Alternatives to Amy by CombineHealth
Compare Amy by CombineHealth alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Amy by CombineHealth in 2026. Compare features, ratings, user reviews, pricing, and more from Amy by CombineHealth competitors and alternatives in order to make an informed decision for your business.
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XpertCoding
XpertDox
XpertCoding is an AI-powered medical coding software by XpertDox that uses advanced AI, natural language processing (NLP), and machine learning to code medical claims automatically within 24 hours. It automates the coding process, enabling faster and more accurate claims submissions to maximize financial gains for healthcare organizations. Features include minimal human supervision, easy EHR connectivity, flexible cost structure, a significant reduction in denials and coding costs, a HIPAA-compliant business intelligence platform, risk-free implementation with no initial fee and a free first month, and higher coding accuracy. XpertCoding's autonomous coding solution helps healthcare providers and organizations get paid faster, accelerating the revenue cycle and allowing them to focus on patient care. Opt for XpertCoding for a reliable and accurate medical coding software solution for your practice. -
2
Healthicity Audit Manager
Healthicity
For medical auditing, Audit Manager streamlines the way you manage audits by merging audit workflow, management, education, and reporting into one easy-to-use, web-based solution. Audit Manager brings simplicity by helping you: Identify Revenue Evaluate financial impact. Minimize denials and identify up to 10%, per provider, in missed revenue with extensive reporting and analytics tools. Increase Efficiency Improve your auditing efficiency by up to 40%. Reduce the amount of time you spend completing audits with our user-friendly interface. Improve Accuracy Customize your audit templates. Include your own standards, MAC carrier guidelines, and claim scrubber tech for ideal results. Audit Manager features: Built-in Tableau integration for in-depth analytics and reporting. Flexible Audit Management: View the status, and each associated status, of every audit, by any auditor. E/M Calculator Automatically calculate E/M codes with a built-in calculator.Starting Price: $670/mo for 3 users -
3
Meditab IMS
Meditab Software
Our all-in-one multi-specialty EHR, Practice Management, and Billing software solution allow doctors to deliver the highest quality of care possible to their patients. Streamline your practice's workflows, optimize financial performance, and coordinate quality care faster with IMS. Your practice can’t fully thrive with an inadequate EHR. That’s why Meditab designed its core EHR software, IMS, to do it all. One of the country’s leading EHR software companies, Meditab empowers practices to succeed with innovative technology and one-of-a-kind flexibility. So much more than a typical EMR software, IMS integrates every aspect of your practice into one comprehensive ecosystem. Imagine having an EHR with integrated practice management, medical billing, ICD-10 codes, patient engagement, telemedicine features, and more, you can save time and money while improving your practice efficiency. When your EHR does it all, you can elevate your quality of care and ensure a thriving business.Starting Price: $199.00/month/user -
4
Encipher Health
Encipher Health
Encipher Health is a comprehensive AI-powered healthcare technology platform that automates medical coding, risk adjustment, and revenue-cycle processes across specialties. Using Neuro-Symbolic AI, OCR, ML, and knowledge-graph logic, it converts unstructured clinical documentation into accurate, audit-ready codes (CPT, ICD-10, HCC, HCPCS) while enforcing payer, CMS and compliance rules. Its products — including GI coding automation, radiology coding (Conrad AI), anesthesia coding (Sedate AI), HCC/risk adjustment (Cogent AI / RiskGen‑Core / RAF Totalizer), E/M coding, home-health coding, ICD-10-AM support, AR follow-up and denial resolution — streamline workflows, reduce manual effort, minimize denial risk, and accelerate reimbursements. Real-time and retrospective workflows, seamless EHR integration, MEAT-criteria validation, modifier logic, and compliance guardrails ensure high accuracy, regulatory alignment and audit readiness. -
5
CodaMetrix
CodaMetrix
Physicians didn’t go to medical school to learn how to code. We are reimagining the future of the revenue cycle with AI-powered autonomous coding. The company’s platform is in use at more than a dozen premier provider organizations and health systems, representing over 200 hospitals, and 50K providers. CodaMetrix’s platform is a multi-specialty coding AI platform that translates clinical information into accurate sets of medical codes for patient care and revenue cycle processes, from fee-for-service to value-based care models. The automation is touchless, transparent, and completely traceable. CodaMetrix's cutting-edge, multi-specialty autonomous medical coding platform leverages AI to continuously learn from and act upon the clinical evidence in the EHR. We autonomously translate clinical notes into billing codes that satisfy coding requirements, ensuring claims consistently represent the unique and complete episode of care, reducing human coding workload. -
6
ScribeHealth
ScribeHealth
ScribeHealth is an AI-powered medical scribe that listens during patient-clinician conversations, transcribes and codes clinical notes in real time, and formats them into structured document types (SOAP, HPI, MSE, specialty-specific templates) with minimal clinician intervention. The system achieves high accuracy, learns from feedback, and lets most physicians spend only minutes tweaking rather than writing notes from scratch. It integrates seamlessly with existing EHR/EMR platforms (including Epic, Cerner, AllScripts, Jane, and specialty systems) via secure APIs, HL7/FHIR standards, or native integrations, enabling note syncing within clinicians’ normal workflows. ScribeHealth uses bank-level encryption, deletes audio recordings post-transcription, adheres to HIPAA compliance, and safeguards patient privacy. It offers session analytics, speaker identification, context awareness to extract symptoms, and assessments. -
