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ModMed Revenue Cycle Management
Boca Raton, Florida, United States
What it is
ModMed Revenue Cycle Management combines billing staff, certified medical coders, practice management technology, and billing processes for medical practices. Its team can submit claims, work on denials, take patient calls, and handle other billing tasks on a practice’s behalf. Practice Management uses specialty-specific coding suggestions and claim scrubbing, and connects clinical documentation with billing workflows to generate claims. Interactive dashboards let practices examine financial measures such as 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 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. A ModMed article identifies TriZetto Provider Solutions as the clearinghouse used by the BOOST team to submit claims. Pricing is on request, with a service plan tailored to each practice; the product page invites practices to book a demo. The RCM AI Platform requires ModMed Practice Management.
For and against
For
- Billing team can submit claims and work on denials.
- Includes specialty-specific coding suggestions and claim scrubbing.
- Dashboards show financial indicators in detail.
- A client manager reviews performance with the practice.
- Supports several listed medical specialties.
Against
- Pricing is available on request.
- No free plan or free trial.
- RCM AI Platform requires ModMed Practice Management.
The verdict
ModMed combines billing services with practice management workflows and financial reporting. Practices should account for the tailored, request-based pricing and the Practice Management requirement for the RCM AI Platform.
Who it suits
ModMed RCM suits medical practices seeking help with claim submission, denials, coding workflows, patient billing calls, and revenue-cycle reporting. The listed specialties include dermatology, OBGYN, ophthalmology, orthopedics, and others.
Plans and prices
ModMed RCM Services
Service plan tailored to the practice; additional charges apply
Read 2 Oct 2026 · modmed.com
On the record
- 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 · read 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 · read 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 · read 2 Oct 2026
- Clearinghouse
- A ModMed article says the BOOST team submits claims through TriZetto Provider Solutions, described as its integrated clearinghouse.modmed.com · read 2 Oct 2026
- Client manager
- A practice client manager reviews revenue-cycle performance indicators and works with the practice to address them.modmed.com · read 2 Oct 2026
- Company
- ModMed says it was founded in 2010 and is headquartered in Boca Raton, Florida.modmed.com · read 2 Oct 2026
- Integration
- ModMed says its Practice Management system integrates directly with its EHR and that its billing services work seamlessly with EMA.modmed.com · read 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 · read 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 · read 2 Oct 2026
- Reporting
- Interactive dashboards provide drill-down financial analytics, including days in accounts receivable and net collection rates.modmed.com · read 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 · read 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 · read 2 Oct 2026
