Top 10 RCM Solution Providers 2024

Healthcare facilities today are grappling with an intricate web of financial, administrative, and regulatory complexities. From navigating the pressures of declining reimbursements and adapting to value-based care models to overcoming the inefficiencies of manual processes, these challenges have made it increasingly difficult for providers to maintain financial stability while delivering exceptional patient care. Inadequate automation in billing processes, coding errors, and regulatory compliance issues often lead to delayed reimbursements and revenue leakage. Coupled with the increasing need for seamless interoperability and real-time analytics, healthcare providers are finding it harder to keep their RCM systems both effective and adaptable. These pain points underscore a critical need for innovative RCM solutions that go beyond traditional approaches, offering advanced capabilities that streamline processes, improve cash flow, and enhance financial performance.

In this dynamic and demanding environment, a new generation of RCM solution providers is stepping up to transform the way healthcare organizations manage their revenue cycles. Companies featured in Healthcare Business Outlook’s Top 10 RCM Solution Providers edition are not just addressing these challenges—they are revolutionizing the field. From leveraging cutting-edge AI technologies and predictive analytics to delivering tailored services that integrate seamlessly with healthcare systems, these organizations are empowering providers to maximize efficiency, reduce costs, and improve patient experiences.

Company:

Advanced Revenue Cycle Management

Management:

Delaine Henry

Designation:

CEO

Headquarters:

New Orleans, LA

Website:

advancedrevcycle.com

Advanced Revenue Cycle Management specializes in billing for hospice, home health, and palliative care providers, backed by a dedicated team with decades of industry experience. With experts in billing, regulatory compliance, accounting, and marketing, their mission is to ensure reliable, seamless billing support, allowing providers to focus on compassionate patient care. The team’s commitment means continuous support without staffing disruptions.

Company:

AKASA

Management:

Malinka Walaliyadde

Designation:

Co-Founder & CEO

Headquarters:

South San Francisco, CA

Website:

akasa.com

AKASA is a leader in generative AI solutions for the healthcare revenue cycle, offering a platform that integrates proprietary AI technology with deep industry expertise. Their AI is uniquely trained on a health system's own clinical data, enabling better understanding of its specific needs. AKASA has helped providers reduce A/R days by 13%, improve efficiency by 86%, save over 300 staff hours per month, and increase gross yield by $30M.

Company:

ANI Healthcare Solutions

Management:

Franny Potts

Designation:

COO

Headquarters:

Franklin, TN

Website:

anihcs.com

EnableComp is a leader in processing complex healthcare claims, supporting over 1,000 clients nationwide with $5 billion in cash collections. Utilizing a proprietary Intelligent Automation Platform, they manage Veterans Administration, Workers’ Compensation, Motor Vehicle Accident, Out-of-State Medicaid, and multi-payer denial claims, delivering expertise and efficiency across the entire claims lifecycle.

Company:

Brundage Group

Management:

Timothy Brundage

Designation:

CEO

Headquarters:

Pinellas Park, FL

Website:

brundagegroup.com

Brundage Group supports hospital systems nationwide with tailored revenue cycle management solutions. Their services include physician advisory, workforce solutions, and level of care analytics, all designed to enhance quality care and unify departments in the mid-revenue cycle. With experienced RN case managers and expert advisors, Brundage Group ensures effective documentation, coding, and appeals management for optimal hospital performance.

Company:

C2Solutions

Management:

Tina Cartwright ; Janna Aiken

Designation:

Founders

Headquarters:

Brentwood, TN

Website:

c2solutions.info

C2 Solutions is a dynamic team of three entrepreneurial women with decades of experience in healthcare, specializing in Behavioral Healthcare. They bring a refined approach to enhancing quality, efficiency, and revenue for behavioral health providers. C2 Solutions offers a range of services, including optimizing reimbursement, contract negotiation, provider credentialing, facility accreditation and licensure support, audit assistance, and clinical guidance.

Company:

DENmaar

Management:

Chris Husted

Designation:

CEO

Headquarters:

La Quinta, CA

Website:

denmaar.com

DENmaar, Inc. offers advanced healthcare technology solutions tailored for Mental Health and Substance Abuse (MHSA) providers. Based in La Quinta, California, DENmaar specializes in mHealth revenue cycle management with a fully automated RCM platform that includes insurance billing, credentialing services, patient billing, and telehealth capabilities. The platform also integrates Wiley treatment planners, clinical notes, and DrFirst ePrescribe, providing a comprehensive suite designed to streamline operations and enhance service delivery for mental health professionals.

Company:

Integrity Billing

Management:

Eric P. Yorlano

Designation:

CEO

Headquarters:

Palm Springs, FL

Website:

integritybillingco.com

Integrity Billing offers exclusive, expert revenue cycle management and billing solutions for radiology practices. With extensive industry experience, their team integrates seamlessly with radiology practices, acting as an extension of the provider's operations. Integrity Billing's customized support and tailored processes enhance patient and provider experiences, while their focused approach drives business growth and profitability.

Company:

Jorie Healthcare Partners

Management:

Sal Lo

Designation:

Co-Founder & CEO

Headquarters:

Oak Brook, IL

Website:

joriehc.com

Jorie leverages advanced AI to seamlessly integrate FinTech and HealthTech, transforming healthcare financial management. Through Robotic Process Automation (RPA) and powerful analytics, Jorie offers scalable, cost-efficient solutions that drive revenue, reduce collection costs, and minimize bad debt. By streamlining operations and enhancing decision-making, Jorie provides a partnership that’s committed to helping clients achieve their financial goals.

Company:

PBS Radiology Business Experts

Management:

Steve Mims

Designation:

CEO

Headquarters:

Reno, NV

Website:

pbsradiology.com

PBS is a privately held, independent company dedicated exclusively to radiology practices. With seasoned experts bringing years of private practice experience, PBS is committed to accelerating business growth and enhancing profitability for its clients. Acting as an extension of your practice, PBS provides tailored support and processes that benefit both providers and patients, ensuring a seamless, high-quality experience. Partnering with PBS allows you to focus fully on patient care, while their team drives financial success through customized, effective solutions.

Company:

XiFin

Management:

Lâle White

Designation:

Founder & CEO

Headquarters:

San Diego, CA

Website:

xifin.com

XiFin, a leader in revenue cycle management, has dedicated itself to solving the reimbursement challenges faced by healthcare providers. By delivering innovative, highly automated RCM solutions that address the complexity of modern healthcare finance, XiFin helps its clients improve cash flow, reduce administrative overhead, and enhance compliance.