Top 10 Revenue Cycle Management Companies in the USA (2026)
Revenue cycle management (RCM) companies run the financial side of a medical practice: eligibility checks, coding, claim submission, payment posting, denial follow-up and collections. Some work as outsourced teams, some sell software, and some do both. This list is for practice owners, administrators and billing managers who are comparing revenue cycle management companies in the USA, and for anyone searching for RCM companies who wants a plain side-by-side view. The right choice depends on your size, specialty and EHR.
It covers ten companies, from billing firms built around physician practices to enterprise outsourcers and software vendors. Because the group is mixed, each entry says who the company suits best, including when it mainly serves hospitals. We used each company's own website and reputable news sources, checked in October 2026. Where a detail is not published, we say so. BilNow wrote this list and places itself first, so read that entry with that in mind.
How we ranked the companies
- Fit for physician practices: whether the company says it serves practices and physician groups, or mainly hospitals and health systems.
- Services covered: billing, coding, credentialing, eligibility verification, prior authorization, denial management and A/R follow-up.
- Pricing transparency: companies that publish a rate rank higher than those that quote on request.
- EHR coverage: whether the company works inside your existing EHR or ties its service to its own software.
- Contract terms: whether the company states a contract length, a setup fee or exit terms.
- Disclosure: BilNow wrote this list and ranks itself first, and these criteria reward published pricing and simple contracts. After BilNow, outsourcers that serve practices come before enterprise outsourcers and software-only vendors. We used public information only, and no company was asked to review its entry. Figures that come from a company are marked as company figures.
The 10 revenue cycle management companies, compared
BilNow
bilnow.com · Founded 2017 · New York, NY
BilNow is a medical billing and revenue cycle management company founded in 2017 and based in New York. It works with more than 300 providers across 50+ specialties and supports 100+ EHR systems. Its team works inside the practice's existing EHR or practice management system, so a practice does not need to change software. Services cover medical billing, coding, credentialing, eligibility verification, prior authorization, denial management, A/R recovery and RCM consulting. BilNow reports 98% first-pass claim acceptance and a denial rate under 5%, and its staff are HIPAA-trained. Pricing is public: 2.7% of collections, with no setup fee and no long-term contract. We found no published rate for the other nine companies on the pages we reviewed. BilNow is first because it fits the criteria used here, but it wrote this list, so compare quotes and ask for references.
- Published 2.7% fee
- No setup fee or long contract
- Fee rises with collections
CareCloud
www.carecloud.com · Founded 1999 · Somerset, NJ
CareCloud is a healthcare technology company in Somerset, New Jersey. It began in 1999 as Medical Transcription Billing Corporation and took the CareCloud name in 2021. It sells an EHR, practice management software and revenue cycle management, and its shares trade on Nasdaq as CCLD. Its RCM service covers eligibility verification, coding, claim scrubbing and submission, denial management and appeals, payment posting, A/R follow-up and patient billing, plus prior authorization management. CareCloud says its RCM can work with a practice's existing EHR or practice management system, so a change of software is not required. Its website says more than 40,000 providers use CareCloud, and it names small practices, large medical groups, health systems and billing companies as customers. Pricing and contract terms are not published on the pages we reviewed.
- Small practices to large groups
- Pricing not published
Medusind
www.medusind.com · Founded 2002 · Miami, FL
Medusind is a revenue cycle management company founded in 2002 and based in Miami, Florida. It serves medical and dental practices, including physician groups, federally qualified health centers, behavioral health providers, hospitals, home health providers and dental service organizations. Its website lists 40+ medical specialties and says it works with 70+ practice management systems and EHRs, including ModMed, NextGen, Epic, OpenDental and Dentrix. Services include medical billing, coding, credentialing and end-to-end RCM, along with dental billing, insurance verification and its MedClarity practice management software. The company says it billed over $3 billion in charges last year. Pricing is not disclosed on the pages we reviewed, so practices need to ask for a quote.
