17 Best Medical Billing Software Reviewed for 2025
10 Best Medical Billing Software Shortlist
Here's my pick of the 10 best software from the 17 tools reviewed.
Our one-on-one guidance will help you find the perfect fit.
The path to timely reimbursement can be winding, but with the right web-based medical billing system, the journey becomes significantly smoother. Medical billing software solutions are designed to interact seamlessly with EHR software and are meticulously built to be HIPAA-compliant. They act as a linchpin in medical offices, managing patient records and turning them into receivables.
The right medical billing software solution does more than just send invoices. A good system supports secure messaging, offers a mobile app for on-the-go access, and encourages patient engagement. Here are my picks for the best medical billing software right now.
Best Medical Billing Software Summary
| Tool | Best For | Trial Info | Price | ||
|---|---|---|---|---|---|
| 1 |  CollaborateMD CollaborateMD's dashboard | Best for comprehensive revenue cycle management | Free demo available | From $279/user/month | Website |
| 2 |  AllegianceMD A patient prescription page in AllegianceMD | Best for AI-driven medical billing | Free demo available | From $850/user/month | Website |
| 3 |  TotalMD A snippet of TotalMD's calendar | Best for scalable solutions from single users to large networks | Not available | From $99/user/month. | Website |
| 4 |  Billings Pro Billings Pro's dashboard on PC and mobile | Best for Mac users seeking intuitive design | Not available | From $10/user/month. | Website |
| 5 |  CharmHealth CharmHealth's patient calendar | Best for integrated EHR and practice management | Not available | From $15/user/month, (billed annually). | Website |
| 6 |  EZClaim EZClaim's claim list feature | Best for simplifying complex billing procedures | Not available | From $125/user/month | Website |
| 7 |  Mobile Mediclaim Mobile Mediclaim's website homepage | Best for on-the-go billing and claims | Not available | From $12/user/month. | Website |
| 8 |  MEDISOFT A Patient Summary page from Medisoft Software | Best for advanced patient accounting features | Not available | From $69/user/month. | Website |
| 9 |  Billiyo Billiyo's scheduling page | Best for home health agencies and therapy providers | Not available | From $149/user/month. | Website |
| 10 |  Easy Billing Professional Easy Billing's Professional claims and invoices feature | Best for customizable invoicing and payment tracking | Not available | From $10/user/month. | Website |
Best Medical Billing Software Reviews
Here are my recommendations for the bests medical billing software, including what each does well, screenshots of the UI, key features, and pros & cons.
CollaborateMD is a robust cloud-based solution designed to manage the financial aspects of healthcare practices. This tool is equipped to handle the full spectrum of the revenue cycle, hence earning its place as best for comprehensive revenue cycle management.
Why I Picked CollaborateMD: I picked CollaborateMD because it provides a comprehensive solution to revenue cycle management, with impressive features ranging from insurance verification to claim to scrub. Its specialization in end-to-end billing and revenue cycle management ensures that it's an optimal choice for practices that need a holistic tool to handle their financial processes.
Standout features & integrations:
Features include real-time eligibility checking, patient payment portals, and claim to scrub. These features ensure clean claim submissions and reduce denial rates, contributing to improved revenue health.
Integrations include numerous EHR and practice management systems, enhancing its ability to streamline the financial side of a practice.
Pros and cons
Pros:
- Real-time eligibility checking
- Robust claim scrubbing capability
- Comprehensive revenue cycle management
Cons:
- Interface can be overwhelming for new users
- No free trial available
- Higher entry price compared to other tools
AllegianceMD provides an AI-driven medical billing solution designed to optimize revenue cycle management for healthcare practices. It uses intelligent algorithms to automate various tasks such as code checking, claim scrubbing, and follow-ups.
Why I Picked AllegianceMD: I chose AllegianceMD due to its innovative use of AI in medical billing. This brings a level of automation and efficiency to revenue cycle management that sets it apart from most other options. I firmly believe AllegianceMD is the best for practices that want to leverage AI for improved billing processes.