7
AGS Computer-Assisted Coding
AGS Health
AGS Health's Computer-Assisted Coding (CAC) software helps hospitals and physicians simplify the ICD-10, CPT, HCPCS, and E/M coding process; increases your coder productivity while cutting denials, missed charges, and low-risk scores. Computer-Assisted Coding also known as medical coding software helps to boost productivity and make critical decisions faster while reducing denials, missed charges, and low-risk scores. The AGS Computer-Assisted Coding (CAC) module enables flexible and scalable coding of professional and facility operations to increase accuracy, productivity, and flexibility. Features:- - NLP-Based ICD-10-CM, PCS, CPT, and E&M Code Automation: Leverages NLP to automatically suggest billable codes from different types of clinical documents. - One-Click Coder Validation & Acceptance: Automatically identify charts that have potential queries for seamless validation and acceptance. - Always Up to Date: Our Clinical NLP engine is always learning and improving base. -
8
Charta
Charta
Charta Health offers an AI-powered platform that automates chart review by analyzing every medical chart (pre-bill, pre-visit, or post-bill) to capture missed revenue opportunities, ensure coding accuracy, and support payer-compliance needs. Its proprietary AI engine reviews 100% of patient charts, surfacing under-coding, missed billable services, coding errors, and documentation gaps, with evidence-based justifications and dashboards for auditing and tracking. For revenue integrity, the platform can increase RVUs per patient by up to 15.2% and average revenue uplift of 11%, while enabling full audit coverage at one hundred percent for a fraction of the typical audit cost. It also addresses clinical-quality workflows by validating documentation against standards such as HEDIS/STARS, integrating with clinical-decision support tools, and generating provider feedback loops, which help improve patient outcomes and reimbursement tied to quality. -
9
RapidClaims
RapidClaims
Reduce administrative costs and improve reimbursements, all while maintaining compliance. Supercharge your RCM process with RapidClaims AI-driven magic. Slash admin costs, boost reimbursements, and stay compliant effortlessly. Streamline your coding process, and automate or empower your coders with our personalized solutions. Code thousands of charts with speed and precision while catering to unique client requirements. Our Large language model can interpret unstructured data, creating a longitudinal patient record by converting notes into structured codes and disease patterns. Never make the same mistakes twice. Create mass-level coding-related rules with plain English and easily apply them to your charts at scale, segregated by specialty, code type, and coders. Gain a deeper understanding of code-level trends for different sites and take action to improve the revenue cycle. Our platform analyzes charts to identify claim denial patterns and helps you capture them. -
10
ARIA Coding Services
CompuGroup Medical US
ARIA Coding Services is designed to assist healthcare providers in navigating the complexities of medical coding, ensuring accurate documentation and timely reimbursements. The service offers three customizable levels to meet varying practice needs. Experts conduct monthly reviews of coding denials and rejections, providing recommendations to improve standard operating procedures and offering optional baseline evaluations of Evaluation and Management (E&M) documentation. Specialists review documentation to confirm coding accuracy, examining superbills, invoices, claims, E&M visits, surgeries, procedures, tests, modifiers, and ICD-10 usage. They deliver regular reports and address discrepancies to enhance coding procedures. A comprehensive service where specialists handle coding directly from provided documentation, ensuring proper entry of charges, thorough documentation in patient notes, and correction of coding rejections or denials as needed. -
11
BillingBench
BillingBench LLC
BillingBench is an independent denial management and payer intelligence platform for medical billing and revenue cycle teams. It tracks published payer requirements and longitudinal adjuster patterns by combining a citation-audited policy dataset with aggregate denial data. Free core tools streamline daily billing workflows. The Denial Code Decoder translates CARC codes into plain-language definitions and root-cause analyses. To accelerate recoveries, the Appeal Letter Builder generates structured arguments with statutory citations tailored by denial type, specialty, and payer. Daily operations are supported by a Modifier Matrix with verified rulings, prior authorization checklists, a Timely Filing Calculator, and an 835 ERA Parser. A dedicated Chrome extension provides real-time support alongside major payer portals. Citations are verified against primary sources, each with a transparent changelog.Starting Price: $49/month -
12
EncoderPro.com
Optum
EncoderPro Spotlight by OptumCoding is a web-based medical coding reference application designed to help ambulatory coding, billing, and reimbursement professionals manage critical coding tasks with accurate, real-time access to CPT, HCPCS Level II, ICD-10-CM/PCS, and ICD-9-CM code sets and associated regulatory guidance; the software includes powerful search and reference capabilities that combine thousands of procedure, service, supply, and diagnosis codes with descriptive and cross-coding information so users can find the right codes quickly and reduce errors in claim submission. It provides proprietary content and tools that go beyond basic code lists to include deeper insights into regulatory compliance topics such as National Correct Coding Initiative (NCCI) edits, Hierarchical Condition Categories (HCCs), and coverage determination policies, automated edit review options for proper unbundling and modifier use, and a historical content database for adjudication reference. -
