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ModMed Revenue Cycle Management

ModMed Revenue Cycle Management combines billing staff, certified medical coders, practice management technology, and billing processes to support a medical …

Place
#9 of 28
Score
6.1
ModMed Revenue Cycle Management's website

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.

All about pricing
PlanPriceWhat it gives you
ModMed RCM ServicesPriced on requestService 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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