Standout features & integrations:
Features include AI-driven claim scrubbing, automated code checking, and intelligent follow-ups.
Integrations include electronic health record (EHR) systems and practice management software, enhancing its functionality.
Pros and cons
Pros:
- Automated follow-ups
- Smooth integration with EHR systems and practice management software
- AI-driven features for improved efficiency
Cons:
- May not be ideal for smaller practices due to the cost
- Complexity of AI-driven features may have a steep learning curve
- Higher starting price compared to other tools
TotalMD is a medical billing tool that provides a comprehensive solution for practices of all sizes. It ensures efficient patient billing, claim submissions, and follow-ups, suitable for both individual providers and extensive healthcare networks.
Why I Picked TotalMD: In assessing various medical billing tools, I chose TotalMD due to its impressive scalability. It stands out in its ability to cater to varying practice sizes without compromising efficiency or features. Therefore, I consider TotalMD the best for users looking for a solution that can scale with their healthcare network growth.
Standout features & integrations:
Features include streamlined patient billing, simplified claim submissions, and automated follow-ups.
Integrations include EHR and practice management software, allowing for a seamless transition between systems.
Pros and cons
Pros:
- Smooth integration with EHR and practice management systems
- Simplified claim submissions and follow-ups
- Scalable solution suitable for any practice size
Cons:
- Training may be required to fully utilize all features
- Customer service responses can be slow at times
- The interface may seem outdated to some users
Billings Pro is a time-tracking and invoicing software that offers tools for tracking time, sending invoices, and monitoring project progress. Its elegant and intuitive design caters well to Mac users, making it an excellent choice for medical billing in this ecosystem.
Why I Picked Billings Pro: When choosing between different medical billing tools, I selected Billings Pro for its intuitive interface, specifically designed for Mac users. The seamless integration with the Mac operating system and other Apple devices makes it a standout choice. In my judgment, Billings Pro fits the description of 'best for' Mac users seeking an intuitive design due to its ease of use and clean interface.
Standout features & integrations:
Features include time tracking, project management, and invoice generation, all wrapped in a user-friendly design.
Integrations include most Apple devices, syncing data across Mac, iPhone, and iPad, which allows users to manage their tasks from any of these devices seamlessly.
Pros and cons
Pros:
- Robust features including time tracking and invoicing
- Smooth integration across Apple devices
- User-friendly design tailored for Mac users
Cons:
- The annual billing might not be suitable for all users
- Lacks some advanced features compared to other specialized medical billing tools
- Might not be the best fit for non-Mac users
CharmHealth is an all-in-one cloud-based platform designed for healthcare practices. Not only does it offer robust medical billing functionality, but it also integrates Electronic Health Records (EHR) and practice management within the same platform, a unique advantage for holistic practice management.
Why I Picked CharmHealth: I picked CharmHealth because it offers a comprehensive solution by integrating EHR and practice management, making it an invaluable tool for streamlining healthcare workflows. Its unified approach is what truly sets it apart. I believe CharmHealth is best for those seeking a single platform for managing patient care, billing, and administrative tasks in a more integrated manner.
Standout features & integrations:
Features include billing analytics, patient portal, and telehealth capabilities, offering a more patient-centered approach.
Integrations include its own ecosystem of EHR and practice management, providing a holistic view of the patient's journey from scheduling to billing.
Pros and cons
Pros:
- Competitive pricing
- Comprehensive set of features, including a patient portal
- Integrated EHR and practice management
Cons:
- Advanced features may require higher-tier plans
- Limited options for third-party integrations
- The user interface may take time to learn
EZClaim is a medical billing and scheduling software designed to streamline complex billing procedures. Its primary function is to automate and simplify these procedures, which typically makes it best for users who want to uncomplicate their billing processes.
