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.

100 companies also tagged with Medical Billing & RCM →

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)
OmniMD AI Suite (AI Clinician + AI Front Desk + AI RCM + RPA for Biller)
OmniMD
Documentation & Scribing
OmniMD AI Suite provides AI-powered solutions for medical practices, encompassing AI Clinician, AI Front Desk, AI RCM, and RPA for Biller, to automate and optimize administrative and clinical processes.
Contact for pricing
OmniMD Pre-Authorization
OmniMD
EMR / EHR Systems
OmniMD's Pre-Authorization services aim to ease the process of ensuring insurance coverage for medical procedures, automating insurance verifications, handling approvals, and ensuring compliance with payer requirements. This AI-driven platform is designed to reduce prior authorization turnaround times from an average of 10 business days to approximately 2 hours for eligible procedures. It integrates with EHR, RCM, PMS, and RPM systems, tracking every request from submission to resolution with complete audit trails and role-based access controls.
Subscription-based
Optum (Change Healthcare)
Optum (Change Healthcare)
EMR / EHR Systems
Optum (Change Healthcare) offers enterprise-grade tools targeting providers and hospitals, with various solutions for healthcare systems. The company emphasizes HIPAA compliance and EHR integration. Optum aims to simplify and connect core clinical, administrative, and payment processes in healthcare through technology and data analytics.
Osplabs (AI Denial Agent)
Osplabs
Medical Billing & RCM
Osplabs offers an AI Denial Agent that prevents and resolves denials, performs root cause analysis, and automates claim processing for high-volume providers and RCM firms.
Patient Access Curator™
Experian Health
Medical Billing & RCM
Patient Access Curator™ is an AI-powered solution from Experian Health that helps prevent claim denials by validating demographics, eligibility, insurance discovery, coordination of benefits (COB), and MBI in seconds, integrating directly into existing workflows and host systems like Epic.
Contact for pricing
Penguin AI
Elion Health
Medical Billing & RCM
Penguin AI is an AI platform used in provider and payer revenue cycle and prior authorization workflows. It provides task-specific digital workers and pre-trained clinical language models that process prior authorization requests, scrub claims and support billing review, and triage denials while drafting appeals.
Penguin AI (by Elion)
Elion
Medical Billing & RCM
Penguin AI is an AI platform used in provider and payer revenue cycle and prior authorization workflows. It provides task-specific digital workers and pre-trained clinical language models that process prior authorization requests, scrub claims and support billing review, and triage denials while drafting appeals.
Subscription-based
Plutus Health AI Chatbot Solutions
Plutus Health
Medical Billing & RCM
Plutus Health offers AI chatbot solutions to streamline healthcare billing and coding complexities, handling routine RCM processes with precision and accelerating the overall process.
PMMC
PMMC
Medical Billing & RCM
PMMC provides high-value revenue cycle software and services to improve the financial performance of healthcare organizations. Their software and expertise focus on payment accuracy and identifying more revenue opportunities across the revenue cycle, helping hospitals identify underpayments and denials, increase price transparency, and manage bundled payments.
Contact for pricing
PracticeAdmin
PracticeAdmin
Medical Billing & RCM
PracticeAdmin is a cloud-based medical billing and practice management solution that offers efficient and cost-effective patient scheduling and complex medical billing, integrating with leading EMR and EHR systems.
Paid
Pre-Auth AI
Jade Global
Medical Billing & RCM
Jade Global's Pre-Auth AI solution automates prior authorization processes, aiming for 95% accuracy in claim submissions and a 50-60% reduction in process time, ultimately enhancing patient care and revenue cycle management.
Custom
Prophix One
Prophix
Medical Billing & RCM
Prophix One is a financial performance management solution that helps healthcare organizations, including physician practices, with budgeting, forecasting, and financial reporting by connecting clinical operations to financial foresight.
Contact for pricing
Prosper AI
Prosper AI
Medical Billing & RCM
Prosper AI provides HIPAA-compliant AI voice agents that automate patient access and revenue cycle management, including scheduling, billing, and prior authorizations, for healthcare practices and systems.
Paid/enterprise
Protego Health
Protego Health
Medical Billing & RCM
Protego Health is an AI-powered denial prevention and appeals platform that reviews claims pre-submission against payer policies and generates appeal drafts post-denial.
Enterprise
ProviderVault
ProviderVault
Credentialing & Enrollment
ProviderVault is an AI-powered platform that automates provider credentialing, payer enrollment, and continuous sanctions monitoring, ensuring compliance and reducing administrative burden for healthcare organizations.
Custom quote based on provider count, payer mix, tier (essentials, professional, practice+), and implementation work.
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