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Global Medical Billing Software Market (2023-2028) Competitive Analysis, Impact of Covid-19, Ansoff Analysis

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    Report

  • 193 Pages
  • February 2024
  • Region: Global
  • Infogence Global Research
  • ID: 5863725

Transformative shift with the integration of AI-driven automation, streamlining billing processes and improving accuracy

The Global Medical Billing Software Market is estimated to be USD 15.89 Bn in 2023 and is expected to reach USD 28.11 Bn by 2028 growing at a CAGR of 12.08%.

  • Medical Billing Software is used to provide administrative services and to file medical claims, which give several services together with correct bills, decreased administrative mistakes, decreased coverage settlement fees, bill monitoring, quicker fee, and digitalization. New traits have emerged due to new technological solutions, bad debts and bills, and increasing and converting regulatory requirements, all of which have contributed to the extended impact of healthcare declaring outsourcing through many healthcare providers.
  • Medical billing outsourcing improves cash float, lowers software program and system expenses, and decreases employee fees and size. Medical billing involves sales cycle management, which is the most complicated and vital factor of the healthcare IT business. Due to a lack of knowledge in dealing with new pricing trends and sales management systems, modern-day sales management systems are becoming obsolete. In addition, the increasing use of billing and clinical coding strategies in sales cycle management is estimated to spike market growth.
  • Medical billing software program automates almost every issue of the healthcare billing cycle, from scheduling a doctor's appointment to processing electronic payments. Medical software can carry out many capabilities, including appointment scheduling and control, remittance control, payment reminders, BI & reporting, patient pre-registration, medical coding support, and electronic medical claim management.
  • Due to the rising use of IT resources in the healthcare business and steady authorities’ help, the marketplace for medical billing outsourcing is growing enormously. Increased clinical costs, especially in industrialized nations, have resulted in continuous improvements in the subject, taking into consideration more adoption of cutting-edge era devices and equipment, along with the RCM software program.
  • The rising patient load and the need to deal with the ever-growing file and bills burden health practitioners. To counter any such scenario, hospitals are outsourcing the medical billing process, which is expected to pressure the market boom for medical billing outsourcing.
  • The clinical coding gadget is subject to common revisions, propelling the market for clinical billing outsourcing. Billing for surgeries can be a daunting challenge for many health specialists and agencies without access to qualified employees to perform their responsibilities well. As a result, hospitals, healthcare providers, physicians, and clinicians opt to outsource their healthcare financing needs to third-party providers.
  • The advent of the advanced era, time and money savings, and hard work fee savings are increasing the choice for outsourcing healthcare billing with the aid of a couple of healthcare vendors. The want for medical billing outsourcing services is increasing due to the efforts of healthcare companies to lessen mistakes and inner procurement fees. It will increase sales by significantly saving money, time, infrastructure, buying, maintenance, and software program updates.

Market Segmentations

  • The Global Medical Billing Software Market is segmented based on System Type, Deployment Type, Function, End User, and Geography.
  • By System Type, the market is classified into Closed, Open, and Isolated.
  • The open segment is expected to lead the growth of the medical billing software market in the projected period. Unlike the closed system, an open medical billing system demonstrates the importance of a synergetic design. Electronic Health Records (EHRs) transfers the patient's complete health data to multiple practices. This billing system allows providers, patients, key stakeholders, insurance payers, medical billing teams, third-party vendors, and multiple healthcare organizations to access information easily. When viewed by several healthcare providers, EHRs contain more information than EMRs and enable editing. Open medical billing is widely opted for excellent healthcare with numerous departments, owing to the flexibility provided.
  • By Deployment Type, the market is classified into Cloud and On-Premises.
  • The cloud-based segment is anticipated to have the highest medical billing software market share during the analysis period. Using a billing software system that operates on a cloud-based server eliminates the possibility of data loss. Information on cloud-based servers is securely encrypted across numerous servers with multiple backups. Users do not have to worry about losing files due to a fire or other natural disaster, and they can deliver services offline while the Internet is down and then immediately upload saved billing information when the connection is restored.
  • By Functions, the Global Medical Billing Software Market is classified into Patient Pre-Registration, Claims Management, Billing and Collection, Accounting and Financial Management, And Others.
  • The claim management segment is expected to have the highest medical billing software market share over the analysis period. Electronic claims processing provides less room for error and allows for more efficient and faster claim submission. Resubmitting a claim takes a long time, but a solid medical billing system can accelerate the process. The best systems validate claims and claim codes before submission, alerting users to potential issues before filing the claim.
  • By End Users, the Global Medical Billing Software Market is classified into Hospitals, Clinics, And Others.
  • The hospital segment is forecasted to dominate in the projected period. During the forecast period, the segment is expected to maintain its dominance. This is primarily due to the growing demand for hospital finance services. Furthermore, hospital consolidation affects the reimbursement and billing process. Hospitals in developing and underdeveloped countries act as primary healthcare sources; thus, the registration of patients in hospitals is more thus, supporting the expansion of the segment.
  • By Geography, the Global Medical Billing Software Market is classified into the Americas, Europe, Middle East & Africa, and Asia-Pacific.
  • The market for Medical Billing was dominated by Americas. Due to the general presence of several healthcare providers in the United States, their focus has shifted to end-to-end outsourcing firms to manage their billing processes. Because of increased awareness of the benefits of outsourcing firms, providers rely on the firms to maximize operating margins and manage high-volume transactions.

