Revenue cycle management (RCM) in healthcare is the process of tracking and managing the financial aspects of patient care, from the initial appointment to final payment.
Healthcare practices are being pressured more and more to maintain steady cash flow and deal with administrative complexities, hence creating situations that sometimes drain internal resources.
Outsourcing RCM services to the best vendors enables healthcare facilities to garner the optimum reimbursements while limiting their operating costs.
More than 354 RCM health care services across the USA make it important to carefully examine potential partners on the basis of industry knowledge, technology, and scope of services.
Healthcare practices must analyze potential RCM providers in-depth to ascertain a fit for their practice and its specific needs, as well as the operational requirements for sustainable financial viability and long-term success.
In this guide, we will provide you with a list of companies who are experts in medical rcm services.
Top 10 Healthcare RCM Companies in the USA in 2025
1. Nexus IO
Nexus IO, established in 2025 and it is a Phoenix based medical billing company. The Nexus IO offers AI-driven end-to-end revenue cycle management that simplifies billing operations and maximizes reimbursements. Its services include provider credentialing, charge capture, claims processing, patient collection, payment posting, and performance reporting.
With a 90–95% collection ratio and 30% A/R reduction, practices experience faster payments and improved cash flow. Their services support 30+ specialties across all 50+ USA states, backed by 1 year of industry experience. Practices also see a 10–15% boost in operational efficiency and 30% revenue increase with Nexus IO’s real-time billing insights, clean claims (88% first-pass rate), and specialty-focused solutions.
2. Medcare MSO
Medcare MSO is a California based Healthcare RCM company. Since 2012, Medcare MSO has been a trusted name in healthcare rcm solutions.
With 3 layers of CPT code validation and advanced claim scrubbing tools, they maintain a 92% clean claim rate and achieve fast, accurate reimbursements. Their strategic AR recovery model reduces billing backlog and boosts collections, leading to up to 30% revenue growth across 50+ specialties.
Providers benefit from a 1.2% reduced cost to collect and 18.3% average YoY practice growth. Medcare ensures end-to-end compliance (HIPAA, CMS, OIG) and maximizes FTE efficiency through integrated workflows. Their encrypted systems and 24/7 support offer unmatched data security and customer care.
3. PwC
PwC is also one of leading Healthcare RCM companies. This company is expert in managing account receivable and denial management, charge capture and claim posting, physician/clinician advisory services, revenue cycle automation, and analytics support.
This company covers clinics, hospitals and other healthcare sectors. PwC is located in New York. The best part of this company is that they provide medical RCM solutions through artificial intelligence (AI), machine learning (ML). PwC automates repetitive administrative tasks through AI for maximum output.
4. R1 RCM
R1 RCM helps hospitals and doctors to manage their finances. R1 RCM Founded in 2003 as Accretive Health, it became R1 RCM in 2017. Headquarter of the company is in Murray, Utah.
R1 RCM smooths the billing-and-payment process for hospitals, health systems, and physician groups. They apply smart technology and AI to address difficult payment issues.
Their services include full-cycle revenue management (billing from end to-end), lost revenue collection, revenue maximization, clinical records reconciliation, compliance, and digital services such as online payments and appointment scheduling.
With automation and AI, R1 assists in eliminating paper and streamlining payments for patients and healthcare providers. The company exploded onto the scene, becoming a major player after partnering with Ascension in 2015, which positioned them to handle even more patient billing services.
5. Change Healthcare
Change Healthcare, established in 2007 with headquarters in Nashville, Tennessee, stands as a leading healthcare technology company specializing in revenue and payment cycle management solutions for the healthcare industry.
Key services include medical coding, claims processing, denial management, payment posting, accounts receivable and Patient Billing.
6. Experian Health
Experian Health considered as 2024 #1 Best in KLAS (Claims Management and Clearinghouse).The company’s headquarters is in Costa Mesa, California.
Experian Health offers end-to-end RCM solutions. Their Patient Access tools help reduce billing errors from the start. Healthcare Collections services improve recovery rates on overdue accounts. With automated claims management, they streamline workflows.
Their Payer Contract Management audits underpayments to ensure full revenue. They support 2,700+ payers, process 175M claims, and handle $4.9B in collections annually.