13
Sully.ai
Sully.ai
Sully.ai offers AI-driven agents specifically designed for the healthcare industry, providing solutions that automate tasks such as medical coding, patient appointment scheduling, and clinical documentation. These intelligent agents integrate seamlessly with existing healthcare systems, allowing organizations to enhance efficiency and reduce operational costs. Sully.ai's platform is HIPAA-compliant, ensuring the security and privacy of patient data while delivering high-speed task execution. With applications in pediatrics, psychiatry, primary care, and more, Sully.ai is trusted by over 100 healthcare organizations to streamline workflows and improve patient care. -
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NeuralRev
NeuralRev
NeuralRev is an AI-powered Revenue Cycle Management (RCM) platform that automates and accelerates end-to-end financial workflows in healthcare, reducing manual effort and errors while improving cash flow and operational efficiency. It automates insurance eligibility verification by connecting to clearinghouse networks in real time so patient intake and coverage checks happen instantly, and it handles prior authorization by assembling clinical and payer requirements, submitting requests electronically, and tracking approvals to reduce denials and delays. It also delivers real-time patient cost estimates by combining eligibility data with payer rules to improve transparency and upfront collections, and it streamlines medical coding, claim submission, claims processing, post-claim follow-up, and recovery, so teams spend less time chasing paperwork. -
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Arintra
Arintra
Arintra is a GenAI-native autonomous medical coding platform that uses advanced artificial intelligence, deep learning, natural language processing, and clinical large language models to process entire patient charts and instantly generate precise billing codes, including E/M levels, CPT, ICD-10, HCC, HCPCS with correct modifiers and units, without human intervention, helping providers capture revenue more accurately and efficiently while reducing manual coding workloads and bottlenecks. It integrates bi-directionally and seamlessly with major electronic health record systems such as Epic and Athena, so coding happens within existing workflows with zero IT lift or workflow disruption. Arintra provides a detailed, explainable audit trail for every coding decision to improve compliance, reduce risk, and support clinical documentation improvement, and it includes a powerful analytics dashboard to track coding volume, accuracy, turnaround times, and trends. -
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iMedX
iMedX
iMedX, Inc. provides clinical documentation and revenue-cycle solutions designed to help healthcare providers focus on patient care rather than administrative burdens. The platform supports AI medical coding, standard medical coding, clinical documentation, abstraction of core measures, and revenue-cycle-management workflows. Their AI medical coding offering, part of the ‘RCM Companion Suite’, uses advanced machine-learning to improve accuracy, reduce denials, and accelerate payments by automating case-routing, pre‐populating codes, guiding coders in real time, and surfacing documentation gaps before claims leave the organization. Users gain features such as intelligent case routing to the right coder, autonomous resolution of routine cases, in-moment assistance through an AI assistant, and embedded audit tools that identify missed reimbursement, documentation errors, and compliance risks. -
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Remittance360
GAFFEY Healthcare
All organizations across the healthcare revenue cycle sector can utilize Remittance360. If an entity receives standard 835, business office staff of all levels will find this tool useful in making actionable decisions regarding cash and accounts receivable workflow. Remittance360 is simple and easy to use, start-up time is minimal, and the uploading process of 835 data takes seconds. Utilizing the standard 835 data set, information upload is obtainable for all organizations, with minimal IT involvement. Remittance360 takes advantage of the data organizations have, but delivers relevant reporting of denials, trends, and individual payer activities. Gaining insights into this information can determine specific workflow needs. The ability to query data is simple in Remittance360, and common queries can be saved for easy user functionality. Querying denials by remark code and by department can assist in identifying and fixing root cause issues. -
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The Physician Empowerment Suite
SE Healthcare Quality Consulting
SE Healthcare’s Physician Empowerment™ Suite, a set of specialty-specific data analytics tools, contains solutions that empower your practice to be more successful in an increasingly competitive market. Get the reimbursement you deserve from payers. Make your practice more attractive to networks. Improve your reputation and transparency to convert website visitors into new patients. Retain current patients by uncovering issues and creating a better patient experience. Enhance workplace culture for physicians. Enhance patient engagement and satisfaction. Address critical issues like physician burnout, quality, and safety. Insights into hidden problem areas to improve patient experience, patient engagement, quality, safety, and overall practice performance. -
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Fathom
Fathom Health
