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Compare Medical Billing Software

This page is managed by
Melissa McCormack, Managing Editor
Last updated: April 9, 2014

Top 10 Most Reviewed Medical Billing Software Systems


Benchmark Systems

Benchmark Medical Billing Services is a web-based EHR solution for payroll, billing and collections, insurance coding and more. Benchmark has experts to handle the numbers, such as CPAs who are available to manage accounting.
            94 Reviews


in the last 30 days

MediTouch PM Practice Management Software

MediTouch from HealthFusion is a web-based EHR solution that eliminates the need for a paper SuperBill, as it is able to instantly convert codes into an electronic claim. MediTouch is customizable and works on the iPad.
          81 Reviews


in the last 30 days


Designed for small to mid-sized practices, Kareo medical billing offers eligibility checks and accounts receivable, among other tools. Kareo can help healthcare professionals save time with electronic claims submissions features.
          77 Reviews


in the last 30 days

2014 Waiting Room Solutions

WRS Health offers unique features to each of the 35 specialties it serves, such as audiology and neurology. This web-based medical billing software automatically captures charges to improve billing efficiency.
            73 Reviews


in the last 30 days

Medios EHR

Medios EHR is a web-based system that has many customizable features designed to accommodate a more efficient practice, including detailed audit logs, E-prescribing with drug interaction, and real-time collections reporting.
            72 Reviews


in the last 30 days

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GE Healthcare’s Centricity is an integrated EHR and practice management solution offering billing and scheduling. It features comprehensive functionality for a variety of specialties and supports integration with external system
          41 Reviews


in the last 30 days

Electronic Medical Assistant by Modernizing Medicine

Electronic Medical Assistant by Modernizing Medicine is an advanced EMR system that is designed to learn physicians’ preferences, saving everyone time. Robust and automatic coding features help improve medical billing efficiency
          38 Reviews


in the last 30 days


WebPT was designed to help physical therapy clinics transition smoothly to cloud-based practice management and billing. Its billing support is designed to maximize reimbursements and ensure a smooth and accurate claims process.
          33 Reviews


in the last 30 days

CareCloud Central

CareCloud is a recent entrant to the medical software market. They're attracting customers quickly with their cloud-based system that supports Mac, Windows and Linux OS. It's a good fit for most sizes and specialties.
          29 Reviews


in the last 30 days

Greenway PrimeSUITE

Greenway’s fully-integrated offering makes it well suited for practices of all sizes and for a wide variety of specialties. Billing features include integrated appointment reminders and follow-ups. Greenway is ONC-ATCB certified
          28 Reviews


in the last 30 days

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Heartland RADAC
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Medical Modeling Inc.
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U.S. Physiatry

Buyer's Guide

Medical billing software automates repetitive and error-prone billing tasks. It helps medical offices increase collections, code claims properly, verify patients’ insurance coverage, post payments and EOBs, provide reports on collections and rejections and more.

Claim Status Dashboard
Claim Status Dashboard in MediTouch by HealthFusion.

There are hundreds of computerized medical billing systems on the market and they range from functionally simple to very sophisticated. The most basic systems help providers generate paper statements based on demographics and billing codes input by the user. Additionally, medical office billing software allows providers to submit claims electronically, scrub claims, post payments, pull advanced reports and more.

In this guide we discuss the following:

Benefits of Medical Billing Software

Billing and other administrative tasks are notoriously paper-laden and cumbersome. A modern medical billing software system allows billers to be as efficient as possible at coding, submitting and following up on claims.

Moreover, staff will find that medical billing and coding software helps them code claims accurately to avoid errors. As a result, most providers find their collection rates increase when going from manually submitting claims to using medical claim software.

Finally, advanced reporting tools typically provide insights that are tough to gain without a medical billing solution. By knowing which claims get rejected most often, which payers pay the slowest, and which visits can be upcoded, providers can make data-driven decisions to improve collections.

Most practices and billing services we speak with face a common set of billing challenges, and consequently, they’re considering purchasing (or replacing) software to address those challenges. Here are common scenarios we often hear about during our phone consultations:

Transitioning from Paper Claims. Typically, solo or small practices are making the move from paper claims to an electronic system (though that is not always the case). They have a difficult time keeping track of patients and who owes what. They will implement medical billing software for the first time to reduce paperwork, track all data in a central place, and improve efficiency overall.

