The Best Medical Billing Software of 2021

Our medical billing software reviews are the result of over 40 hours of research on 50+ medical billing software companies from across the web. These reviews and our medical billing software guide help small businesses and startups find the best medical billing software for their business.

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How We Chose the Best Medical Billing Software

Hospital management and medical practitioners are always in dire need of maintaining organized data such as patients’ medical bills. This process is made easier via robust and effective medical billing software.

This software comes in varying sizes, types, and levels of complexity. They range from DIY to complete outsourcing options. With so many options available today, choosing the ideal software for your practice can be challenging.

In this guide, we have evaluated many medical billing software and presented the top 15 based on the factors that typically matter most to a majority of practitioners: compliance, productivity features, and reporting.

Compliance

Compliance is especially important in the health care industry. We recommend medical billing software that includes compliance tracking features, as this will help the user avoid fines and focus on all the other tasks they need to manage. Ideal medical billing software should feature compliance and support with leading health regulations such as the Health Insurance Portability and Accountability Act (HIPAA). It should also be compliant with EDI.

When scouting for suitable medical billing software, it’s also essential to gather information from the vendor about its practices and policies, as well as any back-end access to the software. Also, the software should support patient privacy and security.

Productivity Features

Medical billing can be a tedious task. The best medical billing software includes patient eligibility checks, coding tools, and other features that save the user a lot of time. The software should feature easy-to-use functionality regarding patient registration, charge entry, scheduling, insurance, payment posting, and billing.

Reporting

Detailed reports on billing performance can help the user identify issues that may need to be fixed in their process. The software should help the practice, no matter its size, to file accurate claims and get quicker reimbursements. It should also help simplify the billing process, from eligibility to collections, as well as minimize denials and increase profits via its reporting capability.

The 14 Best Medical Billing Software Programs of 2021

CompanyPriceFree Trial/DemoVisit
75healthBasic: $19/user/month
Premium: $79/user/month
Free trial
Free demo
Visit 75health
AdvancedMDQuote-based pricingFree demoVisit AdvancedMD
AthenaCollectorQuote-based pricingFree demoVisit AthenaCollector
CentralReachQuote-based pricingFree demoVisit CentralReach
Cerner Ambulatory Practice ManagementQuote-based pricingFree demoVisit Cerner Ambulatory Practice Management
ChartLogic SuiteQuote-based pricingFree demoVisit ChartLogic Suite
ClaimCareQuote-based pricingNoneVisit ClaimCare
CureMDQuote-based pricingFree demoVisit CureMD
DrChronoQuote-based pricingFree demoVisit DrChrono
EpicCare EMRQuote-based pricingNoneVisit EpicCare EMR
Intelligent Medical SoftwareQuote-based pricingFree demoVisit Intelligent Medical Software
Kareo Medical BillingQuote-based pricingFree demoVisit Kareo Medical Billing
NexGen Healthcare EHRQuote-based pricingFree demoVisit NexGen Healthcare EHR
RXNTStarts at $65/ monthFree demoVisit RXNT

75health

75hlogo
75health is a cloud-based electronic health record (EHR) software that assists medical professionals in both small and medium-sized health care facilities to manage digital records and patient information. With this solution, users can upload and store patients’ details and practice information such as X-rays, consent forms, lab results, patient plans, prescription documents, and handouts.

It allows health care providers to create electronic files and store them in a cloud-hosted hub that they can access anytime using a device of their choice.

75health is ideal for individual medical practitioners, hospitals, clinics, and doctors.

The key features of 75health are:

  • Automated email management
  • Vaccination tracking
  • Drug list management
  • Diagnostic test tracker
  • Built-in scheduler
  • E-prescription
  • Accurate and dependable patient monitoring
  • Fast and accurate billing
  • Payment processing
  • Patient portal

This medical billing software offers a free trial and a free demo. The basic plan costs $19 per month, while you’ll pay $79 a month for the premium plan. 75Health provides support through email, phone, and online resources.

PriceFree Trial/DemoFeatures
Basic: $19/user/month
Premium: $79/user/month
14-day free trial
Free demo
>Claims management
>Appointment scheduling
>Patient eligibility check
>More features at 75health

Pros & Cons of 75health Medical Billing Software
75health has an Android app, which enhances its portability and convenience. You can store vital patient information with only a few clicks and access this data later from any device at any location. It also has phone and email notification capability that makes connecting with patients easy. However, 75health lacks compliance tracking.

