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Best Revenue Cycle Management Products

Best Revenue Cycle Management Products

This category is a work in progress

Optimizing revenue cycle processes equals a $9.5B total opportunity.

Revenue cycle management is integral to creating a financially solvent health system. However, embedded in the current process for managing the healthcare revenue cycle are many time-consuming manual processes that contribute to high administrative costs. Revenue cycle stages of securing prior authorization and financial clearance, improving clinical documentation, assigning proper codes, and managing denied claims require substantial labor resourcing. Doing these tasks manually can result in staff burnout and costly errors throughout a patient's care.

Additionally, today’s market presents many challenges—higher costs and deductibles, decreasing reimbursements, more regulatory complexity, shifting payment models, and increasing consumerism. To deal with these financial pressures, health systems are being forced to innovate.

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Revenue Cycle Management: Products


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Andor Health was born over 4 years ago with a single mission; to fundamentally change the way in which care teams, patients, and families connect and collaborate. By harnessing the latest innovations in OpenAI/GPT models, our cloud-based platform unlocks data stored in source systems - such as electronic medical records - to deliver real-time actionable intelligence to care teams within ubiquitous virtual collaboration platforms like Zoom. By perfecting communication workflows, our platform accelerates time to treatment, decreases clinician burnout, and drives better patient outcomes.  

Healthcare institutions and providers use ThinkAndor® to enable providers to configure patient and clinician interactions with ubiquitous team collaboration platforms. This eliminates the need to manage added applications. ThinkAndor® enables a frictionless virtual interaction allowing physicians and patients to communicate without being distracted by disjointed technologies during a virtual consultation. 

ThinkAndor is the only integrated virtual collaboration platform that can truly bring together all aspects of outpatient, inpatient, post-acute and at home virtual care collaboration through the 5 Pillars of Virtual Health: Virtual Visits, Virtual Hospital, Virtual Patient Monitoring & Care Management, Virtual Team Collaboration, and Virtual Community Collaboration. 

Features include:

  • Virtual visits launched from the EHR
  • Voice-to-text clinical notes
  • Real-time alerts and notifications
  • Secure collaboration channels
  • ThinkAndor® AI Bot provides relevant content and clinical context to visits and care teams
  • Device-agnostic virtual rounding, nursing, sitting and remote consults to power the virtual hospital
  • Remote specialty consults such as Tele Stroke, Tele Psych, and Tele ICU
  • Access to a virtual on-demand network
  • Multi-room/patient virtual sitting for a variety of risk types
  • Virtual nursing to address staffing shortages

In 2020, Microsoft M12 took an investment position in Andor Health and works very closely to optimize virtual interactions leveraging OpenAI and GPT. Since then, Andor Health has grown to serve over 70,000 providers and over 500 hospitals leveraging the Andor Health platform across the US, Canada, and UK. Orlando Health, Medical University of South Carolina, Tampa General Hospital, Yale New Haven, and the National Institutes of Health are among some of the most notable. You may find some of our most prestigious partners here, https://andorhealth.com/partners.html. 

Most Importantly, Black Book has ranked Andor Health as the #1 Virtual Care Collaboration Solution with the Highest Client Satisfaction in 2023! Black Book Market Research used 18 key performance areas of operational excellence to rank Virtual Care Solutions vendors, and recognized Andor Health as the Highest in Client Satisfaction.  More importantly, Black Book reached out to nearly 1000 provider organizations, hospitals, and health systems to perform this independent market evaluation with Andor Health taking  #1 in 13/18 key performance indicators across all 5 pillars of virtual health & collaboration! This success is a proven indicator of Andor Health’s focus to empower clinicians and care teams with distinct, AI-powered virtual collaboration experiences. 

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product capabilities
Access & Scheduling
Intake & Virtual Waiting Room
Virtual Encounter
Diagnosis & Documentation
Billing, Orders, & Follow Up
Technical Support
Flexible Staffing
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
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+50 verified clients
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Ease the burden on care teams with an AI-powered solution that provides virtual monitoring around the clock, in every room. The care.ai Platform continuously monitors for potential risks and notifies care teams before problems arise.


