In the face of complex, complicated healthcare revenue cycles, RCM companies provide cutting-edge solutions to simplify the process.
Becker's has compiled a list of 354+ companies with revenue cycle management solutions in the healthcare space. If you would like to add a revenue cycle management company to this list, contact Anna Falvey at afalvey@beckershealthcare.com.
Note: This list is not exhaustive, nor is it an endorsement of included organizations. Revenue cycle management companies do not and cannot pay for inclusion on this list. This list is not a ranking or rating, and companies are listed in alphabetical order.
3M HIS (Salt Lake City). 3M HIS aims to decrease revenue cycle waste and lead the shift from volume to value-based care. The company is bridging the gap between clinical care and revenue integrity by giving clinicians real-time guidance and accurate documentation. Using computer-assisted coding, clinical documentation integrity and performance monitoring, 3M’s automated software helps physicians decrease costs and provide more informed care.
ACI Worldwide (Coral Gables, Fla.). Healthcare providers collect up to 27 percent more with new patient financial engagement technology. ACI Worldwide offers innovative new ways to engage patients before, during and after appointments to accelerate cash flow.
ACN Healthcare (India). ACN Healthcare is a revenue cycle management company focused on end-to-end medical billing services. The company provides services such as demo entry, charge entry, coding, accounts receivable follow-up and E/B verification to hospitals and physician groups. ACN has an onshore/offshore model and focuses on healthcare verticals to bring value to client organizations.
ADEC Healthcare (Conklin, New York). ADEC Healthcare specializes in clinical and revenue cycle management, offering a suite of services that includes utilization review, coding, insurance billing and follow-up, prior authorization, patient scheduling, denials management, sustainability, and environmental, social and governance solutions for healthcare providers. The company's innovative solutions are designed to enhance financial performance and patient outcomes, leveraging state-of-the-art technology and deep industry expertise. Supported by onshore teams and global delivery centers based in the Philippines, Egypt, Kenya, South Africa and Colombia, the company offers customized commercial models tailored to manage costs, ensuring operational efficiency while maintaining high standards of healthcare service delivery.
AGS Health (Washington, D.C.). AGS Health is more than a revenue cycle management company – it's a strategic partner for growth. AGS Health employs more than 11,000 team members globally and partners with more than 100 clients across a variety of care settings, specialties, and billing systems. In 2021, AGS Health acquired EZDI, an AI-based computer-assisted coding company that assists healthcare providers with managing revenue cycles.
AIE Medical Management (Washington, D.C.). AIE Medical Management provides a full spectrum of solutions for medical groups and hospitals. Revenue cycle management, coding, credentialing, transcription and virtual medical scribe are just a few of the service lines the company offers. AIE works with each practice to navigate the fast-paced and constantly changing world of medicine, ensuring the best outcomes, reducing administrative burden and improving the quality of life for each provider.
AKASA (San Francisco). AKASA is the leading developer of AI for healthcare operations. AKASA scales human intelligence with leading-edge artificial intelligence and machine learning securely trained on customer data to learn unique systems, continuously adapt to changing environments, and deliver comprehensive automation and analytics for complex workflows.
ANI Healthcare Solutions (San Francisco). ANI Healthcare Solutions, founded in 2001, specializes in denial management and zero balance payment reviews for hospitals nationwide. The company ensures HIPAA compliance with HITRUST security certification.
Abax Health (Westport, Conn.). Abax Health has 125 years of experience in the revenue cycle and patient access space. The company serves a dual purpose - ensuring that patients get the care they need and that health systems get the revenue they need. They use leading AI technology to gather and act upon revenue leakage data.
Accenture (Dublin, Ireland). Accenture's team of experts provides insights and technologies for healthcare organizations to accelerate insight-driven health. The company gives insight into digital health, operational transformation and healthcare consumerism with clinical and health management services.
Access Healthcare (Dallas). Access Healthcare works with healthcare providers to improve revenue cycle management and focus strategic priorities, including improved profitability and patient experience. Access Healthcare serves healthcare organizations of all sizes, including dental service providers, to achieve better revenue cycle results with best practices that can increase the bottom line.
Access TeleCare (Dallas). Access TeleCare is a telemedicine provider for hospitals and health systems as well as post-acute providers and physician networks. The company is a leader in the field of specialized telemedicine. Its clients include 19 of the 25 largest health systems in the US.
AccessOne (Fort Mill, S.C.). AccessOne offers payment options to help patients manage healthcare costs while driving hospital reimbursement. The company can provide comprehensive low- and no-interest payment options for all patient balance types. There isn't a cap in account size, and patients aren't denied credit for any reason.
Acclara (Houston). In 2020, Acclara's legacy companies came together with a mission to transform the healthcare industry by offering top-notch revenue cycle management solutions that are both high-quality and cost-effective. They aimed to enable healthcare providers to focus more on patient care, their core competency. Today, the company boasts a team of 2,600 highly skilled professionals who utilize their extensive industry knowledge and best practices to help clients enhance cash flow, minimize administrative burdens, and comply with regulatory requirements. Acclara believes that maintaining strong client relationships and continuously refining its services based on its experiences can lead to significant changes in revenue maximization, revenue cycle streamlining, and improved patient experiences in healthcare organizations.
Accounts Receivables and Revenue Cycle Consulting LLC (Whitehouse, Texas). Accounts Receivables & Revenue Cycle Consulting LLC was established originally in 2000. The company specializes in denials management, RCM optimization, healthcare systems and bankruptcy recovery. It was started with one laser-focused goal, which is to offer fair and just compensation for services rendered without undue delay or reduction in reimbursement for providers of medical services.
Accuity (Mount Laurel, N.J.). Accuity’s tech-enabled, physician-led pre-bill review solution provides hospitals with more accurate, complete clinical documentation and compliant coding. Its inpatient clinical documentation review strategy combined with powerful technology and analytics helps identify opportunities where clients realize an average 350 percent return on investment.
AccRevMed Solutions (Schenectady, N.Y.). AccRevMed Solutions is a medical billing company offering complete revenue cycle management services, ranging from provider credentialing to patient collections. The company provides seamless, low cost support to independent providers, provider groups, hospitals and payers.
AccuReg (Mobile, Ala.). AccuReg offers artificial intelligence-enhanced software-as-a-service products and consulting to boost hospital revenue. Hospitals can use the company's platform to identify issues and prevent denials. AccuReg appeared on Inc. 5000's Fastest Growing Private Companies in 2019 and launched its Estimate My Cost patient-facing tool in June 2019. In 2021, AccuReg implemented EngageCare, a single platform that merges patient access, intake and engagement to help healthcare providers create a seamless patient experience.
Adonis.io (New York City). Adonis.io provides healthcare organizations with an intelligence platform that alerts revenue cycle management teams to anomalies in their data, enabling them to proactively manage and prevent denials. The platform leverages machine learning techniques, such as clustering, to identify the root cause of issues within the revenue cycle. In addition to intelligence, the company offers an end-to-end billing solution, a coupling of proprietary billing workspace tech and seasoned billing experts that lowers cost-to-collect by up to 45%.
AdvantEdge Healthcare Solutions (Lombard, Ill.). AdvantEdge Healthcare Solutions, a part of the Health Prime family of companies developed a suite of revenue cycle management solutions, including medical billing, coding and analytics. The company is designed to assist ASCs, physician groups, hospitals and behavior health agencies.
Advantmed (Irvine, Calif.). Advantmed is an integrated risk adjustment optimization and quality improvement company dedicated to helping risk-bearing entities. Advantmed partners with organizations to deliver the optimal combination of unique solutions to help them achieve their objectives.
Advantum Health (Louisville, Ky.). Advantum Health helps healthcare providers maximize revenues and practice medicine without administrative burden. Advantum offers full-service revenue cycle solutions, including billing, credentialing, pre-authorization, referral management and intuitive analytics dashboards. The company has announced the official release of Advantum Ai, their team's proprietary platform, and Advantum EVE, a soon-to-be-released tech platform supporting credentialing.
Advata Inc. (Bellevue, Wash.). Advata is an advanced healthcare analytics software company with a new revenue cycle management product called Advata Smart AR, which was introduced in September 2022. The company’s technology solutions help increase revenue and productivity for healthcare organizations by leveraging business intelligence, optimizing workflows and improving collection processes. Advata’s revenue cycle management solution uses predictive analytics, artificial intelligence, machine learning and robotic process automation.
AffableBPM (Seattle, Wash.). AffableBPM is AI-enabled software as a service solution that automates healthcare back office processes. The platform simplifies manual tasks including contract management, inventory management, claims management, claims contracts, claims denials, and invoices management. Users can easily configure processes without developer assistance. The solution is regulations-compliant and securely hosted. With annual savings of over $50,000 in printing costs and a 60% increase in administrative staff productivity resulting in $1.5 million, the platform ensures a rapid return on investment. Additionally, the company facilitates effective reporting to clients' C-suite executives.
Aidéo Technologies (Palm Beach, Fla.). Aidéo Technologies supports their revenue cycle management partners by providing medical coding workflow efficiencies, autonomous codes and autonomous claims. The company's solutions enhance productivity and accuracy while reducing costs.
Aithagoni (Hyderabad, India). Aithagoni Solutions is a revenue cycle management company focused on end-to-end medical billing services, business analytics and price transparency. The company provides best-in-class solutions and ensures that services are updated in accordance with the ever-changing guidelines of the U.S. healthcare system.
Alive Health (San Francisco). Alive Health provides medical practices with an AI-assisted patient intake and charting automation software that intakes a draft note about the patient and incident for doctors. The software enters the patient information into the medical practice's EMR, generates a full health and physical report for the patient, and provides diagnosis codes for insurance and billing. It also automates the RCM process.
All Right Medical Management Services (Chester, Va.). All Right Medical Management Services provides revenue cycle and EHR solutions to healthcare organizations. The company focuses on maximizing a healthcare providers' bottom line through billing and coding, denial management, accounts receivable, and collections services.
Alpha II (Tallahassee, Fla.). Alpha II is a leading provider of products complementing RCM software solutions focused on denial prevention and revenue integrity. The company's suite of claim scrubbing, editing, coding, denials prevention, and quality reporting intelligence supports the revenue cycle workflow of more than 100,000 healthcare providers across the country and integrates directly with over 150 EHR, PM, RCM, clearinghouses, and provider information systems.
Alvaria (Atlanta). Alvaria assists in customer communications with their contact center, workforce management and analytics technologies solutions. The company's client installations worldwide function on Alvaria's omnichannel premise, cloud and hybrid platforms to manage customer contacts.
Americollect (Manitowoc, Wis.). Originally launched as a healthcare collections business in 1964, Americollect was purchased in 1999 and grew into a 340-member team serving more than 120 hospitals and 7,000 physicians. The company focuses on hospital, medical group and radiology collections to recover patient payments. Americollect specialists verify patient demographic data, contact patients and man a 24-hour online chat box that allows users to connect with collectors online.
Amitech Solutions (St. Louis). Amitech is a healthcare data analytics and management consulting firm aiming to leverage the value of data analytics to help payers and providers create value. The company's solutions include management consulting and information management as well as big data- and Internet-of-Things-driven population health solutions to help payers, providers and employers understand their populations and engage them to drive down costs.
Amplify Revenue Cycle Management (Brentwood, Tenn.). Amplify is a leading provider of revenue cycle management and managed care services focused on optimizing reimbursement and collections while reducing cost. Amplify’s comprehensive offerings help hospitals and health systems to vitalize financial performance and achieve scale. Amplify is a subsidiary of Ovation Healthcare, a premier shared services provider to more than 375 clients across 47 states.
AnnexMed (Salt Lake City). Launched in 2004, AnnexMed is a revenue cycle management services provider for institutions across the country. The company offers medical coding, billing and collections services as well as data entry and accounts receivable management. AnnexMed provides 24/7 customer support for a diverse array of customers and can be scaled up quickly to meet increasing business needs.
Anthro Innovations (Burbank, Ill.). Anthro Innovations is a small group of physicians and revenue cycle specialists who aim to level the playing field between payers and providers with Better Results Using Cognitive Engines, a self-learning artificial intelligence system designed to make informed decisions on claims. The system could increase payments and reduce the time and labor costs associated with working rejected claims.
ApexonHealth (Southfield, Mich.). ApexonHealth helps providers, payers and other healthcare organizations harness the power of AI technologies to reduce costs, improve cash flow and increase customer satisfaction. Solutions are built on the proprietary Newton AI platform, which combines machine learning, robotic process automation and business process management. Companies of any size can modernize their back office without the need for costly system integration. The company was acquired by Omega Healthcare in April 2022.
ApprioHealth (Washington, D.C.). ApprioHealth has advanced technology solutions for hospital revenue cycle management. It helps hospitals use technology to drive patient satisfaction with the revenue cycle and operational improvement. The company launched in May 2019 and had a 280 percent growth rate in its first four months.
AppriseMD (Northbrook, Ill.). AppriseMD provides denial management and physician advisor services to help hospitals and health systems achieve excellence in utilization review through optimizing reimbursement to enhance revenue cycle. The company's physician-driven solutions focus on clinical medical necessity determinations to mitigate denials and increase revenue.
Aspirion (Columbus, Ga.). Aspirion helps hospitals and physicians recover otherwise lost claims revenue via overturning denials and underpayments, resolving aged accounts receivable, and effectively collecting complex claims including motor vehicle accident, workers’ compensation, veterans affairs and TRICARE, and out-of-state Medicaid. Aspirion’s experienced team of healthcare, legal and technical professionals, combined with industry-leading technology platforms, help ensure providers receive their complex RCM revenue so that they can focus on patient care. The company serves clients across the U.S., including half of the 10 largest health systems in the country.
AssureCare (Cincinnati). AssureCare is a privately held healthcare technology company that provides innovative care management solutions to commercial and health and human service providers. AssureCare’s flagship software platform, MedCompass, is used by healthcare providers throughout the U.S. to deliver end-to-end care management for millions of patients daily. MedCompass transforms healthcare management by automating processes and streamlining workflows, allowing care professionals to make better decisions that dramatically improve the quality of care and lower costs. AssureCare is considered an industry leader in developing modular, seamless solutions designed to improve patient outcomes and reduce avoidable costs associated with population health management.
Athelas (Mountain View, Calif.). Athelas brings true AI to groups both small and large by offering a world-class billing platform that largely automates a traditionally manual RCM workflow and an ambient scribe solution that can streamline complete clinical documentation for providers. These tools supercharge current medical staff to help them reduce costs and labor, maximize reimbursements, enhance their claim submission and denial process, and deliver actionable insights into the financial health of their practice.
Athenahealth (Boston). Founded in 1997, Athenahealth provides medical record, revenue cycle, patient engagement, care coordination and population health services for hospital and ambulatory clients. The company has a network of 140,000 providers that use its practice management, patient engagement and population health services. In 2019, Athenahealth and Virence Health merged to create a new Athenahealth that increased the company’s data, expertise and customer base.
Atom Healthcare (New York City). Atom Healthcare offers a comprehensive range of services ranging from simple transaction services to audit and analytical services across the provider and payer domains. The revenue cycle management services provided by Atom Healthcare are an end-to-end solution, which helps hospitals and health systems focus on their core functions.
Atos (Bezons, France). Atos helps providers deliver a personalized and secure healthcare experience that improves revenue optimization and patient care. Part of a $12.5 billion global company, Atos is one of the fastest growing companies in North American healthcare. Key health information management solutions include end-to-end revenue cycle management, EHR optimization, coding audit and compliance. as well as clinical documentation improvement to help providers prepare for the next generation of healthcare.
AuthoFi (Paducah, Ky.). AuthoFi's robust AI-powered process streamlines the patient pre-authorization journey by validating eligibility and pre-authorization criteria, assisting with scheduling, and aligning coding with approved authorizations. The company allows its clients to redirect valuable time to essential patient care activities, improving overall efficiency.
Avaap (Columbus, Ohio). Avaap is an IT services and management consulting firm for organizations that use enterprise resource planning and EHR software applications. The company's global community includes experienced technical and business process consultants, physicians, nurses and other healthcare professionals who serve as resources to more than 300 customers.
