10 Best Medical Billing Software for Small Practices

Managing billing tasks efficiently is one of the most crucial duties in a small practice. The right medical billing software streamlines operations, reduces claim denials, and ensures timely payments.

For small practices, the choice of software should balance cost-effectiveness with robust functionality. Here, we explore 10 best medical billing software solutions ideal for small practices. Here is a quick table before we start.

1. Medesk for Effortless Patient Payments

Medesk is an all-in-one cloud-based practice management software with an integrated medical billing feature. The software offers not only billing but also appointment scheduling, electronic health records (EHR), patient engagement management, an extensive reporting feature, and much more.

Track and manage payment processes, generate invoices, handle claims, and do payroll calculations with Medesk.

Advantages

User-friendly interface. Your staff can navigate and manage billing processes without extensive training. You can carry out most accounting activities in one place.

Automated billing and claims reduce manual errors and ensure that claims are submitted promptly. The software also tracks the status of claims and flags any issues that need attention.

Comprehensive reporting. Reports in Medesk are created in a few clicks: select parameters and get graphical or text analyses on insurance, payments, trends, outstanding payments, accounts receivable, ageing reports, and much more.

Integration сapabilities. Medesk is not only billing software. It is a complete PMS, which includes electronic medical records, stock, and a laboratory module, as well as the ability to integrate with many services.

One of the important ones is Xero accounting. All of your invoices are automatically exported to Xero, and you get detailed billing and accounting reports. Clinics that wish to enhance their branding and patient communication can also explore professional design services for customised invoice layouts and patient portals.

Patient portal. The patient portal allows patients to view their billing information and make payments online. The feature improves the patient experience and reduces the administrative burden on staff.

Tags. You can use coloured tags to separate different types of payments and invoices. For example, tag insurance-related items, debts, or customer accounts with sufficient current balances. This way, you can create complex reports and offer additional services to different types of customers.

Pricing

The platform provides an opportunity to evaluate the convenience of its billing solutions for healthcare practices and offers a free trial period of 15 days.

2. Kareo (Tebra): Quick Data Entry and Verification

Kareo is a popular choice among healthcare providers because it combines medical billing, EHR, and practice management. The billing module is designed to handle the entire revenue cycle management, from patient check-in to final payment. It includes features for claims processing, patient billing, and accounts receivable tracking.

Advantages

Comprehensive functionality. Kareo provides a full suite of tools needed for managing billing , claims, and patient accounts: automated patient billing, reports, charges, and payments.

A/R management. This feature allows you to reduce your accounts receivable days through end-to-end claim tracking.

Insurance verification. The software includes real-time insurance verification for in-house billers that reduces the chances of claim rejections and postponed reimbursements.

User support. Kareo offers extensive customer support, including onboarding and training.

Billing analytics. The software allows you to create financial health dashboards that you can modify and edit according to your organisation's needs.

Pricing

Kareo pricing starts at $150 per user per month. In order to find out the exact cost of a subscription, you should contact the company representatives.

While this is on the higher side for small practices, the comprehensive functionality and support may justify the cost for some of them.

3. DrChrono for Insurance Eligibility Checks

DrChrono by EverHealth is a practice management platform that offers medical billing, EHR, and clearinghouses in one package. Its billing module provides tools for claim submission, tracking, and management, as well as patient billing and cash flow collection.

The software supports a wide range of medical specialities for small and large practices, including multispecialities. It is particularly known for its iPad-native application.

Advantages

Integration with EHR. The integration helps link payments to a specific patient and his or her medical record. This linkage reduces the number of errors in invoices and denials during claims processing, which is important for increasing the clinic's clean claim rate.

Real-time insurance eligibility. The feature allows you to check insurance validity in real time before a patient is seen, or even run a check on all insurance in bulk.

Good faith estimates. The platform, in accordance with the No Surprises Act, allows patients who pay for services themselves, without insurance, to know the cost of the services they will receive before they visit the clinic.

HIPAA compliance. The software is fully HIPAA-compliant. It means that patient information is secured.

Pricing

DrChrono offers tiered pricing plans starting at $199 per provider per month for the basic plan. This cost can increase based on additional features and the size of the practice.

There is no exact breakdown of prices on the website; for details, please contact the company's managers.