Fathom is an autonomous medical-coding platform powered by deep learning and natural-language processing that enables health systems to code patient encounters at scale with enterprise-grade speed, accuracy, and security. It supports fully automated production coding, processing millions of charts per day, with no human intervention required; handles backlog processing to accommodate staffing fluctuations or seasonal surges; and offers real-time auditing to review and flag coding for quality assurance. It is integrated with major EHRs and has achieved industry certifications (including HITRUST i1) to protect PHI and support compliance. It delivers measurable value by reducing total coding operations cost by up to 50 percent, cutting turnaround time by days rather than hours or minutes, and achieving automation rates above 90 percent for complete encounters, thereby increasing revenue capture, lowering denials, and enabling health systems to redeploy coding staff. -
20
Veritable
314e Corporation
Veritable accelerates patient insurance eligibility verification and claims-status checks by providing instantaneous results in a clean, intuitive interface. It supports real-time, batch uploading of patient lists to verify eligibility across more than 1,000 payers (including national Medicare and all state Medicaid) and multiple service types. It also enables tracking of claims status, from submission through reimbursement, so practices and billing companies can proactively identify issues to reduce payment delays and denials. Key benefits include automating eligibility and claims workflows to reduce manual entry and phone calls, improving front-desk patient experience by validating coverage and copayments at check-in, and offering seamless integration for both technical and non-technical users with strong data-security controls. It includes a “Code Explorer” for instant lookup of ICD-10-CM, ICD-10-PCS, HCPCS Level II, and CPT codes.Starting Price: $50 per month -
21
MURx
Global Products
Healthcare practices for different specialties requires clinical processes specific to each specialty. Understanding the need of various specialties Global Products have customized MURx and made versions of MURx for different specialties. The vitals can be sent instantly to the respective doctor or doctors where the doctor will be presented a dashboard with the newly captured vitals and patient history from the EHR to take medical action and give Tele-video consultation, if required. Collaboration between providers and EHR companies on specialty-specific EHR functionality can improve patient care on a much larger scale. Specialty-specific EHR enables urgent care group to slash patient throughput time. -
22
MediLogix
MediLogix
MediLogix is a comprehensive AI-powered clinical documentation platform designed to radically simplify and streamline how healthcare providers create medical records. With MediLogix, clinicians record a single patient encounter, and the system’s AI translates that recording into eight complete document types; full transcripts, patient summaries, treatment plans, wound-care or medication instructions, coding suggestions, reusable templates, and protocol analyses. The AI isn’t limited to basic speech-to-text; it analyzes clinical context in real time and adapts output to specialty-specific details (e.g., cardiology versus orthopedics), preserving the physician’s voice, reasoning, and decision-making patterns rather than producing generic notes. All AI-generated outputs are reviewed by human medical transcriptionists to ensure accuracy and interpret nuanced context (tone, sentiment, clinical subtleties).Starting Price: Free -
23
Remedi EMR
Ecognize
Remedi EMR provides a very easy-to-use interface to capture the interaction between a doctor and a patient while still supporting the SOAP process. It is Tablet PC enabled and can also accept voice input. Like its counterpart Remedi PM , Remedi EMR is also an end to end solution. It starts when the patient steps into the office and continues through with Medical assistant entering data, Chief complaints, HPI, PMH, Medication history, Family History, Social History, Review of systems, Physical examination, Assessment, Plan, Prescription module, Orders and Results management. Each of these steps is customizable to the individual user to adapt to their style. It also has specialty-specific features. The other unique features that distinguish Remedi EMR have Integrated ICD codes, Customizable CPT Codes, E&M guidelines per medicare requirements, Robust document manager that eliminates a fax machine and much more. -
24
RevCycle Engine
Aptarro
RevCycle Engine applies built‑in, customizable rules and AI‑powered automation to correct coding and charge errors at the source, ensuring billing data is accurate before claims are submitted. By integrating seamlessly with EMRs and practice management systems, it ingests claims data in real time, applies industry‑proven rules tailored to each organization’s needs, and fixes errors automatically, reducing preventable denials and costly rework. Streamlined workflows prioritize and route only complex or exception claims for human review, boosting team efficiency and reducing burnout. With AI‑driven charge accuracy, the platform increases clean claim rates, lowers cost‑to‑collect, and stabilizes cash flow, all visible through clear dashboards and real‑time insights. Scalable automation handles high claim volumes without overtime or late‑night efforts, while features such as charge accuracy validation, denial prevention, coding review optimization, payment collection support, and more. -
25
Instant Chart
Instant Health Care
Instant Health Care provides online medical billing services for practitioners in multiple specialties across the country. Our software displays outstanding user-friendliness, and an intuitive workflow, showing a deep understanding of the needs of the users. We submit claims to the insurance companies electronically and process claims within 24 hours of receipt. We provide services that include accounts receivable management, medical coding review and assistance, and physician credentialing services. This unique platform empowers you and your patients to securely gather, manage, share and store health information, irrespective of time and/or geographical barriers. IHC’s personal health record provides more than just simple health history. Instant Health Care patient appointments software is a powerful and easy-to-use appointment scheduler. Designed to allow staff to manage schedules efficiency and effectively with using color-coded calendar. -