Availity (Jacksonville, Fla.). Availity develops scalable, innovative solutions for healthcare data acquisition, standardization, transparency, automation, and exchange among health plans, providers, and technology partners. The company uses a suite of products, built on an intelligent platform, to facilitate billions of clinical, administrative, and financial transactions. Availity was named a co-recipient of the 2023 KLAS Payer/Provider Points of Light Award, in collaboration with Blue Cross Blue and Blue Shield of Minnesota, Itiliti Health, and Mayo Clinic to introduce efficiencies and automation in authorization determination.
Aviacode (Salt Lake City). Aviacode provides a medical coding solutions platform aimed at solving coding problems, creating efficiencies, and improving revenue and cash flow. The company includes more than 700 medical coders serving 30,000 physicians in more than 61 medical specialties. Aviacode's solution codes 10 million charts per year.
BC Services (Longmont, Colo). BC Services is one of the largest accounts receivable management companies in Colorado with our corporate headquarters located in Longmont. The company works with organizations in all 50 states that need expert support managing their revenue cycle and collection unpaid account balances.
BDO USA (Chicago). The BDO USA-Healthcare Advisory team has extensive knowledge assisting organizations to optimize revenue cycle functions to improve and maximize reimbursements. BDO revenue cycle assessments will identify processes within the operations contributing to revenue leakage, slowdown in cash flow or processes that are of risk to organization.
BRSi, LP (Houston, TX). BRSi aims to provide simple solutions to the most complex issues affecting its customers and their ability to provide quality healthcare, and social service programs. The customers that benefit from BRSi products and services are healthcare providers, public funded healthcare, and the federal and state government. The company's services facilitate patient engagement, maximize third party payor and patient revenue, improve margins, lower operating cost, and maximize healthcare-related expense recoveries from subrogation, third party liability, and special programs.
Bell MedEx (Seattle). Bell MedEx, the nation's highest reviewed medical billing company, boasts nearly a decade of experience in providing exceptional revenue cycle management services. With a dedicated team of over 1,000 professionals, the company delivers top-notch solutions spanning a wide range of specialties and platforms to healthcare providers across the country.
BillingParadise (Diamond Bar, Calif.). BillingParadise was founded as a revenue cycle management company headquartered in California. The company's extended client base and offices are in Texas, Florida, New York, New Jersey and Minnesota. BillingParadise's revenue cycle experts developed a workflow management and productivity tracking application that integrates with major EHRs to help clients streamline and automate their revenue cycle process. BillingParadise has more than 15 years of experience in the revenue cycle industry.
BlueBriX (Bethesda, Md.). BlueBriX is a comprehensive digital health platform offering RCM services that simplify billing, coding, claims management and revenue tracking to enhance operational efficiency and financial outcomes. The company currently supports over 120 hospitals and clinics across more than 30 specialties in the U.S. The company also provides telemedicine solutions, EHR through blueEHR, and patient engagement platforms. Thanks to the company's no-code/low-code application builder, solutions are highly customizable.
Bluetangent Solutions (Kansas City, Mo.). Bluetangent Solutions provides medical billing and software solutions to the autism sector, creating financial gains for small and medium autism practices. The company focuses on maximizing autism providers' bottom line through billing and coding, denial management, accounts receivable, and collections services.
Boncura Health Solutions (Downers Grove, Ill.). Launched in 2011, Boncura Health Solutions, a subsidiary of Duly Health and Care, has grown to serve more than 14,000 provider partners as well as manage more than 500,000 lives and process 2.5 million claims per year. The physician-owned and directed organization focuses on efficient management of at-risk patient populations as well as cost-effective care delivery.
Business Integrity Services (Tampa, Fla.). Business Integrity Services offers expert healthcare solutions in revenue cycle management, medical coding, compliance, and patient clinic and surgery center scheduling. The company leverages cutting-edge technology to optimize operations, ensuring the highest level of production and collaboration with an emphasis on consistent improvement in every partnership. With more than 1,000 employees, the company services hundreds of clinics and surgery centers across the U.S.
BRIDGE Health Care Partners (Denver). Bridge Health Care Partners has served nonprofit community-based health centers across the U.S. for over a decade, offering cost-effective customized health IT and business solutions that help protect clients from risk and instability. The company's managed services aim to fortify the nation’s health safety net and promote health equity. The company maintains a clean claims rate that is greater than 95% by proactively managing the claim scrub.
CBOSS (Youngstown, Ohio). CBOSS is a service provider and partner to government and private-sector clients, providing the CBOSS Central Payment Portal to centralize administration for all electronic payments. The company provides bank integration support and 24/7 access for clients and their customers.
Cantata Health Solutions (Austin, Texas). Cantata Health provides advanced revenue cycle management and EHR applications for acute and post-acute care hospitals as well as long-term care facilities.
Capio (Lawrenceville, Ga.). Capio manages healthcare accounts with the goal of maximizing returns on nonperforming accounts and improving revenue cycle management. The company provides a variety of bad debt solutions, including primary, secondary and debt purchase solutions, leveraged at any point after accounts have been designated as bad debt. Their solutions are CMS compliant and customized to align with provider's needs by access to immediate cash and confidence knowing patients will be managed by an experienced healthcare-focused team.
CareCloud (Somerset, N.J.). CareCloud provides cloud-based revenue cycle management, practice management, EHR and patient experience management solutions for high-performance medical groups. CareCloud helps clients increase financial and operational performance, streamline clinical workflows and improve patient care nationwide.
CareCredit (Costa Mesa, Calif.). CareCredit is a health, wellness and personal care credit card with 35+ years’ experience, giving patients the flexibility to pay over time for their rising out-of-pocket healthcare costs. *This includes deductibles, copays and other medical expenses not covered by insurance. CareCredit has 12.7 million cardholders and is accepted at 260,000 provider and retail locations nationwide. Practices get paid in two business days, with no recourse^ (CareCredit assumes the liability), helping providers save time, increase cash flow, and reduce A/R.
CarePayment (Nashville, Tenn.). CarePayment is a patient financial engagement company that accelerates providers' transition to the new consumer-driven healthcare market. Powered by advanced technology and analytics, the company's innovative patient financing solutions improve patient satisfaction and loyalty while delivering superior financial results.
Cascade365 Family of Companies (Petaluma, Calif.). Cascade365 is a family of companies that provide accounts receivable liquidity solutions to the healthcare industry, promoting financial accountability while treating guarantors in a fair, dignified, and lawful manner. Cascade365's suite of products and services includes AR purchase, factoring, master servicing, third-party collections and revenue cycle optimization.
Cedar (New York City). Cedar is a patient payment and engagement platform for hospitals, health systems and medical groups. The platform is designed to leverage advanced data science, machine learning and smart segmentation to deliver a better experience for patients. Cedar has created the Payer Intelligence Layer, which allows for the integration of data from health insurers and healthcare providers to help create a single source of information for consumers managing medical bills. As of December 2023, Cedar is engaging with 25 million patients on an annual basis.
Centaur Billing (Lewes, Del.). Centaur Billing delivers efficient, accurate and cost effective medical billing solutions to medical groups and billing companies. The company generates increased revenue for customers through a robust analytical process and control metrics that prevent revenue leakages.
Centauri Health Solutions (Phoenix). Centauri Health Solutions works with healthcare payers and providers to improve the lives of their members and patients through compassionate outreach, sophisticated analytics, and data-driven solutions. The company's reimbursement-focused services and unparalleled expertise lead to more accurate payment rates; a reduction in uncompensated care; transparent provider pricing; and quality measurement compliance.
Change Healthcare (Nashville, Tenn.). Change Healthcare is a large, independent healthcare technology company that works alongside customers and partners to enable better patient care, choice and outcomes at scale. The company provides software and analytics, network solutions, and technology-enabled services for government payers, employers, hospitals, physicians and others.
Cimcor (Merrillville, Ind.). Founded in 1997, Cimcor focuses on software security, integrity and compliance. The company's flagship software product helps organizations monitor and protect physical, virtual and cloud-based IT assets in real time. The software tracks the user that makes changes, what changes are made and how changes are made.
CIPROMS (Indianapolis). Since 1982, CIPROMS has partnered with physicians to provide customized medical billing that includes personalized service and timely and reliable information with transparent and trusted accountability. CIPROMS' services are designed to increase revenue, improve cash flow, reduce costs and minimize the administrative aggravations associated with ever-changing rules and regulations.
Cirius Group (Pleasant Hill, Calif.). Cirius Group's flexible, scalable and customizable revenue cycle solutions transform healthcare organizations into the most efficient financial powerhouses in the nation. For 36 years, healthcare leaders have trusted Cirius Group to help them push the boundaries of what their revenue cycle can do.
Civxdata (Cardiff by the Sea, Calif.). Civxdata is a leading revenue cycle management company in the healthcare industry, offering comprehensive and innovative solutions to optimize revenue and improve financial performance. With a team of experienced professionals and cutting-edge technology, they provide customized services to meet the unique needs of their clients and drive sustainable growth.
ClaimEx (Brooklyn, N.Y.). ClaimEx is a specialized health maintenance organization collection company, recovering outstanding balances for old or written-off claims up to three years old. They only charge contingent fees upon successful claim resolution.
Claimocity (Las Vegas). Claimocity is the first RCM billing company focusing exclusively on the hospital- and facility-based physician practice sector. The company specializes in award-winning stand-alone inpatient RCM services and offers an all-in-one software and billing solution that bundles their AI-enhanced mobile practice management platform, charge capture, and integrated workflow solutions with billing and coding for hospitalists, physiatrists, intensivists, and rounding doctors in acute care or step-down facilities.
ClaraPrice (Austin, Texas). ClaraPrice provides hospitals and health systems with the industry standard price transparency compliance platform and offers relief from the administrative and technical burden of achieving compliance. The company’s RCM solutions include state and federal price transparency compliance with a 100% compliance guarantee, a good faith estimate workflow system to comply with the No Surprises Act, payer contract management, and other data analytics tools to save hospitals costly time and resources. Client onboarding requires no integration or implementation, taking less than three weeks to achieve compliance. ClaraPrice offers a discounted program to rural and critical access hospitals.
ClearBalance (San Diego). ClearBalance Healthcare provides patient financing and patient pay services and has served healthcare exclusively for nearly 30 years. ClearBalance maintains the industry's highest patient financing repayment rate at 90 percent nationally. The company specializes in providing a seamless patient pay experience that reduces bad debt, improves patient satisfaction and encourages consumer loyalty.
Clearwave (Atlanta). Clearwave is a patient revenue platform assisting high-growth practices. The company helps specialty healthcare practices enhance patient self-scheduling, streamline patient registration, automate patient communications and create true financial transparency for both the patient and practice alike through real-time, automated insurance verification. One of Clearwave’s newest innovations, Multi-Factor Eligibility, is built to help practices reduce claims rejections and increase co-pay, self-pay and Medicare collections, all of which will reduce hours of staff work around insurance verification.
ClinIntell (Tampa, Fla.). ClinIntell is a clinical documentation improvement data analytics and physician training software firm that leverages proprietary predictive analytics to affect long-term change in physician documentation practices. The company's analytics provide a vehicle to measure and report individual physician documentation performance.
CodaMetrix (Boston). CodaMetrix is a SaaS technology company that offers a coding AI platform. Its CMX platform automatically and autonomously translates clinical notes into billing codes that satisfy coding requirements, ensuring claims consistently represent the unique and complete episode of care while reducing the human coding workload. Born out of Mass General Brigham and designed by revenue cycle experts, CodaMetrix is dedicated to eliminating administrative burden that hinders physicians and the financial management of high-quality care.
CodeOne (Monument, Colo.). CodeOne was founded in 2001 and provides services in all aspects of the revenue cycle. In addition to medical billing, CodeOne also provides consulting services in areas including practice analysis, coding review, audit reconciliation, practice compliance and business coaching. The CodeOne team comes from a diverse background of medical billing, practice management, managed care leadership and payer organizations.
Cognizant RCM (Teaneck, N.J.). Cognizant RCM brings tailored end-to-end revenue cycle management solutions architected to help organizations achieve operational efficiency and compliance. With a focus on solution specialization, accountability, and customer performance through a wide breadth of offerings, including solutions for bad debt, third party liability, eligibility, coding and chargemaster services and denials, users are able to streamline vendor management, staff resources and financials. By utilizing innovative solutions and services combined with extensive industry knowledge, the company helps clients transform their business to drive growth and prepare for the future of healthcare.
Collect Rx (Bethesda, Md.). Collect Rx provides services to maximize out-of-network reimbursement to hospitals, ambulatory surgery centers, physicians and other healthcare providers. The company's proprietary CRXIS business intelligence engine and industry expertise help healthcare providers increase revenue, save time and improve the bottom line.
Collection Licenses (Irvine, Calif.). Collection Licenses is a full-service licensing support company focused on providing a comprehensive approach to the debt and revenue cycle industries. The company helps organizations obtain and maintain state licensing and registration.
CommerceHealthcare (Kansas City, Mo.). CommerceHealthcare provides automated receivables management and payment services, patient loan financing and lending solutions to healthcare providers and patients. CommerceHealthcare brings together a team of healthcare and banking professionals.
Commure (Mountain View, CA). Commure provides applications and an intelligent operating system for the people in healthcare, offering a suite of solutions that streamline workflow and integrate with existing information systems. Commure aims to heal the fractured healthcare ecosystem via collaborative care and innovation.
Commvault (Tinton Falls, N.J.). Commvault is a data protection and information management solutions provider focused on helping healthcare organizations handle high volumes of data, meet compliance requirements and deliver quality care through a single integrated platform. The company has more than 2,700 healthcare customers using its products and services.
Compliant Health (Nashville, Tenn.). Compliant Health is committed to providing accurate and reliable medical coding to healthcare providers and facilities. The company provides coding, coding audits, and physician education through best-in-class coding technology, the expertise of qualified medical coding professionals, and a proprietary workflow engine to ensure medical coding is both compliant and accurate ensuring appropriate reimbursement at an optimal cost.
Conifer Health Solutions (Dallas). Conifer is a strategic partner to clients in more than 135 regions of the U.S., including Tenet Healthcare, CommonSpirit Health, LCMC Health, Keck Medicine of USC and Dartmouth Health. The company has earned a No. 1 or No. 2 ranking in healthcare market research company Black Book's end-to-end RCM outsourcing survey for integrated delivery networks.
Contego Solutions (Nashua, N.H.). Contego drives increased revenue for ASCs through its comprehensive out-of-network claims and appeals process. Contego's expertise lies in predictive modeling, deductible and coinsurance management, detailed application of the Department of Labor claims and appeals process and pinpointed utilization of legal resources, which together drive revenue.
Coronis Health (Sykesville, Md.). Coronis Health is a healthcare revenue cycle and medical billing company combining technology with high-touch relationship building. The company helps hospitals, ASCs and medical practices with revenue cycle management, processing more than 31.2 million claims per year.
CorroHealth (Plano, Texas). CorroHealth is the leading provider of clinically led healthcare analytics and technology-driven solutions dedicated to positively impacting the financial performance of hospitals and health systems. With more than 8,500 employees worldwide, CorroHealth delivers integrated solutions, proven expertise, intelligent technology, and scalability to address needs across the entire revenue cycle.
Cotiviti (South Jordan, Utah). Cotiviti offers solutions and analytics for payers, providers and employers to collaborate and improve the healthcare revenue cycle. Cotiviti recently launched Caspian Clarity, which includes clinical, financial and other medical data on 40 percent of Americans, providing a longitudinal view of population health and the patient journey. The company’s Payment Accuracy platform is a real-time, prepay, integrated claim accuracy and fraud detection solution scalable for all payer sizes.
The Craneware Group (Deerfield Beach, Fla. and Edinburgh, Scotland). The Craneware Group collaborates with U.S. healthcare providers to plan, execute, and monitor operational and financial performance. Their revenue intelligence solutions help healthcare organizations improve accuracy and compliance, analyze and correct charge capture issues, ensure supplies are adequately reimbursed, maintain compliance with coding and regulatory changes, and quickly resolve denied claims. In 2023, the company won the 2023 Best in KLAS for software and services in the revenue cycle chargemaster management category for the 13th time.
