GetMax vs TruBridge Revenue Cycle Management

GetMax is a revenue cycle management platform for US healthcare, with a stated scope spanning eligibility, coding, billing, prior authorization, A/R follow-up, denial management, and payment posting. Its live Practice Portal offers eligibility checks, A/R summaries, denials and appeals, fee schedule lookup, underpayment detection, and provider search. The coding assistant proposes ICD-10 and CPT codes, validates them against the live NIH ICD-10-CM set with deterministic rules, and flags ambiguous cases for certified-coder review. It can build claims in CMS-1500, X12 837P, FHIR, and XML formats. Other described AI workflows include claim pre-checks, denial routing by root cause, worklist prioritization, and payer-rule memory. GetMax says it connects with existing EHRs and clearinghouses, without naming specific systems. The Practice Portal and coding assistant are live; eligibility, prior authorization, denials, and collections agents are in build. The coding demo is free to try, with no sign-in, trial timer, or card. Revenue cycle pricing is quoted as a percentage of collections, varying by specialty, claim volume, payer mix, and scope.

TruBridge Revenue Cycle Management is a web-based service for hospitals, critical access facilities, ambulatory clinics, and other healthcare organizations. Its end-to-end scope includes billing and invoicing, contract management, claims, denials, clearinghouse claims, medical coding, patient access, and revenue-cycle assessment. Claims workflows provide eligibility verification, coding checks, automated scrubbing, denial management, reporting, and analytics; TruBridge says the automated system can achieve a 97% first-pass clean claim rate. Coding services are described as certified and HFMA Peer Reviewed, with 95% accuracy and customizable solutions. Patient access covers scheduling, referrals, estimates, propensity to pay, and self-pay collections. The clearinghouse prescreens claims and sends them electronically to insurers through secure HIPAA-compliant connections. Organizations can choose targeted support, interim staffing, or full-service outsourcing. Patient billing includes readable statements and flexible payment options. TruBridge says it integrates with most leading EHR, billing, and clearinghouse platforms. Pricing is on request, with demos available.