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Semantic Health
Semantic Health
Next-generation medical coding & auditing with AI. Streamline your manual inpatient coding and auditing processes, improve coding and documentation quality, and unlock your team to focus on high-value work. Semantic Health drives improvement at leading hospitals. Semantic Health uses custom clinical AI and NLP algorithms, trained on millions of records by our world-class AI team, to parse through clinical and coded data which allows our coding and auditing engines to better understand nuanced clinical context, incorporate changing coding guidelines and rules, and suggest high-quality coding and auditing opportunities with clear evidence back to the clinical documentation. Save time and optimize your revenue cycle by adding AI to labor-intensive medical coding and auditing processes. Semantic Health offers hospitals and health systems a supercharged inpatient auditing platform for a 100% pre-bill review of claims data. -
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HexIQ
HexIQ
The HexIQ software provides fast and easy access to negotiated rate data and tools that help users search, download, and analyze complex healthcare reimbursement rates for any code, payer, provider (NPI), or tax identification number (TIN) of interest so they can leverage transparency in coverage requirements to inform business decisions and negotiations. It ingests hundreds of machine readable files (MRFs) from payers every month, cleans and enhances the data with provider names, addresses, and network relationships, and updates it regularly so users can benchmark their negotiated rates against peers in the same specialty and region without manual Excel manipulation. Advanced search features let users filter by code, specialty, state, place of service, payer, NPI, or TIN and download results in CSV format for further analysis, while built-in analytics and visualization tools show rate distributions, average and mode rates, and contracted provider networks to reveal market insights.Starting Price: $25 per month per code -
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Billient
Billient
Billient is an AI-powered medical coding platform built for unmatched coding speed, accuracy, compliance, and revenue cycle performance. Designed as an AI medical coder that never misses, never slows, and never breaks, Billient helps healthcare organizations move from clinical documentation to validated coding recommendations with fewer bottlenecks, cleaner claims, faster reimbursement, and improved cash flow. It reads medical notes directly from EHR systems through compliant HL7/FHIR integration, CCDA parsing, automation workflows, or file uploads, then runs each encounter through a context-aware AI engine that detects diagnoses, procedures, documentation context, and medical decision-making complexity. Billient automatically recommends ICD-10, CPT, HCC, DRG, modifiers, and related codes, with confidence scoring and validation to prioritize high-risk encounters for manual review. -
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MedicsPremier
Advanced Data Systems
Keep your practice on track with MedicsPremier (MedicsPM), a reliable practice management software from Advanced Data Systems. MedicsPremier comes with a wealth of tools that enables practices to streamline operations and get paid more, faster. This includes specialty-specific scheduling, automated patient workflow, patient information management, tax rates, products and inventory, specialty-specific EDI, patient statements, and integrated document scanning. With our system, get out-of-network alerts while scheduling patients. Access the patient responsibility estimator for an approximation of what they’ll owe after insurance. Remind patients about their copayments. Perform pre-appointment batch eligibility verifications. Get proactive alerts on claims likely to be denied. Yes…protect your revenue in advance! -
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PowerMed Billing
PowerMed
PowerMed Billing has been built from the ground up to be state-of-the-art. With its powerful feature set, numerous reporting options and electronic claims processing, it will meet the needs of any busy practice. The software can be configured to each individual user's style, including screen appearance, custom navigation commands, and even individual language settings. It contains a full ICD coding library, customizable CPT, HCPCS, super codes, and enterprise-level patient demographics. Because Billing and EMR are essentially one program, all coded visits and claims are automatically pulled for electronic processing or for standard UB92 or CMS1500 printing. Complete with full search and reporting capabilities, practice managers have immediate access to an extensive library of predefined productivity and financial reports broken down by providers, payors and individual patients. -
31
Trovo Health
Trovo Health
Trovo assistants are trained with specialty-specific models and workflows to hit the ground running for your practice. We’re on a mission to help physicians improve patient outcomes and operational efficiency. Expand your practice with AI-powered assistants backed by a multidisciplinary care team. Trovo Health uses an AI-powered platform backed by a multidisciplinary care team to allow healthcare providers to extend their capabilities seamlessly. Using specialty-specific workflow technology alongside expert care team members, providers can deliver new capabilities for patients, improve outcomes, and operate more efficiently. The company has built a team of clinicians and technologists to deliver on its vision. It plans to use the funding to further build out its technology platform, clinical operations, and leadership team. Trovo’s platform introduces an innovative solution for the most challenging problems in care delivery and operations. -
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SE Healthcare Patient Experience Platform