Credit Management Co. (Pittsburgh). Credit Management Co. offers customized outsourcing processes that deliver solutions that will accelerate cash flow, lower operating expenses, reduce customer delinquency and improve customer care and support. Our primary services include: first party A/R management, debt recovery and customer care. Credit Management Co. has been providing full-service accounts receivable and collection management programs across several industry segments since 1966.
Credit Solutions (Lexington, Ky.). Credit Solutions is a national revenue cycle management company that exclusively provides services to hospitals, healthcare systems and physician groups. We provide tailored extended business office solutions, bad debt recovery, physician billing and coding and denials management services.
Crossroads Health (Gardena, Calif.). Crossroads Health offers the most complete credit balance solution for healthcare providers. Leveraging proprietary technology, Crossroads Health's U.S.-based team accurately identifies and resolves all credits. Beyond resolving credits, the company's top priority is to prevent the root causes of credit balances. Their mission is to reduce billions of dollars in waste by eliminating the drivers of credit balances and proliferating digital patient refund technology.
Crowe (Chicago). Crowe is a public accounting, consulting and technology firm with offices around the world. Through its patented Crowe Revenue Cycle Analytics software, the company captures every patient transaction each day from more than 1,700 hospitals and 200,000 physicians. The revenue cycle team uses this data to help healthcare providers compare their revenue cycle performance with peers through nationally recognized KPI benchmarking reports and payer market insights. Credit balance management, outpatient charge capture, machine learning-led credit and debit resolution, and unclaimed property compliance round out its suite of revenue cycle solutions.
Currence Physician Solutions (Chicago). Currence empowers physicians and healthcare executives with financial insight. It serves as a medical practice partner providing outsourced and co-sourced revenue cycle management, financial management, private equity advisory and real-time analytics dashboards.
Cynerio (Ramat Gan, Israel). Cynerio is a healthcare fraud detection platform working with healthcare organizations to protect all medical devices, patient records and even patient health by preventing hacks on crucial healthcare devices involved in delivering care. Cynerio visually maps all network connections in a hospital and uses artificial intelligence and machine learning to diagnose the connections and monitor the medical context of information being exchanged.
DAS Health (Tampa, Fla.). Das Health, a provider of health IT solutions and business consultation, offers comprehensive revenue cycle management services to independent and enterprise physician groups and healthcare systems across North America. The company has established itself as a trusted partner in optimizing revenue streams for its clients in all 50 states. With a track record of consistent growth, DAS Health delivers tailored RCM solutions that positively impact millions of patients nationwide.
DaisyBill (Claymont, Del.). Specifically built for the complex revenue cycle challenges of workers' comp, DaisyBill offers cloud-based solutions to get providers who treat injured workers paid. DaisyBill's solutions include SaaS billing software as well as complete end-to-end account management services.
Data Marshall (Franklin, Tenn.). Data Marshall is a revenue cycle management services partner in the healthcare space, bringing over two decades of experience and an array of referenceable customers. The company offers end-to end RCM, medical coding and billing, accounts receivable and denials management, payment integrity, audit and consulting services to its customers. The company uses in-house workflow and analytics tools, building automation and leveraging bots to improve process efficiency and provide insights for their customers. Data Marshall has approximately 1,500 employees.
Dimensional Insight (Burlington, Mass.). Dimensional Insight, an eight-time Best in KLAS winning enterprise analytics provider, focuses on data integration, KPIs, and business intelligence to improve trust and decision-making. Dimensional Insight’s Revenue Cycle Advisor helps hospitals to make sense of their data so they can make timely and more informed decisions. The application includes 275+ out-of-the-box measures, enabling hospitals to quickly monitor and manage billing, submission, and collection processes.
Dolbey (Concord, Ohio). Dolbey supports a suite of solutions designed to improve productivity while delivering better documentation for coding and billing. The solution offers physicians a flexible workflow with dictation or speech recognition as well as powerful computer-assisted coding, clinical documentation improvement, care measures abstraction and reporting.
e4health (Wyomissing, Pa.). e4health aims to address and resolve mid-revenue cycle hurdles while implementing preventive measures that mitigate cash flow and compliance risk, thus allowing providers to focus on patient care. The company evaluates past performance, analyzes current structures, and implements adjustments to improve performance in documentation integrity, case-mix evaluation, coding accuracy, charge capture, and clinical integration.
ECG Management Consultants (San Diego). ECG is a consulting firm fully focused on healthcare, helping hospitals, providers and academic medical centers achieve their most crucial goals. The team provides a full range of management consulting services, including strategic plans around operational improvements, technology solutions, and financial advisory services. Founded in 1973, the company stands as the longest-serving healthcare consulting firm in the country.
EMPClaims Solutions Inc (Oakbrook, Ill.). EMPClaims is an end-to-end medical billing and RCM company. With over 10 years in the industry, EMPClaims helps small and medium-sized medical practices and physician groups to streamline their billing processes and optimize revenue. EMPClaims' processes and workflows ensure highest reimbursements for the services medical practices provide to their patients.
eCatalyst Healthcare Solutions (Phoenix). eCatalyst provides coding, auditing, clinical documentation improvement, message passing interface, revenue cycle and strategic health information management consulting to hospitals, physician practices and health systems. The company's Synergy Engage real-time ambulatory CDI solution is designed to increase throughput and improve hierarchical condition categories capture rates.
Echelon Medical Capital (Delray Beach, Fla.). Echelon Medical Capital focuses on accounts receivable liquidity solutions for healthcare providers taking insurance or medical liens against pending personal injury cases. It is among the largest funding companies in the nation and provides services to hospitals, surgery centers and physician groups of any size.
Eclat Health Solutions (Herndon, Va.). Eclat Health Solutions is a comprehensive domestic and international healthcare support service provider of medical coding, medical billing and ICD-10 auditing, that delivers efficient, accurate, secure and affordable RCM. Eclat works with a variety of U.S. healthcare providers, from large hospital facilities to small independent practices.
Eclipse Insights (Atlanta). Eclipse Insights goes beyond traditional revenue cycle management, helping healthcare organizations improve financial health and operational efficiency through strategic revenue transformation across the entire revenue continuum. The company helps clients maximize revenue and improve cash flow, all while generating insights to anticipate shifting market dynamics. The company emphasizes tangible and measurable results so that clients can remain focused on serving their communities.
Edifecs (Bellevue, Wash.). The technology company Edifecs has been serving the U.S. healthcare market for nearly three decades, empowering its customers to transform healthcare. The company’s deep industry expertise and interoperability platform help customers overcome healthcare’s biggest challenges, including accelerating the adoption of value-based payment models, obtaining complete and accurate care funding for alternative payment models, and fully automating prior authorization in compliance with the recently announced CMS Interoperability and Prior Authorization Final Rule.
Elevate Medical Solutions (Madison, Wis.). Elevate Medical Solutions is a trusted medical coding and HIM partner helping improve the coding and reimbursement process. The company's trusted quality delivery, localized and personalized service, and reliability are at the forefront of everything it does. Elevate is intent on serving as an extension of a coding or RCM team. Revenue cycle management services include domestic medical coding, coding audits, Train and Code medical coder education, physician education, CDI education, Adaptive Clinical Expert, and ERISA recovery.
Enable Healthcare (Hanover, N.J.). Enable Healthcare delivers health IT solutions and services to independent and group practices across the U.S. The company's solutions and services include revenue cycle management, virtual care, remote patient monitoring and more. In 2021, MedChi of Maryland chose Enable Healthcare to provide virutal health services to the state's 2,400 practices.
EnableComp (Franklin, Tenn.). EnableComp partners with over 800 healthcare providers to maximize their complex claims reimbursement by having the best people, processes, products and performance. Our industry-leading technology and analytics identify the right payer, at the right time, for the right amount, ensuring clients collect the appropriate revenue for their complex claims. Enable Comp and Argos Health combined forces to establish leadership in the complex claims domain.
Encore Exchange (Winston-Salem, N.C.). Encore Exchange is an employee-owned company founded in 1972 that provides hospitals and physicians with low-cost collections services and software. The company has expertise in health information services, patient communications, revenue cycle management and payment technologies.
Ensemble Health Partners (Cincinnati). Ensemble focuses on revenue cycle management for hospitals, health systems and physician practices via its suite of technologies. The company helps providers maximize their current technology and deploys industry-leading solutions to meet the unique needs of their systems and patients. It received the top score for overall performance among end-to-end revenue cycle outsourcing vendors in KLAS Research’s End-to-End Revenue Cycle Outsourcing 2023 Performance Report.
eSentire, Inc. (Waterloo, Ontario). eSentire Inc., is a managed detection and response company that helps healthcare organizations prevent cyberattacks. Its security operations center, staffed by elite security analysts, hunts, investigates and responds in real time to known and unknown threats before they become business- disrupting events.
Excalibur (Grand Junction, Colo.). As a healthcare finance and revenue cycle operations performance management, analytics, and outsourcing organization, Excalibur offers services that give our clients proven methods to slash bad debt, reduce A/R days, and minimize manual touches per claim. Most importantly, we can help you migrate to a data-driven performance management culture that sustainably increases net revenue yield. Excalibur partners with organizations to set meaningful leading and lagging targets at a granular level and then exceed them through professional services and analytics-enabled outsourcing.
Experian Health (Franklin, Tenn.). Experian Health partners with 63 percent of U.S. hospitals and health systems, as well as 7,700 other healthcare providers, on revenue cycle management, identity management, patient engagement and care management. Experian focuses on solutions to help healthcare providers make the transition to value-based care by automating the front- and back-end revenue cycle management processes.
Experity (Machesney Park, Ill.). Experity provides integrated technology solutions to more than 5,700 urgent care centers and on-demand healthcare practices nationwide, including RCM and billing services, EMR and practice management, patient engagement, teleradiology and business intelligence. Experity’s RCM services make billing easy by eliminating complexities around coding, billing, payer contracts and compliance, resulting in optimized revenue and reimbursement for providers. In 2022, leading private equity firm GTCR’s strategic growth investment in Experity’s differentiated software offerings allowed Experity to continue innovating and expanding into new capabilities and product offerings.
FCI/RevCare (Fairlawn, Ohio). FCI/RevCare is a leader in providing innovative, technology-driven RCM solutions to health systems across the United States. The company provides end-to-end solutions from pre-service and POS Medicaid Eligibility, Early Out and bad debt solutions.
FTI Consulting (Brentwood, Tenn.). FTI Consulting works with virtually every segment of the healthcare and life sciences industry to discern innovative solutions that optimize performance in the short term and prepare for future strategic, operational, financial and legal challenges. The company provides a one-company team of experts across the spectrum of healthcare disciplines.
Fathom (San Francisco). Fathom is the nation’s leading medical coding automation platform, an AI solution that fuses the best of deep learning and natural language processing to automate medical coding with unprecedented accuracy and efficiency. Fathom provides the highest automation rates and the broadest specialty coverage to help clients increase speed and accuracy while reducing costs. Fathom recently announced a partnership with Google Cloud, making it the first autonomous medical coding solution formally added to Google Cloud Marketplace.
FinThrive (Plano, Texas). FinThrive is a network of collaborators, healthcare finance experts and thought leaders - 1,600+ strong - who are rethinking revenue management to make the business side of healthcare a frictionless experience for providers, payers, and patients.
Finvi (Muncie, Ind.). Finvi, formerly Ontario Systems, is responsible for managing receivables at more than 600 hospitals, including five of the 15 largest hospital networks in the U.S. Founded in 1980, the company provides accounts receivable management and revenue cycle management solutions to healthcare providers.
Firstsource Solutions Limited (Mumbai, India). Firstsource is a leading global provider of business process management services offering transformational solutions and services spanning the customer lifecycle across healthcare and other industries. The Firstsource Healthcare Cloud is an innovative platform in revenue cycle management and eliminates revenue leakage; empowers health team collaboration; delivers better health insights and outcomes; strengthens security, compliance and ease of interoperability; and deepens patient engagement across eligibility, enrollment and recovery. It ultimately helps organizations transform financial performance and patient experience.
Flywire (Boston). Flywire provides payment support solutions that make it easier for patients to manage and pay their out-of-pocket medical expenses. With rising deductibles, the company's solution empowers providers to automatically identify, engage and activate payment terms for patients who need help paying their bills.
FrontRunnerHC (Plymouth, Mass.). FrontRunnerHC is a data automation platform that helps healthcare organizations maximize reimbursement and enhance the patient experience through instant access to accurate patient insurance, demographic, and financial information. The company finds, verifies, and fixes patient information in real time or batch, and at any point during the care journey, leveraging its access to the largest payer network in the industry. Defining the patient experience as the clinical journey plus the financial journey, FrontRunnerHC helps improve financial performance, operational efficiency and patient satisfaction.
Frost-Arnett (Nashville, Tenn.). Founded in 1893, Frost-Arnett is an accounts receivable company that offers patient payment resolutions so that providers can focus solely on healthcare. The company focuses on providing innovative solutions to meet client needs in an ever-changing industry environment.
Fusion Anesthesia Solution (Brookfield, Wis.). For nearly 50 years, Fusion Anesthesia Solutions has provided revenue cycle management services exclusively to independent anesthesia practices and hospital employed anesthesia providers. The company’s services include billing and revenue cycle management, financial services, anesthesia business consulting, tax services, and technology and reporting. Since the company focuses solely on anesthesia billing and revenue cycle services, they have perfected their processes and have never lost a client due to performance issues.
Future Care Consultants (Brooklyn, N.Y.). With over 25 years of expertise in financial solutions and managed care, Future Care Consultants offers advanced revenue cycle management, case management, full-Medicaid pending, seamless payroll, financial accounting, reimbursement optimization and revenue growth support. The company is dedicated to enhancing healthcare finances, staying up to date on regulations, streamlining managed care operations and more.
GBS Corp. (North Canton, Ohio). GBS provides revenue cycle management services for healthcare organizations, assisting in reaching financial objectives by streamlining collection. GBS helps improve profitability and productivity while reducing costs and overhead.
GHR Healthcare (Plymouth Meeting, Pa.). For more than three decades, GHR Healthcare has been delivering tailored, scalable, and technology-driven staffing and workforce solutions. Specializing in mid-revenue cycle services, the company is committed to boosting operational efficiency, maximizing revenue, and improving patient care outcomes. The team of experts optimizes clinical documentation improvement and conducts audits to ensure optimal coding accuracy.
GeBBS Healthcare Solutions (Culver City, Calif.). GeBBS Healthcare Solutions is a KLAS-rated leading provider of revenue cycle management services and risk adjustment solutions. GeBBS’ technology and robust analytics, combined with its more than 10,000-member global workforce, helps clients improve their financial performance and enhance the patient experience.
Genpact (New York City). Genpact is a professional services and solutions firm delivering outcomes that shape the future of healthcare. The company leverages data, technology, AI skills, deep healthcare knowledge, and experience in transforming revenue cycle management to help healthcare clients accelerate cash and reduce write-off while minimizing billing errors and denials.
GetixHealth (Sugar Land, Texas). GetixHealth is a revenue cycle management solutions provider helping healthcare organizations navigate the complexities of collecting payments from government and private payers and patients. Since the company's inception in 1992, it has grown into a leading healthcare partner, actively managing the revenue cycle for over 400 providers and 15,000 physicians.
Global Healthcare Resource (Atlanta). Global Healthcare Resource is a full-service, international RCM outsource firm with over 20 years of experience providing coding, accounts receivable, end-to-end billing, self-pay and patient experience services to the ambulatory, acute and post-acute segments. Global is SOC 2 Type 2-compliant with highly skilled and certified team members ready to help providers and billing companies streamline their revenue cycle.
Global Recovery Alliance AG (Baar, Switzerland). Global Recovery Alliance AG assists hospitals and health systems with international accounts receivable. Launched in 1998, the company has worked with 1,600 hospitals in the U.S., supporting the patient financial services team in global collections.