Bringing Billing In House. Another common scenario, most practices choose to bring billing in house--as opposed to outsourcing to a third-party service--to cut costs, have more control of their billing and accounts receivable, and get everything centrally located.

Replacing Antiquated Software. Finally, offices replacing their existing system do so because it’s outdated and expensive to maintain, it doesn’t meet their technical requirements (e.g., integration with electronic medical record software), or they have a difficult time using it. In this scenario, Web-based medical billing software is an attractive option because it’s modern and easy to use, costs less up front, and updates automatically as vendors release new versions and enhancements.

What Type of Buyer Are You?

Most practices we speak with match one of these common buyer types:

  • Inpatient Care Providers. This category of buyer includes hospitals and long-term care facilities that need to submit claims using UB-04 forms. This type of form typically requires a system designed for inpatient billing, although some outpatient healthcare billing software systems do have a module for UB-04 billing.
  • Outpatient Care Providers. This category is made up of the private practices that submit claims on the CMS-1500 forms. These buyers need to submit electronic claims to Medicare, Medicaid and private insurance companies using Medicare billing software / Medicaid billing software. Software needs do not vary much by size of organization, although larger organizations will need a more robust, scalable medical insurance billing software program.
  • Specialists. Specialists such as chiropractors, naturopathic doctors and mental health providers of varying designations typically see patients that pay directly via cash or credit card. Moreover, their patients typically do not submit many (if any) claims to insurance companies or government payers. As a result, these providers have more lightweight needs.
  • Outsourced Billing Services. These buyers are third-party companies that submit claims on behalf of providers. They are typically paid a percentage of collections by providers. They have similar functional requirements to their respective provider clients, but may require a very broad, flexible system if they bill for clients of varying specialties or types of care.
  • Integrated Suite Buyers. These buyers require billing functionality, but would rather implement one integrated suite for scheduling and EMR. Their vendor selections are often driven by the EMR functionality, since most integrated systems are differentiated by their EMR offering, not their billing modules.

Costs & Return on Investment

Medical billing software prices often depend on the application’s deployment model. On-premise systems will require upfront costs for licenses, servers and other necessary hardware, setup and training. Buyers of on-premise systems will also need to pay ongoing maintenance and support fees, which are typically 15-20 percent of the upfront licensing costs.

Software-as-a-Service (SaaS) applications typically require lower upfront costs and ongoing monthly fees that cover licensing, support and upgrades. Finally, there are free medical billing software options that are supported by alternative revenue streams, such as advertising.

Most buyers who have successfully implemented systems will be able to generate returns on their investments through improved accuracy of filings, improved billing efficiency, and subsequently, increased collections.

Collections Management in Kareo
Collections Management in Kareo speeds payment.

Important Considerations

Support for ICD-10
By law, every health care provider and payer--or at least those that are subject to requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA)--must use ICD-10 billing codes by October 1, 2014. This is a very large undertaking as there are 155,000 classifications of diagnoses, tests and procedures under ICD-10--that’s a big upgrade from the 17,000 ICD-9 codes. Providers and billing staff should make sure their software vendor supports the latest set of codes. For more information, visit the Centers for Medicare and Medicaid Services (CMS) website.

Integrated Suites vs. Stand-Alone Billing Solutions
Buyers will need to decide if they want to implement a standalone system, a system integrated with patient scheduling (typically called “practice management”), or a fully-integrated billing, scheduling, and electronic medical records (EMR) system. Many vendors such as AdvancedMD and NueMD offer all three options. Medical billing solutions have long been the only or primary applications used in many doctors’ offices, and they are usually the first systems new practices will implement. Despite government legislation requiring the adoption of EMRs, we still hear from many practices looking for standalone billing or practice management systems.

On-Premise vs. Web-Based
SaaS or Web-based medical billing systems have become very popular and comprise well over 50 percent of new solution sales. Low upfront costs, greater accessibility, and little to no IT requirements are contributing factors to so many buyers preferring Web-based systems. Assuming buyers have reliable Internet access, we typically recommend they consider these programs.

A primary concern we hear from buyers regards data security. Since medical billing involves the storage and transmission of so much sensitive patient data, buyers will want to make sure they implement a secure system. Vendors are well aware of this need and offer HIPAA-compliant systems.

User Adoption
Usability tends to be more a function of the end user and how the system is configured than the medical claims software itself. Users with medical experience can typically adopt most systems quickly. Many complaints regarding usability tend to be related to setup and maintenance of servers and other hardware, not the applications themselves.