Inefficient workflows are draining your resources.
Healthcare revenue management is more challenging than ever, with teams stretched thin by complex regulations and an ever-growing volume of claims. If you are still relying on manual processes or outdated tools, you are likely facing rising denial rates, compliance headaches, and mounting frustration among your staff.
All this adds up to slower payments and tighter cash flow, which puts even more pressure on your organization.
Research from KLAS reveals that providers who leverage advanced RCM technology typically see a 25% reduction in days in accounts receivable. That means you could collect payments faster and free up working capital to put back into patient care or new initiatives.
That is why having the right revenue cycle management software makes a real difference for healthcare organizations of any size. If you work in facility management, you may also benefit from reviewing long term care software.
In this article, I am going to walk you through the best revenue cycle management software options to help you improve cash flow and efficiency in 2025.
By reading this, you will discover tools that streamline claim processing, reduce denials, cut manual work, boost compliance, and deliver actionable analytics.
Let’s get started.
Quick Summary:
| # | Software | Target Users |
|---|---|---|
| 1 | Waystar ↗ | Hospitals and health systems needing end-to-end RCM |
| 2 | ModMed ↗ | Specialty medical practices seeking tailored billing |
| 3 | Cerner ↗ | Healthcare providers linking clinical care with billing |
| 4 | athenahealth ↗ | Medical practices focused on boosting collections |
| 5 | eClinicalWorks ↗ | Physicians and managers needing faster payments |
1. Waystar
Struggling to get paid on time often?
Waystar helps you speed up payments and boost revenue with AI-powered automation that cuts errors and simplifies healthcare billing.
Their platform covers every step in the revenue cycle from verifying insurance eligibility before care to managing patient payments after visits. This means you spend less time chasing denials and more time collecting revenue. Waystar’s AI-driven tools help reduce manual work by automating claim monitoring, denial prevention, and charge integrity checks. These features combine so your team can focus on high-value tasks instead of paperwork.
The software delivers proven results for hospitals, health systems, and specialty practices alike.
You’ll see benefits like fewer denied claims, faster reimbursements, and improved patient satisfaction. Waystar’s AltitudeAI™ powers the platform with predictive analytics and smart automation to forecast outcomes and prioritize workflows. This intelligent support lifts cash flow and operational efficiency.
They’ve helped clients like Piedmont increase back-office automation by 300% and Renown Health double patient payments. Additionally, Waystar’s analytics give you insights to spot revenue opportunities and compliance risks early.
If you want a partner to optimize your entire healthcare revenue cycle, Waystar is a solid choice.
Key features:
- End-to-end revenue cycle coverage: From financial clearance to patient payments, ensuring faster reimbursements and fewer errors.
- AI-powered automation: Reduces manual tasks and speeds claim processing for better cash flow and team productivity.
- Actionable analytics: Provides real-time insights to improve collections, denial recovery, and financial decision-making.
Learn more about Waystar features, pricing, & alternatives →
Verdict:
Waystar stands out as the best revenue cycle management software for healthcare providers aiming to boost cash flow and reduce denials. Clients like Piedmont achieved 300% more automation, while Renown Health doubled patient payments. Its AI-powered automation and comprehensive tools make revenue cycle management less stressful and more efficient.
2. ModMed
Looking to simplify your medical billing processes?
ModMed tackles the headache of managing specialty-specific revenue cycles with tailored solutions that fit your practice’s unique workflows.
This software integrates your clinical and administrative tasks, allowing you to reduce manual work with tap-and-go notes and automated coding suggestions. It helps you streamline claims and identify reimbursement trends before they impact your cash flow.
Boosting your practice revenue is possible.
ModMed’s AI-powered tools analyze data and flag claims likely to be denied, so you can prevent costly errors and speed up payments.
They also offer robust analytics and reporting to uncover revenue opportunities and highlight schedule gaps. If you work in a clinical setting, you may also benefit from streamlined nurse scheduling software to optimize workflow efficiency. This helps you make smarter decisions and grow your patient volume efficiently.
Patient communication gets easier too, offering self-scheduling and improved message routing that enhances your relationship with patients.
Key features:
- Specialty-specific revenue cycle management: Customized workflows for fields like dermatology and orthopedics that reduce billing errors and speed up reimbursements.
- AI-assisted claims processing: Automatically categorizes and prioritizes claims to lower denial rates and reduce staff workload.
- Comprehensive analytics and reporting: Track key metrics such as missed appointments, reimbursement trends, and coding distributions to maximize practice profitability.
If your clinic includes an on-site library or resource center, you might appreciate solutions designed to simplify your cataloging and boost service.