GoSource (Burleson, Texas). GoSource excels in medical billing and leveraging expert professionals and advanced technology to optimize revenue cycles and financial performance for healthcare providers.
Grant Thornton (Chicago). Grant Thornton delivers solutions and operational improvements that help providers meet patient care, compliance and business needs. The company provides security and privacy protection, revenue cycle management and health technology solutions with personalized insight into how organizations can standardize processes and integrate workflow optimization for increased value.
Greenway Health (Tampa, Fla.). Greenway provides software and services to ambulatory practices. A partnership with Greenway and its revenue cycle management service gives practices full insight into their financial standing and proactive service from an expertly trained staff.
GreenSense Billing (Las Vegas). GreenSense Billing is a medical billing and RCM company that offers comprehensive RCM services using trained professionals who streamline the billing processes and improve the financial health of practices. The company offers convenience and control over all the financial processes of medical practices, ranging from patient intake to billing to credentialing, so that they can focus solely on patient care. This mission has enabled GreenSense to currently serve over 20 small-to-medium practices throughout the U.S.
Guidehouse (Washington, D.C.). Guidehouse is a global consultancy serving the commercial and public sectors. Its Best in KLAS revenue cycle management advisory, digital and managed services experts help providers combat payer challenges, reduce denials, eliminate staffing issues, improve physician satisfaction and optimize operating costs.
HMI (Brentwood, Tenn.). HMI is a diversified healthcare company assisting providers in reducing costs and improving financial health and compliance through contract coding and coder quality reviews; improving professional staff clinical documentation and compliance; and providing revenue cycle services.
Hansei Solutions (Franklin, Tenn.). Hansei Solutions is a full-service revenue management company for non-hospital healthcare facilities. The company combines revenue cycle management technology and business intelligence with exceptional customer support. Hansei allows providers to increase collections and savings, stay compliant, and make smarter choices regarding their growth and bottom line. In 2021, Hansei was acquired by Gulf Capital, a growth markets alternative investment firm.
Harmony Healthcare (Tampa, Fla.). Harmony Healthcare provides healthcare revenue cycle management strategies and workforce solutions and expertise to help healthcare organizations improve clinical and financial outcomes. The company provides coding support, health information management leadership, clinical documentation improvement, audit validation review and revenue integrity solutions to help healthcare organizations manage their revenue cycles.
Harmony Healthcare IT (South Bend, Ind.). Harmony Healthcare IT offers a product that allows users to decommission legacy systems and secure records in the long term. The solution consolidates data silos and reduces maintenance costs in IT and helps organizations create better workflows for clinicians and health information management resources.
Harris & Harris (Chicago). Harris & Harris is among the leading accounts receivable recovery solution providers in the nation, with a comprehensive business unit dedicated to the healthcare industry. Using a collaborative approach and advanced proven processes, Harris & Harris is unmatched in the customer service and financial recoveries it provides their clients. Harris & Harris healthcare partners benefit greatly from its in-house law firm and high security standards it holds for the government vertical.
Harris Novum (Niagara Falls, N.Y.). Harris Novum helps healthcare organizations automate the revenue cycle, expedite claim processing and lower collection costs. Their RCM platform, Affinity, offers turnkey solutions to simplify patient data processing and reduces claim denials to lower the cost to collect from payers and guarantors. It provides small, mid-size, and large healthcare organizations with all of the best patient revenue, payment portal, e-signature, mobile pre-registration, and patient access management capabilities for various types of care including acute care, behavioral health, long term care, and rehabilitation services.
Healogics (Jacksonville, Fla.). Healogics provides advanced wound care services and manages nearly 600 wound care centers across the country that serve nearly 300,000 patients per year. The connected network of centers, partner hospitals and academic medical centers use an evidence-based, systematic approach to chronic wound management.
Health iPASS, a Sphere Company (Oak Brook, Ill.). Health iPASS and Sphere, a cloud-based, vertically integrated software and payments technology company, offer healthcare providers compliant software and payment tools. Health iPASS provides mobile patient intake, check-in and pay solutions for medical practices to streamline processes from pre-arrival to the final payment.
Healthcare Claims Management (Indianapolis). Healthcare Claims Management, a woman-owned company operating remotely across 11 states, helps thousands of healthcare providers reduce revenue cycle costs and complexities through assessments, interim support services, ongoing managed services, and data and analytics solutions. The company’s revenue cycle management services focus on creating and billing clean claims, coding auditing and support, credentialing, denial management, patient financial engagement and billing, and strategic accounts receivable projects and relationships.
Healthcare IT Leaders (Alpharetta, Ga.). Healthcare IT Leaders is a professional services firm with deep expertise in EHR, enterprise resource planning, workforce management and revenue cycle management. Healthcare IT Leaders was ranked No. 1 for business solutions, implementation services, in the 2020 "Best in KLAS" report. The company provides end-to-end revenue cycle management consulting services, including strategy, operations and technology.
Healthcare IP (Edmond, Okla.). Healthcare IP is an integrated clearinghouse partner to hospitals, health systems and provider organizations, advocating data transparency and better user experience in the revenue cycle. Offering innovative solutions for patient access, claims and denial management, its flexible SCALE platform improves client performance by reducing touchpoints and organizes data to make sense.
Healthcare Receivables Group (Knoxville, Tenn.). Since 1993, Healthcare Receivables Group has specialized in serving healthcare providers around the country by effectively managing accounts receivable through a careful integration of people, technology and ideas. HRG’s services range from managing active self-pay and third-party receivables in our extended business office division, to bad debt collections that improve financial performance while protecting patient relationships.
Healthcare Resource Group (Spokane Valley, Wash.). Health Resource Group provides revenue cycle management service solutions for healthcare facilities. The company's suite includes tools to optimize patient financial services and health information management departments designed to increase efficiency and profitability.
HealthPay24 (Mechanicsburg, Pa.). HealthPay24 is a technology services company that provides patients financial peace-of-mind and providers the opportunity to collect revenue earlier in the consumer journey. The company integrates with any back-end system to make sure a healthcare provider’s workflows are automated to reduce payment complexity and enhance staff efficiency.
Healthrise (Southfield, Mich.). Healthrise is an end-to-end revenue cycle management consulting firm that identifies, prioritizes and eliminates obstacles in the way of a healthy revenue cycle. The company provides people with relevant expertise to maximize clients’ workforce processes, technology and results.
HELP Financial Corporation (Plymouth, Mich.). HELP Financial provides patient financing to customers across the country. The company helps patients manage out-of-pocket healthcare expenses, providing upfront funding while decreasing the payment plan administration on the provider side.
Hiteks Solutions (New York City). The Hiteks Insight Real-Time Revenue Rescue platform provides computer-assisted physician documentation solutions at the point of care inside the EHR. The platform combines proprietary artificial intelligence and subsecond technology to send clarifications to physicians instantaneously.
HITrust (Frisco, Texas). The Health Information Trust Alliance is a nonprofit that develops, maintains and provides broad access to compliance management and deidentification frameworks, as well as related assessment and assurance methodologies to organizations so they can create, store and exchange information securely.
Hollis Cobb Associates (Duluth, Ga.). Since 1977, Hollis Cobb has provided early out and bad debt collections services, as well as insurance follow-up, denials management, accounts receivable work down, special projects and other business office functions.
Hospital IQ (Newton, Mass.). Hospital IQ, which was acquired by LeanTaaS earlier this year, works with hospitals and healthcare providers to optimize long-term strategies for the future. The company's cloud-based operations planning and management platform solutions are designed to provide operational clarity and data transparency that can help organizations achieve financial stability and growth.
Hospital Revenue Cycle Solutions, Inc (Gaithersburg, Md.). Hospital Revenue Cycle Solutions partners with organizations to improve their healthcare revenue cycle management processes to deliver a faster, more profitable payment system. The company provides customized revenue cycle outsourcing services resulting in increased revenue and cash flow, compliance, improved processes, and optimized financial performance for healthcare clients. With more than 25 years of experience, the company is a leader in healthcare billing and services and full RCM outsourcing.
Huntington Technology Finance (Chicago). Huntington Technology Finance is an asset and finance provider with more than 30 years of experience partnering with hospitals. The company's inpatient Technology Refresh Programs are designed to integrate into existing processes to help control costs and include wearable clinical devices and mobile workstations for pharmacy automation.
Huron (Chicago). Huron is a global consultancy focused on improving performance and sustaining leadership in markets they serve. The company's revenue cycle business works with clients to stabilize their financial core through sustainable and proven reimbursement processes.
IC System (St. Paul, Minn.). IC System, privately owned since 1938, is an expert in healthcare billing collections. Our more than 4,000 healthcare clients represent over 70 percent of our client mix and have an average tenure of 16 years. We are a medical collections company that cares about the patient experience, delivers superior performance, and are devoted to improving your revenue cycle.
IKS Health (Coppell, Texas). IKS Health takes turn-key accountability for the revenue cycle function to deliver strong financial outcomes for its clients, including 30-40% cost savings and 2-5% ongoing sustainable revenue upsides. The company accomplishes this through its full-cycle, autonomous administrative journey platform for RCM. Unlike traditional RCM solutions, IKS Health’s revenue optimization helps organizations proactively avoid risks to timely and accurate reimbursement before they occur.
iRCM (Brooklyn N.Y.). iRCM's mission is to build innovative technologies and services that optimize healthcare operations and facilitate better care. Staffed by expert healthcare coders, billing professionals, and practice management consultants, the company works with medical practices and health centers to improve their profitability, strengthen compliance, eliminate administrative burdens, and adapt better to industry change.
Imagine Software (Charlotte, N.C.). Imagine Software provides billing automation software and revenue management applications, offering technology solutions for medical billing offices, practices and hospitals. The company serves more than 75,000 physicians across multiple specialties, helping to improve financial efficiency, build provider reputation and enhance the patient experience.
iMagnum Healthcare Solutions (Katy, Texas). iMagnum Healthcare Solutions is a pioneering leader in technology-driven healthcare RCM, working to help providers optimize their financial performance and focus on patient care. The company leverages advanced RCM software solutions, proprietary tools, and state-of-the-art platforms to streamline billing processes, enhance accuracy, and drive revenue growth. iMagnum Healthcare Solutions is dedicated to tailoring services to the unique needs of each client.
Impact Advisors (Naperville, Ill.). Impact Advisors is a national healthcare consulting firm focused on delivering strategic advisory, implementation and optimization services. The company provides a suite of patient access, clinical and revenue cycle services.
In2itive (Overland Park, Kan.). In2itive Business Solutions is a full-service healthcare revenue cycle management consulting firm focused on the ambulatory surgery center, hospital and physician practice fields. In2itive's healthcare business consultants plug into existing software or create a new hosted system to set up a fully transparent workflow that helps organizations keep finances on track.
Inbox Health (New Haven, Conn.). Inbox Health uses personalized interactions to deliver an optimal patient billing experience that reduces administrative waste and improves payment metrics. Their communication platform's advanced technology uses a combination of emails, text messages, voice calls and paper bills to reach patients.
Infinx (San Jose, Calif.). Infinx provides revenue cycle management solutions for healthcare practices in multiple specialties, including radiology, pharmacy, pathology and plastic surgery. Combining the strength of a cloud-based RCM platform with an expert team of AAPC-certified medical coders and billing specialists, the company delivers solutions that focus on increasing revenue and improving cash flow.
InfoTech Healthcare (Denver). InfoTech Healthcare is committed to providing the healthcare industry with innovative ways to recover uncollected money. The company’s goal is to revolutionize healthcare revenue cycle management and back office operations at the most competitive cost in the industry.
Ingenious Med (Atlanta). Ingenious Med focuses on improving physician productivity and hospital performance. The point-of-care mobile and web solution captures charges across the continuum, improves coding speed, accuracy and compliance and helps providers proactively manage care in value-based programs. It also enhances communication to align care teams and reduce variation in care.
Innovaccer (San Francisco, Calif.). Innovaccer is a healthcare technology company that pioneers the Fast Healthcare Interoperability Resource-enabled Data Activation Platform, a smart platform with unified patient records, analytics and decision support tools to enable transparent, real-time and collaborative healthcare.
Inovalon (Bowie, Md.). Inovalon is an information technology company focused on simplifying the administrative and clinical complexity of the revenue cycle for providers and payers. The company provides specialized applications and analytics for revenue cycle, care quality and workforce management. Inovalon also plays a key role for healthcare business offices, offering a single solution for clearinghouse services, claim scrubbing and editing, appeal processing and denial management.
InstaMed (Philadelphia). InstaMed, a J.P. Morgan company, powers a better healthcare payments experience on one platform that connects consumers, providers and payers for every healthcare payment transaction. InstaMed’s patented, private cloud-based technology securely transforms healthcare payments by driving electronic transactions, processing payments and moving healthcare data seamlessly, and improving consumer satisfaction.
Integra Connect (West Palm Beach, Fla.). Launched in 2017, Integra Connect was purpose-built to help specialty medical practices thrive, clinically and financially, in the midst of the rise of value-based care. Integra Connect's technology-enabled RCM solution optimizes revenue for specialty practices operating under both fee-for-service and value-based payment models.
InTouch Health (Santa Barbara, Calif.). InTouch Health offers providers technology-enabled solutions to assist in delivering virtual care. The company assists healthcare systems in deploying telehealth applications enterprisewide or off site, such as in unaffiliated hospitals and rehab centers. InTouch Health has been acquired by Teladoc Health.
Iodine Software (Austin, Texas). Iodine is an enterprise AI company that builds transformative technologies to help healthcare organizations realize the full value of the care provided. Across the clinical revenue cycle, Iodine’s solutions automate complex clinical tasks, create efficiencies and maximize revenue. The company’s powerful, predictive AI and machine learning engine emulates the judgment of clinicians by interpreting raw clinical data to generate real-time, highly focused, predictive insights. Clinicians and hospital administrators can leverage these insights to dramatically augment the management of care delivery, facilitating critical decisions, scaling clinical workforces through automation, and improving the financial position of health systems.
iPatientCare (Cincinnati). iPatientCare is an AssureCare brand, acquired in 2019 to tie in the EHR component of complete care on the healthcare continuum. AssureCare has been working to solve the challenge of disjointed healthcare for more than 25 years. Since 1998, AssureCare has been providing comprehensive integrated population health management software solutions to leading healthcare and human services organizations throughout the United States and globally. The solutions encapsulate years of experience in the implementation of technology to support fully integrated healthcare solutions and best practices.
JTS Health Partners (Norcross, Ga.). JTS Health Partners is a healthcare professional services and analytics firm focused on revenue cycle management, health information management, health information technology, healthcare analytics as a service and financial technology. The company offers consulting, operational and analytical services that align with performance improvement initiatives of healthcare systems, hospitals and physician practices.
Janus (Chicago). Janus provides a robust revenue cycle management solution that blends automation with intelligent human support. The company's vertically integrated process improvement platform features process mining, modeling, and one-click automation. Janus aims to help health systems achieve more while reducing the cost of care. The company was highlighted in a KLAS Emerging Technology Spotlight feature in 2023.
Jindal Healthcare (Houston). Jindal Healthcare is a trusted partner in revenue cycle management, offering tailored RCM services that cover patient registration, medical coding, claims submission, denial management, and accounts receivable management. The company ensures maximum reimbursement and financial optimization.
Jive Software (Austin, Texas). Jive Software offers a single platform for care coordination, critical communication and EHR experience. Jive supports HIPAA compliance and signs HIPAA business associate agreements with its customers.
Kemberton (Franklin, Tenn.). Kemberton secures reimbursement for motor vehicle, workers' compensation and complex claims. It partners with healthcare providers to collect the revenue considered "uncollectible" with claims workflow automation, process optimization, rules-engine technology and teams resolving complex claims.
KeyBridge (Lima, Ohio). KeyBridge, brings a different approach to early stage patient balance recovery and medical bad debt collection. They believe in providing financial services with care and empathy to enhance the patient experience, ultimately bringing maximum value back to hospitals and practices.
Knack Global (Woodbridge, N.J.). Knack Global is a comprehensive solution provider for revenue cycle management, technological solutions and staffing support for healthcare providers. With over a decade of experience, the company has provided efficient solutions to hospitals, healthcare systems, physician groups, ASCs and more.