ProsCons
>Android app
>Email and phone notifications
>Easy access of to data
>No compliance tracking

What Customers Are Saying
75health clients have many positive things to say about this medical billing solution. One notes, “I loved using 75health applications. If I can get to customize the system a little more to meet my organization’s needs it will be fantastic.”

AdvancedMD

AdvancedMD
AdvancedMD is also a cloud-based medical billing solution that helps to improve financial performance in health care facilities. The software helps to delegate the management of services between its teams and the in-house team of the specific practice. The solution offers suggestions on how to improve financial performance. It’s also scalable and thus can grow with your practice.

AdvancedMD integrates the billing system with practice management, saving costs and increasing efficiency. The software is suitable for medical practices of all sizes, and it helps to save both time and money.

Its core features include:

  • Updated reports
  • One-click management dashboard
  • Clients management
  • Flexible management options
  • Patient portal
  • Claims management
  • Appointment scheduling

AdvancedMD offers a demo for the solution, and the pricing is quote-based. For details on how much you’ll pay for the service, contact the service provider directly.

PriceFree Trial/DemoFeatures
Quote-based pricingFree demo>Payment processing
>Integrations with Birdeye, Deepscribe, and Clearwave
>Web-based, cloud, and SaaS deployment
>More features at AdvancedMD

Pros & Cons of AdvancedMD Medical Billing Software
This software allows you to manage almost all details about a patient from a single tool. The dashboard offers sufficient information, including alerts, priorities, and workflow. It also provides patient reminders to ensure they’re informed of their appointments and payment responsibilities in time. However, there is no free trial.

ProsCons
>Detailed and user-friendly dashboard
>Patient reminders
>Third-party integrations
>No free trial

What Customers Are Saying
AdvancedMD users praise this solution for its features and functionality. Here is what one had to say: “We have seen approximately a threefold improvement on a month-to-month basis of increased collections using AdvancedMD technology as compared to our previous technology provider. That has really been a step-change improvement with respect to the economics of the company.”

AthenaCollector

athenahealth-EHR-Software
AtnenaCollector is a cloud-based EHR medical billing, revenue cycle management, care coordination, patient engagement, and population health management solution. Its integrations with other management solutions help deliver measurable clinical results and financial performance for medical practices.

AthenaCollector is suitable for ambulatory RCM services and groups of 10 or fewer physicians. Its home page allows users to review patient information, see the daily schedule, check incoming lab results, and manage orders. In addition, you can use its billing module on its own or in combination with the EHR.

With this solution, patients can receive reminders via email, phone, or text message. Patients can also use their portal to pay bills, review history, schedule appointments, and sign forms.

The salient features of this software are:

  • Proactive trend analysis
  • Custom benchmarking
  • Daily responsibility visibility
  • Patient reminders
  • Performance reporting
  • Claims management
  • Appointment scheduling
  • Patient check-in

AthenaCollector’s pricing is quote-based.For more details, you can contact support via phone or email.

PriceFree Trial/DemoFeatures
Quote-based pricingFree demo>Patient eligibility check
>Links with Okta, DeepScribe, TIBCO Software, and Intacct
>Online support
>More features at AthenaCollector

Pros & Cons of AthenaCollector Medical Billing Software
AthenaCollector helps your health care professionals focus on your practice’s core functions by automating medical billing processes. It also offers analytics that can guide doctors to recognize patterns, make better diagnoses, and pick the best treatments. With this software, your organization gets paid faster by scrubbing claims of any errors before submission. However, there is no 27/7 customer support.

ProsCons
>Improves staff performance
>Analytics and reporting features
>Faster payments
>Limited customer support

What Customers Are Saying
AthenaCollector clients love the product for being a one-stop shop for most of their medical billing needs. One comments, “It is an all in one, one stop shop, software for our Gastro clinic and surgery. As the Quality Manager, what I like best is it has a marketplace that offers integration to the software. When the state mandates rules and compliance, Athena makes sure they can get you covered within their marketplace. This is very useful for our Billing Department.”