Why I Picked EZClaim: I picked EZClaim for this list due to its comprehensive suite of tools that are purposefully designed to simplify intricate billing processes. The ability of this software to make complex procedures more manageable sets it apart from other similar tools. I judge that EZClaim is the best for simplifying complex billing procedures as it offers a balance of user-friendliness with sophisticated functionality.
Standout features & integrations:
Features include simplifying complex tasks via automated claim entry, comprehensive reporting, and patient statement processing.
Integrations include several electronic health records (EHR) systems, enhancing its functionality and making data management easier for users.
Pros and cons
Pros:
- Extensive features such as automated claim entry and comprehensive reporting
- Key integrations with various EHR systems
- Intuitive design that simplifies complex billing procedures
Cons:
- Lacks a free trial for users to test before purchasing
- The user interface might seem outdated to some users
- The starting price is relatively high compared to other options
Mobile Mediclaim provides a dynamic billing solution designed to keep up with the busy schedules of healthcare providers. The platform excels at enabling users to manage billing and claims efficiently and effectively from anywhere, at any time.
Why I Picked Mobile Mediclaim: I selected Mobile Mediclaim because it masterfully caters to healthcare providers who are always on the move. Its mobile-first approach to billing and claims management distinguishes it from the pack. This is why Mobile Mediclaim shines as the best tool for those needing a mobile-optimized solution for managing claims and billing processes.
Standout features & integrations:
Features include real-time claim status tracking and an automated billing system, all accessible from your mobile device.
Integrations include a range of EHR systems, ensuring seamless data flow and eliminating the need for duplicate data entry.
Pros and cons
Pros:
- Efficient EHR integrations
- Real-time claim status tracking
- Mobile-optimized for billing on-the-go
Cons:
- Requires stable internet connection for optimal usage
- Pricing could be high for small practices
- May lack some advanced features of desktop platforms
Medisoft offers a comprehensive medical billing solution with a key emphasis on advanced patient accounting. It streamlines financial processes for healthcare providers and offers detailed insights into patient accounts.
Why I Picked Medisoft: The decision to include Medisoft on this list came from its robust set of patient accounting features. Few software options can match its depth in this area, making it a clear standout. This makes Medisoft an ideal choice for healthcare providers seeking advanced accounting capabilities to manage their patient accounts efficiently.
Standout features & integrations:
Features include advanced patient accounting features, which include tracking patient balances, charge entry, and payment posting.
Integrations include seamless connections with major EHR systems, which ensure that all patient data is accessible and up-to-date.
Pros and cons
Pros:
- Streamlined financial management
- Integrates with major EHR systems
- Robust patient accounting features
Cons:
- Lack of a mobile application
- Higher starting price compared to other tools
- May be complex for new users
Billiyo is a robust medical billing tool specifically designed for home health agencies and therapy providers. With a focus on streamlining financial operations, it offers a comprehensive platform that combines billing, invoicing, and financial analytics to help these organizations manage their revenue cycle effectively.
Why I Picked Billiyo: Upon evaluating several medical billing tools, I chose Billiyo for its specific focus on home health agencies and therapy providers. Its customized features and workflows designed to address the unique needs of these organizations set it apart from generic medical billing tools. Therefore, I believe Billiyo is 'best for' home health agencies and therapy providers due to its specialized focus.
Standout features & integrations:
Features include electronic claim submissions, detailed financial analytics, and efficient billing cycles.
Integrations include a variety of EHR systems, enabling data flow between platforms and reducing manual data entry.
Pros and cons
Pros:
- Streamlines billing cycles to ensure timely payments
- Offers detailed financial analytics for better decision making
- Tailored to the needs of home health agencies and therapy providers
Cons:
- The cost may be higher compared to some other medical billing tools
- Interface may require a learning curve for some users
- May not be suitable for practices outside of home health and therapy services
Easy Billing Professional is a medical billing software that prioritizes customization and payment tracking. Its aim is to provide users with an easy-to-use platform to customize invoices and follow payment progress, making it the top choice for those who value customization and detailed tracking of payments.