Knowtion Health (Boca Raton, Fla.). With the goal of improving revenue cycle performance and patient satisfaction, Knowtion Health maximizes third-party reimbursements for hospitals through the company's payer experts and innovative business processes. The company has programs to help reduce the number of claims denied or delayed and provide clinical denial recovery using Knowtion payer experts and legal and nursing teams. The newest program can help reduce clinical denials by 60 percent.
KPMG (New York City). Drawing from an industry team of over 4,000 in the U.S., and 6,500 globally, KPMG helps organizations across the healthcare and life sciences ecosystem work together in new ways to transform and innovate the industry. With respect to revenue cycle management, KPMG works with healthcare and life sciences organizations to optimize revenue operations, which can positively impact a company’s financial strength as well as deliver a better patient experience.
L J Ross Associates, Inc. (Jackson, Mich.). L J Ross Associates is a nationally licensed, certified Women's Business Enterprise (WBE) founded in 1992 with a passion for helping businesses successfully manage their revenue recovery programs. The company does this through the most ethical and patient-friendly collection practices, sure to maintain the relationships that clients have built with their patients, along with state-of-the-art technology that allows for the most comprehensive and cost-effective interventions. For 30 years, L J Ross has focused on our people, our performance, and our commitment to provide stellar returns, exceptional service, and ensure promotion of the goodwill of clients across the United States.
Lifepoint Informatics (Glen Rock, N.J.). Lifepoint Informatics provides solutions on a unified workflow platform for seamless interoperability across multiple modalities, application layers and end-user devices. The company provides data integration solutions that facilitate health information exchange, EHR interfacing and integration, population health management and quality reporting among disparate clinical systems.
Lightning Bolt Solutions (Knoxville, Tenn.). Lightning Bolt Solutions is the leading provider of automated physician scheduling for hospitals and health systems around the world, managing more than 3 million physician shift hours each month. Lightning Bolt uses advanced AI technology to optimize hospital operations by providing source-of-truth scheduling data to payroll and HR systems.
MRA (Wellesley, Mass.). MRA is an established, fully domestic, fast-growing health information management services company. The MRA team has provided high-quality medical coding, auditing, and cancer registry services to hospitals and healthcare providers across the U.S. since 1986.
MRO (Norristown, Pa.). MRO has offered a proven, enterprisewide solution for secure, compliant, and efficient exchange of health information over the past two decades. The company's solutions automate denial, audit, review, and release of information workflows to trim costly waste and reduce administrative burdens for healthcare organizations. MRO was recognized as the top-performing company for the release of information digital technology and vendor efficiency in the KLAS Release of Information Performance Report for 2023.
Madaket Health (Cambridge, Mass.). Madaket Health targets billions of dollars in healthcare administrative waste by simplifying provider data management, revenue cycle and exchange processes. 80% of provider groups have exchanged data through the company’s platform, which validates, automates and synchronizes provider data between payers and healthcare organizations to improve patient and member experience, enhance revenue and ensure regulatory compliance. The company's fully connected provider data analytics and insights platform mitigates claims processing delays and stems lost revenue by addressing data problems at the source.
Managed Resources (Long Beach, Calif.). Managed Resources is a professional consulting group assisting health systems, hospitals and payers across the U.S. in achieving accurate and appropriate charging, documentation and payment through revenue cycle management services. Their services include denials and appeals management for clinical and technical denials, clinical denial audits, charge audits and CDI services.
Mastercard Healthcare Solutions (Purchase, N.Y.). Mastercard is a technology company in the global payments industry transforming its business by moving beyond cards and reimagining how its technology and capabilities benefit the healthcare ecosystem. With Mastercard Healthcare Solutions, a new suite of products is dedicated to helping healthcare partners detect fraud, waste and abuse, capture more revenue and protect patient health data.
MC AnalyTXs (Houston). Founded in 1995, MC AnalyTXs's Medicare Review Project has recovered millions in underpayments for hospital clients, including some of the largest teaching hospitals in the country. MCA's proprietary computer system identifies discrepancies in claims for inpatient and outpatient visits for government and managed care payers.
Medaptus (Boston). Medaptus offers a comprehensive revenue cycle optimization platform that has delivered measurable returns for hundreds of physician groups, hospitals, infusion clinics and other care settings. The solution integrates seamlessly with any EHR to improve the accuracy and timeliness of documented billing data; applying such artificial intelligence in turn helps increase staff productivity.
Medasource (Indianapolis). Medasource is a national healthcare technology company that offers flexible human capital solutions and customized engagement models to meet and scale projects. The company's consultants support popular technologies for healthcare organizations, including enterprise-level health systems; pharmaceutical, diagnostic and device companies; and health insurers.
MedAssist (Louisville, Ky.). MedAssist, a Firstsource company, provides a suite of revenue cycle solutions aimed at helping hospitals achieve financial stability. The company's solutions focus on eligibility and enrollment, accounts receivable management and hospital business office management to meet clients' needs as patients are responsible for a greater portion of the payment, and the complexity of the revenue cycle grows.
Medcare MSO (Santa Fe, N.M.). Medcare MSO provides customized insurance, patient billing services, healthcare recovery assistance and practice management solutions to organizations of all types and sizes. The company's innovative medical software is engineered to simplify all aspects of practice management and patient engagement and is currently being utilized in over 80,000 healthcare facilities nationwide.
MedCycle Management (Brentwood, Tenn.). MedCycle Management's sole focus is providing customized revenue cycle services to hospitals and physician groups, with the goal of reducing inventory, maximizing revenue, and increasing workflow and efficiency. The company aims to improve cash flow and patient satisfaction for clients.
MedeAnalytics (Richardson, Texas). MedeAnalytics provides solutions that enable measurable impact for healthcare payers and providers. Through robust workflow engines and actionable insights delivered on a self-service SaaS platform, MedeAnalytics has helped partners achieve amazing results such as reducing AR by $34.9 million in four months, reducing denial rate by 11 percent, improving CMI by 21 percent, and improving appeal success rate by 18 percent.
MedEvolve (Little Rock, Ark.). MedEvolve enables physician practices to work smarter and more accurately through practice management, revenue cycle management and practice analytics software and services. The company's unique consultative approach ensures that solutions fit with existing processes so providers begin to see positive results from day one. MedEvolve gives physician practices a new level of insight that helps them identify problem areas and resolve issues quickly to improve the practice's financial performance. MedEvolve uses Effective Intelligence technology to simplify, automate and analyze the workforce in order to ultimately increase margin.
Medfinancial (Knoxville, Tenn.). Backed by over 30 years of loan origination and servicing experience, Medfinancial's suite of revenue cycle services are making a positive impact for provider partners and the patients they serve. By integrating proven servicing methodologies throughout the entire patient-financing life cycle, the company consistently sees high utilization rates, successful patient retention for Medfinancial and hospital partners, and industry-leading repayment rates.
MedibillMD (Dallas). MedibillMD offers comprehensive medical billing, coding and revenue cycle management services to healthcare professionals and practices. These services include claims submission and follow-up, denial management, payment posting and patient collections. The company has been providing these services since 2023.
Medical Consults, LLC (Stamford, Conn.). Medical Consults is a nationwide full-service revenue cycle management company. It reviews billing, coding, reimbursement processes, financial systems, process flows and operational efficiencies. The company's recommendations have increased revenue by an average of 20 to 30 percent in just six months.
Medical Payment Exchange (Rockville, Md.). MedX's services assist organizations with the 277 claim status. The company's automated process interrogates payer portals to identify denied, pending or unprocessed claims to provide organizations with actionable data long before the remittance arrives. MedX offers a cash advance to hospitals on both payer and patient responsibilities if necessary.
Medical Practice Success (Prairieville, La.). Medical Practice Success focuses on delivering custom solutions tailored to clients' revenue cycle operations. The company offers revenue optimization, revenue cycle management, medical billing and coding, credentialing and contracting, and more. Medical Practice Success also offers a 15 percent net cash improvement guarantee.
Medkoder (Mandeville, La.). Medkoder is a full-service medical coding management services and technology provider. The company offers medical coding expertise in all physician service lines for the inpatient and outpatient setting, medical risk adjustment management, DRG coding management, coding education, clinical coding documentation improvement and revenue cycle consulting.
Med-Metrix (Parsippany, N.J.). Med-Metrix provides a full suite of revenue cycle software and outsourced services to the healthcare provider marketplace. The company works within customers' existing structures to enhance day-to-day operations and increase the bottom line. Med-Metrix's revenue cycle services include patient accounting, patient access, denial recovery and accounts receivable services. In 2022, Med-Metrix acquired PatientPal, a strategic move that brings front-end RCM software to Med-Metrix’s existing suite of patient intake and service technologies.
MediMobile (Georgetown, Texas). MediMobile offers a highly customizable, enterprise-level suite of tools, including revenue cycle management, practice management, care coordination and business intelligence. A new technology the company developed provides visibility to clinical documentation in real time and is currently used to maximize revenue through reconciliation.
MediSync (Cincinnati). MediSync has developed a training system for coding that is taught by physicians in small groups. To date, the company has trained over 30,000 doctors, five physicians at a time, at some of the most prestigious health systems in the United States. A Lean Six Sigma approach to coding that results in a predictable ROI while giving doctors the confidence to be paid correctly for the work they do.
Medphine Billing Services (Fairfield, N.J. and India). Medphine is a comprehensive, end-to-end practice management company, focused on improving overall profitability and efficiency of the healthcare providers and entities. The company specializes in providing revenue cycle management services to superspecialties such as oncology, neurology, rheumatology and infusion-based services.
MedPut (New York City). As an employee benefits program, MedPut provides funds for out-of-pocket medical expenses and achieves repayment through payroll deductions at zero percent interest. The company's goal is to encourage employees to undergo medical treatment in the early stages without using credit cards and reduce outstanding receivables for providers.
MedRevenu (Upland, Calif.). For the past 17 years, MedRevenu has provided multi-specialty RCM services to private practices and ambulatory surgery centers. The company’s leadership team has completed over $3 billion in private practice acquisitions and partnerships, making the company uniquely positioned to support private equity-backed practices and practices seeking private equity partnerships. MedRevenu’s goal is to elevate physician leaders and practice managers with reporting and insights used by the largest health systems and platforms in the country to drive revenue and profits.
Meduit (Charlotte, N.C.). Meduit is one of the nation’s leading top three revenue cycle solutions companies with decades of experience in the RCM arena, serving more than 1,000 hospitals and physician practices in 48 states. Meduit combines a state-of-the-art accounts receivable management model with advanced technologies and an experienced people-focused team to ensure that healthcare organizations have the resources available to provide more quality healthcare services to more patients.
Medusind (Miami). Medusind is a provider of medical and dental RCM services. With 20-plus years of experience, the company's client-focused model aims to remove barriers to practice growth and accelerate profitability for healthcare organizations spanning 50-plus specialties. More than 30,000 healthcare providers currently leverage Medusind's tech-enabled RCM services, benefitting from its deep industry expertise, leading-edge technology, and robust operational capability.
Midwest Anesthesia Consultants (Ann Arbor, Mich.). Midwest Anesthesia Consultants is a trusted partner for anesthesia physician practices and health care systems that offer anesthesia billing services. The company provides personalized and comprehensive billing and collection services, including billing, claim analysis, claim submission, payer interaction, denial and accounts receivable management.
Milagro (Austin, Texas). Milagro provides health netowrks with cutting-edge autonomous medical coding solutions to help reduce preauthorization mismatches denials and increase revenues. With advanced AI technology and text understanding, the company addresses the critical challenges stemming from the shortage of skilled coders and the pervasive issue of under-coding. The company prides itself on its efficiency and coding accuracy.
Mimecast (Boston). Founded in 2003, Mimecast provides next-generation cloud-based security, archiving, and continuity services to protect customers' email and make data safer. The company delivers comprehensive email-risk management services in a fully integrated subscription service.
MiraMed (Jackson, Mich. ). MiraMed Global Services is the premier global provider of business-process outsourcing solutions to healthcare organizations nationwide. MiraMed partners with hospitals, health networks, physician practices and related industry service organizations to provide customizable solutions, uncover and capitalize on hidden financial opportunities, improve productivity and ultimately increase profits.
Modernizing Medicine (Boca Raton, Fla.). Modernizing Medicine provides EHR systems designed for medical specialists and specialty practices. The company's EHR solutions provide automated suggested coding, as well as practice management systems and business operations services. ModMed recently acquired allergy testing and immunotherapy software from Xtract Solutions to add to their existing allergy solution.
Nimble (St. Louis). National Medical Billing Services is a revenue cycle outsourcing company focused on ASCs and affiliated surgeons. The company also partners with hospitals that have ASC joint ventures to maximize the value of their centers. National Medical provides a wide range of services, including full revenue cycle outsourcing, managed care contracting, due diligence and specialized financial analysis for ASCs. National Medical Billing Services recently acquired MedTek, a company that provides RCM solutions to ambulatory surgery centers and other clincal settings.
Nemadji (Bruno, Minn.). Nemadji helps healthcare facilities reduce uncompensated care and increase net revenue through a back-end eligibility detection solution, which reviews patient accounts for unknown or missing coverage from Medicare, Medicaid and commercial insurance.
Neolytix (Northbrook, Ill.). Neolytix aims to bring a new dimension to revenue cycle efficiency optimization. The company specializes in revenue cycle management services focused on constructing analytically driven frameworks to curtail leakage, mitigate over-coding risks, facilitate streamlined clean claims processing, and fortify governance while ensuring an improvement in the patient experience of the healthcare organization.
Netsmart (Overland Park, Kan.). Netsmart is a healthcare IT company developing technology and providing services that support individualized care and improve outcomes. Netsmart offers comprehensive revenue cycle management (RCM) services, including flexible resourcing and full back office support built to help organizations reduce costs and improve cash flow. Netsmart recently announced its collaboration with Jefferson Center - together, they aim to facilitate integrated remote patient monitoring for behavioral health services and improve overall outcomes.
Ni2 Health (Austin, Texas). Ni2 Health specializes in identifying new high leverage opportunities to improve an organization's financial performance. The company also provides execution leadership and support to ensure the opportunities identified become real bottom line improvements. Ni2 Health's goal is to identify and deliver $1 million to $2 million in financial performance improvement for smaller community hospitals and more for larger organizations.
Nordic (Madison, Wis.). Nordic is an award-winning healthcare technology company that partners with health leaders around the world to create healthier systems, organizations, and people. Its global team of more than 3,300 professionals brings decades of experience in strategic advisory, digital and cloud initiatives, implementation and support, enterprise resource planning services, and managed services. Nordic and its wholly owned family of companies support more than 700 clients in their efforts to harness the power of technology on a global scale.
Nordis Technologies (Coral Springs, Fla.). Nordis Technologies is an innovative leader in cloud RCM technology for automating and improving patient billing and payments. The company provides a bundled solution to RCM firms and providers that includes their patented cloud platform for customer communications management, along with digital and print communication delivery. Nordis Technologies recorded strong double-digit annual revenue growth in 2023, stemming from new clients, entry into new markets including insurance, and expanding volume from existing clients.
North American Partners in Anesthesia (Melville, N.Y.). North American Partners in Anesthesia has been a leader in single-specialty anesthesia management services for almost 40 years, uniquely positioning it to understand the parameters of RCM within the specialty. The company has built an RCM infrastructure that offers facilities a comprehensive, in-house solution, utilizing advanced technologies with proprietary rules engines to ensure accuracy and acceptance across the revenue cycle.
Norwood (Austin, Texas). Norwood is a mid-revenue cycle healthcare solutions company dedicated to streamlining operations, optimizing revenue and delivering better patient care. The company has a deep pool of experienced healthcare professionals who can be quickly deployed to help organizations meet their staffing needs, as well as experts who can help optimize clinical documentation improvement department performance or perform audits for coding accuracy.
Nuance (Burlington, Mass.). Nuance's healthcare solutions are designed to capture and communicate patient information to physicians and healthcare organizations. The company offers clinical speech recognition, medical transcription, coding and diagnostic imaging solutions to drive better patient care and financial outcomes. Nuance serves more than 10,000 healthcare organizations in the U.S.