4. AdvancedMD: Automated Charge Captures for Growing Clinics

AdvancedMD is cloud-based software designed to support both small and large practices and all roles of these practices. It offers comprehensive tools for managing billing, claims, and patient accounts.

The software includes electronic remittance advice (ERA), automated charge capture, and detailed financial reporting. AdvancedMD supports a variety of billing models, including insurance billing, self-pay, and hybrid models.

Advantages

Scalability. The software is a good option for small practices looking to grow. It can handle increasing patient volumes and more complex billing needs over time.

Claims management. The platform's advantage is ClaimsInspector. This feature analyses claims for errors in HIPAA compliance and CCI. When working with external auditors to review billing processes, having a proper audit engagement ensures clear scope definition and professional standards. The result is a lower denial rate and a higher clean claim rate.

Extensive reporting. AdvancedMD offers detailed reporting capabilities. Reporting dashboards can be modified using drag-and-drop functionality. A report generator allows you to build any report with custom parameters.

Clearinghouse. The function checks each claim for compliance with insurance company rules and ensures accurate medical coding. ERA processing simplifies managing unexpected payment amounts.

Pricing

AdvancedMD's pricing is custom-quoted based on the specific needs of the practice. However, small businesses can expect to pay around $429 per provider per month for the billing module alone. This cost includes setup fees and training.

5. Ensora Health (TheraNest) for Mental Health Pros

TheraNest is designed primarily for mental health professionals, but its key features make it a great option for small practices in various specialities. The software includes billing tools for managing claims, generating invoices, and processing payments.

It includes telehealth functions and unlimited note templates for individual or group sessions.

Advantages

Specialisation in mental health. TheraNest meets the specific billing needs of mental health professionals. It takes into account the fact that mental health professionals are quite burdened with paperwork and frees them from it as much as possible.

Batch invoicing and statements. The feature reduces billing time and allows payments to be processed and applied quickly.

Client portal. The portal, accessible from a mobile phone, allows customers to pay by credit card and view their balance information.

Codes and forms. TheraNest gives you the ability to create, upload, and print CMS-1500 forms, as well as use up-to-date CPT codes.

Claims eligibility verification. Like AdvancedMD, TheraNest offers the option of claim validation so that you don't have to deal with insurance companies and denials. If a claim rejection occurs, the platform takes responsibility for determining the causes and correcting the errors.

Pricing

TheraNest pricing plans start at $29 per month for solo practitioners, with the price increasing based on the number of clients and additional features. The platform offers a 21-day free trial.

6. NextGen for Those Who Love Integrations

NextGen is a comprehensive EHR system with many modules and medical billing services. NextGen also integrates with practice management systems, providing a unified platform for small practices.

It has its own AI assistant that automates SOAP note filling thanks to speech recognition functions.

Advantages

Claims management. The service automates claim submission and reduces resubmissions. It helps maximise revenue with a predictive rules engine that ensures all your claims are accepted after the first submission.

Patient portal. NextGen allows patients to view bills and make payments online with multiple payment options: credit cards, Google Pay, Apple Pay, and payment plans via InstaMed.

Scalability. You can scale with the practice's growth, supporting increasing patient volumes and complexity. The software offers two RCM solutions: mid-sized to enterprise practices and small practices.

Pricing

NextGen costs range from $299 to $549 per provider per month, depending on the specific plan, number of users, and features required.

7. TherapyNotes Medical Billing Software for Behavioural Health

TherapyNotes is a top choice for behavioural health professionals who need billing software tailored to therapy-specific workflows. Instead of generic medical billing tools, it supports SOAP notes, DSM-aligned documentation, therapy CPT coding, and session-based billing.

Advantages

Behavioural-health specific tools. Templates, documentation formats, and billing codes built for therapy rather than general medicine are already included in your plan.

Streamlined scheduling and calendar management. You can track therapist availability, recurring appointments, cancellations, and telehealth sessions.

Secure client portal. Patients can message, access forms, and receive documents safely and privately.

Automated claims to mental health payers. Reduce manual work and speed up insurance reimbursement with the integrated tools.

Pricing

TherapyNotes typically starts around $69 per user per month depending on the plan and add-ons.

This price is reasonable for therapists who need speciality-focused billing tools rather than a general medical system. There is also a 30-day free trial.