CentralReach

CentralReach
CentralReach is a web-based EMR mainly used by Applied Behavior Analysis (ABA) therapy service providers. These are professionals who treat autism and other related health conditions. This HIPAA-compliant solution is dedicated to the system’s continuous improvement, thus offering professionals a reliable solution for their needs. It also has a mobile app for easy access and convenience.

CentralReach also simplifies both back-office and front-desk administrative tasks. Its smart integrations help improve treatment outcomes and successful billing. It’s a vital tool for clinicians to save time via on-the-go mobile apps, offline and online data collection, and data sheets that sync automatically with electronic program books.

Its main features include:

  • Clinical programming
  • Learning management/training
  • Clinical data collection
  • Business intelligence and data warehouse reports
  • Data collection and reporting
  • Claims management
  • Progress monitoring
  • Integrated billing functionality
  • Appointment scheduling
  • Invoice history

CentralReach pricing is quote-based and depends on the number of users. The software is available for a free demo before purchasing. This solution is available for all types of practices.

PriceFree Trial/DemoFeatures
Quote-based pricingFree demo>Integrations with QuickBooks
>Code and change entry
>Web-based, cloud, SaaS, iPhone/iPad, and Android deployment
>More features at CentralReach

Pros & Cons of CentralReach Medical Billing Software
CentralReach has an intuitive and easy-to-navigate user interface. Its help section provides comprehensive guides that make it easy to understand the software. It’s an excellent platform for collecting and analyzing clinical data. The program generates graphs automatically based on the data. On the downside, the software lacks a free trial.

ProsCons
>Intuitive user interface
>Comprehensive guides
>Data collection and analysis
>No free trial

What Customers Are Saying
Customers are happy with the software’s functionalities, especially its user-friendliness. One declares, “I like how user friendly this software is. I am able to track cancellations, authorizations and the amount of remaining hours we have left on an auth very easily.”

Cerner Ambulatory Practice Management

cerner
Cerner EMR is a unified system that helps streamline the services offered by physicians and nurses. It also helps to enhance patient safety and minimizes costs in health care facilities. This ERM provides the essential tools and features doctors and other health care workers need to offer ambulatory practices.

The software provides both off-site and on-site hosting, and it’s ideal for large and small medical practices. Its main objective is to improve patient care coordination and documentation, enabling health care workers to access clinical information essential for decision-making and patient safety. It also empowers patients by enhancing their communication with their physicians and other health care professionals.

The chief features of Cerner EMR are:

  • Dynamic documentation
  • Voice recognition
  • Auto-texting
  • Integration with labs
  • Appointment scheduling
  • Third-party integration
  • Patient portal
  • Code and change entry

Pricing for Cerner EMR is quote-based, and the service provider offers a free demo. You can learn more about the pricing plans by contacting the company directly.

PriceDemo/Free TrialFeatures
Quote-based pricingFree demo>Integrations with Millennium, OnBase, and PowerInsight Explorer
>24/7 support ticketing system
>Payment processing
>More features at Cerner Ambulatory Practice Management

Pros & Cons of Cerner Ambulatory Practice Management Medical Billing Software
Cerner EMR’s ambulatory’s organizer is one of the best features of this software, and it becomes handy during busy clinic days. Its integration with electronic medical records makes appointment scheduling easy. The platform allows a smooth flow of information from different centers in the health care facility. Unfortunately, there is no free trial.

ProsCons
>Ambulatory organizer
>Smooth flow of information
>No free trial

What Customers Are Saying
Customers are impressed by how this medical billing software keeps information flowing between the interested parties. One of them had this to say: “I would recommend to a hospital with an ambulatory clinic as it helps keep information flowing between the two systems in an accurate manner.”

ChartLogic Suite

ChartLogic
ChartLogic is an ambulatory EHR suite that features revenue cycle management, electronic medical records, patient portal, e-prescribing, and practice management. This software is ideal for primary care, surgical care, and even advanced forms of medicine. ChartLogic EMR is made to monitor workflow, personal preferences, and specialties.

The software provides electronic charting capabilities that enable doctors to view the patients’ medical history, notes, diagnosis codes, referral letters, and other relevant information on a single screen.

Its central features include:

  • Full ambulatory EHR suite
  • Practice management
  • Electronic medical record
  • Patient portal
  • Payment processing
  • E-prescription
  • Physicians’ to-dos
  • Voice dictation
  • Referral reply
  • Patient tracker
  • Interoperability
  • Data share

The pricing module for ChartLogic is based on a custom quote, and the service provider offers a free demo for the software. You can reach the company for support directly through email, phone, or a live chat.

