Medical Billing Software

Get the best medical billing software for your business. Compare product reviews, pricing below. Read our buyer’s guide for more help.

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Popular Products

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athenaCollector Screenshot
athenaCollector
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Conventional medical billing systems give you just software. athenaCollector delivers more, combining cloud-based software, networked intelligence, an efficient workflow and back-office services. Experts take on your most time-consuming tasks, like claim…
Client OS
Deployment
Cloud Hosted
CollaborateMD Screenshot
CollaborateMD
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★★★★★
(5)
CollaborateMD is a cloud-based medical billing software that helps your claims get to the medical insurance payer as quick as possible. The solution works best for small to medium sized practices due to the affordable price and ease-of-use. Real-time…
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Starting Price
$179/month
Client OS
Web
Deployment
Cloud Hosted
Kareo Billing Screenshot
Kareo Billing
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★★★★★
(5)
Kareo Billing is a medical billing software and practice management solution. The system is designed to support all your in-house billing with a web and mobile application that lets you easily manage patients and take care of billing insurance. Some of…
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Starting Price
$80/month/user
Client OS
Web
Deployment
Cloud Hosted
NueMD Screenshot
NueMD
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★★★★★
(4)
Welcome to NueMD, your complete Internet-based medical billing software solution. The easy-to-use, affordable online medical billing software will help you better serve your clients by shortening their reimbursement cycles, increasing efficiencies within…
Client OS
Web
Deployment
Cloud Hosted
e-RBT Screenshot
e-RBT
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★★★★★
(2)
Resident Billing and Trust automates the process of billing and recording payments for resident accommodations, recurring charges, and incidental charges. Monthly accommodation charges are generated automatically for each resident based on user-defined…
Client OS
Web, Windows
Deployment
Cloud Hosted
Intellect Screenshot
Intellect
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★★★★★
(3)
Accurate and efficient billing operations positively impact financial performance and result in optimized cash flow. With Prime Clinical’s advanced medical billing software, you have access to easy-to-use tools that provide full control over the billing…
Client OS
Windows
Deployment
Cloud Hosted
PDS MDsuite Screenshot
PDS MDsuite
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(1)
PDS MDsuite by PDSMED outperforms competing systems. First and foremost, it’s easier to use. Its streamlined, time-saving components and integrated features help ensure that you capture all the charges insurance companies will reimburse. Your MDsute…
Starting Price
$49/month
Client OS
Web, Windows
Deployment
Cloud Hosted
Affinity ERP Screenshot
Affinity ERP
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(2)
Harris Healthcare maximizes cash flow for small and medium sized hospitals, healthcare systems and large physician and long-term care organizations with comprehensive ERP, Decision Support, Patient Self-Service, and Revenue Cycle Management software and…
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Starting Price
$1,800/year
Client OS
Web, Windows
Deployment
Cloud or On-Premises
Lytec Screenshot
Lytec
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(2)
Lytec 2019 is a medical practice management solution providing medical billing and office workflow optimization. Lytec Practice Management is ANSI 5010 compliant, and can manage the scheduling, billing, and revenue management of your practice. Lytec 2019…
Price Range
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Starting Price
$69/month
Client OS
Web
Deployment
Cloud Hosted
AdvancedPM Screenshot
AdvancedPM
★★★★★
★★★★★
(4)
AdvancedPM from AdvancedMD is a complete practice management and medical billing software for private practices and billing services. The solution provides front office functionality, billing software, and reporting capabilities. AdvancedMD PM also lets…
Client OS
Windows
Deployment
On-Premises
ImaginePay Screenshot
ImaginePay
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(1)
The ImagineiPay application is a web-based portal that oversees multiple user functions, reducing both time and effort for not only the patient, but also your administrative staff. Interacting specifically with the Imagine Suite, iPay allows patients to…
Client OS
Web
Deployment
Cloud Hosted
Clinic Pro Medical Software Screenshot
Clinic Pro Medical Software
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(3)
Clinic Pro medical practice management software includes comprehensive patient data, insurance coverage, appointment scheduler, management reports, electronic or hard copy insurance claims, plain paper insurance statements or emailed patient statement…
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Starting Price
$4,995 (perpetual license)
Client OS
Windows
Deployment
On-Premises
PrimeEnterprise Screenshot
PrimeEnterprise is used by organizations, such as Management Service Organizations (MSO), Billing Services and Ambulatory Surgery Centers, that need autonomy and separation among practices, while managing operations from a centralized location. Other…
Client OS
Deployment
On-Premises
ManageMed Screenshot
Medical organizations are often faced with the daunting task of managing numerous receivables. With ManageMed, specifically designed for both insurance and self-pay accounts, collecting those receivables is a much more efficient process. Upon purchasing…
Client OS
Windows, Mac
Deployment
On-Premises
AltaPoint Veterinary Screenshot
Everything you need in one easy, integrated program. AltaPoint combines billing, inventory, scheduling, reminders, clinical records, and many other features in one system. Friendly and intuitive. AltaPoint has been carefully designed to put your practice…
Client OS
Windows
Deployment
On-Premises
Sales Order Medical Screenshot
Sales Order module allows you to do medical service billing with in SL. Enter Invoice with Dr and CPT information, payments and credits all on the same screen. Invoice and Payments then post to AR for updating customer history. This is an Enhancement…
Client OS
Deployment
On-Premises
MedicsCloud Suite Screenshot
MedicsCloud Suite
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(1)
MedicsCloud Suite is an integrated EHR software and medical practice management solution for all of your medical care needs. The EHR and financial/management capabilities can work together as a unified solution or be implemented as stand-alone options…
Client OS
Web, iOS, Android
Deployment
Cloud Hosted
PrognoCIS Screenshot
PrognoCIS is an electronic health records (EHR) and EMR software solution for your medical practice. The cloud-based software can be tailored to your specific needs while being HIPAA-compliant. PrognoCIS is a suite of tools that you can purchase…
Price Range
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Starting Price
$250/month
Client OS
Web, Windows, iOS, Android
Deployment
Cloud or On-Premises