8. Practice Fusion: Cloud-Based EHR With Integrated Billing

Practice Fusion includes built-in billing capabilities, e-prescribing, patient engagement tools, and simple reporting. For practices with limited budgets, this can be a cost-effective billing solution without sacrificing core functionality.

Advantages

Cloud-based EHR and billing. Access patient charts, billing history, and schedules anywhere. The software integrates with pharmacies, labs, imaging networks, and other systems.

e-Prescribing is included. Send prescriptions digitally without leaving the platform.

Self-service patient portal. Patients can check records, schedule visits, request refills, and pay bills.

Basic reporting dashboards. Track billing status, productivity, and financial trends.

Pricing

Practice Fusion’s EHR and Billing Services package starts at $199 per provider per month with required annual commitment for the core offering.

Because billing needs vary (volume, payer mix, staff size), you may need to contact Practice Fusion for a full quote tailored to your practice.

9. Athenahealth: Full-Service Billing and RCM

Athenahealth, via its athenaOne suite, provides full revenue cycle management, including claims submission, denial resolution, payer follow-up, and reporting. This reduces manual admin work and can help increase collections.

Advantages

AI-powered billing and claim management. Athenahealth uses an AI-driven “rules engine” to scrub claims before submission, automatically identify potential issues, and give coding suggestions.

Automated payment posting and denial handling. Payments get matched and posted automatically, and denials are flagged with actionable advice for quick resolution.

Patient payment flexibility and collection tools. It supports copays, prepays, and payment plans and offers a patient portal plus a mobile app for online payments.

Pricing

Athenahealth typically charges a percentage of monthly collections instead of a flat per-user fee. Costs vary based on revenue volume, so practices with higher billing output may pay more.

For the standalone EHR/practice-management modules (without full RCM), some sources suggest starting around $140 per provider per month.

10. CureMD: EHR, PM & Billing for Modern Clinics

CureMD is a robust billing and practice management platform that combines end-to-end revenue cycle management, EHR, and practice tools ideal for small to medium clinics.

Advantages

Full revenue cycle coverage. CureMD handles everything from claim creation and submission to denial management, appeals, payment posting, and reporting.

Real-time insurance eligibility. Reduces billing denial risk by confirming coverage before a visit.

Real-time analytics and financial visibility. A dashboard gives you insights into revenue, claim status, denials, A/R ageing, and other financial KPIs to track how well your practice is doing at a glance.

Automation and claim-scrubbing tools. The software uses automated claim processing and a clearinghouse integration to help minimise your errors, speed up reimbursements, and reduce denials.

Pricing

The cost depends on the modules you choose:

• Basic Practice Management: roughly US$195 per provider/month.
• EHR module: about US$295 per provider/month.
• PM + EHR (“all-in-one”) bundle: about US$395 per provider/month.
• Medical Billing Service (outsourced billing) is usually charged as a percentage of collections, not a flat fee.

Because billing service pricing depends on your revenue, volume and payer mix, contacting CureMD directly is the only way to get an accurate quote.

Medical Billing Software FAQs

→ What makes medical billing software “good” for a small practice?
It automates claims, verifies insurance, tracks denials, posts payments, and integrates with your EHR. Less admin, fewer errors, faster cash flow.

→ Do I need EHR integration?
Yes. Without it, you risk duplicate entries, rejected claims, and wasted time. Integrated systems keep your workflow smooth.

→ Is compliance covered?
Make sure your software is GDPR- or HIPAA‑compliant, with secure logins, encryption, and audit logs. Patient data and claims need protection.

→ How does medical billing software reduce claim denials?
Look for automated claim scrubbing, eligibility checks, and denial-management tools. Smart software catches errors before they reach insurers.

→ Are there affordable options for small practices?
Yes! Some EHR and billing systems are free or low-cost. The key is to get essential automation without overspending.

What reporting should I expect?
Dashboards showing claims submitted vs paid, denial rates, A/R ageing, revenue by provider/payer, and cash flow.

→ Can it scale as my practice grows?
Absolutely. The best platforms add providers, handle more claims, support multiple locations, and offer advanced features as you expand.

For more details on each software option, feel free to explore the links provided to understand which one fits your practice best.