PriceFree Trial/DemoFeatures
Quote-based pricingFree demo>Connects with Change Healthcare's Clinical Network
>Appointment scheduling
>Invoice history
>More features at ChartLogic Suite

Pros & Cons of ChartLogic Medical Billing Software
ChartLogic permits the sharing of information via its CL, making approval of payments and procedures hassle-free. The platform also allows users to customize folders for scanned documents, unlike most EMRs. ChartLogic is a cloud-based solution; therefore, you don’t need to store any data on-site. However, it lacks 24/7 customer support and has fewer integrations than some of the others on this list.

ProsCons
>Allows sharing of information
>Cloud-based solution
>Customizable folders
>Limited customer support
>Limited integrations

What Customers Are Saying
Clients like this medical billing software for various reasons, including the sharing of data and ease of access. One client mentions, “ChartLogic is the perfect EMR billing system for us and the remote access from Desktop to mobile is so convenient.”

ClaimCare

ClaimCare
ClaimCare EMR is a web-based electronic medical billing and records solution that makes claim management and medical billing easier for health care providers. It has several attractive features, such as instant payment that enables users to receive their payments within one day. It also helps to eliminate reliance on medical billing employees.

This software provides full-service medical billing that helps your medical professionals concentrate on their critical tasks. Its instant payment program allows you to receive part of your payment almost immediately and receive the balance within 30-40 days after claims are processed. This is an excellent source of cash flow, which is crucial for any practice.

ClaimCare’s salient features include:

  • Credentialing
  • Electronic medical record
  • Practice management
  • Denial management
  • Claim submission
  • Patient eligibility check
  • Expedited billing solution
  • Integrated billing and scheduling

ClaimCare doesn’t offer a free trial, and pricing is quote-based. If you want more information about its pricing plans, you can speak to its sales representatives. Their support is available via the online portal.

PriceFree Trial/DemoFeatures
Quote-based pricingNone>Online support during business hours
>Web-based, cloud, and SaaS deployment
>Claims management
>More features at ClaimCare

Pros & Cons of ClaimCare Medical Billing Software
The instant payment program offered by ClaimCare is one of the main benefits of this platform, since it enables practices to increase their cash flow rather than wait for payment and risk denied claims. ClaimCare also provides an expedited transition program to help users switch effortlessly from one service provider to another. The software is easy to use and implement; however, it has no mobile app.

ProsCons
>Instant payment program
>Easy to use and implement
>Expedited transition program
>Lacks a mobile app

What Customers Are Saying
ClaimCare’s customers say good things about the brand. One says, “There are several features that I love about this easy software. The electronic Billing, ERA, it works well with other integrated applications such as practice fusion and it has a great support system. Also you have Credit card processing available to you as well as patient statements and the ability to have a task list.”

CureMD

CureMD
CureMD software helps to streamline day-to-day operations in medical facilities, including billing. This platform is designed to function within 32 specialties, including general practice. The CureMD’s team helps users make aggressive claims, enabling them to be paid faster. You can use its denial management and clean claims tools to increase your revenue. CureMD allows you to track revenue through its KPI dashboard that features co-pays collected, AR per payor, denials, appointments, and cash flow.

The dominant features of CureMD include:

  • Claims scrubbing
  • Appeals and management
  • Patient eligibility check
  • Fee schedule reviews
  • Electronic and paper claims submission
  • Invoice history
  • Compliance tracking

CureMD provides quote-based pricing plans and a free demo. If you want to know how much you’ll pay to enjoy its services, contact the company directly and explain your needs in exchange for a free quote.

PriceFree Trial/DemoFeatures
Quote-based pricingFree demo>Web-based, cloud, SaaS, iPhone/iPad, Windows, and Mac deployment
>Integrations with CureLINK, Avalon – HER, and MIPS/Macra
>Patient portal
>More features at CureMD

Pros & Cons of CureMD Medical Billing Software
CureMD software provides mobile functionality, a feature that improves access to medical information and enhances convenience. Its productivity and reporting tools are robust and help increase accountability in medical billing processes. Also, its interface is intuitive and easy to learn, making medical operations easier. However, there is no 24/7 customer support.

