largest healthcare revenue cycle management companies

L J Ross Associates is a nationally licensed, certified Women's Business Enterprise (WBE) founded in 1992 with a passion for helping businesses successfully manage their revenue recovery programs. Cotiviti recently launched Caspian Clarity, which includes clinical, financial and other medical data on 40 percent of Americans, providing a longitudinal view of population health and the patient journey. Netsmart is a healthcare IT company developing technology and providing services that support individualized care and improve outcomes. Launched in 2011, Boncura Health Solutions, a subsidiary of Duly Health and Care, has grown to serve more than 14,000 provider partners as well as manage more than 500,000 lives and process 2.5 million claims per year. The technology is also designed to increase productivity, reduce costs and improve patient outcomes.Titan Health Management Solutions (Tucson and Phoenix, Ariz.). It partners with healthcare providers to collect the revenue considered "uncollectible" with claims workflow automation, process optimization, rules-engine technology and teams resolving complex claims.KeyBridge (Lima, Ohio). It has 90,000 members using its technologies. Health systems including Charlotte, N.C.-based Novant Health; Durham, N.C.-based Duke Health; Columbus-based OhioHealth and Coral Gables-based Baptist Health South Florida use RightPatient to identify and access patient information securely.Rivia Health (Phoenix). Healthcare Tech Outlook magazine features list of Top Revenue Cycle Management Companies. Knack Global is a comprehensive solution provider for revenue cycle management, technological solutions and staffing support for healthcare providers. The company provides first-party collections, third-party collections and insurance follow-up services.Promantra (Somerset, N.J.). Contego drives increased revenue for ASCs through its comprehensive out-of-network claims and appeals process. MediMobile offers a highly customizable, enterprise-level suite of tools, including revenue cycle management, practice management, care coordination and business intelligence. All Rights Reserved. ClaraPrice offers audit services for posted prices and balance billing prevention.ClearBalance (San Diego). The company provides healthcare organizations with laboratory, pathology and genetics software as well as front-end client connectivity, back-end claims management and professional services with minimal capital expense.RCMS (Cleveland). Hospitals can use the company's platform to identify issues and prevent denials. The company's goal is to encourage employees to undergo medical treatment in the early stages without using credit cards and reduce outstanding receivables for providers.MedRevenu (Upland, Calif.). MedEvolve enables physician practices to work smarter and more accurately through practice management, revenue cycle management and practice analytics software and services. Acclara believes that maintaining strong client relationships and continuously refining its services based on its experiences can lead to significant changes in revenue maximization, revenue cycle streamlining, and improved patient experiences in healthcare organizations. Lightning Bolt Solutions is the leading provider of automated physician scheduling for hospitals and health systems around the world, managing more than 3 million physician shift hours each month. As a healthcare finance and revenue cycle operations performance management, analytics, and outsourcing organization, Excalibur offers services that give our clients proven methods to slash bad debt, reduce A/R days, and minimize manual touches per claim. The newest program can help reduce clinical denials by 60 percent.KPMG (New York City). Aviacode's solution codes 10 million charts per year.BC Services (Longmont, Colo). In 2022, leading private equity firm GTCRs strategic growth investment in Experitys differentiated software offerings allowed Experity to continue innovating and expanding into new capabilities and product offerings. The company's proprietary CRXIS business intelligence engine and industry expertise help healthcare providers increase revenue, save time and improve the bottom line.Collection Licenses (Irvine, Calif.). The company's mission is to improve the financial performance of providers through personalized service using best in class people, process and technologies. Ni2 Health's goal is to identify and deliver $1 million to $2 million in financial performance improvement for smaller community hospitals and more for larger organizations.Nordic (Madison, Wis.). The solution consolidates data silos and reduces maintenance costs in IT and helps organizations create better workflows for clinicians and health information management resources.Harris & Harris (Chicago). With over 10 years in the industry, EMPClaims helps small and medium-sized medical practices and physician groups to streamline their billing processes and optimize revenue. The company's solutions focus on eligibility and enrollment, accounts receivable management and hospital business office management to meet clients' needs as patients are responsible for a greater portion of the payment, and the complexity of the revenue cycle grows. Netsmart recently announced its collaboration with Jefferson Center - together, they aim to facilitate integrated remote patient monitoring for behavioral health services and improve overall outcomes.Ni2 Health (Bothell, Wash.). CBOSS is a service provider and partner to government and private-sector clients, providing the CBOSS Central Payment Portal to centralize administration for all electronic payments. Sentrii RCM (Painesville, Ohio). Backed by over 30 years of loan origination and servicing experience, Medfinancial's suite of revenue cycle