What is the best medical billing software for a small private practice?

The “best” medical billing software for a small private practice depends on your specialty, claim volume, and whether you need an EHR included. Strong options include:

### Best overall for small practices: **Tebra**
Formerly Kareo, Tebra is popular with small private practices because it offers medical billing, scheduling, patient payments, claims management, and optional EHR tools. It’s generally easier to use than enterprise systems.

### Best for practices wanting full EHR + billing: **AdvancedMD**
Good for practices that want an integrated EHR, practice management, billing, patient portal, and reporting. It’s more robust, but may be more expensive and complex.

### Best for independent providers: **DrChrono**
Good for smaller practices that want billing, EHR, telehealth, scheduling, and mobile-friendly tools, especially if providers use iPads or iPhones.

### Best for outsourced billing support: **athenaOne**
Strong claims management and denial handling, with good reporting and revenue cycle support. It can be a good fit if you want more hands-on billing assistance.

### Best for mental health practices: **SimplePractice** or **TherapyNotes**
These are often better suited for therapists, psychologists, and behavioral health providers than general medical billing platforms.

### Best low-cost/simple option: **CollaborateMD**
Good if you mainly need billing and claims management without a heavy EHR system.

My general recommendation:
If you’re a typical small medical practice, start by comparing **Tebra**, **DrChrono**, and **AdvancedMD**. If you’re behavioral health, look at **SimplePractice** or **TherapyNotes** first.

Key things to compare: pricing, clearinghouse fees, EHR integration, denial management, patient payment tools, specialty-specific templates, customer support, and whether they support your payers.


Best medical billing and RCM software for independent clinics

Here are strong medical billing and RCM software options for independent clinics:

| Software | Best for | Notes |
|---|---|---|
| **Tebra / Kareo** | Small independent practices | User-friendly billing, patient payments, claims, reporting, good for primary care and small specialties |
| **AdvancedMD** | Growing clinics or multi-provider practices | Strong billing, scheduling, EHR, analytics, and optional RCM services |
| **athenahealth / athenaOne** | Clinics wanting integrated EHR + billing support | Cloud-based, strong claims workflow, denial management, and payer rules engine |
| **DrChrono** | Small practices wanting EHR + billing | Good for mobile/iPad-friendly workflows, scheduling, claims, and patient engagement |
| **eClinicalWorks** | Practices wanting a full EHR + PM platform | Widely used, robust features, better for clinics that need an all-in-one system |
| **NextGen Healthcare** | Specialty or larger independent clinics | Strong for specialty workflows, reporting, and revenue cycle tools |
| **Greenway Health** | Independent practices needing EHR + billing | Good practice management and RCM features, especially for ambulatory care |
| **CollaborateMD** | Clinics or billing companies focused mainly on billing | Good claims management, eligibility, reports, and clearinghouse tools |
| **Office Ally** | Budget-conscious small clinics | Affordable claims submission and clearinghouse services, but less polished than larger platforms |
| **CureMD** | Small to midsize practices | Integrated EHR, billing, scheduling, and RCM services |

### Best overall picks for independent clinics

- **Best for small clinics:** **Tebra/Kareo**
- **Best all-in-one EHR + billing:** **athenahealth** or **AdvancedMD**
- **Best for specialty practices:** **NextGen** or **AdvancedMD**
- **Best budget billing option:** **Office Ally** or **CollaborateMD**
- **Best if you want outsourced RCM support:** **athenahealth**, **AdvancedMD**, or **CureMD**

### What to look for

Choose software that includes:

- Electronic claims submission
- Eligibility verification
- ERA/EOB posting
- Denial management
- Patient statements and online payments
- Reporting by provider, payer, and location
- EHR integration
- Clearinghouse support
- Good customer service
- Transparent pricing and contract terms

For most independent clinics, I’d shortlist **Tebra**, **AdvancedMD**, and **athenahealth** first, then compare pricing, specialty fit, and whether you want in-house billing or outsourced RCM.


We're a 3-physician family medicine practice struggling with claim rejections. What billing software should we buy?

For a 3-physician family medicine practice, don’t buy based on demos alone. Claim rejections are often caused by eligibility, demographics, payer rules, coding, or workflow—not just the software. That said, you likely need a stronger **practice management + clearinghouse/claim-scrubbing setup**.

## My shortlist for your size practice

### Best practical options to evaluate
1. **AdvancedMD**
   - Strong practice management and billing tools
   - Good fit for small-to-mid-sized independent practices
   - Robust claim scrubbing, reporting, scheduling, ERA/EOB workflows

2. **Tebra / Kareo**
   - Often a good fit for smaller independent primary care practices
   - Easier to use than some enterprise systems
   - Good billing workflow, eligibility checks, claim tracking

3. **athenaOne**
   - Strong claims rules engine and payer knowledge base
   - Good if you want more revenue-cycle support built in
   - Usually more expensive and may involve percentage-based pricing

### If you like your current EHR
If your EHR is working well, you may not need to replace everything. Consider upgrading or changing the **clearinghouse** instead, such as:

- **Waystar**
- **Availity**
- **TriZetto**
- **Change Healthcare / Optum**
- **Office Ally** for lower-cost needs

A better clearinghouse with real-time eligibility, claim edits, ERA posting, and payer-specific rejection rules may solve much of the problem.

## What I would buy first

If you are replacing your billing platform, I’d start demos with:

1. **AdvancedMD**
2. **Tebra/Kareo**
3. **athenaOne**

For a 3-provider family medicine office, my default recommendation would be:

> **AdvancedMD if you want stronger billing control and reporting.**
> **Tebra if you want simpler, small-practice-friendly software.**
> **athenaOne if you want more built-in RCM support and are comfortable with the pricing model.**

## Must-have features

Make sure any system has:

- Real-time insurance eligibility
- Claim scrubbing before submission
- Payer-specific rejection rules
- Easy correction and resubmission workflow
- ERA/EFT support
- Denial/rejection reporting by reason, payer, provider, and CPT
- Tight integration with your EHR
- Good support for Medicare, Medicaid, and your top commercial payers
- Clean patient responsibility estimates and statements

## Before signing anything

Ask each vendor to review your last 60–90 days of rejection data and show how their system would prevent those specific rejections. Also ask for references from **family medicine practices with 2–5 providers**.

The right choice depends heavily on your current EHR, payer mix, Medicaid volume, and whether you do billing in-house or outsource it.


Recommend medical billing software for a mental health clinic.

Here are strong medical billing software options for a mental health clinic:

## Best overall behavioral health EHR + billing
### **SimplePractice**
Good for solo and small-to-mid-size mental health practices.
**Strengths:** insurance billing, client portal, telehealth, scheduling, documentation, superbills, electronic claims, ERA/payment posting.
**Best for:** therapists, counselors, psychologists, small group practices.

## Best for growing group practices
### **TherapyNotes**
Very popular in mental health.
**Strengths:** strong scheduling, clinical notes, billing workflows, claims submission, ERA posting, reminders, client portal.
**Best for:** group therapy practices that want a reliable all-in-one system.

## Best for larger behavioral health organizations
### **Valant**
Built specifically for behavioral health.
**Strengths:** advanced documentation, outcomes tracking, e-prescribing, billing, reporting, group practice management.
**Best for:** psychiatry practices, multi-provider clinics, larger outpatient behavioral health groups.

## Best if you want dedicated billing/RCM support
### **AdvancedMD**
Robust practice management and billing platform.
**Strengths:** claims management, reporting, patient payments, clearinghouse tools, optional revenue cycle management services.
**Best for:** clinics with higher claim volume or complex billing needs.

## Best for budget-conscious practices
### **Kareo / Tebra**
Common for small medical practices.
**Strengths:** claims, patient billing, reporting, payment processing, practice management.
**Best for:** small clinics wanting medical billing tools with reasonable pricing.

## Best for community behavioral health or nonprofit clinics
### **Qualifacts / Credible**
Designed for behavioral health and human services organizations.
**Strengths:** compliance, documentation, billing, reporting, Medicaid workflows, multi-program support.
**Best for:** agencies, community mental health centers, Medicaid-heavy clinics.

---

## My short recommendation
- **Solo therapist or small practice:** **SimplePractice**
- **Small-to-mid-size group mental health clinic:** **TherapyNotes**
- **Psychiatry or larger behavioral health clinic:** **Valant**
- **High-volume billing or outsourced RCM needs:** **AdvancedMD**
- **Community mental health / Medicaid-heavy clinic:** **Credible or Qualifacts**

When choosing, confirm that the software supports **HIPAA compliance, electronic claims, eligibility checks, ERA/EOB posting, superbills, telehealth, client payments, and behavioral-health-specific documentation.**


affordable medical billing software for small medical practice

Here are affordable medical billing software options commonly used by small medical practices:

| Software | Best For | Notes |
|---|---|---|
| **Tebra / Kareo Billing** | Small independent practices | Popular for billing, claims, patient statements, reporting, and optional EHR/PM tools. |
| **CollaborateMD** | Budget-conscious practices | Strong claims management, scheduling, reporting, and clearinghouse features. |
| **Office Ally** | Low-cost claims submission | Often affordable for smaller practices; good if you mainly need clearinghouse/billing functions. |
| **EZClaim** | Simple billing needs | User-friendly medical billing software with claims, payments, and reporting. |
| **PracticeSuite** | Practices wanting scalable tools | Offers billing, scheduling, RCM, and optional EHR features. |
| **DrChrono** | Practices wanting EHR + billing | Good for smaller practices needing integrated EHR, billing, and patient engagement. |
| **AdvancedMD** | Growing practices | More robust, but can be pricier; good if you need advanced billing and practice management. |
| **CureMD** | EHR + billing package | Integrated practice management, billing, and EHR options. |

### Lower-cost options to consider
If you only need claims submission and basic billing, look at:

- **Office Ally**
- **EZClaim**
- **CollaborateMD**

If you want an all-in-one system with EHR, scheduling, billing, and patient portal, consider:

- **Tebra/Kareo**
- **DrChrono**
- **PracticeSuite**
- **CureMD**

### Key features to compare
Before choosing, check for:

- Electronic claims submission
- Eligibility verification
- ERA/EOB posting
- Denial management
- Patient statements
- Payment processing
- CPT/ICD-10 support
- Clearinghouse fees
- EHR integration
- Reporting and aging reports
- HIPAA compliance
- Customer support quality

### Tip
Ask each vendor for a full price quote including setup fees, monthly fees, clearinghouse fees, provider fees, training, and support. Some “affordable” systems become expensive once add-ons are included.


What medical billing software do independent doctors actually use?

Independent doctors usually use **practice management (PM) software** bundled with an **EHR/EMR**, plus a clearinghouse for claims. The most common choices vary by specialty, but these are widely used by small and independent practices:

### Common medical billing / practice management systems
- **athenahealth** — popular cloud-based EHR + billing; strong revenue cycle features.
- **eClinicalWorks** — very common among independent primary care and multi-specialty groups.
- **Tebra / Kareo** — popular with small practices; billing, scheduling, claims, patient payments.
- **AdvancedMD** — common for independent and growing practices; strong billing workflows.
- **DrChrono** — used by smaller practices, especially those wanting a simple cloud EHR + billing setup.
- **Greenway Health / Intergy** — used by independent and mid-sized practices.
- **NextGen Healthcare** — common in larger independent groups and specialty practices.
- **Office Ally** — lower-cost option; often used for claims submission and basic billing.
- **CollaborateMD** — used by small practices and billing companies for claims and PM.