We searched and searched, but we couldn’t find any products in our database that match your criteria. Perhaps our team of software experts can help? They’d be happy to provide a list of free medical billing software recommendations that meet your exact requirements.

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Medical Billing Software Buyer’s Guide

What is Medical Billing Software?

Medical billing software is a highly-specialized accounting solution for generating and submitting payment invoices to patients and their health insurance companies. These invoices, known as claims, use special HIPAA-compliant codes to indicate different procedures, diagnostics, and medications provided to the patient. Each code is then run through the software to determine the total price of the patient’s bill. Healthcare facilities from single-doctor practices to hospitals all rely on medical billing software to accurately generate claims and collect payments.

Claims are usually sent either directly to the patient or to their insurer (the payer). In some situations the claim will first go to an organization like Medicare or Medicaid. Medical billing softwares allows you to send the initial claim to the correct payer for processing.

Medical billing software differs from hospital management software because it’s designed for the unique third-party payment problems of the healthcare industry. This solution makes it easy for your front office to address HIPAA-compliance, copays, insurance companies, and collection agencies.

Medical Billing Software Features

  • Electronic Claim Generation: Create and submit electronic patient statements and claims to health insurance companies.
  • Claims Processing: Track active claims and process incoming payments automatically.
  • Collections Follow-Up and Reminders: Receive timely updates whenever a claim moves to collections or needs follow-up on your end. Remain in contact with collection agencies as they try to collect payment.
  • Automated Recurring Charges: Bill long-term and repeated care services on a monthly or weekly basis.
  • Payment Posting: Once a patient or insurance company has paid a claim you’ll know about it. Accurately update accounts receivable to keep your general ledger balanced. Send electronic remittance advice in a timely manner based on payment date.
  • Self-Pay Patient Portals: Promote patient engagement by allowing direct access to account information online in order to make payments. Securely process credit card payments or money transfer from banks.
  • Basic Accounting: Use a general ledger (GL) to track A/R patient and insurance charges.
  • Code Engine: Current database of popular billing codes like: DRGs, HCCs, APC, ASC, NDCs, GPIs, ICD-9, ICD-10, CPT, and HCPCS. These codes are automatically updated over time to better reflect patient data.
Kareo Billing Analytics
Review billing analytics with Kareo Billing.

Medical billing software has many benefits for healthcare centers:

Revenue Cycle Management for Streamlined Payments

Healthcare practice management is hard enough without having to juggling late or missing patient payments. If your billing system isn’t managed online you’re making more work for yourself. One way to improve your medical billing is to use a Revenue Cycle Management (RCM) module to automate payment processing.

RCM solutions track all patient interactions in the billing process from appointments to final payment. You can provide better patient care by keeping accurate records of their medical bills. You’ll have the ability to follow-up on their insurance claim submissions and denial management if necessary.

