Kareo
specializedSimplifies revenue cycle management with billing, payments, and analytics for independent medical practices.
Revenue Cycle Intelligence analytics for real-time performance tracking and optimization recommendations
Kareo is a cloud-based Revenue Cycle Management (RCM) platform tailored for independent medical practices, integrating billing, claims management, denial resolution, and patient payments into a unified system. It automates key RCM processes like claims scrubbing, eligibility verification, and AR management to reduce errors and accelerate reimbursements. With built-in analytics, Kareo provides actionable insights to optimize revenue cycles and improve financial performance for healthcare providers.
Pros
- Comprehensive automation for claims submission and denial management
- Integrated analytics dashboard for revenue insights
- Seamless integration with EHR and practice management
Cons
- Pricing can be high for very small practices
- Customer support occasionally slow during peak times
- Limited advanced customization options
Best For
Small to mid-sized independent medical practices seeking an integrated, cloud-based RCM solution with strong automation.
Pricing
Starts at ~$300 per provider/month for core RCM, plus per-claim fees (~$0.15/claim) and optional add-ons.
AdvancedMD
specializedOffers integrated practice management and RCM software focused on scheduling, billing, and revenue recovery for specialty practices.
Revenue Cycle Intelligence dashboard with real-time KPIs and predictive analytics for denial prevention
AdvancedMD is a cloud-based Revenue Cycle Management (RCM) software designed for medical practices, offering end-to-end solutions for billing, claims processing, and collections. It integrates seamlessly with EHR and practice management tools to automate eligibility verification, claims scrubbing, denial management, and patient payments. The platform provides robust analytics to track key performance indicators like days in A/R and collection rates, helping practices maximize revenue efficiency.
Pros
- Comprehensive automation for claims and denials with high scrub rates
- Integrated analytics and reporting for revenue optimization
- Strong patient payment portal and self-service options
Cons
- Higher pricing can be prohibitive for small practices
- Steep learning curve during onboarding
- Limited customization for complex workflows
Best For
Mid-sized ambulatory practices and specialty groups needing integrated RCM with EHR functionality.
Pricing
Subscription-based starting at ~$429/provider/month, plus setup fees and add-ons for advanced services.
DrChrono
specializedCombines EHR with revenue cycle features like mobile billing, claims scrubbing, and payment processing for modern practices.
Native iPad app for on-the-go claims submission and payment posting
DrChrono is a cloud-based EHR and practice management platform with integrated Revenue Cycle Management (RCM) tools designed for independent medical practices. It streamlines the revenue cycle through automated claims submission, eligibility verification, denial management, ERA auto-posting, and patient payment collection. The software emphasizes mobility and customization to help practices maximize reimbursements and reduce administrative burdens.
Pros
- Seamless EHR-RCM integration reduces errors
- Native iOS apps enable mobile claims and payments
- Automated denial scrubbing and AR reporting
Cons
- Pricing can escalate with add-ons and usage
- Steeper learning curve for billing customization
- Support response times vary for complex issues
Best For
Small to mid-sized ambulatory practices needing an all-in-one EHR with reliable RCM automation.
Pricing
Custom quotes starting at ~$200/provider/month; includes per-patient or per-claim fees, with enterprise tiers for larger practices.
Conclusion
The reviewed revenue cycle management tools vary in focus, from small practices to large health systems, each excelling in distinct areas like claims processing or denial management. Waystar rises as the top choice, offering a cloud-based solution that streamlines end-to-end workflows. Athenahealth and Epic Systems follow closely, with athenahealth’s integrated EHR services and Epic Systems’ comprehensive financial management, making them strong alternatives for different operational needs.
Take the first step toward optimized revenue cycles—try Waystar to experience faster payments, reduced administrative hurdles, and improved financial health for your practice.
Tools Reviewed
All tools were independently evaluated for this comparison
