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Fathom vs TriZetto Healthcare RCM

Both stand on medical billing software. Which one you can start free with, which one lets you read the code, and what each costs once you pay.

Fathom

Free plan Web

Choose Fathom if your healthcare organization wants automated coding coverage with configurable attribution and a real-time audit. It may be less suitable if you need a displayed medical coding price before requesting a quote.

Visit Fathom

TriZetto Healthcare RCM

Paid Web

Providers in the listed organization types can consider TriZetto Healthcare RCM for its broad revenue cycle coverage and denials workflow tools. Organizations seeking a published price should look elsewhere or contact Cognizant for pricing details.

Visit TriZetto Healthcare RCM

The facts

FathomTriZetto Healthcare RCM
Free planYesNot published
Open sourceNot publishedNot published
Runs onWebWeb
Lowest paid planFree or on requestFree or on request
Plans published11
MakerNot publishedNot published
Websitefathomhealth.comcognizant.com
On medical billing software#2 of 28#26 of 28

Fathom: what it does well

  • Processes charts it can code and passes remaining charts to existing coding operations.
  • Covers E/M levels, provider assignment, codes, modifiers, and billing flags.
  • Provides site- and payer-level E/M and provider attribution controls.
  • Audits coded charts for potential denials or unnecessary downcoding.
  • Fathom says integration requires no additional software or training.

What to know first

  • Medical coding service pricing is by estimate.
  • The product is listed on web only.

TriZetto Healthcare RCM: what it does well

  • Covers patient access, eligibility, coding, claims, accounts receivable and denials.
  • Clearinghouse supports claims tracking and remittance conversion to EDI 835 files.
  • More than 8,000 payer connections are reported.
  • Cognizant reports 650+ electronic medical record integrations.
  • Includes dashboards, issue identification and comparative benchmarking.

What to know first

  • Pricing is available on request.
  • Listed provider types are hospitals, health systems and ambulatory care organizations.

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