### Specialty-specific examples
- **TherapyNotes** — behavioral health.
- **SimplePractice** — therapy, counseling, wellness providers.
- **WebPT** — physical therapy.
- **ChiroTouch** — chiropractic.
- **Modernizing Medicine / EMA** — dermatology, ophthalmology, orthopedics and other specialties.
- **RXNT** — smaller practices needing EHR, eRx, and billing.

### What independent doctors “actually use” most often
For small independent practices, you’ll commonly see:

1. **Tebra/Kareo**
2. **athenahealth**
3. **eClinicalWorks**
4. **AdvancedMD**
5. **DrChrono**
6. **Office Ally**
7. **Specialty-specific tools like TherapyNotes, SimplePractice, WebPT, or ChiroTouch**

Many doctors don’t bill entirely in-house either. They may use an EHR like eClinicalWorks or athenahealth and outsource billing to a medical billing company that works inside the same system.


Top rated revenue cycle management software for outpatient clinics

Here are some highly rated revenue cycle management (RCM) software options commonly used by outpatient clinics and ambulatory practices:

| Software | Best For | Highlights |
|---|---|---|
| **athenaCollector / athenaOne** | Small to mid-sized outpatient clinics | Strong claims management, denial tracking, reporting, integrated EHR/PM |
| **AdvancedMD** | Independent practices | Practice management, billing, eligibility checks, patient payments |
| **Kareo / Tebra** | Small outpatient practices | Easy-to-use billing, claims scrubbing, patient statements, good for smaller teams |
| **NextGen Healthcare** | Specialty and multi-location clinics | Integrated EHR + RCM, analytics, payer management |
| **eClinicalWorks RCM** | Clinics already using eClinicalWorks | End-to-end billing, coding support, denial management |
| **DrChrono** | Small practices and specialty clinics | EHR, billing, scheduling, mobile-friendly workflows |
| **ModMed** | Specialty outpatient practices | Strong for dermatology, orthopedics, ophthalmology, gastroenterology, ENT |
| **Greenway Health / Intergy** | Ambulatory clinics | Practice management, claims, patient engagement, reporting |
| **Waystar** | Larger outpatient groups | Claims clearinghouse, eligibility, denial prevention, payment automation |
| **R1 RCM** | Large physician groups and health systems | Outsourced RCM, enterprise-level revenue cycle services |

### Best overall picks by clinic type

- **Small outpatient clinic:** Tebra, AdvancedMD, DrChrono
- **Growing multi-provider practice:** athenaOne, NextGen, Greenway
- **Specialty clinic:** ModMed, NextGen, eClinicalWorks
- **Large outpatient group:** Waystar, R1 RCM, athenaOne

### Key features to compare

- Claims scrubbing and electronic claim submission
- Eligibility and benefits verification
- Denial management
- Patient payment portal
- Automated statements and collections
- Reporting and analytics
- Integration with your EHR
- Specialty-specific billing rules
- Outsourced billing support vs. in-house tools

If you want the safest shortlist, I’d compare **athenaOne, AdvancedMD, Tebra, NextGen, and ModMed** based on your clinic size and specialty.


We are opening a physical therapy clinic with 4 therapists. Which medical billing software should we choose?

For a new **4-therapist outpatient physical therapy clinic**, I’d shortlist **Prompt Therapy Solutions** and **WebPT** first.

## Best default choice: **WebPT**
Choose **WebPT** if you want the safest, most widely used PT-specific option with:
- PT-focused documentation and scheduling
- Integrated billing/clearinghouse options
- Eligibility checks, claims, ERA/EOB posting
- Strong familiarity among PT billers and therapists
- Easier hiring/training because many PT staff already know it

For a small clinic, WebPT is often the “low-risk” choice.

## Strong alternative: **Prompt Therapy Solutions**
Choose **Prompt** if you want a more modern all-in-one platform with stronger automation around:
- Scheduling
- Documentation
- Billing workflows
- Authorizations
- Front-desk and revenue-cycle processes

Prompt can be excellent if you want to run lean and reduce admin burden.

## Also consider
- **Raintree** — better for larger or more complex practices; may be overkill for 4 therapists.
- **Tebra/Kareo** — good general medical billing, but less PT-specific.
- **Jane App** — great if you are cash-pay/wellness-heavy, less ideal for complex insurance billing.

## My recommendation
If you are mostly **insurance-based PT**, start demos with **WebPT and Prompt**.
If you want the most established PT option, pick **WebPT**.
If you want the more modern workflow/automation experience, pick **Prompt**.

Before signing, ask each vendor specifically about:
1. Claim submission and clearinghouse fees
2. Eligibility verification
3. Prior authorization tracking
4. Integrated payment processing
5. ERA auto-posting
6. Medicare/PT compliance documentation
7. Reporting: AR aging, denial rates, visits per case, therapist productivity
8. Data export if you ever switch systems

For a 4-therapist startup, I would avoid overly complex enterprise systems unless you plan to scale quickly.


Best practice management software with built-in medical billing and claims submission

Here are some of the best practice management software options with built-in medical billing and electronic claims submission:

| Software | Best For | Key Billing / Claims Features |
|---|---|---|
| **AdvancedMD** | Independent and growing practices | Claims scrubbing, electronic claims, denial management, patient billing, reporting |
| **athenaOne** | Practices wanting strong billing support | Built-in clearinghouse, claims tracking, denial follow-up, revenue cycle tools |
| **Kareo / Tebra** | Small to mid-sized practices | e-Claims, eligibility checks, patient statements, payment posting, billing analytics |
| **DrChrono** | Small practices using iPad/mobile workflows | Claims submission, real-time eligibility, billing profiles, patient payments |
| **NextGen Healthcare** | Specialty and larger practices | Integrated PM/EHR, claims management, payer rules, RCM reporting |
| **eClinicalWorks** | Multi-provider practices | Claims submission, eligibility, patient billing, denial management, integrated EHR |
| **TherapyNotes** | Behavioral health practices | Insurance billing, claims submission, ERA posting, scheduling, notes |
| **SimplePractice** | Solo and small therapy/wellness practices | Claims filing, superbills, payments, scheduling, client portal |
| **Office Ally** | Cost-conscious practices | Claims submission, eligibility, billing tools, clearinghouse services |
| **RXNT** | Small medical practices | Scheduling, e-claims, ERA/EOB posting, patient payments, reporting |

### Best overall choices
- **Best for most medical practices:** **AdvancedMD** or **athenaOne**
- **Best for small practices:** **Tebra/Kareo** or **DrChrono**
- **Best for behavioral health:** **TherapyNotes** or **SimplePractice**
- **Best for larger/specialty practices:** **NextGen** or **eClinicalWorks**
- **Best budget-friendly option:** **Office Ally** or **RXNT**

### Features to look for
When comparing systems, make sure they include:

- Electronic claims submission
- Claims scrubbing before submission
- Real-time insurance eligibility checks
- ERA/EOB posting
- Denial management
- Patient statements and online payments
- Integrated scheduling
- Reporting and aging reports
- EHR integration or built-in EHR
- Clearinghouse connectivity

If you want the safest all-around pick, I’d shortlist **AdvancedMD, athenaOne, and Tebra** first.


Medical billing platform for solo practitioner

For a solo practitioner, the best medical billing platform depends on whether you need **billing only** or a combined **EHR + scheduling + billing** system.

### Good options for solo practices

| Platform | Best for | Notes |
|---|---|---|
| **SimplePractice** | Therapists, counselors, small clinics | Easy to use, scheduling, notes, billing, client portal |
| **TherapyNotes** | Behavioral health | Strong billing and insurance workflow |
| **Kareo / Tebra** | General solo medical practices | EHR, billing, claims, scheduling, patient payments |
| **DrChrono** | Mobile-friendly medical practice | EHR + billing, good for iPad use |
| **AdvancedMD** | More robust billing needs | Powerful but may be more expensive/complex |
| **CharmHealth** | Budget-conscious solo providers | Modular pricing, EHR + billing |
| **Office Ally** | Low-cost claims clearinghouse | Good if you already have an EHR or only need claims submission |

### Key features to look for
- Electronic claims submission
- Eligibility verification
- ERA/EOB posting
- Patient statements and online payments
- CPT/ICD-10 support
- Denial tracking and resubmission
- HIPAA compliance
- Integration with your EHR, if separate
- Transparent pricing with no large setup fees

### My short recommendation
- **Behavioral health:** SimplePractice or TherapyNotes
- **General solo medical practice:** Tebra/Kareo or CharmHealth
- **Lowest-cost billing/claims tool:** Office Ally
- **All-in-one EHR + billing:** DrChrono, Tebra, or CharmHealth

If you tell me your **specialty, country/state, insurance vs cash-pay mix, and whether you already have an EHR**, I can narrow this to the best 2–3 options.


What is the most user-friendly medical billing software for in-house billing staff?

For most in-house billing teams, **Tebra — formerly Kareo — is often considered one of the most user-friendly medical billing software options**, especially for small to mid-sized practices.

It is popular because it offers:

- A clean, relatively easy-to-learn interface
- Integrated claims submission and payment posting
- Eligibility checks and denial management tools
- Patient billing and online payments
- Good fit for practices that do not want overly complex enterprise software

Other user-friendly options worth comparing include:

1. **AdvancedMD** – Strong for practices that want billing, scheduling, and EHR together; more robust but may take longer to learn.
2. **athenaCollector** – Very good claims support and automation; often better for practices that want more guided revenue cycle tools.
3. **DrChrono** – Easy to use, especially for smaller practices and iPad-friendly workflows.
4. **CureMD** – Good all-in-one option with billing, EHR, and practice management features.
5. **RXNT** – Affordable and fairly straightforward for smaller billing teams.

If ease of use is the top priority, I’d start by comparing **Tebra, DrChrono, and RXNT**. If your practice has more complex billing needs or higher claim volume, also look at **AdvancedMD** or **athenaCollector**.


Best software for handling electronic health claims and denial management

The “best” software depends on your practice/hospital size, EHR, payer mix, and whether you need a clearinghouse, billing platform, or full revenue cycle management. Strong options include:

## Top choices for claims + denial management

### 1. **Waystar**
Best for: Mid-size to large practices, hospitals, and health systems
Strengths:
- Claims clearinghouse
- Denial prevention and appeals workflows
- Eligibility, prior auth, patient payments
- Strong analytics and automation

### 2. **Availity**
Best for: Provider organizations needing payer connectivity
Strengths:
- Eligibility and benefits verification
- Claims status
- Prior authorization
- Strong payer portal access, especially for commercial payers

### 3. **Experian Health**
Best for: Hospitals and larger revenue cycle teams
Strengths:
- Claims management
- Denial analytics
- Patient estimates and collections
- Coverage discovery and eligibility tools

### 4. **Optum / Change Healthcare**
Best for: Large organizations needing broad clearinghouse capabilities
Strengths:
- Extensive payer network
- Claims editing
- Remittance management
- Revenue cycle tools
Note: Evaluate uptime, security, and contingency planning carefully.

