Top 10 Medical Billing and Coding Solution Providers 2022

Billing and coding are separate processes, but both are necessary for providers to receive payment for healthcare services. Medical coding involves extracting billable information from the medical record and clinical documentation, while medical billing uses those codes to create insurance claims and bills for patients. Creating claims is where medical billing and coding intersect to form the backbone of the healthcare revenue cycle. Ensuring healthcare organizations understand the fundamentals of medical billing and coding can help providers and other staff operate a smooth revenue cycle and recoup all the allowable reimbursement for quality care delivery. In today’s tech-driven world, coding forms the backbone of seamless revenue cycle management in hospitals and medical offices.

Medical billing involves preparing billing claims that are submitted to insurance providers. Receiving funds allows the hospital to stay open and operational. Not only that, but it also ensures that the medical office or hospital is reimbursed for the services it provides to patients. It is an essential process for the smooth functioning of any hospital or medical office. It works because professional medical coders assign alphanumeric codes for patients’ procedures, testing, and diagnoses. These codes help establish the correct reimbursement for patients and insurance companies—evidence for the undeniable importance of coding in healthcare.

As the industry is too noisy, businesses need to align with the trends. That’s why we have developed this special edition on Medical Billing and Coding solution providers for 2022. This special edition features some of the most cutting-edge solution providers as well as companies that are creating a difference.

AGS Health

Management:

Patrice Wolfe

Designation:

CEO

Headquarters:

Lawrenceville, NJ

Website:

agshealth.com

At AGS Health, we use a combination of AI-enhanced technology, data-driven services, and specialized support to maximize the performance of your revenue cycle. This means you can focus on the most important part of your business: caring for patients.

Aquity Solutions

Management:

Kashyap Joshi

Designation:

President & CEO

Headquarters:

Cary, NC

Website:

aquitysolutions.com

AQuity is a recognized leading national coding technology and service provider. Due to nationwide coder workforce shortages and health systems under tremendous cost saving pressures, AQuity has embarked on several initiatives that leverage technology for improved coder accuracy and productivity. AQuity improves clinical and financial results by delivering Coding solutions from a clinical perspective rather than a clerical one.

Availity

Management:

Russ Thomas

Designation:

CEO

Headquarters:

Jacksonville, FL

Website:

availity.com

Availity is the place where healthcare finds the answers needed to shift focus back to patient care. By solving the communication challenges between healthcare stakeholders, Availity creates a richer, more transparent exchange of information among health plans, providers, and technology partners. As the nation’s largest health information network, Availity facilitates over 4 billion clinical, administrative, and financial transactions annually. The company’s suite of dynamic products, built on a powerful, intelligent platform, enables real-time collaboration for success in a competitive, value-based care environment.

Axea Solutions

Management:

Susan Gatehouse

Designation:

Founder & CEO

Headquarters:

Cumming, GA

Website:

axeasolutions.com

Axea Solutions services support Revenue Cycle Performance through claim auditing and denial management, with industry-leading technology for coding professionals continuing education and certified training and software to address medical coding and billing complexities.

BrightDrive HCS

Management:

Tina Wellman

Designation:

CEO

Headquarters:

Schoharie, NY

Website:

brightdrivehcs.com

BrightDrive HCS brings over 30 years of healthcare experience to take the guesswork out of tracking financial performance. More than just a medical billing company, BrightDrive looks at its partner’s entire ecosystem and support them at several touchpoints with a consulting arm.

EZ Dental Billing

Management:

Thiago Soares

Designation:

CEO

Headquarters:

Boston, MA

Website:

ezdentalbilling.com

EZ Dental Billing is a management consulting company that provides dental billing solutions. EZ Dental Billing has been providing dental offices all over the country with billing solutions to help clients track receivables and maintain efficiency. We are proud to be able to offer 50 years’ worth of combined experience in both accounts receivable and dental practice management. We offer the best solutions against everyday challenges that owners battle trying to operate a successful dental practice.

i3 Verticals Healthcare

Management:

Greg Daily

Designation:

Chairman & CEO

Headquarters:

Savannah, GA

Website:

healthpac.net

i3 Verticals Healthcare’s medical billing software is a flexible, robust solution for multi-location medical practices, laboratories, hospital-based physicians, radiology imaging centers, and medical billing companies. Our easy-to-use medical billing software is designed to deliver more revenue to the bottom line by eliminating wasted time.

Microwize

Management:

Robert Gabriel

Designation:

President & CEO

Headquarters:

Paramus, NJ

Website:

microwize.com

Microwize Technology has been helping thousands of healthcare professionals since 1997 with billing, scheduling, and electronic health record programs. We understand that a “one-sized approach” does not fit all. At Microwize Technology, we offer several options designed to support the needs of your practice. The end result provides you with a top-notch partner assisting your practice in overcoming healthcare challenges and regulations. The goal is to make sure you’re getting the service you deserve with 100% Microwize employees.

Unlimited Systems

Management:

Brian Gockerman

Designation:

President & CEO

Headquarters:

Cincinnati, OH

Website:

unlimitedsystems.com

We’re a group of healthcare leaders, revenue cycle experts, tech gurus, and client success champions committed to simplifying revenue cycle management for specialty healthcare providers. For nearly two decades, we’ve been delivering market-leading technology solutions proven to help oncology and other specialties automate complex tasks, reduce unnecessary manual effort, and accelerate cash flow.

XIFIN

Management:

Lale White

Designation:

Chairman & CEO

Headquarters:

San Diego, CA

Website:

xifin.com

The XIFIN technology platform is a healthcare data-compliant technological foundation upon which XIFIN has built comprehensive solution sets. The XIFIN platform gives diagnostic service providers the ability to leverage multiple laboratory information systems and data sources to maximize the effectiveness of both clinical and business decisions. Web-native, the XIFIN platform links the many different stakeholders in the delivery of healthcare, optimizing both business and patient outcomes.