services are making a positive impact for provider partners and the patients they serve. The company's analytics provide a vehicle to measure and report individual physician documentation performance.CodaMetrix (Boston). Qventus' platform is designed to help hospitals interpret data and close the gap between data and action. GeBBS Healthcare Solutions, Inc. (ChrysCapital portfolio company), a leading provider of revenue-cycle management (RCM) solutions for healthcare providers and payers, announced today that it has again been named to Modern Healthcare's Top 10 List of Largest Revenue-Cycle Management Companies. Born out of Mass General Brigham and designed by revenue cycle experts, CodaMetrix is dedicated to eliminating administrative burden that hinders physicians and the financial management of high-quality care.CodeOne (Monument, Colo.). Collect Rx provides services to maximize out-of-network reimbursement to hospitals, ambulatory surgery centers, physicians and other healthcare providers. Xtend is 100% focused on healthcare. The spreadsheet includes the following data points: Aspirion achieved the top 2022 Best in KLAS for Revenue Integrity/Underpayments ranking which is reflective of its team of 100-plus attorneys, 30-plus clinicians, and seasoned claims processors and unparalleled technological innovation. Companies that did not participate in this survey are not considered for this ranking. The platform provides a point-of-care access to IT systems through a variety of end-user devices.Online Information Services (Winterville, N.C.). MedRevenus goal is to elevate physician leaders and practice managers with reporting and insights used by the largest health systems and platforms in the country to drive revenue and profits. Advantum Health helps healthcare providers maximize revenues and practice medicine without administrative burden. The company's client installations worldwide function on Alvaria's omnichannel premise, cloud and hybrid platforms to manage customer contacts.Americollect (Manitowoc, Wis.). AIE Medical Management (Washington, D.C.). Change Healthcare is a large, independent healthcare technology company that works alongside customers and partners to enable better patient care, choice and outcomes at scale. The Perry Consulting Group isa revenue cycle management consulting firm with over 150 years of combined healthcare operations expertise. Modernizing Medicine provides EHR systems designed for medical specialists and specialty practices. With an emphasis on patient satisfaction and outstanding revenue recovery, their RCM experts provide unmatched results in early-out self-pay, customer service, insurance billing and follow-up, denials and appeals management, and third-party debt collection.Signature Performance (Omaha, Neb.). Olive's solutions use artificial intelligence to optimize the revenue cycle. Here are more than 260 companies with revenue cycle management solutions in the healthcare space. Hospital IQ, which was acquired by LeanTaaS earlier this year, works with hospitals and healthcare providers to optimize long-term strategies for the future. Centauri Health Solutions (Scottsdale). Harris & Harris is among the leading accounts receivable recovery solution providers in the nation, with a comprehensive business unit dedicated to the healthcare industry. Since 1998, AssureCare has been providing comprehensive integrated population health management software solutions to leading healthcare and human services organizations throughout the United States and globally. ACN Healthcare is a revenue cycle management company focused on end-to-end medical billing services. Trained on over 400M encounters and capable of coding for a range of medical specialties, Fathoms AI technology reduces costs, increases coding accuracy, and shortens turnaround times from days to minutes for leading health systems, physician groups, and billing companies.FinThrive (Alpharetta, Ga.). BDO revenue cycle assessments will identify processes within the operations contributing to revenue leakage, slowdown in cash flow or processes that are of risk to organization.BillingParadise (Diamond Bar, Calif.). MediSync has developed a training system for coding that is taught by physicians in small groups. Inbox Health uses personalized interactions to deliver an optimal patient billing experience that reduces administrative waste and improves payment metrics. MedEvolve gives physician practices a new level of insight that helps them identify problem areas and resolve issues quickly to improve the practice's financial performance. The global revenue cycle management market size was valued at USD 105.86 billion in 2021. Abax Health has 125 years of experience in the revenue cycle and patient access space. Credit balance management, outpatient charge capture, machine learning-led credit and debit resolution, and unclaimed property compliance round out its suite of revenue cycle solutions.Currence Physician Solutions (Chicago). The company provides people with relevant expertise to maximize clients workforce processes, technology and results.HELP Financial Corporation (Plymouth, Mich.). Moreover, practices can consult P3 Healthcare Solutions for Medicare credentialing and enrollment and HIPAA security risk analysis accounts receivable in addition to the whole revenue cycle management process.Parallon (Nashville, Tenn.). Janus aims to help health systems achieve more while reducing the cost of care. Webdale Healthcare Consulting (Phoenix). MedX offers a cash advance to hospitals on both payer and patient responsibilities if necessary.Medical Practice Success (Texarkana, Texas). For 36 years, healthcare leaders have trusted Cirius Group to help them push the boundaries of what their revenue cycle can do.Civxdata (San Diego). Mimecast (Boston). Hansei allows providers to