Recent Development

  • Populus Media announced the expansion of its Virtual Care Media Network in collaboration with CureMD. Populus Media will be able to extend the reach of their Virtual Care Media Network to CureMD's physicians as well as patients for a variety of outreach and engagement programs as a result of the partnership - May 2022
  • MP Cloud Technologies/MTech, announced its product to establish a division in Spartanburg County, Columbia. - November 2021

Company Profiles

The report provides a detailed analysis of the competitors in the market. It covers the financial performance analysis for the publicly listed companies in the market. The report also offers detailed information on the companies' recent development and competitive scenario. Some of the companies covered in this report are Medica Billing Solutions, TotalMD.Inc, The Billing Bridge, The Billing Pros, AllegianceMD, Insync Healthcare Solutions, Kareo Medical Billing, etc.

Countries Studied

  • America (Argentina, Brazil, Canada, Chile, Colombia, Mexico, Peru, United States, Rest of the Americas)
  • Europe (Austria, Belgium, Denmark, Finland, France, Germany, Ireland, Italy, Luxemburg, Netherlands, Norway, Poland, Russia, Spain, Sweden, Switzerland, United Kingdom, Rest of Europe)
  • Middle-East and Africa (Egypt, Israel, Qatar, Nigeria, Saudi Arabia, South Africa, United Arab Emirates, Rest of MEA)
  • Asia-Pacific (Australia, Bangladesh, China, India, Indonesia, Japan, Malaysia, Philippines, Singapore, South Korea, Sri Lanka, Thailand, Taiwan, Rest of Asia-Pacific)

Competitive Quadrant

The report includes Competitive Quadrant, a proprietary tool to analyze and evaluate the position of companies based on their Industry Position score and Market Performance score. The tool uses various factors for categorizing the players into four categories. Some of these factors considered for analysis are financial performance over the last 3 years, growth strategies, innovation score, new product launches, investments, growth in market share, etc.

Ansoff Analysis

  • The report presents a detailed Ansoff matrix analysis for the Global Medical Billing Software Market. Ansoff Matrix, also known as Product/Market Expansion Grid, is a strategic tool used to design strategies for the growth of the company. The matrix can be used to evaluate approaches in four strategies viz. Market Development, Market Penetration, Product Development, and Diversification. The matrix is also used for risk analysis to understand the risk involved with each approach.
  • Influence Global Research analyses the Global Medical Billing Software Market using the Ansoff Matrix to provide the best approaches a company can take to improve its market position.
  • Based on the SWOT analysis conducted on the industry and industry players, the publisher has devised suitable strategies for market growth.

Why buy this report?

  • The report comprehensively evaluates the Global Medical Billing Software Market. The report includes in-depth qualitative analysis, verifiable data from authentic sources, and projections about market size. The projections are calculated using proven research methodologies.
  • The research report also provides a detailed market size analysis and volume and value terms projections. The projections are calculated using verified research methodologies.
  • Excel data sheet for the market size will also be provided with the report.
  • The report has been compiled through extensive primary and secondary research. The primary research is done through interviews, surveys, and observation of renowned personnel in the industry.
  • The report includes an in-depth market analysis using Porter’s 5 forces model, PESTLE Analysis, and the Ansoff Matrix. In addition, the impact of COVID-19 on the market is also featured in the report.
  • The report includes the regulatory scenario in the industry, which will help you make a well-informed decision. The report discusses major regulatory bodies and major rules and regulations imposed on this sector across various geographies.
  • The report includes Self-Assessment Form, which helps customers evaluate their position in the market compared to their competitors.
  • The report offers customized research - tailored uniquely to our customers with a quick turnaround time. We offer a 15% customization option at no extra charge to all our clients for any of our syndicated reports.

