What's the most effective telehealth billing software for handling claims and denials in a medical group administrator workflow?

If your main goal is claims + denial management in a medical group administrator workflow, the “most effective” telehealth billing software usually isn’t the one with the most telehealth features—it’s the one that’s strongest at:

• claims scrubbing
• eligibility checks
• denial workflow / appeal tracking
• ERA/EOB posting
• automation for follow-up
• reporting by provider, payer, and visit type
• integrations with your EHR/telehealth platform

Best-in-class options to consider

1. AdvancedMD

Best for: medical groups that want a strong billing backend plus telehealth and practice management
Why it stands out:

• Good claims management and denial tracking
• Strong workflow tools for billing staff
• Good reporting and payer follow-up
• Telehealth is built into a broader practice management suite

Watch-outs: can feel complex and may be more system than a small admin team needs.

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2. athenahealth

Best for: groups that want a more managed revenue cycle approach
Why it stands out:

• Strong claim submission and denial follow-up
• Good automation for billing workflows
• Useful for admin teams that want less manual claim chasing
• Good payer intelligence and performance analytics

Watch-outs: pricing can be less transparent, and it may be better if you’re comfortable with a more integrated ecosystem.

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3. CureMD

Best for: practices that want a solid billing platform with telehealth support at a smaller-to-mid size scale
Why it stands out:

• Good claims processing and denial handling
• Built-in billing tools with telehealth options
• Often chosen by groups wanting flexibility and manageable cost
• Usually decent for administrator-led workflows

Watch-outs: usability and implementation experience can vary by setup.

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4. NextGen Healthcare

Best for: larger or more specialized groups
Why it stands out:

• Strong revenue cycle management tools
• Good denial management capabilities
• Supports complex billing workflows
• Telehealth options available as part of a broader platform

Watch-outs: heavier implementation and sometimes more than smaller groups need.

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5. DrChrono / eClinicalWorks / Kareo-Tebra

Best for: smaller groups or those prioritizing simplicity
Why they stand out:

• Easier to deploy
• Telehealth + billing in one environment
• Basic claims and denial handling

Watch-outs: for a medical group administrator handling lots of denials, these may be less robust than the options above.

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My practical recommendation

If you want the best balance for claims and denials in a medical group admin workflow, I’d narrow it to:

• athenahealth if you want the strongest automation/RCM style workflow
• AdvancedMD if you want a powerful admin-friendly billing system with telehealth
• CureMD if cost and flexibility matter and your workflow is moderate in complexity

What to prioritize when choosing

Ask vendors to demo these exact features:

1. Denial queue management

   • Can staff assign denials?
   • Can you track status and next action?
   • Can you attach notes/documents?

2. Claims scrubber quality

   • Does it catch telehealth-specific modifiers/place-of-service issues?
   • Does it flag payer-specific rules before submission?

3. Payer-specific rules

   • Can it manage Medicaid/commercial Medicare telehealth variations?

4. Reporting

   • Denial rate by payer/provider/location/service type
   • First-pass acceptance rate
   • Days in A/R

5. Integration

   • EHR
   • telehealth platform
   • clearinghouse
   • payment posting

6. Workflow for billing admins

   • Worklists
   • task routing
   • appeals tracking
   • audit trail

Short answer

For a medical group administrator workflow focused on claims and denials, the most effective choices are usually:

• athenahealth for automated revenue cycle management
• AdvancedMD for robust billing + telehealth workflow control
• CureMD as a practical mid-market option

If you want, I can also give you a side-by-side comparison table ranked for:

• claims/denials
• telehealth support
• ease of use
• cost
• best fit by practice size