Revenue Cycle Management, also known as RCM, is the process that healthcare providers of the world use to manage their billing and collections from the time an appointment is scheduled until the balance is completely paid off. 

It controls timely and accurate payments as well as reduces denial of claims, delay in payments, and improves collections. 

According to Black Book’s June 2025 international healthcare finance survey, 734 stakeholders, nearly two-thirds (62%) of healthcare leaders in targeted global markets, intend to adopt advanced RCM technologies from U.S. providers within 24 months. The complexity of managing private insurance claims and multi-payer reimbursement structures (cited by 53%) and increasing demand for AI-driven solutions (48%) are driving adoption. 

Effective RCM boosts financial performance, supports regulatory compliance, and enhances patient satisfaction. According to Black Book’s latest survey at HFMA 2025, ten countries are seeing rapid growth in private Healthcare, creating strong opportunities for U.S. vendors in claims, payment, and administrative automation. In this blog, we will discuss the comparison of the top RCM companies.

Top Revenue Cycle Management Companies

Here are the 10 best RCM companies in the USA:

1. CareCloud

CareCloud, previously known as MTBC, is a healthcare company located in Somerset, New Jersey. It offers Cloud-based solutions to medical practices, hospitals, and health systems all around the nation. Electronic Health Records, Practice Management, Telehealth, and Revenue Cycle Management Services, which are a few key services helping them deliver better efficiency, lower administrative burdens & better financial performance so providers can focus more on their patients’ care.

RCM Features:

• Denial Prevention Tools: RCM detects and corrects errors related to billing and discrepancies in coding before finally submitting a claim, ensuring accuracy and enhancing consistency in revenue.
• End-to-End Revenue Management: RCM offers support for the entire revenue cycle, starting from the registration of patients to the collection of payments through automation of tasks and improved financial efficiency.
• Seamless EHR Integration: RCM enables the real-time synchronization of clinical and billing data, minimizing the administrative work while enhancing accuracy and promoting the efficient operation of healthcare practices.
• Optimized Claim Reimbursement: RCM approximates the amount and timeline of claim payments, ensuring swift reimbursement and reducing delays between submission and payment of claims.
• Appeals Automation: RCM simplifies appeal filing, intensifying accuracy while minimizing rejections, and accelerating resolutions.

2. R1 RCM 

R1 RCM uses advanced tools like Palantir AI to help healthcare providers boost revenue & streamline reimbursement. With the support of experts and a comprehensive RCM platform, they improve the efficiency and patient & financial outcomes.

RCM Features:

• Patient access: Makes a consistent self-service encounter by binding together planning, enlistment, clearance, admissions, & instalment for patients.
• Financial clearance: Guarantee patients get their individual instalment obligations early & give support through financial promotion.
• Patient-friendly billing: Offer patient-friendly billing with online payments, automated plans, and multi-channel support for a better consumer experience.
• Coding management and education: Enhance coding accuracy, speed, and compliance to ensure proper reimbursement and optimized revenue.
• Payment variance analysis: Identify & resolve underpaid or denied claims through effective appeals management & payment variance analysis.

3. DrChrono

DrChrono by EverHealth offers a customizable EHR platform built for streamlining care through user-friendly, independent practices and mobile-first solutions. As an Apple Mobility Partner, it supports over 17 million patients with flexible, API powered tools.

RCM Features:

• Denial Resolution: Resolve claim denials faster with expert RCM support or smart billing tools to boost your collections.
• RCM Task Manager: Comprehensive (RCM) that boosts collections & saves time through expert end-to-end billing support.
• Medical Coding: Enhance revenue & coding accuracy with certified medical coders and customizable billing tools to reduce claim rejections.
• BI Reporting Tools: Outsource medical billing to certified experts who deliver a 96% clean claims rate, transparent revenue insights & fast denial turnaround to boost practice profitability.
• Front-end Management Advice: Their RCM team analyses the front-end workflow to ensure optimal coding & to boost clean claim rates.

4. BellMedEx

BellMedEx is among the best medical billing and healthcare RCM companies delivering full stack revenue cycle management, coding, A/R recovery, and patient engagement. Its medical billing services help practices boost collections, cut denials, and reduce physician burnout with connected workflows.

RCM Features:

• Claim scrubbing and AR follow-up: Minimizes denials and accelerates reimbursement with real-time edits and prioritized worklists.
• Automatic payment posting: Posts ERAs automatically with expert-verified rules, surfaces zero-pays/variances, and flags underpayments for recovery.
• Enhanced claim resolution: Dedicated teams manage denials end-to-end, handle appeals and complex claims, and improve first-pass resolution.
• Streamlined front desk and scheduling: Automates eligibility and prior authorization, generates place of service estimates, and uses smart calendar search to lift check-in speed and collections.
• Credentialing and RCM integration: In today’s market, medical credentialing services remain a vital component of smooth revenue cycles. BellMedEx also links credentialing with RCM billing to cut onboarding delays and improve compliance for physicians in the USA.