- 40+ specialties
- 70+ EHRs and PM systems
- Pricing not published
GeBBS Healthcare Solutions
www.gebbs.com · Founded 2005 · East Haven, CT (U.S. office)
GeBBS Healthcare Solutions was founded in 2005, and its contact page lists a U.S. office in East Haven, Connecticut. The company provides revenue cycle management, health information management and medical coding and billing services, including accounts receivable management, patient contact services, and denials and appeals automation. It also offers risk adjustment coding for health plans. GeBBS says it serves more than 300 healthcare organizations, including hospitals, health systems and physician groups, and has a workforce of more than 16,000, including over 4,000 coders. In September 2024, EQT announced a deal to acquire a controlling interest in the company. GeBBS does not publish pricing, a specialty count or an EHR list on the pages we reviewed.
- Billing, coding and A/R
- Pricing not published
Omega Healthcare
www.omegahms.com · Founded 2003 · Boca Raton, FL
Omega Healthcare Management Services was founded in 2003 and is based in Boca Raton, Florida. It describes itself as a provider of technology-enabled managed outsourcing, with five solution areas: revenue cycle management, care coordination, health data curation, payer operations, and drug access and affordability. Its clients include providers, payers, life sciences companies and health technology firms. Omega's digital platform uses automation and AI across billing and coding work. For physician-focused revenue cycle work, Omega acquired Reventics, a Denver company that specializes in physician clinical documentation improvement and RCM. Its investors include Goldman Sachs Alternatives and Ontario Teachers' Pension Plan. Pricing, specialty counts and EHR lists are not published on the pages we reviewed.
- Physician unit via Reventics
- Pricing not published
AGS Health
www.agshealth.com · Founded 2011 · Washington, DC
AGS Health is a revenue cycle management company founded in 2011 and based in Washington, DC. Its services span patient access, health information management, coding, clinical documentation, claims processing, accounts receivable management and analytics, supported by computer-assisted coding and automation tools. It says it serves hospitals and health systems, physician groups, ambulatory surgery centers, urgent care, behavioral health and physical therapy providers. AGS reports more than 150 customers, including 40% of the nation's 10 largest health systems, and a workforce of over 15,000 in 2025. Its platform also includes clinical documentation improvement and intelligent authorization tools. Blackstone acquired the company in 2025. The pages we reviewed do not publish pricing, a specialty count or an EHR list.
- 150+ customers (company figure)
- Pricing not published
Ensemble Health Partners
www.ensemblehp.com · Founded 2014 · Cincinnati, OH
Ensemble Health Partners is a revenue cycle management company founded in 2014 and based in Cincinnati, Ohio. Its website says it serves hospitals, health systems and physician practices. Its offering is an end-to-end RCM partnership, plus RCM Intelligence tools, aimed at collections, denial reduction, EHR optimization, payer strategy and patient experience. A 2024 press release said Ensemble manages $34 billion in annual net patient revenue, and the company says it was ranked #1 in KLAS for end-to-end revenue cycle outsourcing from 2024 to 2026. Most of the partnerships it announces are with hospitals and health systems. It is private equity-backed. Pricing, contract terms and EHR support are not published on the pages we reviewed.
- Serves practices and hospitals
- Pricing not published
Conifer Health Solutions
www.coniferhealth.com · Founded 2008 · Dallas area, TX
Conifer Health Solutions is a subsidiary of Tenet Healthcare, based in the Dallas area of Texas. Press coverage dates its founding to 2008. It provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. For physician practices, its services cover patient access and eligibility verification, medical coding and documentation, claims submission, cash posting, and denial management and prevention. Conifer says it manages more than $27 billion in net patient revenue each year. In February 2026, Tenet regained full ownership of Conifer when CommonSpirit Health exited its minority stake. Pricing and EHR coverage are not published on the pages we reviewed.
- Physician RCM service
- Pricing not published
Waystar
www.waystar.com · Founded 2017 · Lehi, UT / Louisville, KY
Waystar is a healthcare payments software company formed in 2017 by the merger of Navicure and ZirMed. It is co-located in Lehi, Utah and Louisville, Kentucky, and trades on Nasdaq as WAY after its 2024 IPO. Its investor materials describe it as healthcare payment software, so it suits teams that bill in-house. Its platform covers financial clearance, clinical integrity and revenue capture, claim and payer payment management, patient payments, denial recovery, and analytics and reporting. Waystar says it serves more than 30,000 clients representing over 1 million providers, including physician and specialty practices, health systems, ambulatory surgery centers and clinical laboratories. Pricing is not published on the pages we reviewed.
