Veradigm Revenue Cycle Services
JSON twin: https://www.healthaidb.com/software/veradigm-revenue-cycle-services.json
Company Name
Veradigm
Product URL
https://veradigm.com/revenue-cycle-management/
Company URL
https://veradigm.com/
Categories
Summary
Veradigm Revenue Cycle Services offers comprehensive solutions to optimize financial performance for healthcare organizations, managing tasks from payer communication to coding and claims, seamlessly integrating with existing EHR systems.
Description
Veradigm Revenue Cycle Services provides end-to-end revenue cycle management (RCM) solutions designed to enhance financial performance for medical practices and physician groups. The service manages all aspects of the billing process, including payer communication, coding, and claims processing, while integrating seamlessly with existing Electronic Health Record (EHR) systems. Key features include expert coding specialists, skilled billing and collections teams, proactive claims and denial management, and dedicated account management with advanced analytics. The service is EHR-agnostic, supporting various practice management systems and EHRs. Veradigm's RCM services have demonstrated significant improvements in financial metrics, such as reducing accounts receivable days and increasing collection rates. The company has been recognized for its excellence in RCM solutions, receiving top rankings from Black Book for end-to-end RCM software technology. Veradigm's acquisition of Koha Health in January 2024 further expanded its RCM capabilities, adding expertise in musculoskeletal medicine and enhancing support for ambulatory healthcare provider practices and ambulatory surgical centers. Veradigm's RCM services are designed to reduce administrative burdens, improve cash flow, and allow healthcare providers to focus more on patient care.
Api Available
yes
Certifications
- SOC 2 Type 2
- EHNAC accreditation
- EPCS certifications
- ISO 9001:2015
Company Founding
2019
Company Offices
Compliance
Customers
- The Medical Center of Elberton
- Florida Blue
- Hospital & Health Care
Data Residency
US/EU regions
Data Standards
- FHIR
- SMART on FHIR
- HL7 v2
- X12 (claims/EDI)
Deployment Model
Features
- Appointment scheduling
- Patient registration/demographics
- Revenue cycle management (claims submission/management)
- Billing and invoicing
- Insurance eligibility verification
- Payment posting and patient statements
- Denials management and claims appeals
- Reporting and analytics
- Patient reminders/notifications
- Practice dashboards and KPIs
- Integration with e-prescribing
- Lab and radiology ordering/results (via DORN)
- Patient eligibility and authorization tracking
- Coding support/claims optimization
- Referral management
Id
SW2455
Integration Partners
- Allscripts
- Practice Fusion
Integrations
- Phreesia
- Practice Fusion
- Melissa (Address Verification)
- FollowMyHealth
- Payerpath
- Evalytica (Veradigm Real-World Evidence)
Languages Supported
Last Updated
2025-10-11
License
commercial
Market Segment
Optional Modules
- Coding Services
- Payerpath Clearinghouse
Os Platforms
Pricing Details
Contact vendor for pricing information.
Pricing Model
subscription
Privacy Features
- BAA available
- Consent management
- Anonymization
- Data minimization
Product Code
SW2455
Product Name
Veradigm Revenue Cycle Services
Ratings
- 3.7 out of 5 stars on G2
- 1.0 out of 5 stars on Capterra
Regions Available
Related Urls
Release Year
1986
Security Features
- Encryption
- RBAC
- SSO/SAML
- Audit logs
- 2FA
- DLP
Specialties
Support Channels
- email
- phone
- chat
- ticketing
- community
- 24x7
System Requirements
Target Users
- clinicians
- nurses
- admins
- payors
Training Options
- documentation
- webinars
- live_online
- onsite
- certification
Type
product
User Reviews
- RCMS is a great service that offers a different aspect to collecting claims. The RCMS team provides monthly reports so that you can look at the health of your business in real time. Team members are knowledgeable and provide great feedback when needed. The program is easy to use and was easy to implement into day to day operations.
- I have used Veradigm for claims data analysis and it captures various patient attributes.
- It has helped reduce our admin costs for our outpatient practice and allows our associates to focus on patient care.
- Billing and credentialing services with Veradigm are a financial mistake. Poor. A financial practice liability. Do not sign a contract. Even when they violate their own service contract, they will still try to make you buy yourself out of the contract for early termination. I literally had to hire a staff person just to deal with their billing people and make sure claims were actually submitted and patient payment was obtained. Now that person is going to be in charge of auditing all of our payment records from them. I've submitted a claim to the Better Business Bureau. I encourage you to do the same if you have worked with them and experienced the same level of incompetence and misrepresentation of services.
