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The athenaOne Suite which includes athenaCollector a revenue cycle management solution and athenaClinials an EHR (electronic health records) recently ranked #1 in 2023 Best in KLAS for athenaClinials Ambulatory EMR for 11-75 physi...Read more about athenaOne

3.8 (848 reviews)

357 recommendations

MD Charts

Since 2002, MDCharts has provided a full-featured, cloud-based EHR solution to ambulatory practices varying in size from one to over a hundred providers. MDCharts offers ultra-customized templates for many specialties, including d...Read more about MD Charts

4.8 (4 reviews)

6 recommendations


Clearwave is the Patient Revenue Platform for High-Growth Practices. Clearwave provides a purpose-built platform turbo-charged to enable practices to grow revenue, increase point-of-service collections and accelerate patient acqui...Read more about Clearwave

Sigmund Software

For nearly two decades, Sigmund Software has had the opportunity to create individualized Software Solutions for many diverse organizations. Sigmund’s enterprise, cloud-based platform, AURA, contains a robust features suite that ...Read more about Sigmund Software

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Inbox Health

Inbox Health is built for billing teams and directly addresses one of the fastest-growing problems in healthcare–the challenge of patient A/R. The platform automates patient billing and patient payments and modernizes the patient ...Read more about Inbox Health


NextStep is a cloud-based electronic health records (EHR) system designed for behavioral health and substance abuse staff at inpatient, outpatient and residential care facilities. The ONC certified solution enables clinicians to t...Read more about NextStep


Collectly is a comprehensive and innovative patient engagement platform designed to streamline the medical billing process for healthcare organizations. It's particularly beneficial for practices, medical groups, billing and RCM c...Read more about Collectly

4.6 (7 reviews)


Mendable is a medical billing service provider that uses intelligent technology to ensure claims are coded correctly to avoid rejections and smart automation to bring aging reports down to zero. In addition, Mendable's intelligent...Read more about Mendable

5.0 (1 reviews)


Designed for the medical, utility, telecommunication, and educational industries, CollectionWorks software solution, CWX, is a cloud-based and on-premise collection software for small to medium-sized businesses. CWX helps busines...Read more about CWX

5.0 (1 reviews)


MediYeti is a cloud-based electronic medical records (EMR) solution that allows practitioners to store and update patient health records. Key features include charting, a patient portal and appointment scheduling. MediYeti’s ...Read more about MediYeti

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Graphium Health

Graphium Health is an anesthesia practice management suite of solutions designed to help medical facilities, billing companies and anesthesia providers streamline billing, patient management, charting compliance, data validation, ...Read more about Graphium Health

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nThrive is a technology-enabled service and software provider that assists healthcare organizations with revenue cycle optimization, medical billing and claims/denial management. Professionals can assess potential departmental gap...Read more about nThrive

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HCI Collections is a medical collections service designed to assist businesses in the medical industry with consultative solutions, including personnel/office evaluations, seminars, webinars and staff training. The customized serv...Read more about HCI

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Pioneer Collections

Pioneer Medical Collections is a technology-enabled service, which allows small to large businesses within the medical and commercial industries to track accounts and send billing information about pending payments. Pioneer can cr...Read more about Pioneer Collections

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CCI Collections

CCI Collections is a technology-enabled service, that provides customizable A/R management solutions to debt recovery firms of all sizes. It comes with a web portal, which enables businesses to monitor payment collections in real-...Read more about CCI Collections

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Avadyne Health is a technology-enabled service, which assists healthcare organizations with revenue cycle management, debt recovery and point-of-sale (POS) collections. It enables business to authenticate the data submitted by pat...Read more about AvadyneHealth

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TSI is a comprehensive collections service agency that offers end-to-end accounts receivable management and debt collections services for pre and post charge-offs. By utilizing a predictive analytics platform, TSI streamlines reco...Read more about TSI

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IV Medical

IV Medical is a tech-enabled debt collections firm designed to provide end-to-end revenue cycle management for businesses in the healthcare industry. IV Medical offers a dedicated US-based team of specialists to manage claim proce...Read more about IV Medical