Learn more about ModMed features, pricing, & alternatives →
Verdict:
ModMed stands out as the best revenue cycle management software for specialty medical practices. Its AI-powered claims processing and specialty-tailored workflows helped Laina Roberts increase revenue by 20% while growing patient volume. If you want to reduce billing hassles and improve cash flow, ModMed is a smart choice.
3. Cerner
Struggling with complex healthcare billing processes?
Cerner’s revenue cycle management (RCM) solutions focus on driving financial outcomes through clinically driven, patient-focused care information integration.
Its platform helps clinicians and financial teams connect patient data with billing workflows, reducing delays and inaccuracies while improving cash flow. For those interested in expanding efficiency beyond healthcare, you might want to check out the best any industry software to help save time and boost overall productivity. The software also offers actionable health insights to automate processes and optimize resources, enabling your team to focus on patients rather than paperwork.
It truly streamlines your workflows.
Cerner’s tools support real-time health system data to enhance clinical, operational, and financial outcomes, helping you meet increasing demands without added complexity.
Another great aspect is its open, extensible ecosystem, allowing easy integration with existing healthcare systems which boosts efficiency without disrupting your current operations. If you’re also looking at digital transformation, consider complementing efficiency gains with OCR software to save time and digitize essential documents fast.
Ready to make revenue management simpler?
Cerner’s clinically driven approach, combined with predictive analytics and flexible infrastructure, allows you to confidently manage billing and improve financial health within your healthcare organization, no matter its size or specialty. This holistic focus makes it easier to stay ahead of operational challenges and focus on what matters most—patient care.
Key features:
- Clinically driven revenue cycle management that ties patient care directly to financial processes, helping reduce billing errors and speed up reimbursement cycles.
- Real-time health system insights delivering predictive, actionable data that automates workflows and optimizes resource allocation across your organization.
- Open, extensible platform that promotes interoperability across providers, payers, and care settings, ensuring information flows smoothly and supports coordinated care delivery.
Learn more about Cerner features, pricing, & alternatives →
Verdict:
Cerner stands out as one of the best revenue cycle management software solutions for healthcare providers aiming to boost cash flow without losing focus on patient care. Its clinically driven platform and smart data insights helped organizations like Baycare Health System enhance billing efficiency and accuracy substantially. This balance between clinical and financial operations makes Cerner a solid choice for healthcare professionals.
4. athenahealth
Is your medical practice struggling with claim complexities?
athenaOne combines AI-powered tools with practice management to help you collect faster and reduce administrative burden.
This all-in-one healthcare solution streamlines clinical workflows and billing while improving patient engagement. It offers specialty-specific workflows tailored to how you think and work, which can shrink daily inefficiencies that cause staff burnout.
Practices often see a 2-6% increase in collections.
By reducing overhead and improving financial performance, athenaOne frees your team to focus more on patient care rather than paperwork.
The platform’s AI-driven billing and revenue cycle management capabilities automate claim submissions and follow-ups, helping your practice get paid accurately and on time.
Charting and documentation become easier, letting you close more charts quickly without slogging through tedious data entry.
Key features:
- AI-powered billing and claims management: Automates complex insurance claims processes to speed up collections and minimize lost revenue due to errors.
- Specialty-specific workflows: Designed to fit your clinical needs, reducing staff burnout by making day-to-day operations smoother and more intuitive.
- Integrated patient engagement tools: Enhance patient communication and care coordination, driving satisfaction and retention while supporting revenue growth.
If your practice also relies on specialized software for home services, you may find the best HVAC estimating software a game-changer when managing estimates and jobs outside the clinic.
Learn more about athenahealth features, pricing, & alternatives →
Verdict:
athenahealth stands out as one of the best revenue cycle management software options for medical practices focused on boosting collections and reducing overhead. Customers report up to a 6% rise in income and less staff burnout thanks to its AI billing and tailored specialty workflows.
Another tool to consider, especially if your practice coordinates transportation or delivery services, is proven Uber clone scripts for ride-hailing, which can streamline the patient pick-up process or help with in-house logistics.
5. eClinicalWorks
Struggling to improve your healthcare practice’s cash flow?
eClinicalWorks offers an advanced revenue cycle management solution with a 98% or higher first-pass claim acceptance rate, helping reduce claim denials and speed up payments.
Their AI-powered platform also integrates clinical documentation, patient engagement, and population health, so managing your practice feels less chaotic and more productive. This unified system means less time spent on administrative tasks, letting you focus on patient care while your revenue improves.
It simplifies RCM.
You’ll benefit from automated claims management that handles complex billing rules.