5. Athenahealth

It is a top healthcare technology company offering integrated EHR, RCM, & patient engagement solutions. It helps providers improve care & financial performance through an efficient and connected ecosystem.

RCM Features:

• Claim scrubbing and AI follow-up: Minimize denials & boost collections with AI-driven billing rules and smart claim follow-up alerts.
• Automatic payment posting: Minimize manual work with automated, expert-verified payment posting & accelerate collections based on payer documentation.
• Enhanced Claim Resolution: Expert teams handle denials end-to-end & complex claims, reducing staff workload and improving resolution efficiency.
• Streamline collections and scheduling: Improve scheduling efficiency & front desk collections through automated workflows and smart calendar search.
• Simplify patient payment: It boosts patient collections by simplifying payments with flexible digital and traditional payment options.

6. NextGen 

Having 50 years of experience, NextGen Healthcare delivers smart technology solutions with the aim of helping ambulatory practices improve patient care, boost productivity, and enhance financial results.

RCM Features:

• Automated Claims Management: It streamlines the claim submission process, denial management & tracking to improve accuracy and speed of reimbursement.
• Patient Eligibility and Benefits Verification: It instantly checks the eligibility of insurance & benefits to improve upfront collections & reduce rejections of claims.
• Integrated Billing and Coding: It ensures precise, compliant billing & medical coding, which in turn reduces errors & expands revenue.
• Customizable Dashboards & Analytics: It supplies real-time financial insights, performance metrics & KPIs for supporting accurate decision-making.
• Patient Payment Solutions: It provides flexible payment options, including online portals, mobile-friendly tools & recurring plans for enhancing collection rates.

7. eClinicalWorks 

eClinicalWorks provides cloud-based EHR & practice management solutions to more than 180,000 physicians, enhancing patient engagement & care quality. Built on Microsoft Azure, for healthcare professionals, this platform supports smarter & data-driven decisions.

RCM Features:

• RCM Technology: RCM technology streamlines back-office operations with tools for eligibility checks, electronic remittances, automated claims processing, & denial management.
• Central Billing Solution: eClinicalWorks OpenConnect streamlines central billing by integrating multiple practice EHRs into a single-sign-on & scalable, secure platform for efficient CBO/MSO management.
• RCM Service: Comprehensive RCM services that optimize billing, reduce denials, & provide full financial transparency through real-time insights & expert support.
• RCM Consulting Services: eClinicalWorks provides tailored RCM consulting services, including AR support & workflow optimization to enhance financial performance for healthcare practices.

8. Waystar 

Waystar simplifies RCM for healthcare providers, helping reduce admin work and boost financial performance. It offers effective & clear RCM solutions nationwide as it is trusted by over a million providers.

RCM Features:

• Charge integrity: Waystar’s Charge Integrity uses AI to identify missing charges & undercoded claims, ensuring accurate revenue capture.
• Transfer DRG: Waystar’s Transfer DRG solution automatically identifies and corrects underpaid claims under PACT rules, helping providers recover revenue with minimal effort. It uses CMS data for accurate adjustments and integrates with other Waystar tools for complete revenue integrity.
• DRG Anomaly Detection: AI & certified auditors are used to review all accounts for coding errors, uncovering missed revenue, & reducing compliance risk. It boosts productivity with reports & integrates with tools like Charge Integrity & Transfer DRG for added value.

9. Change Healthcare

It is a provider of payment cycle & revenue management services that connects payers, providers & patients within the U.S. healthcare system.

RCM Features:

• Ambulatory Revenue Cycle Management Services: Optum delivers AI-enabled, specialty-tailored RCM solutions that enhance financial performance, scalability, and operational efficiency across the healthcare system.
• Medical Coding and Documentation: We enhance your CDI process with timely, accurate coding powered by advanced technology and expert support across all healthcare organization types.
• Patient Access for Revenue Cycle Management: Optum boosts patient acquisition, retention, and financial performance through streamlined, patient-centered access services.
• Patient access and engagement: Optum Patient Engagement & Access simplifies the digital care journey by enhancing patient convenience & reducing administrative burdens for providers & payers.
• Pharmacy Revenue Cycle and Billing Solutions: Revenue cycle management solutions help pharmacies boost revenue by reconciliation, streamlining billing & collections within existing workflows.
  

10. AdvancedMD

The company offers cloud-based software for ambulatory practices, combining EHR, telemedicine, billing, & practice management for financial performance & improving efficiency. It supports more than 65,000 providers and handles approximately 8.8 million claims on a monthly basis.