SE Healthcare
The Patient Experience Platform is a specialty-specific survey tool that collects data directly from your patients and provides your practice with credible, reliable insights into the patient experience. These insights, displayed in an easy-to-navigate dashboard, provide a window into the health of your practice, from the patient’s perspective. These insights allow your practice to improve performance, increase patient retention, and generate higher revenue. Five-star reputation tool that provides transparency into the quality of your providers to help convert website visitors into patients. Free text comments that provide greater depth to the feedback you receive from your patients. Real-time, actionable metrics so you can move forward immediately on insights. Location and physician benchmarking. Measurement of physician, office staff, and practice performance. Enhancing your value story to enhance negotiation with payers. -
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Expanse Ambulatory
MEDITECH
Physician practices need a comprehensive EHR designed to meet the unique needs of the ambulatory environment. Expanse Ambulatory is a complete solution, built from the ground up with input from practice administrators, nurses, and physicians across a wide range of specialties. Whether you’re an independent physician practice or part of an organization using Expanse in other care settings, Expanse Ambulatory is the most intuitive and efficient EHR and practice management solution available. Expanse Ambulatory was designed to be the most intuitive, mobile EHR available, and it’s as easy to personalize as your favorite apps. Clinicians tailor the software to their individual practice styles and workflows — not the other way around — with specialty-specific templates and evidence-based content. The result is less time interacting with their EHR and more time with their patients, which is better for everyone. -
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HCC Coding Engine
Aptarro
Aptarro’s HCC Coding Engine is an AI‑powered solution that integrates seamlessly with electronic medical records and practice management systems to scan every patient encounter in real time, automatically identifying and closing coding gaps to ensure all Hierarchical Condition Category (HCC) diagnoses are accurately captured for optimal risk adjustment and revenue. By applying industry‑proven rules and machine learning models, it prioritizes high‑value encounters for coder review, boosts productivity up to 300% per coder without adding provider workload, and reduces denials through real‑time validation and compliance updates. With exception‑based workflows, clear dashboards for RAF score trends, built‑in audit trails and logging, and fast implementation within existing workflows, organizations see immediate ROI in their first billing cycle and unlock millions in missed revenue while maintaining clinical focus and documentation integrity. -
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CombineHealth AI
CombineHealth AI
CombineHealth AI is the creator of Amy, Marc, Emily, and Diana — an advanced AI workforce designed to power end-to-end Revenue Cycle and Practice Management services for healthcare groups nationwide. These solutions are built on a proprietary foundational model that delivers 99.2% accuracy and ensures 100% compliance with coding and billing guidelines. The AI workforce helps reduce coding errors, enhance coder productivity, and address physician documentation challenges. Organizations using these solutions have seen a 35% increase in clean claim submissions and a significant reduction in denial rates. The AI employees work seamlessly alongside human teams, performing key functions such as medical coding, billing, data entry, A/R follow-up, and denial management — while providing detailed, auditable reasoning for every action taken.Starting Price: $1000/month -
36
DentalWriter
Nierman Practice Management
Be up and running instantly with an easy web-based EMR for dental sleep medicine, TMD, & oral surgery that gets your ducks in a row for each and every patient. DentalWriter builds your case of medical necessity with individualized SOAP reports, your golden ticket for medical reimbursement and physician referrals. DentalWriter intelligently cross-codes from dental to medical for easy and accurate medical billing. Your integrated billing service concierge will handle the rest. DentalWriter Plus+ utilizes the intake and exam data to cross-code from dental to medical and generate individualized SOAP reports of medical necessity needed for medical reimbursement and physician communication. Maximize productivity while marketing your dental sleep and TMD practice all with the click of a button. -
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F1RSTAnesthesia
Anesthesia Business Consultants
F1RSTAnesthesia is the Oracle-based proprietary software platform that best distinguishes our unique approach to accounts receivable management. As the culmination of more than 40 years of experience in anesthesia billing services and practice management, F1RSTAnesthesia is designed to allow ABC staff to interface with providers, patients and their insurance plans real-time thereby ensuring that client practices are optimally and accurately paid for the valuable services they provide. Unlimited capability to enhance the retrieval of the documentation received for the most accurate coding possible. Features and functionality anticipate the complex triage of medical billing, including the monitoring of payment accuracy and compliance with governmental and payer guidelines. Web portal applications give clients access to the details of their practice and the ability to drill down on practice trends in the comfort and convenience of their own home. -
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ClinicMind
ClinicMind