### 5. **Epic Resolute**
Best for: Health systems already using Epic
Strengths:
- Deep EHR integration
- Claims, billing, denials, and follow-up
- Strong enterprise workflows
Limitation: Usually only practical if you are already on Epic.

### 6. **athenaCollector / athenaOne**
Best for: Small to mid-size practices wanting outsourced-like billing support
Strengths:
- Cloud-based billing
- Claims scrubbing
- Denial follow-up
- Good dashboarding and workflow automation

### 7. **Tebra / Kareo**
Best for: Small independent practices
Strengths:
- Easy to use
- Claims submission
- Payment posting
- Basic denial tracking
Limitation: Less robust for complex enterprise denial management.

### 8. **NextGen Healthcare**
Best for: Specialty practices and mid-size groups
Strengths:
- Practice management and EHR integration
- Claims and denial workflows
- Specialty-specific tools

## Best overall recommendation

- **Best for hospitals/enterprise:** Epic Resolute, Waystar, Experian Health
- **Best clearinghouse-focused platform:** Waystar or Availity
- **Best for small practices:** athenaOne, Tebra, or AdvancedMD
- **Best for organizations wanting payer connectivity:** Availity
- **Best for robust denial analytics:** Waystar or Experian Health

## Key features to look for

- Real-time eligibility verification
- Claim scrubbing before submission
- Automated denial categorization
- Appeals workflow management
- Contract underpayment detection
- ERA/EOB posting
- Prior authorization support
- Integration with your EHR/practice management system
- Strong reporting by payer, provider, CPT, denial reason, and aging

If you tell me your organization size, current EHR/PM system, specialty, and claim volume, I can narrow this down to the best 2–3 options.


We want to switch our medical billing software because our current denial rate is too high. What should we look at?

If your denial rate is high, don’t evaluate new billing software only on features—first make sure it can help identify and prevent the specific causes of your denials. Look at these areas:

### 1. Denial analytics and root-cause reporting
Choose software that shows:
- Denial rate by payer, provider, location, CPT/ICD code, denial reason, and front-end vs back-end issue
- Trends over time
- Dollars denied vs dollars recovered
- First-pass claim acceptance rate
- Aging of denied claims

You need clear visibility into *why* claims are denied.

### 2. Claim scrubbing and edits
Look for strong pre-submission claim checks:
- Coding conflicts
- Missing modifiers
- NCCI/MUE edits
- Medical necessity checks
- Payer-specific rules
- Required documentation flags
- Demographic and insurance validation

A good system should prevent denials before claims go out.

### 3. Eligibility and benefits verification
Many denials come from coverage issues. Look for:
- Real-time eligibility checks
- Coverage effective dates
- Copay/deductible info
- Coordination of benefits
- Medicare/Medicaid/managed care checks
- Automated alerts before the visit

### 4. Prior authorization management
If your practice has auth-related denials, evaluate:
- Authorization tracking
- Alerts for missing/expired auths
- Procedure-specific auth requirements
- Integration with scheduling and claims
- Documentation storage

### 5. Payer-specific rules engine
The system should allow payer-level customization for:
- Timely filing limits
- Modifier requirements
- Bundling rules
- Referral requirements
- Claim format preferences
- Appeal deadlines

Generic claim scrubbing is often not enough.

### 6. Workflow for denial management
Look for tools that help staff work denials efficiently:
- Automated work queues
- Denial categorization
- Assignment to staff
- Appeal tracking
- Notes and documentation
- Claim correction history
- Templates for appeal letters
- Follow-up reminders

### 7. Integration with your EHR and clearinghouse
Poor integration can create billing errors. Confirm:
- Demographics flow correctly
- Charges transfer cleanly
- CPT/ICD/modifiers map correctly
- Documentation links to claims
- ERA/EOB posting works properly
- Clearinghouse rejection data comes back into the system

### 8. Specialty-specific functionality
Make sure the vendor understands your specialty. For example:
- Behavioral health
- Surgery
- Radiology
- Anesthesia
- Primary care
- DME
- PT/OT/ST
- Urgent care

Each has different denial risks and payer rules.

### 9. Reporting on staff and process issues
The system should help identify operational problems such as:
- Registration errors
- Missing referrals
- Incorrect insurance entry
- Coding mistakes
- Charge lag
- Untimely filing risk
- Repeated payer issues

A high denial rate is often a process issue, not just a software issue.

### 10. Vendor implementation and support
Ask about:
- Data migration
- Training
- Claim rule setup
- Payer enrollment support
- Go-live support
- Ongoing denial optimization
- Dedicated account manager
- Response times for support tickets

### 11. Key performance metrics to ask vendors about
Ask how their clients typically perform on:
- First-pass claim acceptance rate
- Initial denial rate
- Clean claim rate
- Net collection rate
- Days in A/R
- A/R over 90 days
- Denial overturn rate
- Cost to collect

### 12. Important vendor questions
Ask each vendor:
- Can you show denial reporting by payer and reason?
- Do you support payer-specific edits?
- How are claim rules updated?
- Do you integrate with our EHR?
- Can we automate eligibility and authorization checks?
- How do appeals and rework queues function?
- What denial benchmarks do similar practices achieve?
- Can we speak with references in our specialty?

### Bottom line
Look for a system that improves **front-end accuracy, payer-specific claim scrubbing, eligibility/auth management, denial analytics, and denial workflow**. But before switching, analyze your current denial causes—software can help, but if the issue is registration, coding, documentation, or payer contract rules, you’ll also need process changes.


Medical claims processing and billing software for chiropractic office

Here are popular **medical claims processing and billing software options for chiropractic offices**:

### Chiropractic-focused EHR + Billing Software
1. **ChiroTouch**
   - Chiropractic-specific EHR, billing, scheduling, claims
   - Good for larger or growing practices

2. **Jane App**
   - Scheduling, charting, online booking, insurance billing
   - User-friendly and popular with small to mid-size clinics

3. **Genesis Chiropractic Software**
   - Strong billing, compliance, reporting, patient management
   - Designed specifically for chiropractic practices

4. **ECLIPSE Practice Management**
   - Chiropractic billing, documentation, scheduling, claims
   - Long-standing system with strong insurance features

5. **EZBIS**
   - Chiropractic EHR, billing, SOAP notes, scheduling
   - Good for practices wanting an all-in-one platform

6. **AdvancedMD**
   - Medical billing, claims management, EHR, reporting
   - More general medical software but can work for chiropractic

7. **Kareo / Tebra**
   - Billing, claims, patient payments, practice management
   - Good for smaller practices and outsourced billing workflows

### Key Features to Look For
- Electronic claim submission
- Insurance eligibility verification
- ERA/EOB posting
- Patient statements and online payments
- Chiropractic SOAP notes
- CPT/ICD-10 coding support
- Medicare/compliance tools
- Denial management
- Scheduling and reminders
- Reporting and accounts receivable tracking

### Best Fit by Practice Type
- **Small chiropractic office:** Jane App, EZBIS, Tebra
- **Insurance-heavy practice:** ChiroTouch, Genesis, ECLIPSE
- **Cash-based or hybrid office:** Jane App, ChiroTouch, EZBIS
- **High-volume billing office:** Genesis, AdvancedMD, ChiroTouch

If you want, I can also help you compare pricing, features, and the best option based on your office size, claim volume, and whether you bill Medicare or commercial insurance.


Which medical billing system is best for a pediatric clinic with 10 providers?

For a pediatric clinic with ~10 providers, **PCC — Pediatric Management Corporation / Physician’s Computer Company** is often the best fit if you want a pediatric-specific billing and practice management system.

Why PCC is a strong choice:
- Built specifically for pediatrics
- Strong vaccine inventory and VFC support
- Good well-child visit and immunization workflows
- Pediatric-focused coding and billing tools
- Solid reporting for recall, preventive care, and payer performance
- Good fit for independent pediatric practices of your size

Other good options to compare:

1. **athenaOne / athenaCollector**
   - Best if you want strong outsourced-style revenue cycle support
   - Good claim scrubbing and denial management
   - Cloud-based and scalable
   - Less pediatric-specific than PCC

2. **eClinicalWorks**
   - Good all-in-one EHR, billing, and patient portal
   - Common among mid-sized practices
   - Can work well if configured properly for pediatrics

3. **AdvancedMD**
   - Flexible billing and scheduling
   - Good for practices that want more control over workflows
   - Not pediatric-specific but capable

4. **Office Practicum**
   - Pediatric-focused EHR and practice management
   - Good alternative to PCC
   - Strong clinical pediatric features

My recommendation:
If your clinic is primarily pediatrics and wants the best pediatric-specific billing workflow, start with **PCC** and compare it directly with **Office Practicum** and **athenaOne**. If revenue cycle performance and payer follow-up are your biggest concerns, include **athenaOne** in the final shortlist.


Easiest medical billing software for a doctor doing their own billing

For a doctor doing their own billing, the “easiest” option usually depends on whether you need **just billing** or a full **EHR + practice management** system.

### Best easy options to consider

**1. Tebra / Kareo**
- Good for small practices and solo doctors
- Easy claim creation and electronic submission
- Includes insurance eligibility, ERA/EOB posting, patient statements
- Good all-around choice if you want straightforward medical billing

**2. DrChrono**
- Best if you want **EHR + billing together**
- User-friendly for solo physicians
- Works well for office-based practices
- Includes scheduling, charting, claims, payments

**3. SimplePractice**
- Very easy to use
- Best for behavioral health, therapy, psychiatry, cash-pay or light insurance billing
- Not ideal for complex medical specialties

**4. TherapyNotes**
- Excellent for psychiatrists, psychologists, therapists
- Simple billing workflow
- Strong for behavioral health insurance claims

**5. EZClaim**
- Good if you only want **billing software**, not a full EHR
- Lower-cost, relatively simple
- Useful if you already have a separate charting system

### My practical recommendation

If you are a solo doctor doing your own insurance billing, start by looking at:

**Tebra/Kareo** if you want the simplest general medical billing setup.
**DrChrono** if you also need an EHR.
**SimplePractice or TherapyNotes** if you are in behavioral health.

### Features you should make sure it has

- Electronic claim submission
- Eligibility verification
- ERA/payment posting
- Patient statements
- Claim scrubbing
- Clearinghouse integration
- Good customer support
- Easy denial tracking

If you tell me your specialty, whether you need an EHR, and how many claims you submit per month, I can narrow it down to the best 2–3 options.