- One platform for claims and denials
- Pricing not published
R1 RCM
www.r1rcm.com · Founded 2003 · Murray, UT
R1 RCM was founded in 2003 and is headquartered in Murray, Utah. TowerBrook Capital Partners and Clayton, Dubilier & Rice completed an $8.9 billion acquisition in November 2024, returning it to private ownership. R1 offers a platform called Phare, with modules for front-end access, mid-cycle claims and back-end payment work, and it also runs operating partnerships in which R1 manages a client's revenue cycle operations. It says it works with 95 of the top 100 U.S. health systems, and its site also references physician groups and critical access hospitals. Its client base is mainly hospitals and health systems, so it is the best fit here for large organizations rather than small practices. Pricing is not published.
- 95 of top 100 health systems
- Pricing not published
Comparison table
| Company | Best for | Practice size | Pricing | Contract |
|---|---|---|---|---|
| BilNow | Published fee, no contract | Practices; 300+ providers served | 2.7% of collections; no setup fee | No long-term contract |
| CareCloud | Billing plus EHR/PM software | Small practices to large groups | Not published | Not published |
| Medusind | Medical and dental groups | Groups, health centers, dental organizations | Not published | Not published |
| GeBBS | Coding and billing at scale | Physician groups, hospitals | Not published | Not published |
| Omega Healthcare | Technology-enabled outsourcing | Providers, payers, life sciences | Not published | Not published |
| AGS Health | End-to-end RCM and coding | Health systems, physician groups | Not published | Not published |
| Ensemble Health Partners | Full revenue cycle outsourcing | Hospitals, health systems, practices | Not published | Not published |
| Conifer Health Solutions | Hospital and physician RCM | Hospitals, practices, employers | Not published | Not published |
| Waystar | RCM software for in-house teams | Practices to health systems | Not published | Not published |
| R1 RCM | Health systems | Hospitals, large systems | Not published | Not published |
Figures are the companies’ own published statements as of October 2026; confirm current terms directly with each company.
How to choose a revenue cycle management company
Ten companies, one question: which one fits your practice? Use these five questions to compare any RCM company on this list or off it. Ask every company the same questions, in writing, so the answers line up.
1. What does the fee cover? Ask what the percentage or rate applies to, and ask about setup, training, statement and reporting fees. On the pages we reviewed, BilNow is the only company on this list that publishes a rate, so request every other quote in writing and compare all of them on the same terms. Ask for a sample invoice so you can see how the fee is calculated.
2. Does it work in my EHR and my specialty? Ask for the exact name and version of your EHR on its supported list, and ask how many providers in your specialty it bills for. Some companies here sell their own software, so check whether you would need to change systems. Ask for a reference practice that uses the same EHR.
3. Which metrics will you report? Ask for first-pass acceptance, denial rate and days in A/R, and how each one is calculated. Ask for references from practices of your size and specialty, and speak to at least one. Ask how often reports arrive and who reviews them with you.
4. What are the contract terms? Ask about contract length, notice to leave, data ownership and what happens to open claims if you go. A short or flexible term lets you test the service before you rely on it. Ask whether payments go into an account you control.
5. Who will work on my account? Ask who your day-to-day contact is, whether staff are trained on HIPAA, and whether the company will sign a business associate agreement before it handles patient data. Ask how many accounts each biller handles.
For a full picture of what a complete RCM service should include, read our guide to revenue cycle management services. To check the figures a company quotes you, compare them with the benchmarks in our medical billing statistics.
See also our list of the top medical billing companies in the USA.
Frequently asked questions
What does a revenue cycle management company do?
A revenue cycle management company handles the steps between a patient booking a visit and the practice being paid in full. That usually includes eligibility checks, prior authorization, coding, claim submission, payment posting, denial management, A/R follow-up and patient billing. Some companies take over the whole cycle, some handle only billing and collections, and some sell software for your own staff to use. Reporting on collections and denial trends is usually part of the service.
What is the difference between an RCM company and a medical billing company?
