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.
Medical billing software streamlines claims processing and automates insurance verification, which frees up your team to focus on delivering better patient care and optimizing operational workflows. Managing denied claims and chasing reimbursements can be challenging, but the proper support can reduce administrative burden and speed up cash flow.
In this article, I compare and review the best tools to support your buying decision.
Best Medical Billing Software Summary
| Tool | Best For | Trial Info | Price | ||
|---|---|---|---|---|---|
| 1 | Best for AI-driven billing accuracy | Free demo available | Pricing upon request | Website | |
| 2 | Best for comprehensive revenue cycle management | Free demo available | From $279/user/month | Website | |
| 3 | Best for simplifying complex billing procedures | Not available | From $125/user/month | Website | |
| 4 | Best for integrated EHR and practice management | Not available | From $15/user/month, (billed annually). | Website | |
| 5 | Best for Mac users seeking intuitive design | Not available | From $10/user/month. | Website | |
| 6 | Best for AI-driven medical billing | Free demo available | From $850/user/month | Website | |
| 7 | Best for advanced patient accounting features | Not available | From $69/user/month. | Website | |
| 8 | Best for interoperability and flexibility | Not available | From $75/user/month. | Website | |
| 9 | Best for scalable solutions from single users to large networks | Not available | From $99/user/month. | Website | |
| 10 | Best for on-the-go billing and claims | Not available | From $12/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.
NextGen is a cloud-based EHR and practice management system built for specialty care practices of all sizes. Its suite includes billing automation, mobile EHR, integrated clearinghouse, and patient-facing tools.
Why I Picked NextGen:
I picked NextGen for its AI-assisted billing tools, which help reduce errors and accelerate claims processing. The software’s coding engine can suggest ICD-10 codes, lab orders, and charge capture workflows based on structured SOAP notes. I also liked the specialty-specific templates and reporting tools that help align financial operations with clinical care. This makes NextGen a solid option for practices needing built-in automation and customization.
Standout Features and Integrations:
Features include like rules-based claims scrubbing, automated eligibility checks, digital intake forms, real-time analytics, and templates for 26 specialties. Its ambient AI tool converts doctor-patient conversations into structured notes with tap-to-confirm workflows.
Integrations include Relaymed, Medsender, Klara, Surgimate, Transform9, CallMyDoc, rater8, Arcadia, and more.
Pros and cons
Pros:
- Secure AWS cloud hosting and mobile EHR access
- Built-in clearinghouse and RCM services
- AI-assisted billing and coding suggestions
Cons:
- Pricing is not published publicly
- May require training to configure workflows
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
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
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
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
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
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
Visolve Medical Billing Module is an advanced solution for managing healthcare billing, coding, and insurance claims. Its strength lies in its interoperability and flexibility, making it an ideal choice for healthcare practices seeking adaptable and integrative solutions.
Why I Picked Visolve Medical Billing Module: I selected Visolve Medical Billing Module for its impressive flexibility and interoperability. It can adapt to various workflows and smoothly integrate with other systems, a characteristic that sets it apart. In my opinion, this tool is the best for practices looking for a billing solution that can communicate efficiently with different platforms and adapt to evolving needs.
Standout features & integrations:
Features include insurance eligibility verification, automatic code checking, and detailed reporting. These features help to minimize claim denials and keep a pulse on the financial health of the practice.
Integrations include numerous EHR and practice management platforms, further amplifying its interoperability.
Pros and cons
Pros:
- Robust feature set for comprehensive billing management
- Flexible to fit diverse workflows
- High interoperability with various systems
Cons:
- Limited online resources for user support
- No free trial available
- User interface might require a learning curve
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
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
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.
- Kareo Billing
For small to mid-sized practices
- Billiyo
For home health agencies and therapy providers
- Easy Billing Professional
For customizable invoicing and payment tracking
- AMS Ultra Charts
Good for robust EMR functionality
- Cortex EDI
Good for simplifying the claims process
- PulsePro Practice Management
Good for optimizing medical practice operations
- PatientClick Suite
Good for integrating EHR and telemedicine
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.
Telehealth Integration
Billing software is integrating with telehealth platforms. This simplifies billing for virtual visits. It is essential as telehealth continues to grow.
What Is A Medical Billing Software?
Medical billing software is a digital tool that automates the process of submitting, tracking, and managing medical claims. It’s used by healthcare providers, billing teams, and practice managers to reduce errors, speed up reimbursements, and ease administrative stress.
Features Of Medical Billing Software
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.
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.
- 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.
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 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.
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.
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.
To stay updated on the latest trends, best practices, and solutions related to your medical practice, subscribe to The Medical Practice newsletter.