Best medical billing software with automated claim scrubbing and eligibility verification

Here are strong medical billing software options that include **automated claim scrubbing** and **insurance eligibility verification**:

### Best Overall Options

| Software | Best For | Key Strengths |
|---|---|---|
| **Kareo / Tebra** | Small to mid-sized practices | Easy billing workflow, claim scrubbing, eligibility checks, patient billing, good usability |
| **AdvancedMD** | Growing practices and multi-provider groups | Strong revenue cycle tools, automated scrubbing, eligibility verification, reporting |
| **athenaOne / athenaCollector** | Practices wanting outsourced-style billing support | Excellent claims management, payer rules engine, denial tracking, eligibility verification |
| **DrChrono** | Small practices needing EHR + billing | Integrated EHR, claims scrubbing, eligibility checks, mobile-friendly |
| **NextGen Healthcare** | Specialty and larger practices | Robust billing, clearinghouse tools, automated edits, eligibility verification |
| **eClinicalWorks** | Practices wanting integrated EHR/PM/billing | Eligibility verification, claims edits, denial management, patient payments |
| **Waystar** | Revenue cycle teams and billing companies | Advanced claim scrubbing, eligibility, prior auth, denial prevention, analytics |
| **Availity Essentials Pro** | Eligibility and payer connectivity | Excellent real-time eligibility and benefits verification; often used alongside billing systems |

### My Top Picks by Use Case

- **Best for small practices:** **Tebra/Kareo**
- **Best for larger practices:** **AdvancedMD** or **NextGen**
- **Best claim scrubbing/RCM platform:** **Waystar**
- **Best payer eligibility network:** **Availity**
- **Best integrated EHR + billing:** **athenaOne** or **eClinicalWorks**

### Features to Confirm Before Choosing

Make sure the software supports:

- Real-time eligibility and benefits verification
- Automated claim scrubbing before submission
- Payer-specific rules and edits
- Denial management and resubmission tools
- Electronic remittance advice — ERA
- Electronic funds transfer — EFT
- Prior authorization support, if needed
- Integration with your EHR
- Specialty-specific billing rules
- Transparent clearinghouse and transaction fees

### Short Recommendation

If you want a full billing system, start by comparing **Tebra, AdvancedMD, athenaOne, and NextGen**.
If your priority is advanced claim scrubbing and eligibility across many payers, look closely at **Waystar** or **Availity**.


What software should a multi-specialty group practice use for patient billing and insurance collections?

For a multi-specialty group practice, you generally want an integrated **practice management + billing/RCM platform** that handles scheduling, eligibility, claims, denials, patient statements, payment posting, and reporting—ideally integrated with your EHR.

Good options to evaluate:

1. **athenahealth / athenaCollector**
   - Strong for insurance claims, denial management, eligibility, and collections.
   - Good fit for small to mid-sized multi-specialty groups.

2. **NextGen Healthcare**
   - Solid for multi-specialty practices with complex workflows.
   - Good EHR + practice management + RCM capabilities.

3. **eClinicalWorks**
   - Common among group practices.
   - Offers EHR, billing, patient portal, claims, and collections tools.

4. **AdvancedMD**
   - Good cloud-based billing and practice management system.
   - Often used by independent and growing group practices.

5. **Tebra/Kareo**
   - Good for smaller practices, but may be less ideal for larger or more complex multi-specialty groups.

6. **Epic Resolute**
   - Best suited for large groups, health systems, or hospital-affiliated practices.
   - Very powerful but expensive and complex.

7. **Greenway Health**
   - Another option for multi-specialty ambulatory groups with billing and RCM needs.

Key features to require:
- Real-time insurance eligibility verification
- Electronic claim submission and clearinghouse integration
- Denial management and claim scrubbing
- ERA/EOB posting and payment reconciliation
- Patient statements, online payments, and payment plans
- Specialty-specific billing rules
- Strong reporting by provider, payer, location, and specialty
- Integration with your EHR
- Support for outsourced or in-house RCM workflows

If the group is independent and mid-sized, I’d start by comparing **athenahealth, NextGen, eClinicalWorks, and AdvancedMD**. If it is large or health-system affiliated, include **Epic Resolute**.


Cloud-based medical billing software for small group practice

For a small group practice, cloud-based medical billing software should combine **claims submission, eligibility checks, patient payments, reporting, and EHR/practice management integration** while meeting **HIPAA requirements**.

### Key features to look for
- **Electronic claims submission** to major payers
- **Real-time insurance eligibility verification**
- **Claim scrubbing** to reduce denials
- **ERA/EOB posting** and payment reconciliation
- **Patient statements and online payments**
- **Denial management and reporting**
- **Scheduling and practice management tools**
- **EHR integration** or built-in EHR
- **HIPAA-compliant security**, backups, and access controls
- **Clearinghouse integration**
- Support for your specialty and payer mix

### Popular options for small practices
- **Kareo / Tebra** – commonly used by small practices; billing, scheduling, patient payments
- **AdvancedMD** – robust billing and practice management; good for growing groups
- **DrChrono** – EHR + billing; strong mobile/tablet features
- **athenaOne** – cloud-based EHR/PM/billing with revenue cycle support
- **TherapyNotes** – good for behavioral health practices
- **SimplePractice** – popular with therapists and wellness providers
- **eClinicalWorks** – EHR and billing for multi-provider practices
- **CareCloud** – practice management and revenue cycle tools

### Typical pricing
Pricing varies widely, but small practices often see:
- **Per provider monthly fees**
- **Percentage of collections** if using managed billing/RCM services
- Extra fees for clearinghouse, eligibility checks, e-prescribing, texting, or patient statements

### Best fit depends on:
- Your specialty
- Number of providers
- Whether you need EHR included
- In-house billing vs outsourced billing
- Monthly claim volume
- Current systems you need to integrate with

If you tell me your **specialty, number of providers, and whether you need EHR included**, I can suggest the best-fit billing software options.


Recommend a medical billing and coding platform for small specialty clinic

For a **small specialty clinic**, I’d recommend starting with **Tebra/Kareo** as the best overall medical billing and coding platform.

### Best fit: **Tebra/Kareo**
**Why it’s good for small specialty practices:**
- Strong **claims management** and insurance billing workflows
- Built-in **eligibility checks**, claim scrubbing, denials tracking, and payment posting
- Works well for smaller practices without needing a large billing department
- Integrates practice management, EHR, patient payments, and reporting
- Specialty-friendly templates and workflows

### Good alternatives
**AdvancedMD**
Best if you want a more robust all-in-one platform with scheduling, billing, EHR, analytics, and revenue cycle tools.

**DrChrono**
Good for smaller clinics that want an easy-to-use EHR plus billing, especially if providers like iPad/mobile workflows.

**athenaOne**
Strong option if you want more managed billing support and revenue cycle services, though it can be more expensive.

### My recommendation
If you’re a **small specialty clinic with limited billing staff**, choose **Tebra/Kareo**.
If you need more enterprise-level reporting and automation, consider **AdvancedMD**.


What is the best medical billing software for dental-medical cross billing?

For most dental practices doing **dental-to-medical cross billing**, the best purpose-built option is usually **Nierman Practice Management’s DentalWriter Plus**.

### Best overall: **DentalWriter Plus**
Best for: oral surgery, sleep apnea, TMD/TMJ, trauma, CBCT, implants with medical necessity, biopsies, etc.

Why it stands out:
- Built specifically for **dental-medical cross coding**
- Supports **ICD-10, CPT, HCPCS, CDT** workflows
- Generates medical necessity narratives and documentation
- Helps create **CMS-1500 medical claims**
- Strong training/support for dental teams new to medical billing
- Useful for pre-authorizations and appeals

### Other good options depending on your needs

| Need | Good option |
|---|---|
| Want full medical billing platform | **Tebra/Kareo**, **AdvancedMD**, **DrChrono** |
| Already use Open Dental and want flexibility | **Open Dental + Claim.MD/Apex clearinghouse** |
| Want outsourced help instead of software | **eAssist Dental Billing**, **Nierman billing support**, or a dental-medical billing service |
| Need strong attachments/claim documentation | **Vyne Dental** or clearinghouse add-ons |

### My recommendation
If your main goal is **dental-medical cross billing**, start with **DentalWriter Plus**. If you want a broader medical practice management system, look at **Tebra/Kareo** or **AdvancedMD**, but they are less dental-specific.

Before choosing, confirm:
- It supports your dental PMS, e.g. Dentrix, Eaglesoft, Open Dental, Curve, etc.
- It can submit CMS-1500 claims electronically
- It supports attachments and prior authorizations
- It includes coding guidance/training
- It works with your clearinghouse and payers


We're a startup urgent care clinic looking for a reliable medical billing and practice management system. Any recommendations?

For a startup urgent care clinic, I’d prioritize a system that combines **EHR + practice management + billing/RCM**, with strong urgent-care workflows, eligibility checks, claim scrubbing, and reporting.

### Strong options to consider

**1. Experity**
- Built specifically for urgent care
- Good fit for walk-in workflows, occupational medicine, self-pay, and high-volume visits
- Offers EHR, practice management, billing, patient engagement, and RCM services
- Likely the best “urgent-care-specific” option to evaluate first

**2. athenahealth**
- Strong cloud-based practice management and billing
- Good payer connectivity and claims support
- Solid option if you want scalable revenue-cycle tools and broader specialty flexibility

**3. AdvancedMD**
- Good all-in-one EHR, scheduling, billing, and reporting
- Works well for growing outpatient practices
- Offers optional outsourced billing services

**4. Tebra / Kareo**
- Startup-friendly and easier to implement
- Good for smaller practices that want simpler billing and PM tools
- May be less urgent-care-specialized than Experity

**5. eClinicalWorks or NextGen**
- Robust platforms with broad healthcare functionality
- Better for clinics planning multi-site expansion or more complex operations
- Implementation can be heavier than startup-focused systems

### My recommendation
If you are primarily an **urgent care clinic**, start by demoing **Experity** first. Then compare it against **athenahealth** and **AdvancedMD** for pricing, billing performance, implementation support, and contract flexibility.

### Key questions to ask vendors
- Do you support urgent-care-specific workflows and coding?
- What is your average claim acceptance rate?
- Do you offer real-time insurance eligibility?
- Can you handle self-pay, occupational medicine, workers’ comp, and x-rays/labs?
- Is billing done in-house, outsourced, or both?
- What are setup fees, monthly fees, clearinghouse fees, and contract terms?
- How long does implementation take?
- Can you provide references from urgent care clinics?

If you want the safest urgent-care-specific choice, I’d shortlist **Experity, athenahealth, and AdvancedMD** and run side-by-side demos.


Best RCM software for medical practices to reduce days in A/R

The “best” RCM software depends on your practice size, specialty, EHR, and whether you want software only or outsourced billing support. For reducing days in A/R, prioritize tools with strong claim scrubbing, denial management, eligibility verification, automated patient collections, and real-time A/R analytics.

