Medical Billing & RCM

154 tools

Revenue cycle management, medical coding AI, denial prevention.

Rising in Medical Billing & RCM

AI-Powered Claim Denial Management Services
5 Star Billing Services
Medical Billing & RCM
5 Star Billing Services provides AI-powered claim denial management to help healthcare providers reduce denials, accelerate reimbursements, and improve cash flow. They focus on identifying root causes, processing appeals, and offering denial-trend reports.
Customized based on specialty, claim volume, and service needs.
Staffingly Prior Authorization
Staffingly, Inc.
Documentation & Scribing
Staffingly provides AI-assisted automation and virtual assistants for healthcare practices, specializing in prior authorization, insurance verification, and revenue cycle management.
Starting at $399 per week per fte
Hyprtask
Elion Health
Medical Billing & RCM
Hyprtask is an AI-powered automation platform that manages and executes administrative and revenue cycle workflows for healthcare practices, including insurance eligibility verification, prior authorizations, claims submission, and AR follow-up.
Subscription-based, with a predictable monthly fee based on annual collections tier for full suite rcm. ar recovery is offered on a 'pay only when we recover' model.
NYX Health AI Prior Authorization Solution
NYX Health
Documentation & Scribing
NYX Health provides an AI-powered prior authorization solution, AVA, that integrates with existing EHRs to streamline the authorization process, reduce denials, and improve revenue cycle performance for healthcare providers.

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Medical Billing & RCM tools, by specialty

Internal Medicine (111) Family Medicine (108) Hospital Medicine (62) General Surgery (20) Pediatrics (15) Emergency Medicine (8) obstetrics-gynecology-ai (7) Radiology (7) Cardiology (6) dental-ai (5) Endocrinology (5) mental-health-ai (5) radiology-imaging-ai (5) surgical-ai (5) dermatology-ai (4) gastroenterology-ai (4) oncology-ai (4) ophthalmology-ai (4) behavioral-health (3) cardiology-ai (3) endocrinology-metabolic-ai (3) Geriatrics (3) neurology-ai (3) Obstetrics & Gynecology (3) primary-care (3) Dentistry (2) general-practice (2) Laboratory Medicine (2) Orthopedics (2) Pathology (2)
Entropy (by Elion)
Elion
Medical Billing & RCM
Entropy is an AI platform used in specialty healthcare operations to automate patient intake and revenue cycle workflows. It provides document classification and referral triage, verifies insurance eligibility, and submits and manages prior authorization requests and denial follow-up while supporting human-in-the-loop review for clinical accuracy.
Paid, with a free trial
Experian Health AI Advantage
Experian Health
Medical Billing & RCM
Experian Health AI Advantage uses AI and machine learning to predict and prevent denials, automate reviews, and improve front-end accuracy for faster reimbursement, ultimately strengthening financial performance for healthcare organizations.
Enterprise pricing model, not publicly disclosed.
Fathom Medical Coding Automation
Fathom
Medical Billing & RCM
Fathom is an autonomous medical coding platform that uses AI to automatically code charts directly to billing, aiming to reduce costs, increase accuracy, and mitigate audit risk for healthcare organizations. It supports a wide range of healthcare providers and payers with high automation rates and accuracy.
Per-encounter pricing with volume tiers
FinThrive Revenue Optimization
FinThrive
Medical Billing & RCM
FinThrive Revenue Optimization uses AI to streamline healthcare revenue cycle management, automating tasks like prior authorizations, predicting cash flows, and preventing denials to improve financial performance for providers.
Contact for pricing
Flexbone AI Denials Management
Flexbone AI
Medical Billing & RCM
Flexbone AI offers an AI-powered administrative automation platform designed to streamline healthcare contact center operations and revenue cycle management. Their AI agents automate tasks like prior authorization, insurance eligibility verification, referral coordination, patient intake, call routing, and denials management.
ForeSee Medical Risk Adjustment
ForeSee Medical
Documentation & Scribing
ForeSee Medical's risk adjustment software uses proprietary disease algorithms and machine-learned natural language processing to rationalize patient data, discover diseases from text notes, and empower with HCC risk adjustment support.
Paid
Fuse Insight
Elion Health
Medical Billing & RCM
Fuse Insight is an automation platform for healthcare providers that focuses on patient intake, insurance verification, and price transparency. It integrates with existing EHR systems to automate the collection of insurance and payment details, complete HIPAA-compliant forms, and perform real-time insurance verification at the CPT code level.
Generative AI for Healthcare Revenue Cycle
AKASA
Medical Billing & RCM
AKASA offers generative AI solutions for the healthcare revenue cycle, utilizing AI trained on clinical and financial data to reduce denials, improve margins, and increase revenue for health systems. It provides tools for prebill optimization, coding, CDI, AI-powered assistance, and automated authorization and claim status checks.
Contact for pricing
Gosourcemd
GoSourceMD
Medical Billing & RCM
GoSourceMD provides comprehensive Revenue Cycle Management (RCM) services, including medical billing, coding, and denial management, to help healthcare practices improve cash flow and financial performance. They utilize technology and experienced professionals to streamline operations, reduce administrative burdens, and ensure HIPAA compliance.
Healthcare Interoperability Cloud
Edifecs
Developer Tools & APIs
Edifecs Healthcare Interoperability Cloud is a cloud-native, AI-powered platform combining EDI, FHIR, and Smart Trading for seamless healthcare data exchange, compliance, and value-based care.
Contact for pricing
Healthicity
Healthicity
Legal, Compliance & Security
An all-in-one Governance, Risk, and Compliance (GRC) and auditing platform for healthcare, focusing on billing integrity and HIPAA compliance.
Starts at $500/month
HealthOrbit AI
HealthOrbit AI
Documentation & Scribing
HealthOrbit AI offers an AI-powered scribe solution specifically designed for gynecologists to automate note-taking, streamline documentation, and enhance clinical efficiency.
Contact for pricing
Heartvue.Proton
Heartvue.ai
Cardiology AI
Heartvue.ai provides AI-powered software for automating cardiac MRI analysis and optimizing echocardiography documentation and revenue.
HelloNote EMR
HelloNote
Documentation & Scribing
HelloNote EMR offers AI-driven solutions specifically for therapy practices, including AI-powered documentation tools, smarter billing, and patient engagement features.
Hyprtask
Elion Health
Medical Billing & RCM
Hyprtask is an AI-powered automation platform that manages and executes administrative and revenue cycle workflows for healthcare practices, including insurance eligibility verification, prior authorizations, claims submission, and AR follow-up.
Subscription-based, with a predictable monthly fee based on annual collections tier for full suite rcm. ar recovery is offered on a 'pay only when we recover' model.
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