A medical billing company usually focuses on claims: submitting them, posting payments and following up on denials. An RCM company covers more of the path, including eligibility, coding, credentialing, collections and reporting. Many companies use both terms for similar services, so ask for a written list of what is included and what costs extra. Some also advise on front-desk workflow and payer enrollment. Neither term fixes a particular scope.
How much do RCM services cost?
Most outsourced RCM companies charge a percentage of collections. Others charge per claim, per provider or by the hour. BilNow publishes 2.7% of collections with no setup fee. AdvancedMD, a software vendor, says typical RCM services run about 4-8% of monthly collections. We found no published rate for the other companies here, so ask what the fee applies to and request a written quote. A percentage fee ties the company's income to yours, but the cost rises with collections.
Should a practice outsource RCM or keep it in-house?
It depends on size and volume. In-house billing gives you direct control, but it adds salary, benefits, software, training and cover for time off. Outsourcing turns much of that into a fee that moves with collections and brings a team with payer and denial experience. A contract with no long-term commitment lets you test an outside team before you rely on it. Some practices outsource everything, and some keep front-desk work in-house.
How do you switch RCM companies?
Start with the exit terms in your current contract. Sign a business associate agreement with the new company, give it access to your systems, and hand over open claims and balances. Update remittance and deposit details with payers. Ask for a written transition plan and keep the old company working on open claims until the new one is live. Allow several weeks, depending on payers. Check who owns your data and how to get a copy.
What metrics should I track with an RCM company?
Track first-pass claim acceptance, denial rate, days in accounts receivable, net collection rate and the share of A/R older than 90 days. Ask how each figure is calculated, because definitions differ between companies. BilNow, for example, reports 98% first-pass acceptance and a denial rate under 5%. Ask any company for the same figures and the method behind them. Review the numbers monthly and by payer, so one weak payer does not hide behind a good average.
Sources
Pages used for each entry, as read in October 2026.
BilNow: bilnow.com
CareCloud: carecloud.com, carecloud.com/revenue-cycle-management, en.wikipedia.org/wiki/CareCloud, globenewswire.com/news-release/2021/03/29/2200807/16541/en/MTBC-is-Now-CareCloud.html
Medusind: medusind.com, hig.com/news/h-i-g-capital-completes-investment-in-medusind-solutions-inc
GeBBS Healthcare Solutions: gebbs.com/about-us, gebbs.com/revenue-cycle-management, gebbs.com/contact-us, eqtgroup.com/news/2024/eqt-to-acquire-gebbs-healthcare-solutions-a-leading-healthcare-technology-solutions-provider
Omega Healthcare: omegahms.com/about-us, omegahms.com/newsroom/omega-healthcare-launches-technology-enabled-solutions-to-improve-revenue-cycle-outcomes, omegahms.com/omega-healthcare-acquires-reventics, am.gs.com/en-ae/advisors/news/press-release/2024/private-equity-omega
AGS Health: agshealth.com, agshealth.com/llm-info, beckershospitalreview.com/finance/revenue-cycle-management/blackstone-weighs-500m-ipo-for-rcm-firm-ags-health-bloomberg
Ensemble Health Partners: ensemblehp.com, ensemblehp.com/about-us, ensemblehp.com/blog/ensemble-health-partners-announces-strategic-revenue-cycle-partnership-with-carilion-clinic, cbinsights.com/company/ensemble-health-partners
Conifer Health Solutions: coniferhealth.com, coniferhealth.com/physician-revenue-cycle-management, businesswire.com/news/home/20220524005373/en, finance.yahoo.com/news/tenet-regains-full-ownership-rcm-090306160.html, beckershospitalreview.com/finance/why-commonspirit-is-exiting-conifer
Waystar: waystar.com, waystar.com/about-us, waystar.com/solutions/physician-and-specialty-practices, investors.waystar.com/shareholder-services/investor-faqs
R1 RCM: r1rcm.com, r1rcm.com/about-us, en.wikipedia.org/wiki/R1_RCM, stocks.observer-reporter.com/observerreporter/article/gnwcq-2024-11-19-towerbrook-and-cd-and-r-complete-acquisition-of-r1-rcm
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