Top Revenue Cycle Management Companies

Revenue cycle management is a complex process, and healthcare organizations may find it difficult to manage it in-house. As a result, many medical practices outsource this work to third-party revenue cycle management (RCM) companies. But it can be a challenge to know which RCM company is the best fit for your business. 

In this post, we look at some of the top revenue cycle management companies to consider if you’re looking to outsource RCM or to make a change from your current revenue cycle services. 

There are more than 250 healthcare organizations that provide revenue cycle management services. We hope you find our selection of national leaders in RCM helpful as you consider the future of billing for your organization:

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Athelas

Website: athelas.com

Athelas RCM delivers world-class service, maximizes reimbursements, and delivers actionable insights into the financial health of your practice. Hundreds of healthcare practices rely on Athelas for end-to-end revenue cycle services.

Key features and services:

• Provider level insights - find which healthcare providers drive the most revenue 
• Site health metrics - identify where you’re excelling, and biggest sources of revenue leakage
• Projections & benchmarking - get accurate projections and see how you compare to others

How to learn more:

• Schedule a demo with Athelas’s RCM team here
• Download their RCM whitepaper here

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Athena

Website: https://www.athenahealth.com/

AthenaDX is offers a revenue cycle management solution that aims to reduce days in A/R and cost to collect.

Key features and services:

• Combined Business Office - a single system that consolidates hospital and physician group scheduling, billing, and balances into a single system
• Athena Gamify - staff-facing, game-like experience sits on top of the athenaIDX RCM system and drives increased engagement from your billing team
• Athena Collector - cloud-based RCM solution delivers industry-leading clean claim rates thanks to expert services and our continuously updated billing rules engine

How to learn more:

• Find more information on their website here 

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Waystar

Website: https://www.waystar.com/ 

Waystar provides a single sign-on platform to let you manage payments from government and private payers all in one place.

Key features and services:

• Financial Clearance - verify insurance benefits
• Revenue capture - uncover missing revenue with data to improve cash flow
• Claim management - Find a quicker, clearer path to fuller reimbursement for better patient experience

How to learn more:

• Read more on their blog here
• Request a demo

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Change Healthcare

Website: https://changehealthcare.com/ 

Change Healthcare focuses on improving staff efficiency, optimizing revenue, and elevating patient engagement.

Key features and services:

• Patient experience tools -  scheduling, triage, eligibility, authorization, cost estimates, payment collection, pre- and point-of-service financial counseling, enrollment services, and more
• Financial clearance - eligibility verification and registration accuracy tools with broad payer connectivity and innovative solutions
• Coverage insight - tools for charge capture, critical alerts, and results distribution

How to learn more:

• Read more about all their services on their RCM page

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eClinicalWorks

Website: eclinicalworks.com

ClinicalWorks offers clients a choice of RCM solutions — a self-service Practice Management model, in which you handle your own billing, or an RCM Service model in which eClinicalWorks provides a complete end-to-end solution for your practice.

Key features and services:

• Alerts Dashboard - Prioritize medical claims to avoid missing payer timely filing windows
• Performance evaluation tools -  eClinicalWorks’ RCM Dashboard and Provider Analytics
• Work Queue Dashboards -  Inventory allocation for A/R management

How to learn more:

• Check out their blog here 
• Read more about their products and services here

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NextGen

NextGen has non-specialized RCM to help improve financial performance, access transparent billing services, correct operational inefficiencies, and get paid faster. 

Key features and services:

• NextGen Charge Review Rules Engine - reviews charges for accuracy and scans for errors before claim is created
• Claims intelligence engine - automatic formatting for each claim
• Clearinghouse services - built-in intelligence for editing claims

How to learn more:

• Request a demo here
• Read more about RCM here

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Ambulance RCM

Website: https://www.aim-system.com/

AIM’s RCM solutions focus on Emergency Medical Services (EMS). They provide a single source of affordable, easy-to-use and configurable dispatch, ePCR, and billing software modules.

Key features and services:

• Dispatch software - logistical software to help with ambulance dispatch
• EMS ePCR Software - helps crews make compliant and complete documentation
• Billing solution - aims to maximize reimbursement for health systems

How to learn more:

• Find more info
• Request a demo 
• Read about their billing software

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National Medical Billing Services

Website: https://nationalascbilling.com/ 

National Medical Billing Services focuses on Ambulatory Surgery Centers (ASC). Their services include surgery specialization, implementations, and analytics. 

Key features and services:

• Analytics - technology solutions (business intelligence, analytics) for ASCs
• Managed Care Contracting  - negotiation services for managed care contracts
• Audits - help with medical coding and audit preparation

How to learn more:

• Read about them here
• Request a demo here

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Billing Blues RCM

Website: https://blueehr.com/ 

blueEHR helps hospitals and health systems with end-to-end billing services, including Billing, Collections, Claims Processing, and more.

Key features and services:

• Insurance Verification - verify if parents are eligible
• Claim follow-ups - tracking of denials and payment delays
• Denial Management - appeals and refilings included
• Credentialing - complete end-to-end credentialing process

How to learn more:

• More information on their RCM Solution here

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Coronis

Website: https://www.coronishealth.com/ 

Coronis Health is a healthcare revenue cycle management and medical billing company offering global capabilities & specialized solutions

Key features and services:

• Baseline Performance Analysis - Investigation in how your practice is doing by one of their experts to help you control costs
• Personalized dashboard configurations - views of your RCM performance tailored to your needs
• Specialized services - verticals include behavioral health, laboratory, primary health, anesthesia, and more

How to learn more:

• Schedule a free billing consultation here
• See there testimonials here

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Conclusion

Revenue cycle management is an integral part of the healthcare industry and your practice. As such, it's essential to choose a partner you trust.

That's where Athelas comes in: we provide industry-leading Revenue Cycle Management services. With the help of Athelas RCM, dozens of healthcare systems have achieved triple-digit growth in their medical billing and payment collections.

Our core focuses on giving world-class service, maximizing reimbursements, and delivering actionable insights into the financial health of your practice.

Want to learn how much more your practice could earn with optimized RCM?

Talk with one of our RCM strategists.