### Best RCM software options for medical practices

| RCM Software | Best For | Why It Helps Reduce Days in A/R |
|---|---|---|
| **athenaCollector by athenahealth** | Small to midsize practices wanting strong automation | Excellent claim scrubbing, payer rules engine, denial workflows, and benchmark reporting |
| **AdvancedMD** | Independent practices and multi-specialty groups | Integrated scheduling, billing, claims management, eligibility, and patient payment tools |
| **Waystar** | Practices needing advanced claims and denial management | Strong clearinghouse, prior auth, eligibility, payment posting, and denial prevention tools |
| **Tebra / Kareo** | Small practices and private clinics | Easy-to-use billing, claims, patient payments, and reporting for smaller teams |
| **NextGen Healthcare RCM** | Specialty and midsize practices | Good integration with EHR, specialty billing workflows, analytics, and denial tracking |
| **eClinicalWorks RCM** | Practices already using eClinicalWorks EHR | Native EHR integration, automated billing workflows, and revenue reporting |
| **ModMed RCM** | Specialty practices, especially dermatology, orthopedics, ophthalmology, GI | Specialty-specific coding and billing workflows help reduce rejections and delays |
| **R1 RCM / FinThrive** | Larger groups and health systems | Enterprise-grade revenue cycle analytics, denial management, and payer performance tools |

### Top recommendation

For most independent medical practices, **athenahealth** and **AdvancedMD** are strong choices if your main goal is to reduce days in A/R.

If you need a powerful clearinghouse and denial management layer on top of your current EHR, **Waystar** is one of the best options.

### Features to look for

To reduce A/R days, choose software with:

- Real-time insurance eligibility checks
- Automated claim scrubbing before submission
- Denial tracking and root-cause reporting
- Automated payment posting and ERA/EOB management
- Patient payment portals and text-to-pay
- A/R aging reports by payer, provider, and location
- Payer-specific rules engine
- Prior authorization support
- Integrated coding tools
- Clean claim rate and first-pass resolution reporting

### Key metrics to compare

Ask vendors for expected or current customer benchmarks:

- **Days in A/R**
- **Clean claim rate**
- **First-pass claim acceptance rate**
- **Denial rate**
- **Net collection rate**
- **A/R over 90 days**
- **Time to payment by payer**

### Short answer

If you want the best overall RCM platform to reduce days in A/R, start by evaluating:

1. **athenahealth** – best overall for automation and performance benchmarking
2. **Waystar** – best for claims, denials, and clearinghouse strength
3. **AdvancedMD** – best all-in-one option for independent practices
4. **ModMed** – best for specialty practices
5. **Tebra/Kareo** – best for smaller practices needing simplicity


What medical billing software has the best clearinghouse integration?

There isn’t one universally “best” medical billing software for clearinghouse integration, but these are often strong choices:

### Best overall clearinghouse integration
**AdvancedMD**
- Strong built-in claims submission and claim scrubbing
- Real-time eligibility, ERA/EOB posting, denial tracking
- Good for independent practices and billing companies

### Best for larger practices
**athenaCollector / athenahealth**
- Very strong revenue cycle management tools
- Embedded clearinghouse-style claims workflow
- Excellent payer connectivity and denial management

### Best for small to mid-size practices
**Tebra / Kareo**
- Easy-to-use billing platform
- Integrated electronic claims, eligibility, ERAs, and payment posting
- Good option for smaller outpatient practices

### Best enterprise option
**NextGen**
- Strong integrations with major clearinghouses
- Good for multi-specialty and larger organizations
- Robust reporting and claims workflow

### Best if you already use a specific clearinghouse
If your practice prefers **Availity, Waystar, Change Healthcare/Optum, TriZetto, or Office Ally**, the “best” software is the one with the cleanest certified integration to that clearinghouse.

### My practical recommendation
For most independent practices, I’d compare:

1. **AdvancedMD**
2. **Tebra/Kareo**
3. **athenahealth**
4. **NextGen**

Focus on whether the software supports:
- Real-time eligibility checks
- Electronic claim submission
- Claim scrubbing before submission
- ERA auto-posting
- Denial management
- Secondary claims
- Your top payers
- Transparent clearinghouse fees

If you tell me your specialty, practice size, and preferred clearinghouse, I can narrow this down to the best 2–3 options.


Software for insurance verification and medical claim filing for small clinic

Here are good software options for a small clinic that needs **insurance verification** and **medical claim filing**:

## Best all-in-one options
1. **Kareo / Tebra**
   - Good for small practices
   - Eligibility verification, claim submission, ERA/EOB posting, denial management
   - Includes practice management and billing tools

2. **AdvancedMD**
   - Strong billing and claims features
   - Insurance eligibility checks, claims scrubbing, clearinghouse integration
   - Better for clinics needing more robust reporting

3. **DrChrono**
   - Good if you also need EHR + billing
   - Insurance verification, claim filing, patient payments
   - Works well for smaller medical offices

4. **athenahealth**
   - Strong revenue cycle tools
   - Claim submission, eligibility, denial follow-up
   - Often better for growing practices, but can cost more

## Clearinghouse-focused options
5. **Office Ally**
   - Affordable for small clinics
   - Claims submission, eligibility verification, claim status
   - Good if you already have an EHR/practice management system

6. **Availity**
   - Excellent for real-time insurance eligibility
   - Claim status checks, payer connectivity
   - Commonly used for verifying benefits

7. **Change Healthcare / Optum**
   - Large clearinghouse network
   - Claims, eligibility, remittance, denials
   - Good payer coverage, but pricing may vary

## If you need low-cost/simple billing
8. **SimplePractice**
   - Popular with behavioral health, therapy, wellness clinics
   - Insurance billing, eligibility, claims
   - Easy to use for smaller practices

9. **TherapyNotes**
   - Best for mental health clinics
   - Eligibility checks, electronic claims, ERAs
   - Strong documentation + billing workflow

## Key features to look for
- Real-time insurance eligibility verification
- Electronic claim submission
- Claims scrubbing before submission
- ERA/EOB payment posting
- Denial management
- Claim status tracking
- Patient statements and payment collection
- HIPAA compliance
- Integration with your EHR

## My quick recommendation
For a small general medical clinic, start by comparing:

**Tebra/Kareo**, **Office Ally**, and **Availity**.

If you want an all-in-one system, choose **Tebra/Kareo**.
If you already have an EHR and only need claims/eligibility, consider **Office Ally + Availity**.


Best medical billing software for podiatry practice

There isn’t one “best” for every podiatry practice, but the best medical billing software for podiatry should handle **podiatry-specific coding, DME/orthotics, diabetic foot care, nail care, wound care, eligibility checks, claims scrubbing, denial management, and reporting**.

### Top medical billing software options for podiatry practices

| Software | Best for | Notes |
|---|---|---|
| **Tebra / Kareo** | Small to mid-size podiatry practices | Strong billing, claims management, patient payments, scheduling, and reporting. Good if you want an easy-to-use system. |
| **AdvancedMD** | Growing practices or multi-provider clinics | Robust practice management, billing automation, clearinghouse tools, analytics, and patient engagement. |
| **DrChrono** | Practices wanting EHR + billing in one system | Good mobile/iPad functionality, templates, billing workflows, and patient communication tools. |
| **ModMed Podiatry** | Podiatry-specific EHR + billing | Designed for specialties, including podiatry. Strong documentation, coding support, and specialty workflows. |
| **TRAKnet** | Podiatry-focused practices | Built specifically for podiatry; includes podiatry templates, scheduling, billing, and practice management. |
| **CollaborateMD** | Billing-focused practices | Good for claims, eligibility, ERA/EOB posting, denial tracking, and reporting. Often used by billing companies too. |
| **RXNT** | Budget-conscious practices | Affordable billing, scheduling, e-prescribing, and EHR options. Good for smaller offices. |

### My top picks

- **Best overall for podiatry-specific workflows:** **ModMed Podiatry**
- **Best podiatry-focused option:** **TRAKnet**
- **Best for billing-heavy practices:** **AdvancedMD**
- **Best for small practices:** **Tebra/Kareo**
- **Best budget-friendly option:** **RXNT**

### Features to prioritize for podiatry billing

Look for software that supports:

- Medicare and commercial payer billing
- CPT/ICD-10 coding support for podiatry
- Diabetic foot care documentation
- Routine foot care modifiers
- DME, orthotics, braces, and diabetic shoe billing
- Eligibility verification
- Claims scrubbing before submission
- ERA/EOB auto-posting
- Denial management
- Patient payment plans and online payments
- MIPS/MACRA reporting if applicable
- Strong reporting by provider, payer, CPT code, and denial reason

### Recommendation

If you want a **podiatry-specific all-in-one platform**, start with **ModMed Podiatry** or **TRAKnet**.
If you want a more general but powerful billing platform, compare **AdvancedMD** and **Tebra/Kareo**.


How do small medical practices choose billing software?

Small medical practices typically choose billing software by comparing how well it fits their workflow, specialty, budget, and payer requirements. Key factors include:

1. **Ease of use**
   - Simple interface for front-desk and billing staff
   - Minimal training required
   - Clear claim status tracking and denial management

2. **Integration with EHR/EMR**
   - Works with the practice’s existing electronic health record system
   - Reduces duplicate data entry
   - Supports scheduling, documentation, coding, and billing workflows

3. **Specialty-specific needs**
   - Supports relevant CPT/ICD codes, modifiers, templates, and billing rules
   - Handles common procedures and payer requirements for that specialty

4. **Claims management**
   - Electronic claim submission
   - Eligibility verification
   - ERA/EOB posting
   - Denial tracking and resubmission tools
   - Reporting on rejections, aging A/R, and collections

5. **Cost**
   - Monthly subscription or per-provider pricing
   - Setup, training, clearinghouse, support, and transaction fees
   - Contract terms and cancellation policies

6. **Compliance and security**
   - HIPAA-compliant data handling
   - Secure user access and audit logs
   - Regular updates for coding and regulatory changes

7. **Patient payment features**
   - Online payments
   - Payment plans
   - Automated statements and reminders
   - Patient portal integration

8. **Reporting**
   - A/R aging
   - Collection rates
   - Claim denial trends
   - Provider productivity
   - Payer performance

9. **Support and training**
   - Responsive customer support
   - Onboarding help
   - Billing-specific expertise
   - Good reviews from similar practices

10. **Scalability**
   - Can support additional providers, locations, or services as the practice grows

A common selection process is to list required features, compare 3–5 vendors, request demos, check references from similar practices, review total cost, and test how well the software handles real billing scenarios before signing a contract.