A more efficient, more profitable practice is possible with ClinicMind. If you are spending too much time and energy managing small issues and not enough time on what matters for your practice, you’re not alone. It’s what we hear most from practitioners who are still struggling with inefficient software or laboring through manual processes. We’ve built our EHR software and RCM solutions based on industry best practices and real-world solutions to clinical challenges. Our teams of coding, billing, and medical compliance analysts have 20 years of experience, and we’ve served 16,000 users and counting. ClinicMind solutions work for any specialty or integrated practice, including chiropractic and mental health practices. Our software development and industry expertise is broad and flexible enough to understand and resolve the unique operational challenges in each specialty area. -
39
MDaudit
MDaudit
MDaudit is a cloud-based platform that unifies billing compliance, coding audits, and revenue-integrity workflows for healthcare providers, hospitals, physician networks, ambulatory surgical centers, and the like. It supports all types of audits, scheduled, risk-based, retrospective, and denial-focused. MDaudit automates data ingestion from pre-bill charges, claims, and remittance data; triggers audit workflows; flags anomalies and high-risk patterns; and delivers real-time dashboards and drill-down analytics revealing root causes of billing errors, denials, and revenue leakage. Its modules, including a “Denials Predictor” for pre-submission claim validation and a “Revenue Optimizer” for continuous risk monitoring, help organizations prevent claim denials, reduce recoupments, and capture more legitimate revenue. MDaudit also provides payer-audit management: a secure, centralized workflow to respond to external audit requests and manage documentation exchange. -
40
Context 4 Health Plans Suite
Context4 Healthcare
Protect the integrity of your health plan and determine accurate pricing with the Context4 Health Plans Suite, our modular, cloud‑based technology platform. Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts. Accurate data and cutting-edge cloud technology combine to create a proven and defensible medicare reference-based pricing (RBP) solution. More than 100 healthcare data sets, with professional support to optimize efficiency and compliance. Advanced medical coding software designed to expedite claim submission and minimize denials. Our cloud based Payment Integrity Platform utilizes our proprietary analytics engine to identify coding errors, medical necessity, unbundling, fraud-waste-abuse, audit risks, pricing and other aberrations that can impact your business. -
41
Dastify Solutions
Dastify Solutions
Dastify Solutions is a U.S.-based, AI-powered medical billing company trusted by 1,000+ healthcare providers nationwide. They specialize in high-accuracy RCM, leveraging advanced AI and a team of 500+ AAPC/AHIMA-certified coders to reduce errors by up to 99%. They offer end-to-end services, including coding, AR recovery, credentialing, and denial management, customised for 75+ specialities on a flexible pay-for-paid model. Their platform integrates seamlessly with 600+ EHR / EMR systems.Starting Price: $50 -
42
OptiPayRCM
OptiPayRCM
OptiPayRCM’s platform delivers seamless, “last-mile” revenue cycle management automation by integrating with EHRs, clearing houses, payer portals, and other systems via flexible adapters so your billing workflows can be processed end-to-end. Its unified core engine handles eligibility checks, claim submissions, payment postings, denial management, and full accounts receivable workflows using AI and robotic process automation to reduce manual effort and accelerate cash flow. Real-time dashboards and reports provide visibility into key metrics and enable predictive insights, while customizable automation supports exceptions and unique workflows. It reduces first-pass denials by up to 63%, speeds claim status checks up to 50 times faster than human processing, and reduces payment cycle time by up to 35%. It is compatible with more than 200 healthcare systems and supports direct integrations via EHRs, FHIR, EDI, and HL7. -
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Kovo RCM
Kovo RCM
Kovo RCM is a revenue cycle management and medical billing service platform that helps healthcare providers streamline billing processes, optimize reimbursements, and reduce administrative burden so clinicians can focus more on patient care. It delivers end-to-end RCM services that include insurance eligibility verification, claims submission and tracking, denial management and appeals, coding support, credentialing, patient billing and collections, and custom reporting and analytics to provide clear financial insights and improve cash flow. Kovo RCM supports a wide range of medical specialties, including cardiology, anesthesiology, radiology, mental and behavioral health, internal medicine, surgery, EMS and ambulance services, wound care, and more, offering tailored billing expertise for the unique coding and reimbursement challenges each field faces. -
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Heidi Health
Heidi Health
Heidi Health is an ambient AI clinical documentation and workflow platform built for healthcare professionals. It captures patient consultations in real time and converts conversations into structured medical records, including progress notes, referral letters, discharge summaries, care plans, and billing-ready documentation. The system recognizes complex medical terminology, adapts to specialty-specific requirements, and supports standardized coding systems such as ICD-10 and SNOMED CT. Heidi distinguishes clinically relevant details from general dialogue and formats outputs for review and EHR integration. Accessible via secure desktop and mobile applications, Heidi integrates with major electronic health record systems and supports multilingual consultations. With enterprise-grade security and compliance with global privacy standards, Heidi reduces administrative workload while improving documentation accuracy and clinical workflow efficiency.Starting Price: $30 per user / month -
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Medical Billing
Advantedge Healthcare Solutions