ProsCons
>Mobile functionality
>Robust productivity and reporting tools
>Intuitive interface
>Limited customer support

What Customers Are Saying
CureMD’s clients love the many options available on this software. One states, “Amazing application with a lot of options. If I have any questions I am able to log a ticket to the support team and get an instant answer if I call or receive a call from them; versus experience of waiting for days or weeks from former EMR vendors.”

DrChrono

DrChrono
DrChrono is a medical billing and EHR platform compatible with iPhones and iPads. This solution assists health care providers in managing billing, patient care, patient intake, revenue cycle management, and clinical charting.

The platform provides completely customizable form templates to allow users to track patient information. Health care workers can add patient notes and documentation to the platform. It permits sending prescriptions electronically via the internet. Its custom vitals allow the development of baseline health data and the monitoring of individual patients’ health measurements over time.

The major features of DrChrono are:

  • E-prescription
  • Patient portal
  • Customizable medical forms
  • Real-time patient eligibility checks
  • Automatic subscriptions
  • Code and change entry
  • Appointment scheduling

DrChrono offers a demo for this software, and the pricing is quote-based. The pricing depends on how you intend to use the software, and a demo is an excellent way of finding out these details. Alternatively, you can speak to the company’s sales representatives.

PriceFree Trial/DemoFeatures
Quote-based pricingFree demo>Connects with Ricoh, Luma Health, WellPay, FortisPay, Weave, DeepScribe, FlexScanMD, and Health Gorilla
>ERA and financial reporting
>Payment processing
>More features at DrChrono

Pros & Cons of DrChrono Medical Billing Software
DrChrono helps save time and increase efficiency, allowing healthcare professionals to concentrate on what they love doing most. The platform comes with configurable medical forms, making users’ work easier. Plus, it integrates with more than 40,000 labs and allows e-prescribing. Unfortunately, the software lacks Android deployment.

ProsCons
>Helps users enhance efficiency and save resources
>Integrates with more than 40,000 labs
>Allows e-prescribing
>No Android deployment

What Customers Are Saying
Many customers seem to be content with what this software offers, including its customization options. One notes, “I enjoy that, to some extent, it is customizable software as well. We utilize many features through DrChrono and I would recommend it to friends and peers.”

EpicCare EMR

EpicCare-EMR
EpicCare is an EMR specifically designed for large hospitals and healthcare systems. This platform is created, implemented, and supported by an in-house team. Its dashboard combines and displays both financial and clinical data and comes with customizable templates.

The software supports telemedicine by allowing doctors to communicate with their patients through a video platform. Mobile and tablet functionality is also available with this software. Patients can use the MyChart option to schedule appointments, message doctors, check their medical information, and manage their medical history through a personalized portal.

Its chief features include:

  • Mobile and tablet functionality
  • Telehealth
  • Analytics
  • Revenue cycle management
  • Community health portal
  • Security reporting
  • Patient eligibility check

EpicCare EMR pricing is quote-based, and the vendor doesn’t offer a free trial for the software. It offers 24/7 support and regular checkups. Customer support is also available online for this software.

PriceFree Trial/DemoFeatures
Quote-based pricingNone>Integrations with solutions such as Ambra Health, Amicas Vericis, BRIT, Carestream, and DR Systems
>Security reports
>Web-based, cloud, SaaS, and iPhone/iPad deployment
>More features at EpicCare EMR

Pros & Cons of EpicCare EMR Medical Billing Software
You can use EpicCare EMR for administrative and clinical management and generate many reports helpful for patient care, business management, and quality control. This platform can also be linked to tests done in other locations via Crisp and Care Everywhere. The software is mobile-friendly, and patients can receive health reminders and results online. However, the vendor doesn’t offer a free trial or demo.

ProsCons
>Many integrations
>Mobile-friendly
>Health reminders and online results
>No free trial
>No demo

What Customers Are Saying
One EpicCare EMR user said about the software, “I have been using EpicCare EMR for over 2 years now and there isn’t much bad I can say about it. Compared to most other EMR software out there it is far ahead of its competition. Its simplistic yet versatile design has made everyday challenges much easier for both health care employees and its patients.”

Intelligent Medical Software (IMS)

Intelligent-Medical-Software
IMS is an electronic health records software that helps simplify billing and practice management. This solution can be utilized either on-premise or in the cloud. It’s designed to support more than 40 specialties, including community health, immunology, and OB/GYNs. This software comes with templates and medical forms unique to each specialty.