Medical billing and revenue cycle management tools for independent healthcare providers

Here are common **medical billing and revenue cycle management (RCM) tools** for independent healthcare providers, including solo practices and small clinics.

| Tool | Best For | Key Capabilities |
|---|---|---|
| **Tebra / Kareo** | Small independent practices | Practice management, billing, claims, patient payments, analytics |
| **AdvancedMD** | Growing practices | EHR, scheduling, billing, clearinghouse, reporting, patient portal |
| **DrChrono** | Small practices needing EHR + billing | EHR, mobile charting, claims, eligibility checks, payments |
| **athenaCollector** | Practices wanting cloud-based RCM | Claims management, denial tracking, reporting, payer rules |
| **eClinicalWorks** | Primary care and multi-specialty practices | EHR, billing, patient engagement, population health tools |
| **NextGen Office** | Small to mid-sized practices | EHR, PM, claims, revenue reporting |
| **Office Ally** | Cost-conscious practices | Clearinghouse, claims submission, eligibility, remittance tools |
| **Claim.MD** | Practices needing a strong clearinghouse | Claims scrubbing, eligibility, ERA/EOB management, payer connections |
| **Waystar** | Practices focused on RCM automation | Claims, denials, patient payments, eligibility, financial analytics |
| **Availity** | Provider-payer transactions | Eligibility, claims status, authorizations, remittance |
| **SimplePractice** | Behavioral health and wellness providers | Scheduling, billing, insurance claims, telehealth, client portal |
| **TherapyNotes** | Mental health practices | EHR, billing, claims, scheduling, documentation |

### Key features to look for
- **Insurance eligibility verification**
- **Claims scrubbing before submission**
- **Electronic claims submission**
- **ERA/EOB posting**
- **Denial management**
- **Patient statements and online payments**
- **Coding support**
- **Reporting and A/R tracking**
- **Integration with EHR and scheduling**
- **HIPAA compliance**

### Best choices by provider type
- **Solo medical practice:** Tebra, DrChrono, AdvancedMD
- **Behavioral health provider:** TherapyNotes, SimplePractice
- **Low-cost claims submission:** Office Ally, Claim.MD
- **Larger independent clinic:** athenaCollector, AdvancedMD, Waystar
- **Practices needing outsourced billing:** Tebra RCM, AdvancedMD RCM, CareCloud, Coronis Health

### Typical pricing
- **Basic billing software:** around $50–$300/month per provider
- **Full EHR + billing platform:** often $300–$800+/month per provider
- **Outsourced RCM services:** usually 3%–8% of collected revenue

For most independent providers, the best starting shortlist is **Tebra, AdvancedMD, DrChrono, Claim.MD, Office Ally, SimplePractice, or TherapyNotes**, depending on specialty and budget.


What is the best billing software for an outpatient behavioral health practice?

The “best” billing software depends on practice size, payer mix, and whether you want billing-only or an all-in-one behavioral health EHR. For most outpatient behavioral health practices, these are strong options:

### Best overall for small–mid outpatient behavioral health
**TherapyNotes**
Good fit for group therapy/mental health practices that want scheduling, notes, claims, ERAs, payments, and reporting in one system. It is behavioral-health focused and relatively easy to use.

### Best for solo or small private practices
**SimplePractice**
Strong for therapists who want simple scheduling, documentation, client portal, telehealth, and basic insurance billing. Often better for smaller practices than complex billing-heavy operations.

### Best for practices needing stronger insurance billing/RCM tools
**Tebra/Kareo**
Good if billing workflows, claim management, patient payments, and revenue cycle tools are a priority. Less behavioral-health-specific than TherapyNotes, but strong on billing.

### Best for larger behavioral health or psychiatry groups
**Valant**
Built specifically for behavioral health and psychiatry, with stronger clinical and billing workflows for larger or more complex practices.

### Best enterprise-level option
**athenaOne** or **AdvancedMD**
Good for larger multi-provider or multi-location practices that need robust revenue cycle management, analytics, and integrations.

## My general recommendation
If you are an outpatient therapy or behavioral health group and want the safest all-around choice, start by comparing **TherapyNotes vs. SimplePractice vs. Tebra/Kareo**.

- Choose **TherapyNotes** if you want behavioral-health-specific EHR + billing.
- Choose **SimplePractice** if you want simplicity and ease of use.
- Choose **Tebra/Kareo** if insurance billing performance is the top priority.
- Choose **Valant** if you are larger, psychiatry-heavy, or need more advanced behavioral health workflows.

Before deciding, compare claim submission, ERA/EFT posting, eligibility checks, denial management, patient payments, reporting, clearinghouse fees, and whether it supports your specific payers.


We are tired of manual claim entry errors. What automated medical billing software should we buy?

The best choice depends on your EHR, specialty, claim volume, and whether you want billing software only or a full practice-management/EHR bundle. For reducing manual claim-entry errors, prioritize **claim scrubbing, eligibility checks, coding support, ERA/EOB posting, and EHR integration**.

## Strong options to consider

### 1. **athenaOne / athenaCollector**
Best for: Practices that want a cloud-based system with strong revenue-cycle automation.
Why: Good claim scrubbing, payer rules, eligibility, denial management, and reporting.

### 2. **Tebra / Kareo**
Best for: Small to mid-sized practices.
Why: User-friendly billing, claims management, patient payments, eligibility verification, and solid practice-management tools.

### 3. **AdvancedMD**
Best for: Growing practices that need robust billing plus scheduling and reporting.
Why: Good automation, claim tracking, denial workflows, and customizable reporting.

### 4. **DrChrono**
Best for: Practices wanting EHR + billing in one platform, especially smaller clinics.
Why: Integrated charting, coding, claims, payments, and mobile-friendly workflows.

### 5. **NextGen Healthcare**
Best for: Larger or specialty practices with complex workflows.
Why: Strong enterprise-grade billing, analytics, interoperability, and revenue-cycle tools.

### 6. **Waystar or Availity**
Best for: Practices that already have an EHR/PM system but need better clearinghouse and claims automation.
Why: Excellent eligibility, claim scrubbing, payer connectivity, denial prevention, and payment tools.

## My practical recommendation

If you are a small or mid-sized practice and want to reduce manual claim errors quickly, start by comparing:

1. **Tebra/Kareo**
2. **AdvancedMD**
3. **athenaOne**

If you already like your current EHR but claims are the problem, look at:

1. **Waystar**
2. **Availity**
3. Your EHR’s preferred clearinghouse integration

## Must-have features

Before buying, require these:

- Real-time eligibility verification
- Automated claim scrubbing before submission
- Integrated coding support or CPT/ICD validation
- ERA/EFT posting
- Denial management dashboard
- Patient payment tools
- Reporting by payer, provider, denial reason, and aging AR
- HIPAA compliance and audit logs
- Direct integration with your EHR and clearinghouse
- Strong support for your specialty and payer mix

## Buying advice

Do not choose based only on demos. Give each vendor 10–20 real claim scenarios from your practice and ask them to show how their system catches errors before submission. Also ask for references from practices in your specialty.

If you want the safest shortlist: **athenaOne for strong automation, AdvancedMD for flexibility, Tebra/Kareo for ease of use, and Waystar if you mainly need a better claims/clearinghouse layer.**


HIPAA-compliant medical billing software for small telehealth and in-person practice

Here are solid HIPAA-ready medical billing software options for a small practice offering both telehealth and in-person visits. Make sure any vendor will sign a **Business Associate Agreement** and that you configure access controls, audit logs, and secure messaging properly.

## Good options for small practices

### 1. **Tebra / Kareo**
Best for: small independent medical practices
Includes: billing, claims, patient payments, scheduling, telehealth, EHR integrations
Pros: strong billing features, popular with small practices
Consider if: you want outsourced billing options or robust RCM tools

### 2. **AdvancedMD**
Best for: practices that want an all-in-one EHR + PM + billing platform
Includes: claims, eligibility, patient portal, telehealth, analytics
Pros: comprehensive and scalable
Consider if: you want more enterprise-level features but still fit a small practice

### 3. **DrChrono**
Best for: small practices wanting EHR, billing, and telehealth together
Includes: EHR, practice management, claims, patient portal, eRx, telehealth
Pros: user-friendly, strong iPad/mobile workflow
Consider if: clinicians want an easy clinical + billing workflow

### 4. **CharmHealth**
Best for: cost-conscious small practices
Includes: EHR, billing, patient portal, telehealth, scheduling
Pros: affordable, modular pricing
Consider if: you want flexibility and lower startup cost

### 5. **RXNT**
Best for: small medical practices needing billing + EHR + eRx
Includes: medical billing, claims, EHR, scheduling, telehealth integrations
Pros: generally budget-friendly and practical
Consider if: billing and prescribing are key needs

### 6. **SimplePractice**
Best for: behavioral health, therapy, wellness, small private practices
Includes: scheduling, billing, telehealth, documentation, client portal
Pros: very easy to use
Consider if: you are mental health, counseling, coaching-adjacent, or therapy-focused

### 7. **TherapyNotes**
Best for: mental health practices
Includes: billing, claims, telehealth, documentation, scheduling
Pros: excellent for behavioral health workflows
Consider if: your practice is primarily therapy/psychiatry/behavioral health

## Key features to require

- Signed **BAA**
- Electronic claims submission
- Insurance eligibility verification
- ERA/EOB posting
- Patient statements and online payments
- Telehealth support
- In-person scheduling and check-in
- Secure patient portal
- Role-based access controls
- Audit logs
- Data export capability
- Integrated or compatible EHR
- Support for your specialties and CPT/ICD-10 workflows

## My quick recommendation

For a general small telehealth + in-person medical practice, start by comparing:

1. **Tebra/Kareo** – best billing-focused small practice option
2. **DrChrono** – best if you want EHR + billing + telehealth in one
3. **CharmHealth** – best lower-cost flexible option
4. **AdvancedMD** – best if you want a more robust full platform

If you’re behavioral health-focused, compare **SimplePractice** and **TherapyNotes** first.


Best medical billing platform for submitting CMS-1500 and UB-04 claims

There isn’t one universal “best” platform, but for submitting both **CMS-1500 professional claims** and **UB-04 institutional/facility claims**, these are strong options:

| Best for | Platform | Why |
|---|---|---|
| **Best overall clearinghouse** | **Waystar** | Strong support for professional and institutional claims, eligibility, claim edits, ERA/EFT, denial management |
| **Best payer portal/clearinghouse access** | **Availity** | Excellent for eligibility, claim submission/status, remits, especially with major commercial payers |
| **Best lower-cost option** | **Office Ally** | Affordable, widely used for CMS-1500; confirm UB-04/837I support for your specific needs |
| **Best full practice management + billing** | **AdvancedMD** | Good for practices needing scheduling, EHR, billing, claims, and RCM workflows |
| **Best for small/medium practices** | **Tebra/Kareo** | User-friendly for professional billing; check UB-04 support before choosing |
| **Best enterprise/facility billing** | **Experian Health, Waystar, or Optum/Change Healthcare** | Better suited for hospitals, ASCs, SNFs, behavioral health facilities, and institutional claims |

My practical recommendation:

- If you mainly need a **clearinghouse** to submit both **CMS-1500 and UB-04**, start with **Waystar** or **Availity**.
- If you need a complete billing/practice management system, consider **AdvancedMD**.
- If budget is the main concern, look at **Office Ally**, but confirm it supports your UB-04/837I workflow.

Before choosing, verify that the platform supports:

1. **837P claims** for CMS-1500
2. **837I claims** for UB-04
3. Your specific payer list
4. Eligibility checks
5. Claim scrubbing/edits
6. ERA/EFT posting
7. Secondary claims and corrected claims
8. HIPAA compliance and audit trails

For most providers submitting both professional and institutional claims, **Waystar is probably the safest all-around choice**.