Why I Picked Easy Billing Professional: I selected Easy Billing Professional because its emphasis on customizable invoicing and payment tracking sets it apart from other tools. In my opinion, the ability to personalize invoices and closely track payments can significantly enhance the billing experience. Therefore, I determined that Easy Billing Professional is the best choice for those who require customizable invoicing and meticulous payment tracking.
Standout features & integrations:
Features include customizable invoicing templates, real-time payment tracking, and data analysis tools.
Integrations include popular payment gateways, which can be helpful for users to receive payments more efficiently.
Pros and cons
Pros:
- Integrations with popular payment gateways
- Real-time payment tracking enhances the billing experience
- Provides customizable invoicing templates
Cons:
- Lacks integration with some popular accounting software
- Limited customer support options
- The user interface might be overwhelming for new users
Other Medical Billing Software
Below is a list of additional medical billing software that we shortlisted but did not make it to the top list. Definitely worth checking them out.
- Visolve Medical Billing Module
For interoperability and flexibility
- Kareo Billing
For small to mid-sized practices
- PulsePro Practice Management
Good for optimizing medical practice operations
- Mendable
Good for facilitating physical therapy at home
- PatientClick Suite
Good for integrating EHR and telemedicine
- Cortex EDI
Good for simplifying the claims process
- AMS Ultra Charts
Good for robust EMR functionality
Medical Billing Software Selection Criteria
Selecting medical billing software involves evaluating functionality and meeting specific use cases that matter most to medical practices. Criteria relate to specific software buyer needs, pain points, and the software's intended use.
Core Medical Billing Software Functionality - 25% of total weighting score:
- Claims processing
- Patient invoicing
- Payment tracking
- Reporting and analytics
- Insurance verification
- Integration with medical billing codes
Additional Standout Features - 25% of total weighting score:
- Integration with Electronic Health Records (EHR)
- Automated reminders for patients
- Customizable reporting tools
- Mobile access for on-the-go management
- AI-driven analytics for predictive insights
Usability - 10% of total weighting score:
- Intuitive user interface
- Drag-and-drop functionality for scheduling
- Easy navigation with minimal clicks
- Customizable dashboards
- Clear and concise error messages
Onboarding - 10% of total weighting score:
- Availability of training videos
- Interactive product tours
- Chatbots for instant support
- Webinars for in-depth training
- Pre-built templates for quick setup
Customer Support - 10% of total weighting score:
- 24/7 support availability
- Multiple support channels (phone, email, chat)
- Dedicated account managers
- Comprehensive knowledge base
- Fast response times
Value For Money - 10% of total weighting score:
- Transparent pricing models
- Flexible subscription plans
- No hidden fees
- Discounts for long-term commitments
- ROI potential based on feature set
Customer Reviews - 10% of total weighting score:
- Overall satisfaction ratings
- Feedback on ease of use
- Comments on customer support quality
- Insights on feature effectiveness
- User testimonials on ROI and value
Trends For Medical Billing Software
Medical billing software is evolving rapidly. Here are some key trends to watch.
AI-Powered Automation
AI is increasingly used to automate billing processes. This reduces human error and speeds up payment cycles. It is crucial for improving efficiency.
Blockchain for Security
Blockchain technology is being adopted for secure transactions. It ensures data integrity and transparency. This is vital for protecting patient information.
Cloud-Based Solutions
Cloud-based billing systems are gaining popularity. They offer scalability and remote access. This is important for practices of all sizes.
Telehealth Integration
Billing software is integrating with telehealth platforms. This simplifies billing for virtual visits. It is essential as telehealth continues to grow.
Predictive Analytics
Predictive analytics are being used to forecast billing trends. This helps practices manage cash flow better. It is important for financial planning.
These trends are shaping the future of medical billing software. I suggest learning medical billing and coding through specialized courses to maximize the efficiency of your chosen billing software.
What Is A Medical Billing Software?
