Top 10 Full Service RCM Alternatives & Competitors

Our single platform approach provides immediate visibility into revenue cycle opportunities, tackling some of today's biggest challenges with the following Productized Analytics Suite Modules:

• Workforce Quality Insights (WQI) – Links front-office actions to financial KPIs
• Patient Access Insights (PAI) – Enhances financial experience pre-service
• Revenue Integrity Suite (RI) – Reduces denials and compliance risks
• Productivity Analytics (PA) – Improves staff productivity in real-time
• Cost Insights (CI) – Targets controllable costs
• Business Office Suite (BOS) – Unifies patient accounting data

Turn data into decisions with healthcare’s first and only streaming platform for personal health data. With connections to more than 550 unique devices, Validic helps you access and manage your population’s health data, personalizing care and ensuring you trigger the right insights to support the right actions.

Innovaccer’s Data Activation Platform, leveraging modern cloud lakehouse architecture, is designed to help organizations rationalize their IT expenditures by driving ROI and realizing cost-saving opportunities within their infrastructure. Its data lake architecture provides more than 200 prebuilt connectors to allow hospitals to onboard and test data. With intelligent algorithms, the platform delivers deep AI- and ML-powered predictive insights to support

hospital operations. It’s one of the most cost-effective data archiving solutions and has a variety of use cases to impact productivity, efficiency, and quality for physicians, care coordinators, and healthcare leaders. 

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

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.

HealthNautica’s eORders™, software is a comprehensive, easy-to-use, cloud solution for managing the entire perioperative process and surgical scheduling without changing your scheduling system. It begins with the physician’s office filling out an online surgery scheduling or procedure request.

Gone are the days of illegible, incomplete, inaccurate faxes sent back and forth between the physician’s office and the facility’s scheduling department. The cumbersome and error prone faxing process is replaced by an electronic form that is configured to each facility’s exact specifications and reacts to the user’s input thereby assisting the physician’s office in getting it right the first time.

All orders are legible, complete, screened for CMS Medical Necessity, incorporate SCIP, VTE, SSI and ACS NSQIP measures, verified for insurance eligibility, pre-certified and satisfy edits by CMS, commercial payers and the facility. Our solution ensures efficient surgery center scheduling and block time management while streamlining processes such as prior authorization.

The Stel Vitals Hub seamlessly and securely connects bluetooth vitals devices to health records without complex setup, WiFi, or mobile applications.

Healthcare leaders are struggling with the reality of the digital divide and integrating hundreds of point solutions across the care continuum.

Patients simply plug in the Hub and use their vitals device.
Care teams can better monitor patient trends and alerts within their preferred workflow.

With Stel, patients don’t require Wi-Fi, smartphones, or tech-literacy to connect with their care teams. 

Stel passively and securely connects the device data to their care team’s Electronic Health Records (EHR) or preferred platform without risking Protected Health Information (PHI) or complicated workflows. 

XpertCoding is an AI enabled autonomous medical coding platform that automates over 90% of medical coding with 99% accuracy within 24 hours. XpertCoding also includes a Business Intelligence suite with a Clinical Documentation Improvement (CDI) Dashboard and a Comprehensive Data Analytics Dashboard, providing essential insights for healthcare leaders and teams to optimize operations.

What organizations can expect from XpertDox:

Unmatched Automation and Accuracy

• Fully Automated Medical Coding: Automates 94% of claims without human review, ensuring speed, accuracy, and efficiency with minimal supervision.
• Performance-Based Coding: Tracks quality and performance metrics effectively with support for Category II CPT codes.
• Reduces Coding Errors to Less Than 1%: Ensures compliance and minimizes claim denials, delivering precise and consistent coding outcomes with >99% coding accuracy
• Faster Claim Processing in less than 24 Hours: Accelerates claim submission timelines, ensuring faster reimbursements and reduced backlogs.
• Smart Claim Scrubber: Customizable to align with payor-specific rules, reducing denials and rejections for smoother claim submissions.
• EMR or EHR-Agnostic Solution: Enables easy data extraction and Fully Automated Claim Submission, ensuring uninterrupted workflows with any EMR or EHR system.
• Modifies and Improves 80% of Claims: Streamlines workflows, eliminating bottlenecks and enhancing operational efficiency.

Enhanced Financial Outcomes for Clients

• Flexible Pricing Model: Offers transparent, per-claim pricing for scalable and cost-effective solutions tailored to your needs.
• Delivers a 15% Increase in Charge Capture: Optimizes revenue generation and ensures accurate billing practices.
• Reduces Claim Denials by 22%: Strengthens the revenue cycle and minimizes payment delays.
• Drives 23% Growth in PMPM Payments: Boosts practice revenue by up to 19%, significantly enhancing financial performance.

Revenue Cycle Optimization and Advanced Insights

• Revenue Cycle Dashboard: Provides real-time visibility into key performance metrics and financial health, empowering data-driven decisions.
• Clinical Documentation Improvement (CDI): Optimizes compliance and documentation accuracy for improved financial outcomes and streamlined workflows.
• Advanced Analytics Suite: Benchmarks provider and clinic performance with actionable insights, helping healthcare teams make informed, strategic decisions.
• Proactively Recovers Missed Charges: Identifies and retrieves overlooked charges from previously submitted claims, enhancing revenue integrity.

Secure and Risk-Free Implementation

• HIPAA-Compliant Infrastructure: Ensures secure data privacy and full regulatory compliance, offering peace of mind for healthcare organizations.
• Risk-Free Implementation: Includes zero upfront fees and a complimentary first month, allowing you to experience the benefits without risk.
• ISO 27001, ISO 22301, SOC2 Type II compliant

Proven Results

• Reduces charge entry lag by 40%, ensuring timely claim submissions. Achieves less than 1% coding errors, significantly improving compliance and reducing denials.
• Enhances efficiency and accuracy, enabling healthcare teams to focus more on delivering high-quality patient care.

XpertCoding by XpertDox

XpertCoding is XpertDox's premier autonomous medical coding platform, designed to accelerate the revenue cycle with unmatched accuracy and efficiency. With risk-free implementation, zero upfront fees, and a complimentary first month, healthcare organizations can experience the transformative benefits of XpertCoding firsthand.