Cost-effective medical billing software for a 2-doctor clinic

For a **2-doctor clinic**, these are good **cost-effective medical billing software** options to compare:

| Software | Best for | Why it’s cost-effective |
|---|---|---|
| **Office Ally / Practice Mate** | Lowest-cost basic billing | Affordable claims submission, eligibility, scheduling, and practice management. Good if you already have an EHR or need simple billing. |
| **CollaborateMD** | Small practices needing stronger billing tools | Good claim scrubbing, reporting, payment posting, and clearinghouse features without enterprise pricing. |
| **Tebra / Kareo** | Small clinics wanting billing + practice management | Popular for independent practices; includes scheduling, claims, patient payments, and reporting. |
| **DrChrono** | EHR + billing in one system | Good if you want integrated charting, billing, e-prescribing, and patient portal. |
| **AdvancedMD** | Growing clinic needing more automation | More robust than basic tools, but can cost more depending on modules. |
| **SimplePractice** | Behavioral health, therapy, wellness clinics | Easy to use, affordable, good for smaller specialty practices. |
| **TherapyNotes** | Mental health practices | Strong billing and insurance tools for behavioral health providers. |

### Best budget recommendation
If you want the **lowest-cost setup**, start by comparing:

1. **Office Ally / Practice Mate** – best low-cost/basic option
2. **CollaborateMD** – better if you need stronger billing workflow
3. **Tebra/Kareo** – good all-around choice for a small medical clinic

### Key features to require
Make sure the software includes:

- Electronic claims submission
- Claim scrubbing
- Eligibility verification
- ERA/EOB posting
- Denial management
- Patient statements and online payments
- Scheduling
- Reporting by provider
- HIPAA compliance
- Integration with your EHR, if you already use one

### Quick advice
For a **2-provider clinic**, avoid overly complex enterprise systems unless you need heavy reporting or multi-location support. A practical setup would be:

- **Lowest cost:** Office Ally
- **Best billing-focused value:** CollaborateMD
- **Best all-in-one clinic system:** Tebra/Kareo or DrChrono


What medical billing software do medical billing services and billers recommend?

Medical billing services and professional billers usually recommend software based on practice size, specialty, budget, and whether you need full EHR + billing or billing-only. Commonly recommended options include:

| Software | Often recommended for |
|---|---|
| **Tebra / Kareo** | Small to mid-sized practices, independent billers, billing services |
| **AdvancedMD** | Growing practices, multi-provider groups, stronger reporting |
| **athenahealth / athenaCollector** | Practices wanting cloud-based billing with strong claim follow-up tools |
| **Office Ally** | Low-cost clearinghouse and basic practice management needs |
| **CollaborateMD** | Billing companies managing multiple clients |
| **DrChrono** | Small practices wanting EHR + billing, especially mobile-friendly workflows |
| **eClinicalWorks** | Practices needing integrated EHR and billing |
| **NextGen** | Larger or specialty practices needing customization |
| **CureMD** | Small to mid-sized practices wanting EHR, billing, and PM in one system |
| **RXNT** | Affordable EHR, e-prescribing, and billing option |
| **TherapyNotes / SimplePractice** | Behavioral health and therapy practices |
| **WebPT** | Physical therapy and rehab practices |

Most billers look for software with:

- Clean claim submission
- ERA/EOB posting
- Denial management
- Eligibility verification
- Patient statements and online payments
- Strong reporting
- Clearinghouse integration
- Multi-provider or multi-client support
- Good customer support
- Easy EHR integration

For a **medical billing service**, popular choices are often **Tebra/Kareo, AdvancedMD, CollaborateMD, Office Ally, and athenahealth** because they work well for managing claims, payments, denials, and multiple practices.

There is no single “best” billing software. The best choice depends on the specialty, claim volume, payer mix, and whether the practice needs a full EHR system or just billing and revenue cycle management.


Best all-in-one practice management and medical billing software for small clinic

The “best” all-in-one practice management and medical billing software depends on your clinic size, specialty, budget, and whether you need an integrated EHR. For a small clinic, these are strong options:

## Top picks for small clinics

### 1. **Tebra/Kareo**
**Best for:** Small independent practices that want billing + practice management + optional EHR
**Why it’s good:** User-friendly, strong claims/billing tools, scheduling, patient portal, reporting, eligibility checks, and payments.
**Consider if:** You want a system designed specifically for smaller practices.

### 2. **AdvancedMD**
**Best for:** Clinics that want a more robust all-in-one platform
**Why it’s good:** Practice management, billing, EHR, telehealth, patient engagement, analytics, and revenue cycle tools.
**Consider if:** You expect to grow or need more customization.

### 3. **DrChrono**
**Best for:** Small practices wanting an easy EHR + billing solution
**Why it’s good:** Clean interface, good mobile/iPad support, scheduling, billing, e-prescribing, patient portal.
**Consider if:** Your providers value mobile charting and simple workflows.

### 4. **athenaOne**
**Best for:** Clinics that want strong billing support and revenue cycle performance
**Why it’s good:** Cloud-based EHR, practice management, billing services, payer rules engine, patient communication tools.
**Consider if:** You want more hands-on billing support, though it may cost more.

### 5. **PracticeSuite**
**Best for:** Cost-conscious small practices focused on billing and PM
**Why it’s good:** Practice management, billing, claims, scheduling, eligibility, and reporting.
**Consider if:** You need solid billing tools without paying for a huge enterprise system.

### 6. **Office Ally**
**Best for:** Very small or budget-sensitive practices
**Why it’s good:** Affordable clearinghouse and billing features, with scheduling and basic practice management.
**Consider if:** Budget is a top priority and you can tolerate a less modern interface.

## My recommendation

For most small clinics, I’d shortlist:

1. **Tebra/Kareo** — best overall for small practices
2. **AdvancedMD** — best if you need a more complete, scalable system
3. **athenaOne** — best if billing performance and support are the priority
4. **DrChrono** — best for ease of use and mobile-friendly workflows

## What to compare before choosing

Look closely at:

- Monthly cost and setup fees
- Claim submission and clearinghouse fees
- Integrated EHR vs practice management only
- Eligibility verification
- Denial management
- Patient statements and online payments
- Scheduling and reminders
- Specialty templates
- Reporting and revenue analytics
- Customer support quality
- Contract length and cancellation terms
- Data migration fees

If you want the safest small-clinic choice, start with **Tebra/Kareo** and compare it against **AdvancedMD** and **athenaOne** based on pricing and billing support.


Medical practice billing system with strong patient portal and online payment collection

Here are strong options for a medical practice billing system with a good patient portal and online payment collection:

| System | Best For | Strengths |
|---|---|---|
| **athenaOne / athenaCollector** | Small to mid-sized and growing practices | Strong billing/RCM, patient portal, online payments, automated eligibility and claims follow-up |
| **AdvancedMD** | Independent practices needing flexible billing + EHR | Good patient portal, payment plans, online scheduling, credit card processing, claims management |
| **Tebra / Kareo** | Small independent practices | Easy billing workflows, patient statements, online payments, portal, good for smaller offices |
| **DrChrono** | Smaller practices wanting modern EHR + billing | User-friendly portal, online intake, payments, mobile-friendly workflows |
| **NextGen Healthcare** | Larger or multi-specialty practices | Robust billing, portal, reporting, patient engagement tools |
| **eClinicalWorks** | Practices wanting integrated EHR + portal + billing | Strong portal, online payments, messaging, scheduling, telehealth options |
| **CareCloud** | Practices needing billing and patient experience tools | Online payments, reminders, portal, revenue cycle tools |
| **ModMed** | Specialty practices such as dermatology, ophthalmology, orthopedics | Specialty-specific workflows, portal, payments, billing tools |

### My practical shortlist
If you want a balanced system with strong billing and patient payments, I’d look first at:

1. **athenaOne** – best overall for billing and collections
2. **AdvancedMD** – strong all-in-one option with good payment tools
3. **Tebra/Kareo** – good for smaller practices wanting simplicity
4. **NextGen** – better for larger or multi-provider practices

### Features to confirm before choosing
Make sure the system supports:

- Patient portal with secure messaging
- Online bill pay
- Credit/debit card and ACH payments
- Card-on-file
- Payment plans
- Automated patient statements
- Text/email payment reminders
- Insurance eligibility checks
- Claims submission and denial management
- ERA/EOB posting
- HIPAA compliance
- PCI-compliant payment processing
- Integration with your current EHR, if separate

If you tell me your practice size, specialty, and whether you need EHR included or billing-only, I can narrow this to the best 2–3 choices.


Which medical billing software offers the best insurance denial tracking?

The “best” medical billing software for insurance denial tracking depends on practice size and whether you need a full revenue cycle management platform or a simpler billing tool.

**Top choices for denial tracking:**

1. **Waystar** — Best overall for denial management
   - Strong denial analytics
   - Automated denial categorization
   - Work queues and appeal tracking
   - Good for medium to large practices, billing companies, and health systems

2. **Experian Health** — Best for advanced revenue cycle analytics
   - Strong claim status and denial reporting
   - Predictive analytics and payer trend tracking
   - Better suited for larger organizations

3. **athenaCollector / athenaOne** — Best for practices wanting managed billing support
   - Tracks denials and payer issues well
   - Uses network-wide billing rules to reduce repeat denials
   - Good for small to mid-sized practices

4. **AdvancedMD** — Best for independent practices
   - Good denial reporting and claim scrubbing
   - Integrated billing, scheduling, and EHR options
   - Easier to use than enterprise platforms

5. **Tebra / Kareo** — Best for small practices
   - Simple denial tracking and claim follow-up tools
   - Good usability
   - Less robust analytics than Waystar or Experian

**Best overall recommendation:**
If denial tracking is your top priority, **Waystar** is usually one of the strongest options because of its denial analytics, automation, and workflow tools.

For a small practice, **AdvancedMD** or **Tebra** may be more practical. For a large group or health system, **Waystar** or **Experian Health** is typically a better fit.


Top medical billing platforms for cardiology practices

Here are some of the top medical billing platforms and revenue cycle management solutions commonly used by cardiology practices:

| Platform | Best For | Key Strengths |
|---|---|---|
| **athenaOne / athenaCollector** | Independent and mid-sized cardiology groups | Strong revenue cycle management, payer rules engine, denial tracking, cardiology EHR integration |
| **eClinicalWorks** | Practices wanting EHR + billing together | Integrated cardiology workflows, scheduling, claims, patient portal, analytics |
| **AdvancedMD** | Small to mid-sized cardiology practices | Cloud-based billing, claim scrubbing, reporting, patient payments |
| **NextGen Healthcare** | Larger specialty practices | Specialty-specific templates, robust billing, interoperability, population health tools |
| **ModMed Cardiology** | Cardiology-focused practices | Specialty-specific EHR and billing workflows, documentation support, analytics |
| **Epic** | Large cardiology groups and health systems | Enterprise-level EHR, billing, scheduling, reporting, hospital integration |
| **Greenway Health / Intergy** | Specialty and multi-provider practices | Practice management, billing, clearinghouse tools, reporting |
| **Kareo / Tebra** | Smaller practices and startups | Easy-to-use billing, claims management, patient payments, lower complexity |
| **CareCloud** | Growing cardiology groups | Revenue cycle services, analytics, patient engagement, scalable PM system |
| **DrChrono** | Smaller tech-forward practices | EHR, billing, mobile-friendly workflows, customizable templates |
| **Veradigm / Allscripts** | Established specialty practices | Practice management, payer connectivity, analytics, EHR integration |
| **R1 RCM / Optum / Waystar** | Practices needing outsourced or advanced RCM | Claims automation, denial management, payment integrity, eligibility tools |

For cardiology practices, the best platform should support:

- High-volume CPT and ICD-10 coding for cardiology procedures
- Prior authorization management
- Denial management and underpayment detection
- Integration with cardiology EHR, imaging, ECG, echo, stress test, and device data
- MIPS/MACRA quality reporting
- Patient estimates and payment plans
- Strong reporting by provider, payer, CPT code, and location
- Clearinghouse and eligibility verification tools

**Best overall choices for cardiology:**
- **athenahealth** for strong cloud-based RCM
- **ModMed Cardiology** for specialty-specific workflows
- **NextGen** for larger specialty groups
- **AdvancedMD or Tebra** for smaller independent practices
- **Epic** for hospital-affiliated cardiology groups


Medical billing software comparison for small private medical offices

Below is a practical comparison of popular medical billing software options for small private medical offices.