The platform enables health care professionals to collect data on a patient’s medical history, medication history, lab test results, demographics, and allergies. In addition, it supports smart features like touch-pen and speech-to-text recognition. Physicians can use this software for telemedicine via the patient app or chat features.

Key features of this software include:

  • Specialty-specific templates
  • Patient management
  • Patient portal
  • Insurance eligibility verification
  • Claims scrubbing
  • 24/7 support
  • Code and change entry
  • Customizable dashboards

IMS pricing is quote-based, and a demo is also available. You can contact the company for a custom price that meets your business needs.

PriceFree Trial/DemoFeatures
Quote-based pricingFree demo>Integrates with CoverMyMeds, IMS, and InTouch
>24/7 live rep
>Invoice history
>More features at Intelligent Medical Software

Pros & Cons of Intelligent Medical Software
IMS provides a linear view of the patient’s care via its host of features. You can also send reminders and messages to the patient via the platform. Also, this software is highly customizable and ideal for smaller practices. However, its pricing isn’t listed online. You have to schedule a demo to learn about costs.

ProsCons
>Patient reminders
>Patient care linear view
>Highly customizable
>Pricing isn’t listed online

What Customers Are Saying
Many clients heap praises on the software for its automation capabilities. One comments, “This software makes my job hassle free, especially with automatic notifications regarding co-pay, or if I must obtain a patient’s signature. The physicians I work with are excited that they will never have to type out another note.”

Kareo Medical Billing

Kareo
Kareo is a cloud-based practice management and medical billing solution used by all kinds of practices. Users can schedule patients, store patient documents, confirm insurance, create customized reports, and manage collections and delinquent accounts.

The platform helps simplify the complexity of insurance billing by allowing healthcare providers to verify patients’ insurance claims by inputting their data in the system. This software also allows appointment scheduling and reminders to minimize no-shows. With the built-in messaging feature, users can communicate with patients, billers, and employees seamlessly.

Kareo’s core features include:

  • Billing analytics
  • Agenda planner
  • Advanced claim processing
  • Document management
  • Report customization
  • Claims tracking
  • Schedule/calendar
  • Agenda overview
  • Patient portal
  • Patient and financial reporting
  • Integrations with QuickBooks, Peachtree, Excel, and Crystal reports

If you need information about this software’s pricing plan, you can contact the company’s support via email, phone, or live chat. The service provider also offers a free demo for the product to help prospects choose the package that best suits their business.

PriceFree Trial/DemoFeatures
Quote-based pricing planFree demo>Links with Peachtree, Quickbooks, Excel, and Crystal Reports
>Standard, custom, patient, and financial reports
>Code and change entry
>More features at Kareo Medical Billing

Pros & Cons of Kareo Medical Billing Software
Kareo’s dashboard offers great functionality while maintaining professionalism. Also, the clinical sections display all the information on a single page. It helps save time and resources for health institutions and health care providers. Plus, it’s easy to learn and implement the software. However, the software has no free trial or 24/7customer support like most of the software on this list.

ProsCons
>Easy to learn and implement
>Saves time and resources
>Great functionalities
>No free trial
>No 24/7 customer support

What Customers Are Saying
It seems customers are pleased with Kareo’s extensive functionalities. One client notes, “In my experience of over twenty years using various EHR software platforms, I can honestly attest that Kareo is by far the most user-friendly and comprehensive EHR I have encountered in my professional career. I plan to be a loyal customer for life, thank you, Kareo!”

NexGen Healthcare EHR

NextGen-Healthcare
NexGen is a medical billing and practice management software that comes with features such as time-saving shortcuts and customizable templates that make billing and management practices simpler. It’s a cloud-based EHR that has been developed mainly for private practices.

NextGen is a completely integrated practice management software with an easy-to-use portal, specialty-specific content, and a claims clearinghouse. It’s HIPAA compliant and works on all browsers. You can use it on your laptop or even a tablet. It has been designed to adapt to the user’s workflow and can be accessed from any location.