increase collections and savings, stay compliant, and make smarter choices regarding their growth and bottom line. The company's solutions provide control over claims management, appeals, and audits, alongside business analytics, improved patient access and more. Launched in 2001 as a joint venture between Florida Blue and Humana, Availity was initially founded to streamline processes among payers and reduce administrative abrasion between payers and providers. The companys technology solutions help increase revenue and productivity for healthcare organizations by leveraging business intelligence, optimizing workflows and improving collection processes. The company's solutions include the Extended Business Office, presumptive charity analytics, insurance resolution, bad debt recovery and call center services.Upfront Healthcare (Chicago). The company helps patients manage out-of-pocket healthcare expenses, providing upfront funding while decreasing the payment plan administration on the provider side.Hiteks Solutions (New York City). Professional Credit provides tools and services to improve patient financial engagement and cash flow. The company provides a suite of patient access, clinical and revenue cycle services.In2itive (Overland Park, Kan.). Supporting more than 120 million medical encounters annually, Zotecs progressive technology solutions, data-driven tools and industry-leading client support transforms the financial capabilities for more than 21,000 healthcare providers nationwide. R1 RCM HealthTeq Services: RCM consulting company Ritesh Shah, CEO HealthTeq Services is a healthcare outsourcing organization that assists companies with revenue cycle management (RCM). Most importantly, we can help you migrate to a data-driven performance management culture that sustainably increases net revenue yield. Using computer-assisted coding, clinical documentation integrity and performance monitoring, 3Ms automated software helps physicians decrease costs and provide more informed care.Abax Health (Westport, Conn.). The company's extended client base and offices are in Texas, Florida, New York, New Jersey and Minnesota. 3M HIS aims to decrease revenue cycle waste and lead the shift from volume to value-based care. Cedar is a patient payment and engagement platform for hospitals, health systems and medical groups. The Firstsource Healthcare Cloud is an innovative platform in revenue cycle management and eliminates revenue leakage; empowers health team collaboration; delivers better health insights and outcomes; strengthens security, compliance and ease of interoperability; and deepens patient engagement across eligibility, enrollment and recovery. The company's solutions include management consulting and information management as well as big data- and Internet-of-Things-driven population health solutions to help payers, providers and employers understand their populations and engage them to drive down costs.ANI Healthcare Solutions (San Francisco). Patientory is a blockchain solution for healthcare, developed to drive population health management by allowing healthcare organizations to store and submit data securely through the blockchain and smart contracts. Global Recovery Alliance AG assists hospitals and health systems with international accounts receivable. The company offers medical coding, billing and collections services as well as data entry and accounts receivable management. The U.S. revenue cycle management market size was valued at USD 140.4 billion in 2022 and is expected to expand at a compound annual growth rate (CAGR) of 10.3% from 2023 to 2030. The company provides revenue collections services as well as practice management consulting and medical billing chart audits.Privacy Analytics (Ottawa, Ontario). The company gives insight into digital health, operational transformation and healthcare consumerism with clinical and health management services.Access Healthcare (Dallas). The company empowers provider networks to improve patient engagement with automated communication that helps improve revenue, increase compliance, lower costs and foster patient relationships.ReMedics (Cleveland). Aspirion helps hospitals and health systems maximize revenue recovery by focusing on their most challenging reimbursements. Credit Management Co. offers customized outsourcing processes that deliver solutions that will accelerate cash flow, lower operating expenses, reduce customer delinquency and improve customer care and support. Together, this lifts revenue.The Wilshire Group (Sierra Madre, Calif.). Revele is an end-to-end eClinicalWorks revenue cycle management firm providing eClinicalWorks training, optimization, reporting, consulting and revenue cycle management services to health systems and physician groups. Meduit (Charlotte, N.C.). Oneview provides interactive patient engagement and clinical workflow solutions to healthcare organizations. Med-Metrix provides a full suite of revenue cycle software and outsourced services to the healthcare provider marketplace. The companys services include billing and revenue cycle management, financial services, anesthesia business consulting, tax services, and technology and reporting. The cloud-based software provides revenue cycle training tools to improve the patient experience and a knowledge base for patient education regarding EHR access. Credit Solutions is a national revenue cycle management company that exclusively provides services to hospitals, healthcare systems and physician groups. This Modern Healthcare Data Center product is free to Premium Web subscribers or can be purchased for $199. The company ensures HIPAA compliance with HITRUST security certification.AnnexMed (East Brunswick, N.J.). WebPT also provides rehab therapy-specific solutions and has a 99 percent customer retention rate.WhiteSpace Health (Boca Raton, Fla.). The company provides best-in-class solutions and ensures that services are updated in accordance with the ever-changing guidelines of the U.S. healthcare system. Top 10 Healthcare Revenue Cycle Management Companies in USA PwC Revenue Cycle Managed Services 12 Reviews PwC (PricewaterhouseCoopers) is a global professional services firm that provides a wide range of consulting and advisory services to clients in various industries, including healthcare. The company's end-to-end data platform is powered by cloud-connected software, allowing users to manage data from anywhere on a mobile device.PwC (New York). Their services include denials and appeals management for clinical and technical denials, clinical denial audits, charge audits and CDI services.Mastercard Healthcare Solutions. Through robust workflow engines and actionable insights delivered on a self-service SaaS platform, MedeAnalytics has helped partners achieve amazing results such as reducing AR by $34.9 million in four months, reducing denial rate by 11 percent, improving CMI by 21 percent, and improving appeal success rate by 18 percent.MedEvolve (Little Rock, Ark.). If you would like to add a revenue cycle management company to this list, contact. The company helps organizations obtain and maintain state licensing and registration.CommerceHealthcare (Kansas City, Mo.). National Medical provides a wide range of services, including full revenue cycle outsourcing, managed care contracting, due diligence and specialized financial analysis for ASCs. Edifecs, a premier technology company, has been serving the U.S. healthcare market for over 26 years, empowering its customers to transform healthcare. Advantum offers full-service revenue cycle solutions including billing, credentialing, pre-authorization, referral management and intuitive analytics dashboards through one vendor.Advata Inc. (Bellevue, Wash.). Home Health Care Services. The physician-owned and directed organization focuses on efficient management of at-risk patient populations as well as cost-effective care delivery.Cantata Health Solutions (Austin, Texas). TruBridge offers services and software solutions designed to increase productivity and maximize reimbursement. Windstream is a Fortune 500 company dedicated to connecting healthcare providers and assisting in effective communication and collaboration to deliver personalized healthcare experiences. Xtend Healthcare (Hendersonville, Tenn.). Excalibur partners with organizations to set meaningful leading and lagging targets at a granular level and then exceed them through professional services and analytics-enabled outsourcing. The company offers advanced collections technology, proprietary skip tracing data, professional recovery practices and an expert, dedicated healthcare collections staff to provide a highly effective and convenient solution to receivables management challenges.Optum (Eden Prairie, Minn.). The Health Information Trust Alliance is a nonprofit that develops, maintains and provides broad access to compliance management and deidentification frameworks, as well as related assessment and assurance methodologies to organizations so they can create, store and exchange information securely.HMI (Brentwood, Tenn.). Practices get paid in two business days, with no recourse^ (CareCredit assumes the liability), helping providers save time, increase cash flow, and reduce A/R.CarePayment (Nashville, Tenn.). Currence empowers physicians and healthcare executives with financial insight. Experitys RCM services make billing easy by eliminating complexities around coding, billing, payer contracts and compliance, resulting in optimized revenue and reimbursement for providers. CareCloud provides cloud-based revenue cycle management, practice management, EHR and patient experience management solutions for high-performance medical groups. In 2021, AccuReg implemented EngageCare, a single platform that merges patient access, intake and engagement to help healthcare providers create a seamless patient experience. Through its patented Crowe Revenue Cycle Analytics software, the company captures every patient transaction each day from more than 1,700 hospitals and 200,000 physicians. The company's solutions and services include revenue cycle management, virtual care, remote patient monitoring and more. Netsmart offers comprehensive revenue cycle management (RCM) services, including flexible resourcing and full back office support built to help organizations reduce costs and improve cash flow. The companys Payment Accuracy platform is a real-time, prepay, integrated claim accuracy and fraud detection solution scalable for all payer sizes.Craneware (Atlanta). Combining the strength of a cloud-based RCM platform with an expert team of AAPC-certified medical coders and billing specialists, the company delivers solutions that focus on increasing revenue and improving cash flow.InfoTechHealthcare (Denver). Unlike "free" payer-aligned credit balance recovery services, Crossroads Health never accepts payer contingencies; the company's incentive is to completely eliminate credits by identifying and preventing their root causes.Crowe (Chicago). BillingParadise's revenue cycle experts developed a workflow management and productivity tracking application that integrates with major EHRs to help clients streamline and automate their revenue cycle process. MH magazine offers content that sheds light on healthcare leaders complex choices and touch pointsfrom strategy, governance, leadership development and finance to operations, clinical care, and marketing. Today, the company operates a large real-time information network focused on the healthcare industry, connecting providers, health plans and technology partners.Aviacode (Salt Lake City).

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