Medical billing services, practice management and coding optimized for your specialty – and your bottom line. AdvantEdge customers have complete confidence working with a superior medical billing company. Comprehensive revenue cycle management that improves your bottom line! Our “future proof” physician billing solutions incorporate the best of today’s medical billing technology plus the ability to integrate it with other information, both today and tomorrow. AdvantEdge offers your group practice or hospital comprehensive medical billing services including telemedicine billing services. Our entire company is focused on achieving superior results for clients including ClientFirst service and fully transparent operations. Every medical billing service and operation is first measured by its results. At AdvantEdge, we take pride in net collections rates in the mid and upper 90’s, Days in A/R in the low to mid 30’s and, most importantly, consistent client cash flow. -
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E-COMB
KBTS Technologies
EDI Compatible Medical Billing (E-COMB) is a web based solution for generating medical claims complying with the HIPAA transaction and code set standards, regulated by the US Government following the recommendations of American National Standards Institute (ANSI). The application is designed to generate, submit and reconcile the claims to the insurance carriers, guarantors and/or patients. This is one of the most important tools for doctors in realizing their revenue by reducing the turnaround time in the claims reimbursement. All the information related to environment of the Doctor’s Office/Hospital is grouped together as Master Data. This information is frequently used for claims processing and is less likely to change quite often. Master Data contains details of the Procedures, Diagnoses, Doctors, Payers, and Billing Providers etc. This data is created as part of the initial set up and can be updated easily at any time. -
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Flash Code
Flash Code Solutions
Flash Code™ is a coding product designed for the healthcare community. Our goal is to provide exceptional, simple to use, cost-effective software which is provided with unsurpassed customer service. We are a division of Practice Management Information Corporation - the leading independent publisher of coding books. Our team can provide a complete solution to meet your coding and compliance needs via our software and print products. Thanks for taking a few moments of your valuable time to explore what Flash Code can do for you. The merger creates an opportunity for MCCS to provide sophisticated electronic coding and compliance solutions to the health care industry. From the physician checking for medical necessity codes at the point of care, to the insurance manager validating diagnosis codes, or the benefits analyst reviewing health insurance claims for correct coding initiative compliance, MCCS provides a solution to facilitate the process. -
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Veradigm Payerpath
Veradigm
Veradigm Payerpath is an end-to-end revenue cycle management suite of solutions built to assist organizations to improve revenue, streamlining communications with payers and patients, and boosting practice profitability for practices of all sizes and specialties. Eliminate missing information, incorrect coding, and data entry error to ensure clean claim submission. Ensure claims pre-submission are correctly coded, have no missing information, and are error-free. Compare performance against peers at the state, national, and specialty levels to optimize productivity and improve financial performance with advanced analytical reporting. Remind patients of their appointments and confirm their insurance coverage and benefits information. Automate the billing and collection of patient responsibility. Veradigm Payerpath’s integrated solutions are practice management (PM) agnostic, interfacing seamlessly with all major PM systems. -
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Bookend Healthcare AI Agent
Bookend
Bookend Healthcare AI Agent platform optimizes administration from patient care to payment processing. Streamline complex prior authorization workflows freeing healthcare providers from manual tasks and reducing costly denials. By automating the process, we help you increase operational efficiency, accelerate revenue cycles, and ultimately improve patient outcomes. Our intelligent agents analyze patient data, understand insurance policies, and package necessary information for accurate and timely submissions, ensuring higher approval rates and faster reimbursements. Our AI-powered platform revolutionizes healthcare by automating the design and delivery of personalized care plans. We help healthcare providers proactively identify evidence-based interventions to optimize patient outcomes and reduce costs. Our platform empowers clinicians to make data-driven decisions, improve care quality, and enhance patient satisfaction. -
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P1 Billing LLC
P1 Billing
P1 Billing is one of most innovative medical billing companies in America. We provide Medical Billing, EHR, Transcription and Bookkeeping services to a variety of specialties, including: Internal Medicine, Emergency Medicine, Vascular, OBGYN, High risk OBGYN, Allergy Specialists, Pediatrics, Orthopedics, and more. We aim to maximize your revenue by collecting all that is due your practice, while minimizing your billing headaches and allowing you to concentrate on taking care of patients. We use the most up to date reimbursement strategies available and continuously update our procedures in order to obtain for you, the physician, the greatest legally attainable reimbursement rates. At P1, we identify the issues and make sure the carriers understand their problem, to insure you receive the maximum legal reimbursement you deserve. You and your staff spend time better suited to treating patients examining charts, reviewing contracts, analyzing coding to fight denials