Its main features are:

  • Insurance eligibility checks
  • Scheduling appointments
  • Telehealth
  • Automated registry reporting
  • MIPS reporting/dashboards
  • Direct messaging
  • Health analytics
  • Claim management
  • Patient portal
  • 24/7 live support
  • Integrations with Carequality, Aviacode, and Surescripts NRL

NextGen pricing is based on a custom quote. Contact a sales representative if you want to discuss your specific needs. This service provider also offers a demo.

PriceFree Trial/DemoFeatures
Quote-based pricing planFree demo>Integrates with Aviacode, Carequality, and Surescripts NRLS
>Automated registry report
>Web-based, cloud, SaaS, iPhone/iPad, and Android deployment
>More features at NexGen Healthcare EHR

Pros & Cons of NextGen Medical Billing Software
NextGen has a simple and easy-to-navigate interface. Its support is responsive and helpful, and the system offers valuable analytics. NextGen simplifies practice management for health care workers and helps them concentrate on their core duty. Unfortunately, there’s no free trial.

ProsCons
>Easy-to-navigate interface
>Valuable analytics
>Simplifies practice management
>No free trial

What Customers Are Saying
Customers applaud the software for many reasons. One says, “This software goes from engaging a patient to diagnosis, treatment, script and billing. It is efficient and flexible, allowing customization for each user. And the staff of NextGen is outstanding in training and running the product and in their enthusiasm and passion for it and for improving health care delivery.”

RXNT

RXNT
RXNT is a cloud-based clinical and practice management software for health facilities that helps users manage patient records, scheduling, patient care, billing, and treatment management.

This solution helps health care providers share clinical information securely and manage electronic referrals, lab tests, and orders and prescriptions and get results on the patients’ medical charts. The electronic-prescribing option enables real-time access to a patient’s history and affordable billing.

The software’s practice management module generates customizable reports and enables users to monitor and analyze practice data and project revenues and perform real-time eligibility checks for claims using electronic remittance advice (ERA). Its built-in error detection and claims scrubbing feature helps spot causes of denied claims and minimize claims denials and rejections.

Its core features are:

  • Records management
  • Customizable reporting
  • Resource scheduling
  • Charge revenue reporting
  • Mobile connectivity
  • Patient engagement
  • Claims management
  • Electronic referrals
  • Patient portal
  • Workflow reporting

RXNT pricing begins at $65 per month. However, the exact cost will depend on your individual needs. You can contact the company for a custom quote and more details on the available packages. A demo version is also available to give you a sneak peek at the software.

PriceFree Trial/DemoFeatures
Starts at $65/monthFree demo>Web-based, cloud, SaaS, Android, and iPad/iPhone deployment
>Payment processing
>Workflow, aging, transaction, and charge revenue reporting
>More features at RXNT

Pros & Cons of RXNT Medical Billing Software
RXNT features a simple layout that is user-friendly and easy to learn. This software is excellent for prescriptions since it pulls the drugs to the EHR and helps you identify the medicines covered by insurance. However, there is no compliance tracking or 24/7 live customer support.

ProsCons
>User-friendly and intuitive interface
>Ideal for pharmacies
>Simple layout
>No compliance tracking
>No 24/7 live rep

What Customers Are Saying
RXNT customers are happy with what the software can do. Here is what one of them had to say: “I like how everything is so clean and nicely organized. Also easy to train staff from registering patients to checking them out.”

What Is Medical Billing Software?

Medical billing software refers to a computer application employed to automate billing processes in the health care industry. Billing companies and medical practices use this software to improve their reimbursement rates, sustain their business profitability, and optimize their revenue.

The software includes features that address each segment of the medical billing workflow, ranging from scheduling appointments to processing payments. It automates invoicing and collection of payments, thus increasing transparency and minimizing errors. This comprises the generation of invoices for orders, templates for different types of invoices, electronic billing, and the claims process. The software should develop and manage invoices for the services the practice offers. Each health care institution needs specific billing features because invoicing varies depending on different factors, such as health care coverage, treatment, and patient diagnosis.

In most cases, the medical billing software integrates with popular accounting and practice management software for a flawless experience. The integration is also required for claim submission and electronic invoices. Good software should also support the Health Insurance Portability and Accountability Act (HIPAA) that regulates payment processes between a health care provider and their patient.

Medical billing software helps increase the accuracy and efficiency of billing in health care organizations. Some of the advanced models offer functionality for profitability management and revenue management.