Nym (New York City). Nym is a leader in transforming clinical language into actionable information, automates revenue cycle management for hospitals, health systems and physician offices across the U.S. Uniquely designed to understand clinical language and medical billing workflows, Nym's coding engine uses provider notes within patient charts to rapidly produce accurate, compliant and explainable diagnostic and billing charge codes, all with zero human intervention.
OM1 (Boston). OM1's outcomes management and predictive analytics tools are designed to take big data and make it meaningful and personalized to institutions. The company is focused on helping hospitals succeed with value-based care and alternative payment models, optimizing outcomes and providing tools to predict high-risk patients that can lower the total cost of care.
ONQ (Houston). ONQ is a worldwide healthcare outsourcing and technology company specializing in labor solutions, inbound and outbound call services, front and backend billing operations, and cutting-edge robotic process automation services. The company serves healthcare related businesses, including hospitals, physician groups, medical billing companies, healthcare clinics and imaging centers.
OSG Connect (Carol Stream, Ill.). OSG Diamond Healthcare Solutions specializes in creating and delivering patient obligation communications for healthcare revenue cycle management. Through their proprietary technology, tools and processes, they help providers accelerate their accounts receivable cash flow, enhance financial management and improve their image with their patients.
Office Ally (Nashville, Tenn.). Office Ally delivers payment infrastructure solutions to healthcare organizations both big and small. With more than 77,000 healthcare organizations utilizing its comprehensive product suite, the company supports providers, hospitals, health systems and payers maximize reimbursement.
Olive (Columbus, Ohio). Olive's solutions use artificial intelligence to optimize the revenue cycle. Its platform automates the administrative processes to eliminate tedious tasks. The company is proud to partner with more than 85 health systems and 1,000-plus hospitals across the U.S.
Omega Healthcare (Boca Raton, Fla.). Omega Healthcare, founded in 2003, provides a comprehensive portfolio of technology and clinically enabled revenue cycle and managed outsourcing solutions that help empower healthcare organizations to increase revenues, decrease costs and improve the overall patient-provider-payer experience. Leveraging the Omega Digital Platform, customers benefit from the company’s expertise in artificial intelligence, robotic process automation, bots, machine learning, and natural language processing to drive greater efficiency and accuracy. The company has more than 30,000 employees across 14 global delivery centers in the U.S., India, Colombia, and the Philippines.
Oncology Revenue Services (Monroe, N.Y.). Oncology Revenue Services specializes in oncology billing and revenue consulting. Founded in 2008, the company brings the knowledge, experience, and track record of success needed to ensure hospitals and physician’s offices receive full payment.
Oncospark (Southlake, Texas). Oncospark is an end-to-end revenue cycle management company with more than a decade of experience in fighting on behalf of physicians, hospitals and home healthcare companies. A global footprint and decades of healthcare RCM experience of its founders puts Oncospark in a position to offer best-in-class, technology-enabled solutions to complex billing problems.
Oneview Healthcare (Dublin, Ireland). Oneview provides interactive patient engagement and clinical workflow solutions to healthcare organizations. The Oneview Patient Engagement and Clinical Workflow Solution provides the foundation for Oneview's services and functions. The platform provides a point-of-care access to IT systems through a variety of end-user devices.
Online Information Services (Winterville, N.C.). Founded in 1956, Online is an industry leader in healthcare collections, contacting more patients than traditional collection agencies. The company offers advanced collections technology, proprietary skip tracing data, professional recovery practices and an expert, dedicated healthcare collections staff to provide a highly effective and convenient solution to receivables management challenges.
Optum (Eden Prairie, Minn.). Optum, part of UnitedHealth Group, provides 80 percent of hospitals with at least one revenue cycle management solution from its Optum360 products, managing $65 billion in billings annually. Optum360 helps healthcare organizations optimize their revenue cycle in the fee-for-service environment while preparing for value-based care with cost-saving automation, efficient staffing and standardized technology. Optum recently combined with Nashville, Tenn.-based Change Healthcare in order to increase efficiency and ultimately create better, lower cost outcomes.
Orthos (South Bend, Ind.). Orthos is dedicated to supporting independent orthopedic providers across sites of care: clinic, surgery center and hospital. The company uses its Orbits technology to provide cost-efficient, 100% U.S.-based revenue cycle services including front-end support for authorizations as well as coding and billing. The company’s employees are rebadged or recruited specifically to support the full range of orthopedic subspecialties and work remotely across the country.
P3 Healthcare Solutions (Ontario, Calif.). P3 Healthcare Solutions, also known as P3Care, was founded in 2015 and is primarily a medical billing service and a CMS-recognized MIPS Qualified Registry. The company's goal is to expedite the care process by unburdening providers as their technology-driven HIT enterprise. Moreover, practices can consult P3 Healthcare Solutions for Medicare credentialing and enrollment and HIPAA security risk analysis accounts receivable in addition to the whole revenue cycle management process.
PCG Software (Las Vegas). PCG Software focuses on technologies to improve operational efficiency, profitability and reduce internal resources for administrative functions and manual claims review. The company's iVE Coder, a web-based platform, was launched in 2019 to give healthcare providers access to the same clinical intelligence that healthcare payers have been using for 25 years.
PFC USA (Greeley, Colo.). Since 1904, PFC USA has provided accounts receivable management solutions for healthcare providers and currently serves over 1,200 healthcare providers, hospitals, and healthcare systems nationally. The company offers omnichannel preferred solutions to streamline patient communication and provide a tailored solution, utilizing AI and robotic process automation for patient engagement. By integrating advanced patient engagement solutions, PFC USA has successfully recovered more than $2 billion for clients over the last decade.
PMMC (Charlotte, N.C.). PMMC provides revenue cycle services to healthcare delivery systems, acute care hospitals, critical access hospitals and physician groups. The company focuses on contract management, providing estimates for patients with high-deductible health plans and chargemaster review. With more than 30 years of revenue cycle expertise, the company's services help healthcare organizations uncover missed revenue opportunities in underpayments and denials, price transparency and value-based reimbursement.
PwC (New York). Established in 2002, PwC’s Revenue Cycle Managed Services specializes in providing operational support for hospitals, medical groups, and payers in a surge, partial, or full function outsource capacity. PwC’s Revenue Cycle Managed Services provides access to thousands of resources onshore and provides optional offshore capability, depending on a client’s needs. Voted Best in KLAS six times in the past 12 years, the company is proud to serve healthcare organizations.
Parallon (Nashville, Tenn.). Parallon's experts bring decades of experience in technology and complex revenue cycle management to its relationship with providers. Parallon's specialty solutions include self-pay services, bad debt collections, extended business office and insurance functions and physician billing as well as accounts receivable resolution. Parallon is a part of the HCA Healthcare family.
Parathon (Naperville, Ill.). Parathon is a revenue cycle technology company that ensures customers collect all revenue they have earned. For more than 30 years, the company has helped hospitals hold payers 100% accountable to contract terms by continuously developing cutting-edge RCM solutions, including revenue cycle intelligence software, intelligence services to aid revenue recovery, and compliance solutions to comply with the CMS Price Transparency Final Rule. Its patented software technology and expert staff help hospitals unlock their full cash flow potential, and its Parathon Parallel Database provides backup functionality in case of cyberattack, which otherwise could leave providers unable to bill.
PatientFocus (Nashville, Tenn.). PatientFocus was founded in 2009 as an outsourced, patient-pay billing solution extending the business offices of healthcare clients with non-recourse patient financing and full-service patient outreach, including statements, call center and online portal. The company has a long track record of increasing patient revenue while protecting the patient experience for all clients.
Patientory (Atlanta). Patientory is a blockchain solution for healthcare, developed to drive population health management by allowing healthcare organizations to store and submit data securely through the blockchain and smart contracts. The company connects physicians, care providers and consumers on one secure platform to work together on providing patient care.
PatientPay (Durham, N.C.). PatientPay helps revenue cycle management groups collect more patient payments than traditional methods while reducing costs by up to 50 percent. The company collects payments in fewer than 14 days on average with a patient payment suite that reduces call volume and manual efforts.
PatientPoint (Cincinnati). PatientPoint develops technologies that provide actionable intelligence on conditions, treatments and lifestyle choices during healthcare delivery. The company's platforms include a digital waiting room screen, patient mobile, digital wall board, exam room and infusion room tablet.
PayGround (Gilbert, Ariz.). PayGround is a healthcare payments platform that streamlines the payment experience for providers and patients. For individuals and families, it’s an easy-to-use mobile app to manage, track and pay all medical bills in one secure place. For medical providers, it’s a modernized payment platform that reduces costs, simplifies internal processes and boosts patient and employer satisfaction.
PayMedix (Milwaukee). PayMedix is designed to help patients pay for upfront out-of-pocket medical costs and alleviate the stress of bad debt for providers. They guarantee prompt full payment to healthcare providers and offer manageable repayment plans to patients for all allowed in-network, out-of-pocket charges up to a patient’s maximum out of pocket amount. Having processed more than $5 billion in payments thus far and with 30 percent growth year over year, PayMedix is poised to tackle the growing needs of a fractured healthcare system with a scalable and consumer-approved financial technology platform that helps all stakeholders involved.
Paytient (Columbia, Mo.). Paytient that helps employees and plan members access affordable health care through their Health Payment Accounts. The company provides a revolving line of credit on a Visa card, which members can use to pay out-of-pocket medical, pharmacy, dental, vision, and veterinary expenses. This allows people to seek care when they need it, with their HPA acting as a safety net.
Pendrick Healthcare Partners (Washington, D.C.). Founded in 2010, Pendrick Healthcare Partners offers hospital systems and physician networks a suite of customized medical debt solutions, including debt purchasing, active third party servicing and debt leasing, all of which help to accelerate cash flow for patient accounts in collections. The company currently manages more than 109 million unique individual accounts across the revenue cycle for over 4,400 healthcare clients. Recognizing the importance of patient relationships and organizational risk, the company’s solutions are centered on robust compliance, high quality standards and treating all patients with courtesy and respect.
The Perry Consulting Group, LLC (Dallas). The Perry Consulting Group is a revenue cycle management consulting firm with over 150 years of combined healthcare operations expertise. They partner with hospitals and physician groups to identify and resolve obstacles that hinder a healthy revenue cycle. The comapny focuses on increasing revenue and stopping revenue leakage. They offer several services, such as interim leadership support staff, department assessments, implementation of performance and process improvements, and analytic services to solve daily healthcare operational challenges.
Perry Johnson & Associates (Henderson, Nev.). Perry Johnson & Associates offers more than 30 years of expertise and innovations in healthcare information technology that increases healthcare providers’ efficiencies, accuracy and financial performance. PJ&A Solutions include clinical documentation, coding and auditing and revenue cycle management.
PHIMED Technologies (Shawnee, Kan.). PHIMED Technologies provides an automated billing and revenue cycle management software solution to medical billing organizations, group physician practices and hospitals. Serving multiple specialties, the company's solution leverages automation and AI to ensure an increase in efficiency, maximization of revenue and enhanced patient engagement.
PhishLabs (Charleston, S.C.). PhishLabs provides 24/7 cybersecurity services to protect against threats. The company's proprietary technology, intelligence and human expertise combined can detect, analyze and stop targeted attacks. Founded in 2008, the company aims to protect data and healthcare systems while reducing the risk for online fraud.
Phreesia (Wilmington, Del.). Phreesia provides a suite of applications to help healthcare organizations manage the patient intake process. It has a software-as-a-service platform that engages patients in their care and ensures a consistent patient payment experience. It also streamlines the verification process and reduces the manual workload on staff.
Plutus Health (Dallas). Plutus Health is a 15-year-old leading healthcare revenue cycle management organization based in Dallas. Plutus Health provides coding, pre-billing audits, billing and insurance accounts receivable collections. The company addresses significant challenges facing ASC organizations in the U.S. with a combination of services by industry experts and advanced technologies such as machine learning and robotic process automation.
Precision Medical Billing (Houston). Precision Medical Billing launched in 1995 and is dedicated to helping physicians, home health agencies and hospice groups with medical billing and claims management. The company provides revenue collections services as well as practice management consulting and medical billing chart audits.
Privacy Analytics (Ottawa, Ontario). Privacy Analytics provides data de-identification and anonymization for healthcare organizations to ensure individual privacy and legal compliance. Services include certification, training, data governance advisory and consultation to help healthcare organizations establish organization-wide best practices.
Professional Credit (Vancouver, Wash.). Professional Credit provides tools and services to improve patient financial engagement and cash flow. The company has more than 80 years of experience in accounts receivable management, collections and accounts receivable outsourcing and aims to improve the self-pay experience.
Progressive Management Systems (West Covina, Calif.). Progressive Management Systems is an employee-owned receivables solution company focused on serving the healthcare industry. Founded in 1978, the company works with healthcare organizations to improve financial performance while maintaining the organization's reputation in the community. The company provides first-party collections, third-party collections and insurance follow-up services.
Promantra (Somerset, N.J.). Promantra is a provider of revenue cycle management services that offers end to end revenue cycle management services through its billing company partners and helps healthcare facilities such as hospitals, physician groups and surgery centers streamline their RCM.
Promedical (Lexington, Mass.). Promedical is a national healthcare revenue cycle management company. Its complex claims solutions include workers' compensation and motor vehicle accident billing. Since 1995, the company has provided the healthcare community with a client-focused, technology driven revenue cycle partner.
Prosperity Behavioral Health (Cherry Hill, N.J.). Prosperity Behavioral Health is a leading provider of financial solutions for behavioral health facilities. Their comprehensive suite of financial services includes revenue cycle management, financial analysis and reporting, corporate strategy, and back-office operations. Prosperity helps clients manage their business affairs, allowing them to focus on caring for those in need of behavioral health services.
Pure Storage (Santa Clara, Calif.). Pure Storage provides health systems an option for simplifying digital storage for mission-critical EHR, VDI and enterprise imaging environments. The company's end-to-end data platform is powered by cloud-connected software, allowing users to manage data from anywhere on a mobile device.
QGenda (Atlanta). QGenda provides cloud-based automated physician scheduling software to more than 4,000 customers in 45 medical specialties. QGenda is designed to optimize hospital and health system workforce with smart resource management, centralized scheduling and real-time mobile access to clock in and out.
Quadax (Cleveland). For 50 years, Quadax has partnered with payers, hospitals, physician offices, laboratories and other healthcare organizations to provide tailored revenue cycle management solutions to speed up payments, maximize reimbursements, and improve overall operational and financial performance. The company's solutions provide control over claims management, appeals, and audits, alongside business analytics, improved patient access and more. Quadax aims to achieve exceptional outcomes for its clients through personalized training, partnership, operational transparency, and dedicated support.
Quest Diagnostics (Secaucus, N.J.). Quest Diagnostics is a provider of medical billing solutions and services that include denial management, payer management and fee schedule review. The company provides billing specialists to maintain fee schedules and support financial reporting. The company also offers payment solutions and includes Quanum EHR and Quanum Practice Management within its Quanum Revenue Cycle Management solution.
Quintessence (Dallas). Quintessence, a leading medical billing and coding company, excels in providing comprehensive RCM services. With a wealth of experience spanning over two decades, they offer seamless patient data management, coding and compliance, claims processing, and efficient reimbursement and payment handling. Embracing cutting-edge technology, including Codessence, a remarkable machine learning-based coding platform, and the innovative QuintAna BOTs for transaction automation, they ensure optimal results. Leveraging a global workforce, they deliver remarkable savings of up to 45 percent while prioritizing analytics and fostering strong client partnerships.
Qventus (Mountain View, Calif.). Qventus' platform is designed to help hospitals interpret data and close the gap between data and action. The artificial intelligence software solution allows for operational improvement in real time and could improve financial performance, patient experience and patient safety while reducing cognitive burden on the frontline teams.