RCM Features:

• Claims Management: The company manages the claims process, from initial filing to resolving denials, exclusions, and appeals.
• Payments & Posting: Billing experts handle payments to maximize revenue.
• Unmatched Flexibility: Flexible RCM solutions that adapt to practice’s needs, allowing seamless shifts between outsourced billing & in-house.
• Full Integration: RCM offers seamless integration of scheduling, mobile apps, and EHR for centralized, anytime access to data.

11. Tebra

Kareo is now part of Tebra. Tebra is a cloud-based platform that helps different independent practices run, improve & efficiently provide patient care. It includes EHR, practice management, and patient engagement tools.

RCM Features:

• End-to-End Billing Services: Tebra handles all revenue cycle from claim creation & submission to payment posting & follow-up and ensures reimbursements timely.
• Integrated EHR and Practice Management: Seamless integration with scheduling tools & EHR streamlines clinical and administrative workflows.
• Real-Time Analytics and Reporting: Customizable dashboards & detailed reports offer insight into practice performance, denial rates & revenue trends.
• Claims Scrubbing and Denial Management: Automated claim scrubbing reduces errors before submission, while denial management tools help resolve issues as soon as possible they are faced.
• Patient Payment and Communication Tools: Text/email, Secure portals & e-statements reminders improve patient engagement and make it easier to collect payments.

12. PACE+

PACE+ is a modern, cloud-based EHR and practice management solution tailored for behavioral health, mental health, and human service providers. It’s built to make your day-to-day work easier by reducing paperwork, streamline medical billing, and improving patient care all in one HIPAA-compliant platform.

Key Features:

• ePrescription: Send prescriptions digitally with built-in safety checks for accuracy and speed.
  
• Electronic Health Records (EHR): Secure, cloud-based patient records that are accessible anytime, anywhere.
  
• Program Applicability: Flexible enough to adapt to the unique needs of behavioral health and social service programs.
  
• Workflow Management: Automate routine tasks, from intake to treatment planning, so your team can focus on care.
• Time Tracking Component: Track staff hours, appointments, and productivity with simple, built-in tools.

Why CareCloud Is The Best RCM Partner For You

CareCloud stands out as the top revenue cycle management software mainly due to its support for healthcare providers in improving their overall performance by streamlining the revenue cycle, starting from registration to final payment. CareCloud’s platform automates key tasks such as insurance verification, claim submission, and payment posting, which reduces the manual work & speeds up collections. 

AI tools detect and fix claim errors before submission, which minimizes any kind of delays and denials. By changing paper systems with efficient digital workflows, CareCloud Central also enhances practice management. Integrated analytics provides the actual and real-time insights for optimizing operations, while EHR integration ensures seamless access to patient data for better care coordination. 

Backed by US-based support and experienced billing professionals, CareCloud combines advanced technologies & expert guidance for efficient & reliable revenue management.

How To Choose The Best RCM Software

• Industry Expertise: Choosing vendors that have experience in your healthcare specialty to ensure accurate coding, ensure compliance, and revenue optimization.
• Technology & Software Capabilities: Look for secure, advanced, and interoperable platforms offering automation, scalability, & analytics.
• Data Security & Compliance: Ensure the vendor meets HIPAA requirements, uses encryption, access controls, and holds certifications like SOC 2 or HITRUST.
• Pricing & Contract Terms: Seek transparent pricing, clear SLAs, flexible contracts, and clauses for scalability or termination if expectations aren’t met.
• Customer Support & Training: Prioritize vendors with 24/7 support, multiple contact channels, and robust onboarding and training resources.
• Scalability & Flexibility: The RCM system should grow with the organization and integrate easily with evolving workflows and existing systems.
• Performance Metrics & Reporting: Ensure access to real-time and customizable KPIs like collection ratios & denial rates for better decisions.
• Reputation & Client References: Research vendor reviews, reputation, and speak to current clients to validate reliability and service quality.
  

CareCloud exceeds these benchmarks with a cloud-based & unified platform that combines EHR, RCM, & PM tools. It offers robust automation features, scalable solutions & real-time analytics for practices of all sizes. CareCloud’s transparent service model, dedicated support team, and industry compliance make it a trusted partner for healthcare organizations nationwide.

Conclusion

In today’s evolving and innovative healthcare landscape, effective Revenue Cycle Management is important for financial sustainability and patient satisfaction. Top RCM companies like CareCloud, R1 RCM, and Athenahealth offer innovative, tech-driven solutions that streamline billing and improve cash flow. 

Among all of them, CareCloud stands out with its AI-powered platform, integrated, scalable tools, and expert support, making it a strong choice for practices of all sizes. If you’re looking for reliable, tech-powered RCM services, CareCloud should be at the top of your list. 

If you want to feature your RCM company on this list, email us or submit a form in the Top Choices section. After a thorough assessment, we’ll decide whether it’s a valuable addition.