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Alta Medical Management

Alta Medical Management is a Revenue Cycle Management services company with credentialed and experienced experts in all facets of coding/ billing along with strict process controls. Alta offers full-service revenue cycle solutions...Read more about Alta Medical Management

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The Pre-Op Tool

The Pre-Op Tool is a cloud-based decision-support solution that provides medical suggestions to care providers, doctors and other support staff via a unified portal. The platform categorizes various medical conditions like skin/de...Read more about The Pre-Op Tool

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Buyers Guide

Last Updated: March 16, 2023

Patient health is, and will always be, the top priority for medical providers but medical practices are still businesses. Put simply, medical debt collection is necessary for all medical practices. It differs from other types of debt because it’s often caused by unforeseen accidents or health complications.

Larger practices often have dedicated teams devoted to medical debt collection, but that’s not always an option for small or midsize practices. That’s where debt collection services come in.

In this guide, we’ll cover:

What are medical collection services?

Medical debt collection services are businesses that medical practices can hire to collect payments (late or otherwise) from their patients. Because medical debt is often unexpected, these services work as a mediator to set up payment plans best suited to ensure that practices get paid for their services while still giving patients a reasonable solution.

Medical debt collection services are also only called in once all other attempts at debt recovery have been made and are unsuccessful.

Debt collection services are committed to preserving both the collector and patient reputation because medical practices are reliant on maintaining a good reputation.

Common offerings of medical collection services

The first step toward selecting the right medical billing service provider is to understand their typical offerings. According to our research, the following are the common aspects you should be aware of:

Debt recovery

Recover medical debts from delinquent accounts.

Debt negotiation

Negotiate with debtors to find the best solution possible. Can include payment plans or lowered overall costs.

Automatic payment reminders

Alert patients about due dates automatically to help reduce the amount of delinquent cases your practice experiences.


Locate debtors who have defaulted or missed payments.

Asset discovery

Track and discover assets patients might have that can assist with debt recovery.

Legal services

Provide legal support should all other options be unavailable.

What type of client are you?

The next step is to understand the types of medical practices that seek out debt collection services. This knowledge will help you select collection services based on your practice requirements.

Here are the examples of clients who might use medical collection services:

Medical practices with many delinquent accounts: Even if your practice has staff dedicated to collections, you might encounter a period of abnormal delinquent accounts. Every delinquent account is lost revenue, and if your practice is falling behind with contacting those patients you might think about hiring a medical collection service in the short term to get caught up.

Independent medical practices: While some medical practices are large enough to have dedicated teams to recover payments, independent or other small practices lose money by not having the time to get in touch with delinquent accounts. These practices benefit from using standalone medical debt collection services because they’re losing sources of revenue otherwise.

Benefits of medical collection services

Here are some important points to consider before you finalize a medical debt collection service provider:

Specialized debt collection expertise: If your practice doesn’t have a dedicated collection team, you’re more likely to be overrun with delinquent accounts. Collection services help practices manage these accounts and ensure practices are paid for the services rendered in a manner that maintains the reputation of both the debtor and the collector. They can also help with legal issues should those arise.

Enhanced patient care: By offloading the collection services, your team is better able to do what they’re there to do: provide patients with the best care possible.

Key considerations

Medical collection services help practices recover debt from delinquent accounts, but before you begin your search, here are a couple things to keep in mind:

Medical collection services aren’t free: When you’re looking for a service agency, pay close attention to how they receive their payment. Standardized payments are hard to determine because it depends on how much debt the agency is looking to collect. For small amounts, it might be $10-$50 dollars but larger amounts will be percentage based. Before you begin, figure out your budget and communicate that with potential agencies.

Brand impact: Whenever you’re looking for agencies, take a look at how their customer experience team handles things. The last thing you want is for your brand to be damaged because a collection agency is too aggressive or leads to negative press or word-of-mouth about your practice. This is especially important if you’re a smaller practice or a practice in a small community who might rely on word-of-mouth to retain and grow your business.