What is RCM software in healthcare?

Revenue Cycle Management (RCM) software manages the entire financial life cycle of a patient's visit. It automates essential tasks — from insurance eligibility verification to claims submission and to payment — to help practices capture revenue accurately and efficiently.

Which billing software is commonly used for RCM?

Most modern practices use cloud-based practice management systems that integrate directly with their EHR. While generic options exist, specialty practices often prefer specialty-specific solutions like ModMed, which feature preconfigured suggested coding and workflows tailored to their medical field.

What should I look for in a medical revenue cycle management vendor?

Prioritize transparency, real-time reporting, and expertise in your specific specialty. The ideal RCM solution offers an all-in-one platform that connects clinical documentation with billing, giving you full visibility into your financial health.

Why should I choose ModMed for my RCM software?

ModMed can help accelerate your revenue cycle by unifying clinical and financial workflows into a single, seamless platform. Our automation and built-in specialty-specific knowledge base can help reduce manual data entry and coding errors, helping you get paid faster while giving you the analytics you need to grow your practice.

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Meet your new ModMed assistant. Actually, assistants. Hi there. At ModMed, we're forming the AI powered practice around you and your staff, and it's so much more than just responding to your prompts or listening to a patient visit. We're talking about creating an entire AI powered practice that includes assistance designed to do one thing, keep you from those days and nights of staring at a screen in frustration, thinking there must be a better way. Well, there is. We're building expert AI assistants that specialize in the workflows that slow your team down. They understand complex requests and automatically execute multistep like patient scheduling and communication, eligibility processing, prior authorization, and claim denial appeals. Some AI assistants like ModVed Scribe can translate natural conversation into action so that you can focus on the patient and not the documentation. Other AI assistants understand payer policies, handle high volumes of work at once, and promptly return a summarized actionable result that you can trust. After you approve the assistant's recommendation, your AI assistant takes care of the rest, coordinating those tasks, highlighting what needs attention, and surfacing recommendations for your final approval. Every action is grounded and cited. And most importantly, you are always in control. With ModMed, it's responsible AI. Meet your new AI assistants. Always working, always ready for your request.

See what your AI-Powered Practice could look like.

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Schweiger Dermatology Group is the largest dermatology provider in the Northeast. Before we used Clara, we were primarily a telephone based company. We had a central call center, but there was a lot of delay in communications. One of the biggest challenges we face as a practice is the, we call it like the endless circle of phone tag with our patients where, you know, a patient calls in, we send in a request to our clinical team. They have to then call the patient back and they're leaving a voicemail. Patient then calls back and that loop continues again and again. Clara does a great job of trying to prevent phone tag. It makes it easy for the patient. The interface with Clara is very straightforward. It's nice that they don't need a password to log in, that it can be done right through their text messaging, which pretty much everybody's comfortable with now. There's not a lot of extra button pushing, not a lot of extra web pages to scroll to, no app to download. It's really very easy to use. Once we implemented Clara, we put the patient in direct contact with the provider, cutting out the middleman and the message taking, and patients were able to get answers right away. We've saved hundreds and hundreds of hours of phone calls. I think one of the ways that Clara differentiates themselves from other platforms is their transparency. The ability to see all of the conversation between a patient, everything internally and externally that's happening between a staff member and a patient really allows everybody to be in the know and take any action needed. They seek to understand our problem and they come to us with really creative solutions. They've been an amazing partner from the beginning. Using Clara has definitely improved our revenue because we've been able to increase our numbers of patients. It does give the patient a little bit more control, is something you don't generally see in antiquated medical communications. Clara really does show innovation. The way we use it has worked very well with our patient support center. I would absolutely recommend Clara to other healthcare providers. I think we would still be in the dark ages of communication if we didn't use Clara.

What Your Peers Are Saying - ModMed delivers a really polished EHR product that feels like something out of the future. James McGehee, registered nurse - See Our Solutions in Action

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Medical revenue cycle management services & RCM software

Our experienced billing team helps with medical billing and patient collections so you can get back to doing what you do best.

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A physician checks her iPad to review some clinical reports analytics.

A practice administrator checks her computer for a bird’s-eye view of practice financials.

Advanced revenue cycle management solutions for medical practices

Every year, US doctors lose an estimated $125 billion in revenue^* Changing medical coding guidelines. Staffing shortages. Not enough hours in the day. You are busy, and chances are, you aren’t as focused on the financial health of your practice as you could be. ModMed®’s RCM Services can help.

Our team works with you to solve billing challenges, put the right processes in place and gain more visibility into your revenue cycle, so you can stay focused on providing your best care.

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Choose your specialty below to learn more

Allergy

Dermatology

Gastroenterology

OBGYN

Ophthalmology

Orthopedics

Otolaryngology

Pain Management

Plastic Surgery

Podiatry

Urology

Choose Your Specialty:

Dermatology

Gastroenterology

Ophthalmology

Orthopedics

Otolaryngology

Pain Management

Plastic Surgery

Urology

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AI-Powered Practice

Clinical Workflow

ModMed RCM AI Platform

ModMed Scribe

ModMed Scribe for Gastroenterology

AI-Powered Practice

Clinical Workflow

ModMed RCM AI Platform

ModMed Scribe

ModMed Scribe for Gastroenterology

Medical revenue cycle management services & RCM software

Our experienced billing team helps with medical billing and patient collections so you can get back to doing what you do best.

Advanced revenue cycle management solutions for medical practices