Qway Healthcare (Cranbury, N.J.). QWay Healthcare provides a certified mobile workforce that addresses the unique revenue cycle management needs and challenges of healthcare providers across the U.S., armed with 13 years of experience and over 1,100 employees. With over 43 billing systems and specialties, the company aims to overcome medical billing challenges and lead insights-driven strategies for a prompt and optimized payment flow.
R1 RCM (Murray, Utah). R1 RCM is a leading provider of technology-enabled RCM services that transform and solve revenue cycle performance challenges across hospitals, health systems and group physician practices. R1's proven and scalable operating models drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
RCM Enterprise Services/SCC Soft Computer (Clearwater, Fla.). RCM Enterprise Services works with hospitals to build revenue-generating programs that leverage the hospital's laboratory assets for higher profit margins. The company provides healthcare organizations with laboratory, pathology and genetics software as well as front-end client connectivity, back-end claims management and professional services with minimal capital expense.
RCMS (Cleveland). Featuring the ReSolve accounts receivable management platform, RCMS transforms central business offices through better management of payment processing, validation and reconciliation throughout the organization. The platform also integrates with Hyland Software’s OnBase enterprise content management solutions. Specializing in complex, multi-system environments, RCMS helps hospitals, health systems and integrated delivery networks gain operational efficiencies and increase revenue.
RIK Health Care Solutions & Consultant (Punjab, India). RIK provides comprehensive services related to U.S. medical billing, recruitment, human resource, and training and development in the healthcare industry. The company aims to streamline processes, ensure accurate reimbursement, optimize talent acquisition and promote professional growth. The company offers a holistic solution for organizations' various needs, designed to save them time, effort and resources.
RSi (Columbia, S.C.). RSi is a leading provider of revenue cycle services to the hospital and large physician practice market, serving a variety of large and small healthcare systems. The company offers a comprehensive range of outsourced services across the RCM continuum, from day one patient receivables to insurance follow up. Services are designed to accelerate cash flow, improve operating efficiencies, and enhance profitability. The company earned a Best in KLAS designation in 2023.
Raintree Systems (Temecula, Calif.). Raintree provides a comprehensive solution for seamless electronic patient engagement, revenue cycle management and billing. From pediatrics to geriatrics, Raintree has more than 2,500 implementations and more than 25,000 users daily. Founded in 1983, Raintree was one of the first companies to submit electronic claims processing transactions.
RapidClaims.ai (New York City). RapidClaims.ai stands at the forefront of healthcare innovation with its AI-driven medical coding and documentation improvement solutions. By automating the translation of clinical documentation into precise codes, the platform significantly minimizes coding errors and administrative burdens, streamlining the revenue cycle management process for healthcare providers.
Rectangle Health (Valhalla, N.Y.). Rectangle Health provides a suite of payment and patient engagement solutions for healthcare providers, insurers and billing services. The company was founded in 1992 and ranked in the Silicon Review's "50 Fastest Growing Companies” of 2019.
Redox (Madison, Wis.). Redox is an integration platform and service for healthcare systems and digital healthcare applications. The company's interoperable network and standardized API allows organizations to integrate software applications with EHR.
Regent Revenue Cycle Management (Westchester, Ill.). Regent Revenue Cycle Management is a division of Regent Surgical Health that provides cost-effective billing and collections services for ASCs. The company has a history in the ASC space, and Regent RCM consistently outperforms industry benchmarks so managers can focus on high-value activities.
Relatient (Franklin, Tenn.). Relatient is a web-based patient relationship and engagement solution that uses real-time healthcare data to communicate with patients. The company empowers provider networks to improve patient engagement with automated communication that helps improve revenue, increase compliance, lower costs and foster patient relationships.
ReMedics (Cleveland). ReMedics delivers tailored revenue cycle business process outsourcing services to physician groups, management services organizations and health systems. Specializing in tailored solutions for multi-system payment processing, ReMedics also provides electronic data interchange parsing and splitting, data validation, bank reconciliation, and funds distribution services. With the use of a single cash management platform, robotics process automation and OnBase enterprise content management technology, ReMedics services help to lower operational costs, increase staff productivity and improve revenue cycle key performance indicators.
Resolv Healthcare (Edmond, Okla.). Resolv Healthcare provides revenue cycle management solutions to healthcare providers to assist with contracting, credentialing, coding and billing processes, as well as reimbursement analysis.
Resource Corporation of America (Clear Lake Shores, Texas). Resource Corporation of America, established in 1994, provides revenue cycle solutions that help hospitals increase revenue by converting at-risk dollars. The company’s solutions are focused on Medicaid eligibility, hospital lien filing, out of state enrollment and billing, disability, and veterans affairs claims processing. RCA serves clients nationwide and is recognized as one of the largest and most experienced privately held eligibility vendors in the country.
Revco Solutions (Durham, N.C.). Revco Solutions augments 75 years of healthcare revenue cycle experience with the latest omni-channel patient communications and innovative business intelligence tools. Applying adaptive strategic enhancements, within an industry leading security and compliance framework, Revco Solutions defines best practices in healthcare accounts receivables. Voted us 'Best Places to Work in Collections' for 2021, in the Large Company category, by insideARM.
RevCycle (Marshfield, Wis.). RevCycle partners with healthcare organizations as a single vendor for all revenue cycle needs. The company's comprehensive suite of business office solutions are designed to optimize the revenue cycle and handle bad debt collections. RevCycle provides class services ranging from coding to claim denial management, insurance follow-up, point-of-service solutions and patient responsibility collections in addition to other services.
Revecore (Franklin, Tenn.). Revecore provides revenue recovery solutions for underpayments and denial prevention as well as complex claims reimbursement. The company combines its proprietary technology with a highly skilled billing team to provide coding, clinical and revenue cycle expertise.
Revele (Indianapolis). Revele is an end-to-end eClinicalWorks revenue cycle management firm providing eClinicalWorks training, optimization, reporting, consulting and revenue cycle management services to health systems and physician groups. Revele's truly integrated eCW billing service includes a patient services call center, monthly performance consulting by a dedicated client success team and a 10 percent increase in cash flow guarantee.
Revenue Synergy (Dallas). Revenue Synergy is a leading provider of revenue cycle management, staffing support, and technological solutions for healthcare providers. With over a decade of experience, their solutions have helped hospitals, healthcare systems, and physician groups streamline their operations and succeed in a challenging healthcare environment. Additionally, they have assisted electronic health record companies in improving their systems and integrating with healthcare providers.
Revigate (Metairie, La.). Revigate is a boutique revenue cycle consulting firm specializing in Epic EHR implementation, Epic EHR optimization, and revenue cycle optimization. The company empowers revenue cycle teams to use technology and human resources in order to increase net revenue and decrease cost-to-collect.
Revology (Iowa City, Iowa). Revology is a tech-enabled revenue cycle management firm built by a team of experienced revenue cycle professionals. The company helps providers maximize cash using proprietary technology that removes the guesswork of determining the highest priority claims, creating efficiency and higher returns.
RevOps Health (Wellesley, Mass.). RevOps Health is an end-to-end billing platform that blends data from disparate data sources and software in provider practices to cleanse data and provide a digital source of truth as to the current and historical state of the practice. Offered as an SaaS technology solution, applications running on the platform include anomaly detection, automation and advanced analytics tools.
RevSpring (Nashville, Tenn.). RevSpring is a technology services company that helps healthcare providers engage patients throughout their encounter. The company's end-to-end integrated patient engagement platform is powered by big data, analytics and automated workflow decisions that communicate with the patient on billing and payments. RevSpring acquired Loyale Healthcare in 2020.
RightPatient (Atlanta). RightPatient is a cloud-based platform that can recognize patients through photos and link to their medical data. Health systems including Charlotte, N.C.-based Novant Health; Durham, N.C.-based Duke Health; Columbus-based OhioHealth and Coral Gables-based Baptist Health South Florida use RightPatient to identify and access patient information securely.
Rivet Health (Salt Lake City). Rivet Health is a healthcare revenue accelerator designed uniquely for healthcare organizations. The company also recently launched its Revenue Diagnostics platform, which leverages machine learning to analyze trends and nuances in historical data to produce real-time predictions, enabling strategic decision-making for organizations to confidently manage revenue activities.
Rivia Health (Phoenix). Rivia Health's intelligent payment engagement platform reduces administrative operational costs and helps healthcare organizations reach financial goals by increasing patient payments. As a complement to existing payment platforms and revenue cycle operations, Rivia Health reduces the amount of outstanding patient responsibility and overall accounts receivable.
S&P Consultants (Braintree, Mass.). S&P Consultants have a 20-year history in health IT, facilitating realistic infrastructures among all parties in health information system implementation. The InTegritySM approach provides a genetic roadmap and adaptive framework to organizations aiming for success with Cerner projects.
SBN Healthcare Solution (India). SBN Healthcare Solution is a medical billing outsourcing company, designed to improve the financial performance of its healthcare company clients. The company aims to reduce time spent on accounts receivables and automate RCM services.
SHOAR Health (Atlanta). SHOAR, a subsidiary of accounting and advisory firm Windham Brannon, enables seamless integration of robotic process automation within healthcare operations. The company helps healthcare providers streamline processes, boost operational efficiency and improve accuracy by adopting robotic process automation solutions, allowing healthcare organizations to focus on delivering better patient care while optimizing their workflows.
SSI Group (Mobile, Ala.). SSI Group provides revenue cycle management solutions and analytics to partnering healthcare providers, payers and ASCs. The company's product suite covers claims management, access management and performance management with integrated analytics.
Sagility (Westminster, Colo.). Sagility focuses on business process management and optimizing the customer experience lifecycle. Sagility's suite of revenue cycle management services include front-end patient access services, midcycle charge integrity, medical coding and billing services, back-end insurance claims resolution offerings, clinical denial appeals and customer-driven, self-pay, early-out services.
Salucro (Phoenix). Salucro is focused on providing a retail-like payment solution for patients that is secure and compatible with EHR platforms. The company's online bill pay solutions and provider-facing payment applications offer multiple payment types, including PayPal.
Salud Revenue Partners (West Lafayette, Ind.). Salud Revenue Partners helps healthcare providers reduce revenue cycle complexity, freeing leaders and staff to focus on improving operations and results. Its services and technology help streamline business offices, diagnose performance gaps, achieve the highest coding accuracy, resolve difficult accounts receivable and implement patient-centered solutions to self-pay.
Savista (Alpharetta, Ga.). Savista partners with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients and nurture their communities. The company collaborates with clients to craft patient engagement, HIM, revenue integrity and AR management solutions in order to achieve financial success. Four thousand colleagues strong, Savista's global organization serves 350 clients in the United States.
Sentrii RCM (Painesville, Ohio). Sentrii RCM is doing things differently and maximizing service revenue with a 100 percent U.S.-based team. Nimble AI-based technology allows for efficiency and the ability to spend the time required on every claim. Sentrii also has extensive anesthesia RCM experience.
Serbin Medical Billing (Fort Myers, Fla.). Serbin Medical Billing is a revenue cycle management company focused on providing coding, billing and accounts receivable management services to ASCs, hospital joint venture centers and anesthesia providers. Founded more than 30 years ago, the company tailors services to each client and aims to provide efficient, compliant and quality-driven revenue cycle assistance.
Sherloq Solutions (Tampa, Fla.). Sherloq Solutions delivers a healthier bottom line to health systems, hospitals and physician groups nationwide. With an emphasis on patient satisfaction and outstanding revenue recovery, their RCM experts provide unmatched results in early-out self-pay, customer service, insurance billing and follow-up, denials and appeals management, and third-party debt collection.
Sierra Health Group (Bloomfield, N.J.). Sierra Health Group encompasses every facet of RCM, including patient access, coding, billing, follow-up, clinical and denials management, cash posting, analytics, and reporting. The company crafts custom-made solutions that chip away at costs, amplify operational efficiencies, and maximize revenue streams.
Signature Performance (Omaha, Neb.). Signature Performance is a healthcare administrative solutions provider. The company aims to curb the rising cost of healthcare administration for payers and providers in the public and private sectors by lowering cost ratios, growing revenue, and realizing optimized cash flow.
Simpler Consulting (Ottumwa, Iowa). Simpler Consulting, part of IBM, is a management consulting firm that helps organizations improve performance through lean transformations. The company works with clients to develop organizational culture and continuously seek opportunities for improvement.
Sipi Asset Recovery (Elk Grove Village, Ill.). Sipi Asset Recovery provides collections, transportation and logistics, data wiping, remarketing and asset destruction and recycling, as well as asset redeployment and regulatory management services. The company helps organizations overcome surplus technology challenges while protecting sensitive data and documenting all relevant security, environmental and industry regulations.
SlicedHealth (Woodstock, Ga.). SlicedHealth helps clients discover, uncover, and recover maximum revenue to ensure financial stability. The company's contract management, business intelligence, price transparency, and claim estimation technology solutions directly address the underpayments and denials, razor-thin margins, rising labor costs, and the overall increase in expenses that contribute to missing revenue. The SlicedHealth technology platform and white glove service ensure that community and rural health systems, specialty group practices, and ambulatory surgical centers can protect against revenue leakage and improve their financial health.
Smart Source Healthcare Communications (Westborough, Mass.). Smart Source is a global communication solutions provider that aims to enhance the patient experience. The company's solution reaches the entire revenue cycle, from appointment reminders to statements, offering payment estimations and point of sale collections in addition to a digital wayfinding app.
SmarterDx (New York City). SmarterDx improves hospital revenue and quality by serving as a prebill safety net, catching all remaining documentation and coding opportunities. The company's proprietary clinical AI simulates the clinical thought process, meticulously analyzing chart data to pinpoint both revenue and quality-impacting diagnoses. Their clients are realizing about $2 million per 10,000 discharges.
Softek Solutions (Prairie Village, Kan.). Softek provides consulting services and software solutions to optimize system performance and revenue integrity at Cerner Millennium hospitals. Softek gives users visibility into acute and chronic system issues that could put patients and business at risk and provides expertise to resolve the issues.
Sphere (Nashville, Tenn.). Sphere, powered by TrustCommerce technology, provides secure payment processing, offering a comprehensive suite of healthcare solutions with a focus on payment security, data protection and risk mitigation. Sphere solutions assist healthcare providers and partners reduce the cost and complexity of payment card industry data security standards compliance, and it provides payment services for many of the largest healthcare systems.
Spok (Alexandria, Va.). Spok created the Spok Care Connect platform to deliver clinical information to care teams and improve patient outcomes. The platform is designed to enhance clinician workflow, support administrative compliance and provide better patient experiences.
State Collection Service (Madison, Wis.). State Collection Service, a Healthcare Financial Management Association peer-reviewed organization, helps providers maximize the cash value of self-pay patient revenue while improving their patients' financial experience. The company's decades of experience, certified revenue cycle representatives staff and a commitment to first call resolution deliver superior service and results.
Streamline Health (Alpharetta, Ga.). Streamline Health provides revenue cycle optimization solutions and technology-enabled services and analytics for healthcare organizations. The company's solutions are designed to provide revenue integrity and drive quality across the enterprise.
Sun Knowledge Services (New York City). Sun Knowledge simplifies healthcare processes to empower payers and providers, elevate patient experiences and improve their bottom line. Providing outsourcing solutions to major payers in the U.S. since 2007, the company has evolved into an outsourcing partner to thousands of providers across 40-plus specialties to meet their bespoke revenue cycle management needs through virtual medical and office assistants, credentialing, prior authorization and more. The company offers expertise in working with any EHR software, on-demand affordable employees that work across time zones, and affordable pricing without binding contracts for providers including medical equipment companies, physicians, facilities, hospitals and health systems.
Surgical Information Systems (Alpharetta, Ga.). Since 1996, Surgical Information Systems has served around 3,000 surgical facilities and 10,000 operating rooms across North America. The company provides a web-based ASC clinical documentation system solution, ASC management solution and analytics designed specifically for the outpatient setting.
Surgical Notes (Dallas). Founded in 1997, Surgical Notes is a healthcare IT solutions company focused on revenue cycle products and services for the ASC industry. The company provides transcription, coding, medical records, billing and collections, and revenue cycle management software solutions for ASCs.