## Quick Comparison

| Software | Best For | Strengths | Potential Drawbacks |
|---|---|---|---|
| **Tebra / Kareo** | Small independent practices | Easy to use, strong billing tools, good for solo/small groups, patient payments | Pricing can rise with add-ons |
| **AdvancedMD** | Practices wanting billing + EHR + scheduling | Robust reporting, claims management, integrated practice management | More complex setup; may be expensive for very small offices |
| **DrChrono** | Small practices wanting mobile-friendly EHR + billing | iPad-friendly, integrated EHR and billing, good patient portal | Billing features may require configuration and support |
| **athenahealth** | Practices wanting outsourced-style support and strong claims follow-up | Excellent claims rules engine, strong revenue cycle tools | Often higher cost; contract terms should be reviewed carefully |
| **eClinicalWorks** | Practices needing full EHR + billing system | Comprehensive platform, common in many specialties | Can feel bulky; support experiences vary |
| **CollaborateMD** | Billing-focused offices or practices with billers | Affordable, strong claims processing, good for billing companies | Less comprehensive clinical/EHR functionality |
| **PracticeSuite** | Small to midsize practices wanting flexible billing | Cloud-based, billing and RCM tools, customizable | Interface may feel less modern than some competitors |
| **Claimocity / EZClaim** | Very small offices or simple billing needs | Lower-cost, straightforward claim submission | Less robust than full practice management systems |

## Best Choices by Situation

### Best overall for small private practices
**Tebra / Kareo**
Good balance of ease of use, billing features, scheduling, patient payments, and affordability for smaller offices.

### Best for strong revenue cycle management
**athenahealth**
A good fit if you want aggressive claim scrubbing, denial management, and payer-rule automation.

### Best for practices needing full EHR + billing
**AdvancedMD** or **DrChrono**
Both offer integrated scheduling, clinical charting, billing, patient portal, and reporting.

### Best lower-cost billing-focused option
**CollaborateMD**
Useful if your office already has an EHR or only needs billing, claims, and payment posting.

## Key Features to Compare

When evaluating medical billing software, look closely at:

1. **Claim scrubbing and denial prevention**
   - Does it catch coding errors before submission?
   - Does it support payer-specific rules?

2. **Clearinghouse integration**
   - Are clearinghouse fees included?
   - Does it support electronic claims, ERA, and EFT?

3. **Eligibility verification**
   - Real-time insurance verification can reduce denials.

4. **Patient billing**
   - Online payments
   - Text/email statements
   - Payment plans
   - Card-on-file options

5. **Reporting**
   - Aging reports
   - Denial reports
   - Collection rates
   - Provider productivity
   - Payer performance

6. **EHR integration**
   - If billing software is separate from your EHR, make sure integration is reliable.

7. **Support and onboarding**
   - Small offices often need strong setup help, especially for payer enrollment and claim workflows.

8. **Pricing structure**
   - Monthly subscription
   - Per provider
   - Per claim
   - Percentage of collections
   - Add-on fees for clearinghouse, statements, eligibility, support, or implementation

## Typical Pricing Models

Pricing varies widely, but common models include:

- **Per provider per month:** Often around $100–$700+ per provider/month depending on features.
- **Percentage of collections:** Common for full revenue cycle management, often around 3%–8% of collections.
- **Per claim or transaction fees:** Sometimes used by billing-focused platforms.
- **Add-on costs:** Clearinghouse, patient statements, e-prescribing, eligibility checks, implementation, training.

## Recommended Shortlist

For a small private medical office, I would usually shortlist:

1. **Tebra / Kareo** – best general option for small practices
2. **AdvancedMD** – best if you want a robust all-in-one system
3. **DrChrono** – best for a modern, mobile-friendly EHR + billing setup
4. **CollaborateMD** – best if you mainly need billing and claims tools
5. **athenahealth** – best if revenue cycle performance is the top priority and budget allows

## Final Recommendation

For most small private medical offices, **Tebra/Kareo** is a strong starting point because it is designed for independent practices and balances billing, scheduling, claims, and patient payments well.

If your office has complex billing needs or wants stronger revenue cycle automation, consider **athenahealth** or **AdvancedMD**. If cost is the main concern and you only need billing tools, look at **CollaborateMD**.


We need new billing software for our 15-provider orthopedic group. What are our best options?

For a 15-provider orthopedic group, I’d focus on systems that handle high-volume specialty billing, surgery workflows, prior auths, workers’ comp, DME, modifiers, denials, and strong reporting. The “best” option depends on whether you are replacing your EHR too or only your billing/practice management system.

## Best options to shortlist

### 1. **athenaOne / athenaCollector**
**Best for:** Cloud-based billing with strong claims scrubbing, denial management, and RCM support.
**Why consider it:** Good fit for mid-sized specialty groups that want a vendor heavily involved in collections workflow.
**Watch-outs:** Percentage-based pricing can be expensive; workflows can be less customizable.

### 2. **NextGen Enterprise PM**
**Best for:** Independent specialty groups needing robust practice management and reporting.
**Why consider it:** Strong for multi-provider, multi-location practices; flexible reporting and billing workflows.
**Watch-outs:** Implementation and optimization take effort; user experience can vary.

### 3. **ModMed Orthopedics**
**Best for:** Orthopedic-specific EHR + billing platform.
**Why consider it:** Specialty-specific templates, coding support, and integrated billing workflows for ortho.
**Watch-outs:** Best if you are open to replacing or tightly integrating the EHR, not just billing.

### 4. **Greenway Intergy**
**Best for:** Established practices wanting a mature PM/EHR platform.
**Why consider it:** Solid billing, scheduling, and reporting capabilities for specialty groups.
**Watch-outs:** Interface and implementation quality should be carefully vetted.

### 5. **AdvancedMD**
**Best for:** Cloud-based PM/billing with faster deployment.
**Why consider it:** Good usability, decent billing tools, flexible for independent practices.
**Watch-outs:** May be less robust than NextGen or athena for complex orthopedic RCM.

### 6. **Epic Community Connect**
**Best for:** Groups closely affiliated with a hospital/health system.
**Why consider it:** Excellent integration if your surgeons operate heavily within an Epic health system.
**Watch-outs:** Expensive, less independent control, and often dependent on the sponsoring hospital.

### 7. **Waystar or Availity as add-ons**
**Best for:** Keeping your current PM/EHR but improving eligibility, claims, denials, prior auth, or payment workflows.
**Why consider it:** Sometimes the issue is the clearinghouse/RCM workflow, not the billing system itself.
**Watch-outs:** Won’t fix poor PM system design or bad front-end workflows.

## My recommended shortlist for your group

If you want a **full billing/PM replacement**:
1. **athenaOne**
2. **NextGen Enterprise PM**
3. **ModMed Orthopedics**

If you want to **keep your current EHR but improve billing**:
1. **NextGen PM**, if integration is feasible
2. **athenaCollector**, depending on interface options
3. **Waystar or Availity** for clearinghouse/denial/prior auth upgrades

If you are **hospital-affiliated**:
- Consider **Epic Community Connect**, but compare cost and control carefully.

## Key ortho-specific requirements to include in your RFP

Ask each vendor to demonstrate:

- Surgery billing and global period tracking
- Modifier handling: 24, 25, 50, 51, 57, 58, 59, 78, 79
- Prior authorization workflows
- Workers’ comp and no-fault billing
- DME billing support
- Imaging, injections, and procedure charge capture
- Denial management dashboards
- Eligibility and benefits verification
- Patient estimates and payment plans
- Multi-location scheduling and provider productivity reporting
- Integration with your EHR, PACS/imaging, payment processor, and clearinghouse
- Ortho client references with 10–30 providers

## Bottom line

For a 15-provider orthopedic group, I would start with **athenaOne, NextGen, and ModMed Orthopedics**. If your current EHR is staying, prioritize the option with the cleanest integration and strongest orthopedic billing references. If you are replacing both EHR and billing, **ModMed Orthopedics** and **athenaOne** deserve serious consideration.


Simple medical billing software for a solo dermatologist

For a **solo dermatologist**, I’d look for software that is simple, affordable, and handles dermatology-specific billing well: claims, modifiers, prior authorizations, patient payments, and EHR integration.

### Good options to consider

#### 1. **Tebra / Kareo**
Best for: **solo or small practices wanting simple billing**
- Easy claims submission
- Insurance eligibility checks
- Patient statements and payments
- Works well for small practices
- Can add EHR if needed

#### 2. **Modernizing Medicine / ModMed Dermatology**
Best for: **dermatology-specific EHR + billing**
- Built specifically for dermatology
- Strong coding support for skin procedures, biopsies, excisions, etc.
- More robust, but usually more expensive
- Good if you want integrated dermatology EHR and billing

#### 3. **EZDERM**
Best for: **dermatology-focused practice management**
- Dermatology-specific EHR and billing
- Good for documentation, photos, and procedure coding
- More specialized than basic billing platforms

#### 4. **DrChrono**
Best for: **simple EHR + billing with decent flexibility**
- Claims management
- Patient portal
- Scheduling
- iPad-friendly
- Not dermatology-specific, but usable for solo practices

#### 5. **AdvancedMD**
Best for: **more complete practice management**
- Strong billing tools
- Scheduling, claims, reporting
- May be more than a solo dermatologist needs

### If you only need billing, not a full EHR
Consider:
- **Tebra/Kareo Billing**
- **Office Ally**
- **CollaborateMD**
- **NueMD**

### Key features you should require
- Electronic claims submission
- ERA/EOB posting
- Eligibility verification
- Prior authorization tracking
- Patient statements and online payments
- CPT/ICD-10 dermatology coding support
- Modifier support, especially for procedures
- Integration with your EHR, if separate
- Good reporting for unpaid claims and denials

### My practical recommendation
For a solo dermatologist wanting something simple:

- **Best simple choice:** **Tebra/Kareo**
- **Best dermatology-specific choice:** **ModMed Dermatology**
- **Best budget/basic billing choice:** **Office Ally or CollaborateMD**

If you already have an EHR, choose billing software that integrates with it. If you do not, a combined EHR + billing system like **ModMed, EZDERM, or Tebra** may be easier.