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ModMed Revenue Cycle Management

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, answer patient calls and handle other billing tasks on a practice’s behalf. The Practice Management system offers specialty-specific coding suggestions and claim scrubbing, and connects clinical documentation with billing workflows to generate claims. Interactive dashboards provide drill-down financial analytics, including days in accounts receivable and net collection rates. A client manager reviews revenue-cycle indicators with the practice and works with it to address them. ModMed says Practice Management integrates directly with its EHR and that its billing services work with EMA. The service lists dermatology, OBGYN, ophthalmology, orthopedics, otolaryngology, pain management, plastic surgery and podiatry, with a GI-specific service also linked. Pricing is on request, and each practice receives a tailored service plan. The RCM AI Platform requires ModMed Practice Management; broader availability for self-managed customers is expected in 2027.
Who it suits
It is intended for medical practices seeking billing support alongside practice management technology. The listed specialties include dermatology, OBGYN, ophthalmology, orthopedics and podiatry, among others.
What it does well
- Billing team can submit claims and address denials.
- Coding suggestions are specialty-specific.
- Dashboards include days in accounts receivable and net collection rates.
- Client manager reviews indicators with the practice.
- Lists services for multiple medical specialties.
What to know first
- No free plan or free trial is listed.
- Pricing is available on request.
- RCM AI Platform requires ModMed Practice Management.
Limits
There is no free plan or free trial. The RCM AI Platform requires ModMed Practice Management, and additional charges apply to the tailored service plan.
Plans
| Plan | Billed and limits | Price |
|---|---|---|
| ModMed RCM Services | Service plan tailored to the practice; additional charges apply | On request |
As modmed.com lists them, read 2 Oct 2026. The maker's own page has the final word.
Getting started
- Open the ModMed Revenue Cycle Management website
- Book a demonstration with ModMed
- Discuss your practice and specialty
- Receive a tailored RCM service plan
- Choose the Android, iOS, or web access route
- Set up Practice Management if you need the RCM AI Platform
Verdict
ModMed RCM Services combines outsourced billing work with practice management workflows, reporting and a client manager. Practices should note the tailored, undisclosed pricing and the eligibility requirement for the RCM AI Platform.
Questions
How much does ModMed RCM Services cost?
The product page does not display a price. ModMed creates a service plan for each practice, with additional charges applying.
Is there a free plan or trial?
No. The listed service has neither a free plan nor a free trial.
Which platforms are supported?
The listed platforms are Android, iOS, and web.
Which specialties does the service cover?
The service lists dermatology, OBGYN, ophthalmology, orthopedics, otolaryngology, pain management, plastic surgery, and podiatry, plus a GI-specific service.
Does it integrate with clinical systems?
ModMed says Practice Management integrates directly with its EHR and that the billing services work with EMA.
What does the RCM AI Platform require?
It requires ModMed Practice Management. ModMed says broader availability for self-managed customers is expected in 2027.
Facts from ModMed Revenue Cycle Management's own pages
- Availability limit
- The RCM AI Platform requires ModMed Practice Management, and the maker says broader availability for self-managed customers is expected in 2027. · modmed.com, 2 Oct 2026
- Billing features
- Practice Management uses specialty-specific coding suggestions and claim scrubbing, and links clinical documentation to billing workflows to generate claims. · modmed.com, 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. · modmed.com, 2 Oct 2026
- Clearinghouse
- A ModMed article says the BOOST team submits claims through TriZetto Provider Solutions, described as its integrated clearinghouse. · modmed.com, 2 Oct 2026
- Client manager
- A practice client manager reviews revenue-cycle performance indicators and works with the practice to address them. · modmed.com, 2 Oct 2026
- Company
- ModMed says it was founded in 2010 and is headquartered in Boca Raton, Florida. · modmed.com, 2 Oct 2026
- Founded
- 2010 · modmed.com, 28 Sept 2026
- Headquarters
- Boca Raton, Florida, United States · modmed.com, 28 Sept 2026
- Integration
- ModMed says its Practice Management system integrates directly with its EHR and that its billing services work seamlessly with EMA. · modmed.com, 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. · modmed.com, 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. · modmed.com, 2 Oct 2026
- Reporting
- Interactive dashboards provide drill-down financial analytics, including days in accounts receivable and net collection rates. · modmed.com, 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. · modmed.com, 2 Oct 2026
- Support
- ModMed lists Client Services support hours as Monday through Friday, 8 a.m. to 9 p.m. Eastern Time. · modmed.com, 2 Oct 2026
Where ModMed Revenue Cycle Management stands on Freedom251
- Healthcare software#7 of 19
- Medical Billing Software#11 of 28
- Patient Scheduling#12 of 20
- Clinic Management Software#18 of 28
