
ModMed Revenue Cycle Management
ModMed Revenue Cycle Management combines billing staff, certified medical coders, practice management technology, and billing processes to support a medical …
What ModMed Revenue Cycle Management is
ModMed Revenue Cycle Management combines billing staff, certified medical coders, practice management technology, and billing processes to support a medical practice’s revenue cycle. Its team can submit claims, work on denials, take patient calls, and handle other billing tasks on a practice’s behalf. Practice Management offers specialty-specific coding suggestions and claim scrubbing, and connects clinical documentation with billing workflows to generate claims. Interactive dashboards provide detailed financial analytics, including days in accounts receivable and net collection rates. A client manager reviews revenue-cycle indicators and works with the practice to address them. ModMed says its Practice Management system integrates directly with its EHR and that its billing services work with EMA. Listed specialties include dermatology, OBGYN, ophthalmology, orthopedics, otolaryngology, pain management, plastic surgery, and podiatry; a GI-specific service is also linked. The service plan is tailored to each practice, and pricing is on request. The RCM AI Platform requires ModMed Practice Management; broader availability for self-managed customers is expected in 2027.
Good
- Billing team can submit claims and help resolve denials.
- Coding suggestions and claim scrubbing are included.
- Dashboards cover receivables and collection-rate measures.
- Client managers review revenue-cycle indicators with practices.
Watch out
- Pricing is available on request.
- No free plan or free trial is listed.
- The RCM AI Platform requires ModMed Practice Management.
Who it suits
This service suits medical practices seeking billing support alongside specialty-specific coding and practice management workflows. The listed specialties include dermatology, OBGYN, ophthalmology, orthopedics, and podiatry, among others.
Verdict
ModMed combines billing services with practice management tools and financial dashboards. Practices should request pricing and check the Practice Management requirement for the RCM AI Platform.
Plans and prices
From ModMed Revenue Cycle Management's own pricing page, checked 2 Oct 2026.
| Plan | Price | What it gives you |
|---|---|---|
| ModMed RCM Services | Priced on request | Service plan tailored to the practice; additional charges apply |
The facts
Each one read from ModMed Revenue Cycle Management's own pages, with the date it was checked.
What it does
- Availability limit
- The RCM AI Platform requires ModMed Practice Management, and the maker says broader availability for self-managed customers is expected in 2027.checked 2 Oct 2026
- Clearinghouse
- A ModMed article says the BOOST team submits claims through TriZetto Provider Solutions, described as its integrated clearinghouse.checked 2 Oct 2026
- Client manager
- A practice client manager reviews revenue-cycle performance indicators and works with the practice to address them.checked 2 Oct 2026
- Integration
- ModMed says its Practice Management system integrates directly with its EHR and that its billing services work seamlessly with EMA.checked 2 Oct 2026
- Pricing
- The RCM product page asks practices to book a demo and does not display a price; ModMed says it creates an RCM service plan for each practice.checked 2 Oct 2026
- Purpose
- ModMed RCM Services combines billing specialists, certified medical coders, practice management technology and billing processes to support a practice’s revenue cycle.checked 2 Oct 2026
- Reporting
- Interactive dashboards provide drill-down financial analytics, including days in accounts receivable and net collection rates.checked 2 Oct 2026
- Specialties
- The RCM service page lists dermatology, OBGYN, ophthalmology, orthopedics, otolaryngology, pain management, plastic surgery and podiatry, and links to a GI-specific service.checked 2 Oct 2026
- Support
- ModMed lists Client Services support hours as Monday through Friday, 8 a.m. to 9 p.m. Eastern Time.checked 2 Oct 2026
Money
- Billing features
- Practice Management uses specialty-specific coding suggestions and claim scrubbing, and links clinical documentation to billing workflows to generate claims.checked 2 Oct 2026
- Billing work
- The billing team can submit claims, help resolve denials, take patient calls and handle other billing tasks on a practice’s behalf.checked 2 Oct 2026
The company
- Company
- ModMed says it was founded in 2010 and is headquartered in Boca Raton, Florida.checked 2 Oct 2026
- Founded
- 2010checked 28 Sep 2026
- Headquarters
- Boca Raton, Florida, United Stateschecked 28 Sep 2026
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