Medical billing software serves as a pivotal tool in the healthcare industry, streamlining the complex process of tracking patient treatments, coding and billing insurance claims, and managing payments. It integrates technology with healthcare economics to enable accuracy, efficiency, and profitability.
Typically utilized by healthcare providers, medical practitioners, and administrative staff, these software programs aid in minimizing human error, reducing administrative workload, and improving cash flow. It covers a broad range of functions, including patient registration, appointment scheduling, electronic medical records (EMR), insurance eligibility checks, medical coding, charge entry, claim submission, payment posting, and reporting.
A skilled medical accounts coordinator can significantly improve the way billing software is used to manage patient payments.
Features Of Medical Billing Software
Before selecting the best software, it’s crucial to have a clear explanation of medical billing needs.
Medical billing software is essential for healthcare providers to manage their billing processes efficiently. Here are the most important features to look for in medical billing software:
- Automated Claims Processing: This feature ensures that claims are submitted quickly and accurately, reducing the chances of errors and speeding up the reimbursement process.
- Patient Insurance Verification: Verifying patient insurance details in real-time helps avoid claim denials and ensures that the services provided are covered by the patient's insurance plan.
- Electronic Health Records (EHR) Integration: Seamless integration with EHR systems allows for easy access to patient records, improving the accuracy of billing and reducing administrative workload.
- Reporting and Analytics: Comprehensive reporting tools provide insights into financial performance, helping to identify trends and areas for improvement in the billing process.
- Payment Processing: Secure and efficient payment processing options ensure that payments are collected promptly, improving cash flow for the practice.
- Compliance Management: Keeping up with regulatory changes is crucial. Compliance management features help ensure that the billing process adheres to the latest healthcare regulations and standards.
- Denial Management: Effective denial management tools help identify the reasons for claim denials and provide solutions to address them, increasing the chances of successful resubmissions.
- Patient Portal: A patient portal allows patients to view their billing information, make payments, and communicate with the billing office, enhancing the patient experience and reducing administrative tasks.
- Customizable Templates: Customizable billing templates save time and ensure consistency in the billing process, making it easier to handle different types of claims.
- Customer Support: Reliable customer support is essential for resolving any issues that may arise with the software, ensuring that the billing process runs smoothly.
Choosing the right medical billing software with these features can significantly improve the efficiency and accuracy of your billing process, leading to better financial outcomes for your practice.
Benefits Of Medical Billing Software
Medical billing software has become an essential tool for healthcare providers and organizations, streamlining the billing process and improving overall efficiency. By automating various tasks and providing accurate data management, this software offers numerous advantages that can significantly enhance the operations of medical practices.
- Increased Efficiency: Medical billing software automates repetitive tasks, reducing the time and effort required for billing processes, allowing staff to focus on patient care.
- Improved Accuracy: By minimizing human errors in data entry and calculations, the software ensures more accurate billing, leading to fewer claim rejections and faster reimbursements.
- Enhanced Compliance: The software helps organizations stay compliant with the latest healthcare regulations and coding standards, reducing the risk of legal issues and penalties.
- Better Financial Management: With real-time access to financial data and reporting tools, medical billing software provides insights that help in making informed financial decisions and improving cash flow.
- Patient Satisfaction: Streamlined billing processes and clear, accurate billing statements improve the overall patient experience, leading to higher satisfaction and retention rates.
Adopting medical billing software can transform the way healthcare professionals manage their medical practice management, leading to increased efficiency, accuracy, and patient satisfaction. By leveraging these benefits, organizations can focus more on delivering quality care and less on administrative burdens.
Learn about the various categories of medical billing software and how they can improve your practice’s operations.