Plus, eClinicalWorks leverages AI tools like Sunoh.ai, an intelligent medical scribe, to reduce documentation time and improve coding accuracy—cutting your overhead and increasing revenue recovery. Their platform supports telehealth, patient self-scheduling, and secure messaging, which boosts patient engagement and helps keep your practice thriving.
Very efficient workflow.
eClinicalWorks serves over 850,000 healthcare professionals globally, showing its reliability and scalability for practices both large and small. Their cloud-based system reduces IT burden, so you won’t need extensive infrastructure or support staff.
If your clinic manages APIs for integrations, streamlining connections is crucial—these API management tools can help safeguard your patient data while supporting new digital health solutions.
If you want to reduce claim rejections and speed up payments, their RCM service is worth exploring. It’s designed for physicians and practice managers looking to ease financial stress while maintaining high-quality care.
Key features:
- High first-pass acceptance rate for claims: Minimizes denials and accelerates revenue inflow with a 98% or higher success rate on initial submissions.
- AI-powered documentation and automation: Sunoh.ai medical scribe cuts administrative work, improves coding accuracy, and optimizes billing processes.
- Integrated patient engagement tools: Includes telehealth, self-scheduling, and secure messaging to enhance patient experience and support value-based care.
If expanding your networked locations, having the right IP address management software can prevent IT headaches and help keep your infrastructure scalable and secure as your practice grows.
Learn more about eClinicalWorks features, pricing, & alternatives →
Verdict:
eClinicalWorks stands out as one of the best revenue cycle management software options for healthcare providers who want to improve cash flow without sacrificing patient care. Their 98%+ first-pass claim acceptance rate and AI-driven automation helped many practices reduce billing overhead and payment delays, making it ideal for doctors and practice managers.
6. Veradigm
Looking to boost your practice’s revenue flow?
Veradigm offers a comprehensive revenue cycle management solution designed for healthcare providers.
It tackles billing challenges by integrating advanced RCM services that streamline claims submission, minimize denials, and accelerate payments. This means you can focus more on patient care without worrying about cash flow interruptions.
You’ll appreciate how it simplifies complex workflows.
The platform seamlessly connects your existing technology with revenue tools, helping to reduce administrative burden and improve accuracy in medical coding and documentation.
Their coding and billing services help ensure claims are processed correctly, which frees up your staff and reduces costly errors. Underlining this, Veradigm’s integration with AI-driven scheduling and EHR systems drives efficiency across clinical and financial operations.
Veradigm also supports electronic statements and payments, letting patients pay easily through their preferred methods, which speeds up collections and improves patient satisfaction.
Their clearinghouse solution smooths claims processing and enhances communication between providers and payers. If you’re looking for ways to further streamline your operations and boost your sales and cut fees, it’s important to consider integrated payment solutions.
You benefit from a well-rounded platform tailored to healthcare providers, combining data insights, technology, and support to optimize your revenue cycle.
Key features:
- Integrated billing and claims tools that reduce rejections and accelerate reimbursements, helping your practice maintain steady cash flow.
- Medical coding accuracy services that lighten your staff’s load while ensuring claims meet payer requirements every time.
- Electronic statements and payment options that increase patient payment rates and make collections simpler and faster.
If you rely on remote staff or consultants, being able to boost your remote collaboration easily might also enhance the billing and claims process.
Learn more about Veradigm features, pricing, & alternatives →
Verdict:
Veradigm stands out as the best revenue cycle management software for healthcare providers aiming to improve financial outcomes. Its blend of coding accuracy, automated claims processing, and patient-friendly payment options helped Koha Health reduce claim denials and boost revenue effectively. This all-in-one solution can transform your practice’s billing and collections.
Conclusion
Is your revenue cycle management challenging?
In the world of healthcare, increased denial rates and inefficient workflows can create significant cash flow challenges for you. If you’re relying on outdated tools, you’re probably frustrated with the time it takes to resolve claims and maintain compliance.
Interestingly, KLAS Research indicates that healthcare providers adopting advanced RCM technology have seen a 25% reduction in days in accounts receivable. That’s a striking improvement that highlights how critical it is to embrace modern solutions.
This is where Waystar shines. By streamlining every step of the revenue cycle, Waystar can transform your billing processes, allowing you to focus on patient care instead of paperwork. Its AI-powered automation significantly reduces errors.
Imagine increasing your back-office efficiency like clients who reported a 300% boost in automation. Ready to improve your revenue cycle management? I highly recommend you book a free demo of Waystar to see how it can enhance your operations.
By taking action now, you’re not just investing in software; you’re empowering your practice towards a healthier financial future.
