AdvancedMD Medical Billing vs Parathon

AdvancedMD Medical Billing gives practices tools to handle claims, denials, payments, and collections in-house. Its workflow includes charge capture, eligibility verification, claims management, electronic remittance advice, patient payments, and collections. ClaimInspector checks claims for CCI, HIPAA, and LCD errors before they are submitted. Staff can use the A/R Control Center’s worklists and denial tracking to prioritize follow-up, while the Central Billing Office brings billing for multiple providers and locations into one system and login. Patients can pay online, and integrated credit card processing is supported. AdvancedMD also offers outsourced revenue cycle management and dedicated billing tools and pricing for medical billing service companies. The cloud-hosted software is accessible from internet-connected devices and offers an open API architecture; its partner marketplace lists more than 1,400 integration offerings. AdvancedMD says it maintains security controls for protected health information under the HIPAA Security Rule. Standard phone and email support is available 8 a.m. to 8 p.m. Eastern on normal business days; after-hours emergency help is available, with some incidents charged at $150. Pricing is paid, with no free plan and a 30-day trial. Listed monthly prices are $2,291,070 a month for the medical billing service company subscription and $4,291,070 a month for medical specialties software.

Parathon provides revenue cycle management software and services for healthcare providers, including hospitals, health systems, and physician groups. Founded in 1995, it offers tools for contract management, patient estimates, denials, collections, and revenue recovery. Its Parallel Database consolidates revenue cycle and patient accounting data from legacy EMRs into an enterprise-wide system. Contract modeling helps providers evaluate reimbursement from third-party payers. The Patient Responsibility Estimator uses real-time eligibility and benefits data from commercial and Medicare payers, while Denials Management provides worklists to monitor, work, and route denied claims. Collection Management uses event-driven worklists for accounts receivable follow-up and claim resolution. Services address denials, underpayments, zero-balance claims, and claims without payer response or payment. Parathon also offers a machine-readable standard charges file and a patient-facing estimator for personalized out-of-pocket estimates. The company says its price transparency solution is designed to meet CMS Price Transparency Final Rule requirements and produce audit-ready pricing data. The product is available through the web; pricing is on request.