Costs And Pricing Of Medical Billing Software
This section provides an estimate of average medical billing services plans and costs. The pricing varies based on the type of plan and the features included.
| Plan Type | Average Price | Common Features |
|---|---|---|
| Free Plan | $0 | Basic billing, limited claims processing, basic reporting |
| Personal Plan | $30 - $100/month | Claims management, patient scheduling, basic reporting, limited support |
| Business Plan | $100 - $250/month | Advanced claims processing, integrated EHR, patient portal, comprehensive support |
| Enterprise Plan | $250 - $500+/month | Full suite of practice management, advanced analytics, custom integrations, 24/7 support |
Common Questions Regarding Medical Billing Software (FAQ's)
How can medical billing software improve the accuracy of claims processing?
Medical billing software can significantly enhance the accuracy of claims processing by automating the coding and submission processes. This reduces human error and ensures that claims are submitted with the correct codes and information. Additionally, many software solutions include built-in compliance checks that flag potential issues before submission, allowing for corrections to be made in real-time.
How much to charge as a medical billing specialist?
The rate a medical billing specialist charges varies based on experience, location, and certifications. Typically, entry-level specialists may charge around $18-$25 per hour, while more experienced professionals can command up to $35 per hour or more. To explore salary trends and how to price your services, visit this guide on medical billing specialist salary.
How does medical billing software handle insurance verification and eligibility checks?
Medical billing software often includes features for real-time insurance verification and eligibility checks. These tools can automatically verify a patient’s insurance coverage and eligibility for services before the appointment, reducing the likelihood of claim denials. This process typically involves connecting to insurance databases and retrieving up-to-date information on coverage limits, co-pays, and deductibles.
What kind of reporting and analytics features are available in medical billing software?
Advanced medical billing software solutions offer comprehensive reporting and analytics features. These tools can generate detailed reports on various aspects of the billing process, such as claim status, revenue cycle performance, and payment trends. Analytics features can help identify patterns and areas for improvement, enabling practices to make data-driven decisions to enhance their financial performance.
What are medical billing and coding deadlines by state?
State laws impact medical billing and coding deadlines, typically ranging from 30 to 90 days after service. Each state sets its own guidelines, so healthcare providers must verify local deadlines to avoid late submissions and claim denials.
How does medical billing software support compliance with healthcare regulations?
Medical billing software is designed to support compliance with various healthcare regulations, such as HIPAA and ICD-10. The software includes features like secure data encryption, access controls, and audit trails to protect patient information. Additionally, regular updates ensure that the software remains compliant with the latest regulatory changes, reducing the risk of non-compliance penalties.
Are there any free medical billing software options?
While there aren’t many entirely free medical billing software options due to the specialized functionality these tools provide, some vendors do offer free trials. This allows you to test the software before committing to a paid plan. Examples include Kareo and AdvancedMD.
Can medical billing software handle multiple specialties and practice sizes?
Yes, many medical billing software solutions are designed to be flexible and scalable, accommodating multiple specialties and practice sizes. These systems can be customized to meet the specific needs of different medical fields, from general practice to specialized care. They can also scale to support small practices, large clinics, and even multi-location healthcare organizations.
What are medical billing services?
Medical billing services are comprehensive solutions that handle the complex process of submitting, tracking, and following up on healthcare claims with insurance companies. These services ensure accurate coding, timely claim submissions, and efficient management of rejections or denials to help healthcare providers receive proper reimbursements for the care they provide.
Medical billing services often include tasks like data entry, insurance verification, coding, payment posting, and collections, enabling healthcare organizations to focus on patient care while maximizing revenue. By outsourcing these services, medical practices can improve cash flow, reduce administrative burdens, and stay compliant with evolving regulations.
What is medical billing and coding?
Medical billing and coding is a system used to record and bill for healthcare services. Medical coders take patient treatments and assign them codes based on standard guidelines. Medical billers then take these codes and send them to insurance companies for payment.
Other Medical Billing Tools
Here are some other billing tools, systems, and services that might interest you.
What Next?
Selecting the right medical billing software involves a careful evaluation of several factors tailored to the specific needs of your healthcare practice. Be sure to take into account the core functionalities you require, the key features that will simplify your billing processes, and the usability aspects that will ensure a smooth integration into your practice.
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