Svast (Nashville, Tenn.). Svast is a leading provider of revenue cycle management services including credentialing, coding, billing, denial management, AR management, practice growth and staffing for Independent practices and groups. The company's mission is to improve the financial performance of providers through personalized service using best in class people, process and technologies. Most of their clients experience a revenue increase of 15 percent within 6 months of working with them.
Symplr (Houston). Symplr offers payer enrollment services with federal and commercial health plans as well as initial credentialing, recredentialing and relocating providers. The company works with payers on the healthcare provider's behalf to complete the credentialing process, enabling providers to ramp up, cover overhead and mitigate bad debt.
Synergen Health (Dallas). Synergen Health provides services to clients in more than 45 states, ranging from physician groups, hospitals, surgery centers, urgent care and enterprise diagnostics labs. Synergen's RCM transformation services seamlessly scale, support and streamline healthcare organizations' revenue cycle processes from patient intake to payment collections.
TailorMed (New York City). TailorMed offers a unique value proposition in healthcare — improving the financial performance of healthcare providers (e.g., hospitals, oncology centers and healthcare systems) while reducing economic hardships for patients. The company uses a SaaS model algorithm to create a unique cost profile of each patient.
Tanium (Kirkland, Wash.). Tanium provides enterprisewide security, control and management of endpoints throughout large healthcare organizations and government enterprises. The company works with the security and IT operations teams to examine endpoints across the enterprise, retrieve data on the current and historical state and execute necessary changes.
TechSolve (Cincinnati). TechSolve has more than 4 billion claims records in its database, which is updated every 33 days. The company has more than 35 years of experience in the industry, working with more than 100 hospitals and health systems to provide process improvement training, assessments, project implementation, lean transformation and consulting support.
Tegria (Seattle). Created in 2020, Tegria is a healthcare consulting and technology services company focused on innovation in care, technology, revenue and operations. The company provides unique, personalized solutions for revenue cycle transformation, revenue integrity, A/R management, and practice management.
Telcor (Lincoln, Neb.). Telcor empowers laboratories to improve back office processes by streamlining the revenue cycle workflow, thus reducing labor-intensive processes and operating costs. Telcor RCM provides a high level of visibility to business operations, allowing executives the ability to make more informed decisions.
TigerConnect (Santa Monica, Calif.). TigerConnect provides more than 7,000 facilities with clinical communication solutions designed to help providers communicate and collaborate more effectively. The technology is also designed to increase productivity, reduce costs and improve patient outcomes.
Titan Health Management Solutions (Tucson and Phoenix, Ariz.). Titan Health was founded in 2002 by two veteran health plan executives who saw how frustrating the reimbursement process was becoming for healthcare providers. The company's dedicated audit and collection professionals review thousands of claims and collect millions of dollars for clients every year, making a positive difference for hospital partners and the patients they serve.
TransUnion (Chicago). TransUnion Healthcare makes mutual trust possible between patients, providers and payers by helping them navigate payment uncertainty with revenue protection solutions that leverage comprehensive data and accurate insights to engage patients early, ensure earned revenue gets paid and optimize payment strategies.
TriumpHealth (Southlake, Texas). TriumpHealth is a revenue cycle management, predictive revenue analytics, and value-based consulting company who helps medical practices and hospital systems achieve their financial and regulatory compliance goals. Being a full-service company, TriumpHealth is a single vendor and point of responsibility. Customers maintain a resource that can promptly respond to any issues and keep track of their revenue cycle, provider credentialing and regulatory compliance needs.
TriZetto Provider Solutions, a Cognizant Company (Earth City, Mo.). TriZetto Provider Solutions leverages industry-leading solutions to provide comprehensive revenue cycle management services to help organizations with billing, analytics, appeals, clinical integration and digital patient engagement.
TruBridge (Mobile, Ala.). TruBridge offers a portfolio of software solutions designed to increase productivity and maximize reimbursement for healthcare organizations. The company's revenue cycle management products, patient engagement, and community health solutions help streamline day-to-day revenue functions, enhance productivity, and support financial health for clients. TruBridge recently announced its full unification with TruCode Encoder, the medical coding technology offered along with TruBridge medical coding services.
TrueRCM (Arlington Heights, Ill.). TrueRCM provides end-to-end solutions (RCM, practice management, technology, compliance, credentialing, auditing and assessments) for new or existing organizations to achieve aggressive growth initiatives. TrueRCM curates custom solutions to meet the needs of any organization from single physician, medium-sized practices to large independent physician associations.
USCB America (Los Angeles). Founded in 1915, USCB America is a nationwide leader in innovative business process outsourcing and accounts receivable management solutions to some of the largest private and public healthcare organizations and academic institutions in the nation.
Unified Health Services (Memphis, Tenn.). In 1997, UHS pioneered the concept of end-to-end management of the work comp revenue cycle. Today, the company continues to combine unmatched expertise, technology, and best practices to automate workflow and manage the complexities associated with work comp claims processing. UHS works with physician practices, specialty groups, ASCs, hospitals and health systems across the entire country within all jurisdictions and federal programs too.
United Collection Bureau (Toledo, Ohio). United Collection Bureau offers customized solutions to healthcare organizations to provide financial stability, acute analytical skills and technical capabilities for a more effective revenue cycle. The company's solutions include the Extended Business Office, presumptive charity analytics, insurance resolution, bad debt recovery and call center services.
Upfront Healthcare (Chicago). Upfront Healthcare helps medical practices grow market share through the transition from fee-for-service to value-based care. Upfront Healthcare's Visit Value Technology was developed to predict and prioritize visits in need of pre-visit action and visit optimization services. The company uncovers the root causes for low-value visits and helps clients drive top-of-license care.
VantageHealth (Nashville, Tenn.). VantageHealth’s platform gives all providers and their patients the opportunity to effectively and efficiently understand patient liabilities, provide options for them to pay, and reduce the administrative burden for all stakeholders. The company’s tailored and curated approach results in receiving more payments faster and an improved patient financial experience while reducing the cost to collect significantly.
Verity IT (Downers Grove, Ill.). Verity IT works with clients to develop customized IT solutions. The company develops end-to-end IT solutions to ensure availability and security of mission-critical data and applications.
Vee Technologies (New York City). Vee Technologies is a leading global business services and consulting company that works as a trusted partner to deliver technology-enabled solutions to organizations around the world. Headquartered in New York City, their strategic solutions enable organizations, ranging from Fortune 500 firms to mid-size companies, to achieve extraordinary outcomes.
Ventra Health (Dallas). Ventra Health is a business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine and now radiology, through the recent combining of forces with ADVOCATE RCM. Focused on revenue cycle management and advisory services, Ventra partners with private practices, hospitals, health systems and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.
VestaCare (La Jolla, Calif.). VestaCare helps hospitals and other medical care providers secure patient-responsibility revenue. The company's systems secure near-term and final patient payments at the time of service, and VestaCare's single sign-on solution integrates its patient pay portal with hospital EHR portals.
Veuu (Tampa, Fla.). Veuu is a financial technology ecosystem for healthcare, comprising an array of AI tools that automate coding and financial risk for claims payments and denials. The company offers a total solution for autonomous coding, complete risk analysis of claims prior to submission, and instant payments for healthcare providers.
Vispa (Winston-Salem, N.C.). Vispa offers an innovative collections solution meant to simplify the intricacies of healthcare account receivables. The exception-based technology helps reduce account receivables days while increasing collections and revenue margins. The company excels at automated insurance claims follow-up, user activity tracking via cutting-edge technology, and meaningful partnerships. Vispa also recently integrated machine learning into their algorithm, allowing for increasingly accurate predictions about the timing of payer claim payments.
VisiQuate (Santa Rosa, Calif.). VisiQuate provides an enterprise-scale business analytics solution to integrate and simplify complex data as well as provide insights and actionable workflows. The company offers revenue and denial management analytics, patient pay segmentation and analytics, workflow performance analytics , and value care analytics.
VitalWare by Health Catalyst (South Jordan, Utah). VitalWare is a mid-revenue cycle SaaS solutions provider, specializing in health IT applications. The company aims to make the business of healthcare easier through its intuitive cloud-based technologies and regulatory content expertise.
Valer (Huntington Beach, Calif.). Valer provides cloud-based, automated solutions for manual administrative healthcare transactions. The company's platform automates prior authorization for all payers, then places the information into one workspace. In 2024, the company rebranded from Voluware to Valer, taking on the brand name as its popular solution for streamlining prior authorizations and referral management.
Vyne (Dunwoody, Ga.). Vyne has a single highly integrated platform for end-to-end protected health information exchange and communication management between patients, providers, health plans and partners. In 2023, Vyne Medical implemented automation solutions in health systems nationwide, streamlining workflows, and creating significant time and money savings. The company was honored as a top vendor in the 2023 KLAS Advanced User Insights Digital Fax Report.
Wakefield & Associates (Knoxville, Tenn.). Wakefield & Associates provides healthcare revenue cycle solutions by partnering with facilities to provide exceptional accounts receivable management services that augment their internal practices, improve customer service, and increase collections on active and bad debt accounts.
Wave HDC (Tampa, Fla.). Wave’s AI solution delivers real-time denial prevention by virtually eliminating the coordination of benefits and eligibility-related denials at the point of registration. Direct integration into billing systems results in accurate registrations, patient cost estimates, improved authorization, and significantly reduced back-office staff requirements.
Waveonline LLC (Dalton, Ga.). Waveonline is a healthcare revenue cycle services company providing practice management, coding, billing, collections and risk adjustment services. The company's healthcare revenue cycle services help hospitals and clinics manage physician revenue.
Waystar (Louisville, Ky.). Waystar provides technology to simplify the healthcare revenue cycle and improve the financial health of their clients across care settings. The company's cloud-based software-as-a-service platform addresses revenue cycle functions including patient billing and payments, financial analytics, denial management and revenue integrity. In June 2023, the company enhanced their automation and data analytics capabilities with their automated pre-claim coverage detection, advanced claims appeal prioritization tools, and new claim attachments and next-generation analytic capabilities.
Webdale Healthcare Consulting (Phoenix). The experts at Webdale Healthcare Consulting have been partnering with hospitals to maximize their Medicare revenue since 1992. The company offers specialized consulting services to boost reimbursement that include Medicare wage index review, occupational mix survey review, geographic reclassification opportunities, Medicare bad debt recovery and Worksheet S-10 analysis. The company takes a personal approach when working with hospital associations, systems and individual facilities to deliver superior results.
WebPT (Phoenix). WebPT is an EHR software, revenue cycle and practice management solution for physical, occupational and speech therapists. It has 90,000 members using its technologies. WebPT also provides rehab therapy-specific solutions and has a 99 percent customer retention rate.
WhiteSpace Health (Boca Raton, Fla.). WhiteSpace Health is a deep analytics company. The company's revenue intelligence platform uses AI to detect, predict and resolve RCM issues and effectively manage operations. WhiteSpace brings value to clients by identifying and stemming revenue leakage, preventing and resolving denials and reducing patient no-shows. Together, this lifts revenue.
Wieldy.ai (New York City). Wieldy.ai aims to improve healthcare delivery by providing tools and products that make non-clinical business administration more efficient. The company's product, FC Copilot, is an AI-powered solution that automates insurance posting and insurance accounts receivable management, in turn boosting healthcare practices’ profitability, saving time, reducing workload and improving cash flow.
The Wilshire Group (Sierra Madre, Calif.). The Wilshire Group provides an optimal blend of industry-leading Epic expertise and operational experience to tackle revenue cycle management’s most complex challenges. They specialize in optimizing end-to-end revenue cycle workflows, providing interim leadership, and serving as a bridge between IT and Operations.
Windham Brannon (Atlanta). Windham Brannon provides advisory, assurance and tax services. Led by former healthcare executives, the company offer actionable insights and practical solutions to help healthcare organizations thrive amid rising costs, strict regulations and operational challenges. With expertise in revenue cycle management, technology, cybersecurity and automation, the company delivers tailored strategies that drive efficiency, enhance patient care and improve financial performance.
Windstream (Little Rock, Ark.). Windstream is a Fortune 500 company dedicated to connecting healthcare providers and assisting in effective communication and collaboration to deliver personalized healthcare experiences. The company provides customized solutions for healthcare providers to safeguard private patient information, improve the patient experience and centralize the scheduling, transfers and referrals functions.
Wolters Kluwer (Alphen aan den Rijn, Netherlands). Wolters Kluwer provides research products and software solutions for regulatory, legal and business professionals. Healthcare organizations use the company's MediRegs and ComplyTrack platforms to ensure practical compliance, reimbursement and risk management solutions.
Workday (Pleasanton, Calif.). Workday is a provider of enterprise cloud applications for finance and human resources. Founded in 2005, Workday delivers financial management, human capital management, planning and analytics applications.
XiFin (San Diego). XiFin is a leading provider of innovative healthcare information technologies and services that deliver AI-enabled operational efficiency, interoperability, and simplicity. The company's cloud-based technology platform, RPM 15, is an automated revenue cycle management solution that aims to maximize efficiency, refine medical cycle billing and improve cash collection.
Xsolis (Franklin, Tenn.). Xsolis serves health systems, hospitals and health plans nationwide with its utilization review technology, denials management consulting, and three-time No. 1 Best in KLAS physician advisor services. Dragonfly, formerly known as CORTEX, is Xsolis’ AI-driven technology platform, which uses real-time predictive analytics to continuously assign an objective medical necessity score and assess the anticipated level of care for every patient. This enables review automation and a clinical source of truth for more efficiency and collaboration for payers and providers.
Xtend Healthcare (Hendersonville, Tenn.). Xtend Healthcare is a provider of revenue cycle management and public health solutions. The company's seasoned team, HITRUST-certified proprietary technologies, local market knowledge, agility, scale, and customized solutions streamline customers’ programs so they can deliver on their missions.
Yosi Health (New York City). Yosi Health creates customizable, cloud-based solutions that modernize care center administration and improve the patient experience. The company is a pre-arrival focused patient intake and registration system that is eliminating wait times, improving patient experience, and increasing financial results for large health systems and busy care centers by engaging patients through the entire care journey.
Zayo (Denver). Zayo provides communication infrastructure services, including fiber and bandwidth connectivity, connection and cloud infrastructure. The company aims to reshape healthcare as hospitals are moving toward digitization of records and experiencing demand for bandwidth and high-performance, private, reliable connectivity and infrastructure.
Zelis Healthcare (Boston). Zelis provides technology solutions that simplify, automate and modernize the healthcare financial journey. The company aims to reduce the friction, lack of transparency, and inflated costs associated with the American healthcare system. Zelis particularly focuses on serving payers, providers and healthcare consumers. In 2023, Zelis established a partnership with Google Wallet, launched a new data analytics platform called Healthcare Insights 360, introduced the Zelis Open Access Pricing platform, and entered into several other valuable partnerships.
ZOLL Data Systems (Broomfield, Colo.). ZOLL Data Systems is a healthcare software and data solutions provider empowering providers and RCM teams to deliver better patient outcomes, improve operational efficiencies and provide greater revenue capture. The company leverages decades of clinical expertise, customer focus, and a powerful cloud-based platform to tackle healthcare challenges. ZOLL Data Systems employs the RCM optimization solution ZOLL AR Boost to automatically find, correct, and verify patient and payer information in order to capture more revenue, reduce administrative burden, and improve the patient's financial experience.
Zotec Partners (Carmel, Ind.). Zotec Partners is the country’s largest, privately held provider of patient engagement, revenue cycle and practice management solutions for healthcare practices and their patients. Supporting more than 120 million medical encounters annually, Zotec’s progressive technology solutions, data-driven tools and industry-leading client support transforms the financial capabilities for more than 21,000 healthcare providers nationwide. Our powerful revenue cycle resources enable patients with a more seamless and fulfilling bill care experience, leading to peak revenue optimization for healthcare providers.
Zync (Carrollton, Ga.). Zync has created the first Intelligent payer portal gateway built for healthcare. Zync enables health systems with secure control around the hundreds of employees who access payer portals daily and the ability to audit that access to ePHI. In addition, Zync delivers efficiency gains for those in revenue cycle by accessing all payer portals in one single application.