7. CareCloud
Carecloud was founded in 1999. CareCloud offers an AI-powered, all-in-one RCM system that’s helping healthcare providers get their denial rates below 3% and achieve up to 97% First Time Pass Rate. That’s impressive numbers in this industry.
Their system automates the heavy lifting claim submission, prior authorizations, appeals – which directly improves your cash flow and financial accuracy. No more manual processing errors or delays.
What’s smart is how it integrates seamlessly with your existing EHR systems. You get real-time synchronization between clinical and billing data, so there’s no disconnect between patient care and revenue capture.
8. Athenahealth
Athenahealth was founded in 1997 and is based in Watertown, Massachusetts, United States. Its Revenue Cycle Management (RCM) services help large practices, health systems, and hospitals reduce days in accounts receivable (A/R) and lower the cost to collect by increasing automation and minimizing redundancies.
Their solution automates routine A/R follow-up tasks, freeing staff to focus on higher-value work. It integrates seamlessly with existing EMRs through a strong interoperability approach, providing a consolidated platform for all hospital and professional financial data.
9. NextGen Healthcare
NextGen Healthcare was founded in 2001 in Irvine, California, United States. NextGen Healthcare’s Revenue Cycle Management (RCM) services help practices maximize revenue integrity by reducing denials, accelerating collections, and improving patient experience.
Their customizable solutions include claims management, payment posting, medical coding, credentialing, patient call centers, and revenue analytics. Utilizing cutting-edge technology and a centers-of-excellence approach, NextGen centralizes core functions to optimize specialty-specific needs like denial prevention and A/R recovery.
Practices benefit from expert consultation, actionable financial insights via customizable dashboards, and reduced administrative burden, allowing staff to focus on patient care while improving financial outcomes.
10. eClinicalWorks
Healthcare RCM company eClinicalWorks was founded in 1999 in Westborough, Massachusetts, United States. eClinicalWorks serves over 100,000 physicians and 600,000 users nationwide, making it a key player in the healthcare technology sector.
The company offers a range of AI-powered solutions designed for ambulatory practices, including Electronic Health Records (EHR), practice management tools, and patient engagement solutions. Their EHR system is certified and features in-place editing and patient safety dashboards.
This company excels in delivering a comprehensive end-to-end solution that offers real-time insurance eligibility, claim management, denial handling, payment processing, and detailed performance dashboards to optimize practice efficiency.
Key Factors for Choosing a Healthcare RCM Company
Healthcare RCM Experience & Expertise
Analyze the company’s track record, years of experience in healthcare revenue cycle management, specialty-specific knowledge, and proven success rates with practices similar to yours.
Advanced Tech & EHR Integration
Assess their software platforms, electronic health record (EHR) integration, automation tools, reporting dashboards, and their ability to stay updated with evolving healthcare technology trends.
Offerings Scalable and Comprehensive Services
Review their full range of services, including medical coding, billing, denial management, patient collections, and their capacity to scale alongside your practice’s growth.
HIPAA Compliance & Strong Security
Ensure the RCM company strictly follows HIPAA regulations, implements strong data security measures, maintains regulatory adherence, offers audit capabilities, and has effective risk management protocols.
Transparent Pricing
Analyze their cost models, transparent pricing policies, performance-based fees, expected return on investment, and overall value proposition tailored to your healthcare practice.
Bottom Line
We created this list of the Top 10 Healthcare RCM Companies in 2025 based on their real-world performance, client testimonials, verified reviews, industry reputation, and proven track record. Each company was selected for its customer satisfaction rates, success stories, and case studies, whether it’s AI-driven automation (like PwC or CareCloud), end-to-end solutions (like R1 RCM or Experian Health), or specialty-focused services (like Medcare MSO).
We analyzed user feedback, expert opinions, and financial impact data to ensure that these companies deliver actual results. If you’re choosing an RCM partner, prioritize industry experience, tech integration, scalability, transparency, and verified client reviews.
By working with these top-rated companies, healthcare practices can reduce denial rates, improve collections, and optimize operational costs. Their real client testimonials and case studies prove that these providers help ensure long-term financial success. A smart selection can strengthen your entire revenue cycle.