Version
1.0
Alternatives
See related products
Canonical JSON
{
"product_name": "Veradigm Revenue Cycle Services",
"company_name": "Veradigm",
"product_url": "https://veradigm.com/revenue-cycle-management/",
"company_url": "https://veradigm.com/",
"related_urls": [
"https://elion.health/products/veradigm-revenue-cycle"
],
"product_code": "SW2455",
"summary": "Veradigm Revenue Cycle Services offers comprehensive solutions to optimize financial performance for healthcare organizations, managing tasks from payer communication to coding and claims, seamlessly integrating with existing EHR systems.",
"description": "Veradigm Revenue Cycle Services provides end-to-end revenue cycle management (RCM) solutions designed to enhance financial performance for medical practices and physician groups. The service manages all aspects of the billing process, including payer communication, coding, and claims processing, while integrating seamlessly with existing Electronic Health Record (EHR) systems. Key features include expert coding specialists, skilled billing and collections teams, proactive claims and denial management, and dedicated account management with advanced analytics. The service is EHR-agnostic, supporting various practice management systems and EHRs. Veradigm's RCM services have demonstrated significant improvements in financial metrics, such as reducing accounts receivable days and increasing collection rates. The company has been recognized for its excellence in RCM solutions, receiving top rankings from Black Book for end-to-end RCM software technology. Veradigm's acquisition of Koha Health in January 2024 further expanded its RCM capabilities, adding expertise in musculoskeletal medicine and enhancing support for ambulatory healthcare provider practices and ambulatory surgical centers. Veradigm's RCM services are designed to reduce administrative burdens, improve cash flow, and allow healthcare providers to focus more on patient care.",
"categories": [
"administrative Operations",
"financial Management",
"revenue Cycle",
"Administrative",
"Financial Management",
"Revenue Cycle Management"
],
"market_segment": [
"enterprise",
"smb"
],
"target_users": [
"clinicians",
"nurses",
"admins",
"payors"
],
"specialties": [
"Musculoskeletal Medicine",
"Orthopedics",
"Ambulatory Surgical Centers",
"Physician Practices",
"Family Medicine",
"Internal Medicine",
"Pediatrics",
"Cardiology",
"Dermatology",
"Gastroenterology",
"Neurology",
"Obstetrics And Gynecology",
"Oncology",
"Ophthalmology",
"Orthopedic Surgery",
"Plastic Surgery",
"Pulmonology",
"Rheumatology",
"Urology",
"Vascular Surgery"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "subscription",
"pricing_details": "Contact vendor for pricing information.",
"license": "commercial",
"company_offices": [
"United States"
],
"company_founding": "2019",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Appointment scheduling",
"Patient registration/demographics",
"Revenue cycle management (claims submission/management)",
"Billing and invoicing",
"Insurance eligibility verification",
"Payment posting and patient statements",
"Denials management and claims appeals",
"Reporting and analytics",
"Patient reminders/notifications",
"Practice dashboards and KPIs",
"Integration with e-prescribing",
"Lab and radiology ordering/results (via DORN)",
"Patient eligibility and authorization tracking",
"Coding support/claims optimization",
"Referral management"
],
"optional_modules": [
"Coding Services",
"Payerpath Clearinghouse"
],
"integrations": [
"Phreesia",
"Practice Fusion",
"Melissa (Address Verification)",
"FollowMyHealth",
"Payerpath",
"Evalytica (Veradigm Real-World Evidence)"
],
"data_standards": [
"FHIR",
"SMART on FHIR",
"HL7 v2",
"X12 (claims/EDI)"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"HITECH"
],
"certifications": [
"SOC 2 Type 2",
"EHNAC accreditation",
"EPCS certifications",
"ISO 9001:2015"
],
"security_features": [
"Encryption",
"RBAC",
"SSO/SAML",
"Audit logs",
"2FA",
"DLP"
],
"privacy_features": [
"BAA available",
"Consent management",
"Anonymization",
"Data minimization"
],
"data_residency": "US/EU regions",
"customers": [
"The Medical Center of Elberton",
"Florida Blue",
"Hospital & Health Care"
],
"user_reviews": [
"RCMS is a great service that offers a different aspect to collecting claims. The RCMS team provides monthly reports so that you can look at the health of your business in real time. Team members are knowledgeable and provide great feedback when needed. The program is easy to use and was easy to implement into day to day operations.",
"I have used Veradigm for claims data analysis and it captures various patient attributes.",
"It has helped reduce our admin costs for our outpatient practice and allows our associates to focus on patient care.",
"Billing and credentialing services with Veradigm are a financial mistake. Poor. A financial practice liability. Do not sign a contract. Even when they violate their own service contract, they will still try to make you buy yourself out of the contract for early termination. I literally had to hire a staff person just to deal with their billing people and make sure claims were actually submitted and patient payment was obtained. Now that person is going to be in charge of auditing all of our payment records from them. I've submitted a claim to the Better Business Bureau. I encourage you to do the same if you have worked with them and experienced the same level of incompetence and misrepresentation of services."
],
"ratings": [
"3.7 out of 5 stars on G2",
"1.0 out of 5 stars on Capterra"
],
"support_channels": [
"email",
"phone",
"chat",
"ticketing",
"community",
"24x7"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite",
"certification"
],
"release_year": "1986",
"integration_partners": [
"Allscripts",
"Practice Fusion"
],
"id": "SW2455",
"slug": "veradigm-revenue-cycle-services",
"type": "product",
"version": "1.0",
"last_updated": "2025-10-11",
"links_json": {
"self": "https://www.healthaidb.com/software/veradigm-revenue-cycle-services.json"
}
}