EZClaim vs PracticeSuite Medical Billing

EZClaim provides medical billing and scheduling software for small to medium-sized provider offices and outsourced medical billing firms. It supports CMS 1500 professional and UB-04 institutional charges, with electronic claim submission, claim status verification, real-time eligibility, ERA auto posting, and customizable reporting. EZClaim Scheduling can be used with EZClaim Billing or on its own, and appointments can be converted into claims. Listed integration partners include TriZetto, Waystar, Availity, Amazing Charts, Practice Fusion, and WebPT. EZClaim Billing is described as HIPAA compliant and includes user authentication. EZClaim Cloud is accessed over the internet; the maker says it works on Mac and PC and lists nightly backups, protected server storage, support, and updates. The Portal offers read-only access to EZClaim data with access controls and activity logs. The first-user annual plan costs $189 a month, billed annually; the monthly plan costs $199 a month, billed monthly. Each includes 1 GB of storage, and additional clearinghouse fees may apply.

PracticeSuite Medical Billing combines AI, robotic process automation, and billing rules for medical billing and revenue cycle management. Its RCM Work Queue prioritizes tasks such as authorizations, benefits, denials, payer follow-up, underpayments, and appeals. Automation handles claim-status checks, payment posting, statements, and ERA posting with exception routing. The product also supports eligibility verification, denial management, coding, patient payments, and claim scrubbing. PracticeSuite says it can connect with EHR and billing systems through HL7, FHIR, and APIs, while its clearinghouse and EDI connectivity reaches 1,600 commercial and government payers. The cloud-based platform is accessible in a browser across listed systems and devices without local servers, installations, or version updates. It is presented for solo providers, larger practices, and medical billing companies, and covers 362 specialties and sub-specialties. PracticeSuite states that it is HIPAA compliant and SOC 2 certified, and signs a Business Associate Agreement with every client. Pricing is on request. Each client is allowed 10 GB of data storage per practice.