Medical billing software has helped ease the burden of paper-based medical billing, which is time-consuming and labor-intensive and has a high chance of incurring costly and risky billing errors. By shifting the entire billing process to an electronic format, the software has made it possible for medical practices to handle unlimited claims with increased accuracy and efficiency.

Benefits of Medical Billing Software

Medical billing software presents a host of benefits to health care facilities, including instant account access, reduction or errors and risk, revenue cycle management, and HIPAA-compliant payment processing.

Instant Account Access for Any Location: With medical billing software, you can confirm the claim status even when you’re not in the office, provided you have access to the system. It lets you access vital information from any location. These features allow you to get real-time updates on collections and claims, as well as make necessary changes to the patient’s files.

Reduction of Errors and Audit Risk: Errors in medical billing can be costly. Medical billing software helps reduce mistakes that are typical with the traditional billing systems. Human errors are inevitable when inputting huge amounts of billing information, but the software does an excellent job of minimizing these errors. This is because it can locate the most common mistakes made by even the most skilled medical billers.

Revenue Cycle Management: With traditional health care practice management, it’s possible to miss patients’ payments, especially if the billing system isn’t managed online. One of the best ways to overcome this problem is to use Revenue Cycle Management (RCM) to automate payment processing. RCM is integrated with the billing software, and it tracks the entire patient interaction with the billing system, from scheduling appointments to making the final payment.

HIPAA-Compliant Payment Processing: Medical billing software guarantees compliance with HIPAA payment processing. In this case, the software uses medical billing codes without sharing patients’ personal medical details with third-party organizations. The medical codes ensure the electronic health records of patients remain secure. HIPAA compliance is vital when sending electronic remittance information to confirm insurance payments.

Must-Have Features of Medical Billing Software

For medical billing software to be effective, it should have key features such as:

Financial reporting. Health care professionals, especially those in private practice, need reports that show the financial performance of the enterprise for a specific period. Medical billing software generates these reports. Some of this software integrates with practice management software, making it easier to monitor the practice’s performance.

Batch payments. The batch payment feature is essential for managing payments from multiple patients simultaneously. It’s also valuable when pursuing patients’ payments because it enables the system to send emails to the patient informing them about their payment obligations. Some of the most advanced medical billing software features credit card processing and online bill payment options to help health care providers scale their billing systems.

Electronic claim generation. This allows the creation and submission of e-patient statements and claims to insurance companies.

Collections follow-up and reminders. This feature enables the user to get timely updates if a claim requires follow-up or moves to a collection agency.

Claims processing. It’s essential for automatically processing payments and tracking active claims.

Payment posting. This feature assists in updating your accounts receivables and keeping your ledger balanced. It updates you once a patient or an insurance company pays a claim.

Automated recurring charges. This option facilitates long-term billing for repeated health care services, either weekly or monthly.

Basic accounting. It allows the use of a general ledger to track insurance and patient charges.

The Cost of Medical Billing Software

The cost of medical billing software varies significantly. There are free online-based solutions that only charge you for specific features like sending electronic claims. There are also costly and all-inclusive practice management software options that feature claim processing and electronic health records management.

This software’s price depends on several factors, such as the nature of the medical practice and patient volume. It also depends on the available features such as reporting functionality, patient appointment reminders, credit card processing, online payments, and data conversions.

Most of the latest medical billing software is cloud-based. This means it is run from a remote server and can be accessed from any authorized computer connected to the internet. A few developers still offer self-hosted solutions.

Typically there are two types of pricing models for medical billing software: the perpetual license and subscription-based models. In the former case, you pay a one-time flat fee for lifetime access to the software, while in the latter case, you pay either a monthly or yearly subscription for the service. The amount of money you’ll pay for the software depends on the type and the subscription method.

Often, the yearly subscriptions are cheaper than monthly subscriptions. Today, most software developers have shifted to the Software as a Service (SaaS) business model, in which they charge a monthly fee for access to the software.

In most cases, the hosted medical billing software is more expensive than the cloud-based solutions because they require a higher up-front capital investment. On the other hand, you’re only required to sign up for a subscription that you pay monthly or yearly for the cloud-based software. For such plans, you can expect to pay between $30-$100 per user per month to access the service, while for the premium plans, you can pay as high as $200-$500 per user per month. Shop around thoroughly to find a pricing plan that suits your budget and needs.