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Top Medical Billing Outsourcing Companies In USA Revenue Cycle Management

Top Medical Billing Outsourcing Companies In USA Revenue Cycle Management

ERP System Co., Ltd
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Providers see increased need for revenue cycle management
Improving the revenue cycle continues to be a challenge for healthcare organizations, as pressures mount to efficiently collect payment for services. Provider organizations are continuing to struggle in maximizing their revenue-collection operations, and that’s where revenue cycle management (RCM) technology comes in—to attempt to automate the process of requesting payment.

The shift to value-based care, increased patient pay and a flurry of mergers are creating new challenges for health systems, and many organizations are looking for ways to improve their revenue cycle operations. What follows is a listing of some of the larger companies providing RCM solutions in the healthcare market.

AdvantEdge Healthcare Solutions
Corporate headquarters: Warren, N.J.

AdvantagEdge is a medical billing company that applies its billing experience to aid providers in the development of RCM software. It serves physician groups, hospitals, surgery centers and behavioral health agencies, and provides software solutions for medical billing, certified coding, analytics, practice management and compliance.


athenahealth
Corporate headquarters: Watertown, Mass.

The company provides scalable healthcare RCM solutions via a cloud-based network, with real-time visibility into revenue cycle operations. The scope of its tools and services spans electronic health records, practice management and RCM software, patient engagement, care coordination and software to improve population health services.


Change Healthcare
Corporate headquarters: Nashville, Tenn.

Rebranded in 2015 from Emdeon to Change Healthcare, the company offers technology solutions for providers that include government and private payers, physicians, dentists, pharmacies and laboratories. Emdeon Payment Manager, an electronic payment and reconciliation solution, increases visibility of remittance data and facilitates electronic transfer of funds from the largest payer networks in the industry.


Conifer Health Solutions
Corporate headquarters: Frisco, Texas

Conifer provides technology-enabled healthcare performance improvement services. With more than 30 years of healthcare operations management experience, it offers value-based healthcare solutions to enhance consumer engagement, drive clinical alignment, manage risk and improve financial performance.


Convergent
Corporate headquarters: Atlanta

Convergent manages business process outsourcing, revenue cycle and receivables management, with 14 North American operating centers across all four time zones. The company has more than 60 years’ history serving a diverse industry customer base, including contact center solutions, receivables management outsourcing, commercial receivables management and healthcare RCM.


Drchrono
Corporate headquarters: Mountain View, Calif.

A provider of EHRs, practice management and RCM tools, Drchrono’s platform is built for iPad, iPhone and Apple Watch. Last year, it partnered with TriZetto Provider Solutions, a technology company that helps healthcare practices simplify business processes and improve medical billing.


Experian Health
Corporate headquarters: Franklin, Tenn.

The company is a provider of RCM, identity management, patient engagement and care management solutions. Experian Health provides services to some 3,100 hospitals and health systems and 7,000 other healthcare providers.

GE Healthcare Partners

GE Healthcare Partners purchased billing advisory firm the Camden Group in 2015, and now provides client problem-based solutions, long-term strategic partnerships and advanced analytic capabilities. It offers medical billing software and RCM solutions for all types of care settings.


Healthcare Resource Group
Corporate headquarters: Buena Park, Calif.

HRG specializes in medical cost containment and fraud management solutions. It offers infrastructures for utilization review, case management, discharge planning, clinical chart audit, bill review, pharmacy management, chronic disease management and fraud management implementation for use across complex healthcare systems.



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Top Medical Billing Outsourcing Companies In USA Revenue Cycle Management