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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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A voice and image-based conversational AI-powered synthetic human clinically validated to collect more complete and actionable patient data than doctors

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product capabilities
Contextual understanding
Interoperability
Data security and privacy
Naturalistic interaction
Scalability
Adaptability
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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XpertCoding is a revolutionary technology that leverages advanced natural language processing (NLP) and machine learning algorithms to code medical claims within 24 hours automatically. By streamlining the coding process, XpertCoding enables faster claims submissions with unparalleled accuracy, resulting in maximized financial gains for clients. The breakthrough technology behind XpertCoding sets it apart as a game-changing solution for medical coding, providing a more efficient and effective alternative to traditional coding methods.

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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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There’s a wealth of powerful data within your EHR—you just need real-time insights and seamless integration to make it actionable. Our Prior Authorization solution, powered by Waystar’s Hubble: - Automatically verifies, initiates, statuses and retrieves comprehensive authorization details - Enables efficient, intelligent automation by initiating authorizations at twice the speed of manual processes - Integrates directly with all major HIS and PM systems - Provides end-to-end authorization platform, including authorizations submissions for unscheduled admissions, as well as auto-generating ABNs or Notice of Non-coverage forms for Medical Necessity - Adapts to constantly shifting payer rules and requirements - Was built and is maintained by our in-house team of experts
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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Just like every patient's visit is personal, their billing and payment experience should be too.

Trusted by hundreds of provider clients, including 4 of the top 10 health systems in the US. Flywire’s analytics-driven payment platform engages patients at every stage in the financial journey with easy-to-understand, affordable payment options.

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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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Make your operations more efficient: With Passport Authorizations, inquiries take place without user intervention, as does status monitoring. Submissions guide staff through the workflow, auto-filling all information Experian Health has received and prompting users only if their involvement is required. Access the industry’s most complete payer database: Experian Health's pre-authorization knowledge base stores and dynamically updates payer prior authorization requirements. Your staff can check whether prior authorization is required for a particular procedure or service, and the knowledge base automatically responds to queries with information needed.
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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VALER is a cloud-based **Enterprise Authorization Platform** that streamlines and automates today's manual authorization workflows. VALER provides **ONE place to SUBMIT and VERIFY authorizations across all payors and all services types** (professional, facility, ancillary, medications, etc). VALER is the only solution that manages authorization submissions for both payor **FAX** and **web portal** based workflows. VALER provides enterprise-wide visibility on **real-time authorization status** and documentation to eliminate duplicate work and support the revenue cycle.
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product capabilities
Requirements Identification
Requirements Knowledge Base
Form Completion
Forms Library
Documentation Collection
Request Submission
Status Monitoring
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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Cedar Pay makes it simpler for patients to navigate the post-service financial journey and take control of their medical bills. We deliver enterprise-grade patient billing and payment solutions that leverage Cedar's cutting-edge consumer engagement technology, unique payer integrations and aligned incentives to help provider organizations increase collections, boost efficiency and deliver an exceptional patient experience. More than 55 of the nation's leading health systems and physician groups turn to Cedar to transform the patient financial experience. On average, Cedar Pay lifts patient collection rates by 30%, with 88% of patients reporting a positive experience.

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product capabilities
Self-service out-of-pocket estimator
Digital statementing
Statement consolidation
EOB reconciliation
Post-service patient payment
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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R1 offers an end-to-end, technology-driven RCM platform that integrates with existing infrastructure to help solve your toughest financial challenges. With proven and scalable operating models, R1 seamlessly complements a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flow, reducing operating costs and enhancing the patient experience. Our size and scope, extensive client base and proven results mean that you can trust your financial performance to R1.
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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AVIA Marketplace offers a product grid that is a comprehensive resource for health care buyers in their research journey. The grid showcases products from leading vendors and ranks them based on compatibility level and market presence. This approach ensures that the products listed are not only relevant to the buyer's needs but also established in the market. With AVIA Marketplace's product grid, health care buyers can make informed decisions and select products that meet their specific requirements.

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