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
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
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.
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.
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.
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
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