When there are medical disasters, like a pandemic, manually tracking patient payments on paper may lead to a lot of mistakes. Use an RCM tool to stay on top of invoices and payments even when dealing with an influx of patients.

HIPAA Compliant Payment Processing

Medical billing codes were created, in part, to make it easier to distribute patient information without sharing their personal, private medical records to third-party organizations. By using codes, a billing solution only shares a price with clearinghouses, insurance companies and collection agencies.

Medical codes keep the electronic health records (EHR) of patients secure. Make sure to use HIPAA compliant accounting software to manage the rest of your healthcare finances. This includes sending electronic remittance advice to confirm patient or insurance payment.

In-House Medical Bill Scrubbing Saves Money

Healthcare clearinghouses check over medical claims from the biller before they are sent to patients or insurance companies. Their job is to ensure each claim is free from common errors like upcoding by “scrubbing” the invoice. Once clear, the claim is then submitted to insurers in a compatible format.

If any errors are found by the insurance company the claim submission may be denied or rejected. You’ll have to submit a new, corrected claim if you want to get paid. Scrubbed claims cut down on the amount of times a claim might be rejected by insurers.

If your healthcare facility wants to avoid using a clearinghouse, consider using a medical billing software to scrub your claims yourself. Cutting out the clearinghouse can save you time and lower your operating costs as claims go directly to patients and insurers. Integrate your billing solution with a hospital accounting software to cover all your finances.

CollaborateMD Claim Review
Review and scrub claims with CollaborateMD.

Instant Account Access Anywhere

Need to check a claim status while out of the office? Meeting with an insurance company to discuss a rejected claim? Mobile medical billing software lets you access information anywhere you go. You can get real-time updates on claims and collections before making any changes to a patient file.

athenaCollector Patient Hold Information
View patient payment information while on the go by using athenaCollector.

Medical Billing Codes

Different billing codes are used to indicate what condition a patient was diagnosed with, what treatments they received, where they were treated, and any medications they were prescribed. Every code has a cost associated with it.

The main types of medical billing codes are:

  • Diagnostic codes: These codes classify the disease, injury, or disorder diagnosed by a medical professional. The most popular diagnostic codes are ICD-9-CM and ICD-10 including ICD-10-CM.
  • Procedural codes: These codes refer to specific medical practices used during appointments. This can range from in-office procedures to surgical interventions. The main examples are CPT, HCPCS, ICPM, and ICHI
  • Pharmaceutical codes: These are the codes which correlate to a specific medication, either by type or brand. Commonly used pharma codes are ATC and NDC.
  • Topographical codes: These codes indicate the specific spot on the body treated or diagnosed. ICD-O and SNOMED are the main types of topographical codes.

Medical billing software is designed to keep all these different types of codes organized so doctors, nurses, and other staff can accurately charge patients for services.

NueMD Insurance Codes
Enter medical insurance codes with NueMD.

Pain Points of Medical Billing

While medical billing is supposed to make healthcare easier to afford, there are a few problems:

Dealing with Insurance Companies

Insurance billing isn’t easy. Insurers want to avoid making large reimbursement payouts to patients and their healthcare providers. They’ll look for any error in a medical claim in order to outright reject it. By using medical billing software you have the chance to scrub every claim for errors before submittal.

Medical codes can be super specific to streamline the submission and acceptance process. There are already codes for injury from spacecraft collisions! Use billing software to make your patient claims as precise as possible to increase acceptance rates from insurers.

Dealing with Patients

Patients don’t know a lot about medical billing codes. If they don’t understand something on their bill, they’re likely to question the final price. For example, a patient who was diagnosed with the common cold might not know what “J00 acute nasopharyngitis” means on their bill. They might assume the bill was sent in error and refuse to pay. Accurate coding helps patients understand their electronic medical records (EMR).

Electronic billing also cuts down on the time between patient treatment and claim submission. Instead of receiving a bill months after receiving a service, the turnaround time can be narrowed down to days or weeks. Patients are more likely to dispute a charge if they can no longer remember the details of their appointment. The faster your medical billing service, the likelier patients are to pay.

Dealing with Medical Staff

Finally, your healthcare workers can be the source of the problem. Data entry errors are very common, especially during long shifts. All it takes is typing a 0 instead of a 9 to wind up with an incorrect claim that’ll be rejected by insurance. Scrubbing applications check over codes before they’re sent, helping doctors, nurses, and administrative staff catch errors early. And an electronic billing service stores patient records automatically for simple review whenever you need it.

Intellect Digital Document Signing
Sign documents digitally with the Intellect software solution.
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