Medical Billing & RCM tools for Hospital Medicine

62 medical billing & rcm tools built for Hospital Medicine physicians.

ibl.ai

Clinical Decision Support & Reference

ibl.ai provides an Agentic AI Operating System for healthcare, allowing organizations to deploy HIPAA-compliant AI agents for clinical support, coding, and operations on their own servers. The platform offers full code and data ownership, is model-agnostic, and supports various deployment options including on-premise and air-gapped environments.

Paid

ENDOMATICS

EMR / EHR Systems

ENDOMATICS unifies OPD, IPD, Emergency, and Billing into one beautifully cohesive, adaptive operating system, replacing disconnected systems with real-time clinical intelligence.

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

Waystar (Auth Accelerate)

Waystar

Medical Billing & RCM

Waystar provides AI-powered revenue cycle management solutions, including Auth Accelerate for prior authorization, to simplify healthcare payments and improve operational efficiency for providers.

101 GenAI

Medical Billing & RCM

101 GenAI is an AI tool that audits clinical and operational interactions to maximize care quality, patient satisfaction, and financial outcomes for providers and payers.

Contact for pricing

Marvix AI

Documentation & Scribing

Marvix AI is an AI-powered medical assistant that automates clinical documentation, coding, and administrative workflows for specialty care, offering personalized notes, AI summaries, and deep EHR integration.

Paid plans available

Waystar Enterprise Solution

Waystar

Medical Billing & RCM

Waystar's Enterprise Solution provides AI-powered revenue cycle management for hospitals and health systems to simplify healthcare payments and improve financial performance.

Custom pricing

Kyron Medical Denial Intelligence

Kyron Medical

Medical Billing & RCM

Kyron Medical Denial Intelligence is an AI tool designed to help providers and hospitals manage and reduce medical claim denials. The tool aims to optimize the revenue cycle by leveraging artificial intelligence.

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

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.

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

IntelliCare

InterSystems

Documentation & Scribing

InterSystems IntelliCare is an enterprise-grade EHR system with integrated generative AI to streamline clinical workflows and enhance patient care.

OmniMD AI Scribe

OmniMD

Documentation & Scribing

OmniMD provides a comprehensive suite of AI tools for physicians, including an AI Scribe for automated documentation, AI Front Desk for patient management, and AI RCM for revenue cycle optimization.

Starting at contact [email protected]. per provider.

CuraQt

Medical Billing & RCM

CuraQt is an AI-powered prior authorization platform that automates preparation, submission, tracking, and denial management for healthcare providers, aiming for 2026 compliance.

Paid

Advanced Data Systems (ADS) MedicsCloud AI

Advanced Data Systems (ADS)

Medical Billing & RCM

Advanced Data Systems (ADS) MedicsCloud AI offers an AI Rules Engine within MedicsCloud to optimize billing, claims processing, and payment workflows, proactively reducing denials and improving cash flow.

Starting at $350.00 one time

CERTIFY Health (Meditech Integration)

CERTIFY Health

Medical Billing & RCM

CERTIFY Health offers Meditech integration to enhance patient intake, scheduling, and revenue workflows through pre-check-in, digital patient intake, and automated insurance verification. The platform provides a comprehensive suite of solutions for digital patient onboarding, biometric authentication, journey mapping, scheduling, communication, and payments.

Contact for pricing

Olive AI

Waystar

Medical Billing & RCM

Waystar is a cloud-based healthcare revenue cycle management platform that offers end-to-end solutions to simplify revenue cycle workflows. It leverages AI-powered software to elevate productivity and precision, helping healthcare organizations achieve financial and operational success.

Custom

Adonis

Medical Billing & RCM

Adonis is an AI-powered platform that identifies revenue risk early and automates resolution across denials, delays, and payer friction to transform healthcare billing.

Contact for pricing

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.

StrataJazz Predictive Analytics

Strata Decision Technology

Medical Billing & RCM

StrataJazz Predictive Analytics uses advanced AI and healthcare-specific data to provide early visibility into financial and operational performance, enabling proactive decision-making for healthcare finance leaders.

Contact for pricing

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

Cotiviti Healthcare Analytics Solutions

Cotiviti

Medical Billing & RCM

Cotiviti provides analytics-driven payment accuracy solutions, risk adjustment, quality and Stars programs, and engagement solutions for healthcare payers, health systems, government programs, and retailers. They utilize advanced technology and data analytics, including AI, to help clients optimize financial and clinical performance, uncover cost savings, and improve patient outcomes.

Contact for pricing

CognitiveHealth iCAN™

CognitiveHealth Technologies

Medical Billing & RCM

CognitiveHealth's iCAN™ platform leverages advanced AI technology to revolutionize eligibility verification and denial management processes, addressing some of the most persistent challenges in medical billing.

Contact for pricing

SmarterDenials by SmarterDx

SmarterDx

Medical Billing & RCM

SmarterDenials by SmarterDx is an AI-powered tool that helps hospitals efficiently appeal denied insurance claims by analyzing patient records and generating evidence-backed appeal letters.

Contingency-based

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More for Hospital Medicine:

Clinical Decision Support & Reference (96) Documentation & Scribing (72) Practice Management & Scheduling (58) Patient Engagement & Education (48) Practice Analytics & BI (45) Prior Authorization (42) Population Health Analytics (39) Legal, Compliance & Security (37) Developer Tools & APIs (33) Triage & ER/ICU AI (31) EMR / EHR Systems (29) General Productivity (AI Assistants) (28)