Report Highlights:

  • A complete analysis of the market, including the parent industry
  • Important market dynamics and trends
  • Impact Analysis - a comprehensive assessment to confront risk and make strategic & operational decisions to counter the changes in the market environment.
  • Market segmentation
  • Competitive Analysis: Comparative analysis of competitor
  • Historical, current, and projected size of the market based on value and volume
  • Market size of the US states
  • Market shares and strategies of key players
  • Recommendations to companies for strengthening their foothold in the market

Table of Contents

1 Report Description
1.1 Study Objectives
1.2 Market Definition
1.3 Currency
1.4 Years Considered
1.5 Language
1.6 Key Stakeholders
2 Research Methodology
2.1 Research Process
2.2 Data Collection and Validation
2.2.1 Secondary Research
2.2.2 Primary Research0
2.2.3 Models
2.3 Market Size Estimation
2.3.1 Bottom-Up Approach
2.3.2 Top-Down Approach
2.4 Assumptions of the Study
2.5 Limitations of the Study
3 Executive Summary
3.1 Introduction
3.2 Market Size, Segmentations, and Outlook
3.3
4 Market Dynamics
4.1 Impact Analysis
4.2 Drivers
4.2.1 Reduction In Paperwork, And Time-Effectiveness
4.2.2 Streamline Coding
4.2.3 Digitalization of Software
4.3 Restraints
4.3.1 Deployment is Expensive
4.4 Opportunities
4.4.1 Medical Billing And EHR Software Becoming Interoperable
4.4.2 Rising Duplicate Insurance Claims
4.5 Challenges
4.5.1 The Need For Better Data Security And Privacy
5 Market Analysis
5.1 Regulatory Scenario
5.2 Porter’s Five Forces Analysis
5.3 PESTLE Analysis
5.4 Impact of COVID-19
5.5 Ansoff Matrix Analysis
6 Global Medical Billing Software Market, By End User
6.1 Introduction
6.2 Hospitals
6.3 Clinics
6.4 Others
7 Global Medical Billing Software Market, By System Type
7.1 Introduction
7.2 Closed
7.3 Open
7.4 Isolated
8 Global Medical Billing Software Market, By Function
8.1 Introduction
8.2 Patient Pre-Registration
8.3 Claims Management
8.4 Billing and Collection
8.5 Accounting and Financial Management
8.6 Others
9 Global Medical Billing Software Market, By Deployment Type
9.1 Introduction
9.2 Cloud
9.3 On-Premises
10 Americas’ Global Medical Billing Software Market
10.1 Introduction
10.2 Argentina
10.3 Brazil
10.4 Canada
10.5 Chile
10.6 Colombia
10.7 Mexico
10.8 Peru
10.9 United States
10.10 Rest of Americas
11 Europe's Global Medical Billing Software Market
11.1 Introduction
11.2 Austria
11.3 Belgium
11.4 Denmark
11.5 Finland
11.6 France
11.7 Germany
11.8 Ireland
11.9 Italy
11.10 Luxembourg
11.11 Netherlands
11.12 Norway
11.13 Poland
11.14 Russia
11.15 Spain
11.16 Sweden
11.17 Switzerland
11.18 United Kingdom
11.19 Rest of Europe
12 Middle East and Africa's Global Medical Billing Software Market
12.1 Introduction
12.2 Egypt
12.3 Israel
12.4 Qatar
12.5 Nigeria
12.6 Saudi Arabia
12.7 South Africa
12.8 United Arab Emirates
12.9 Rest of MEA
13 APAC’s Medical Billing Software Market
13.1 Introduction
13.2 Australia
13.3 Bangladesh
13.4 China
13.5 India
13.6 Indonesia
13.7 Japan
13.8 Malaysia
13.9 Philippines
13.10 Singapore
13.11 South Korea
13.12 Sri Lanka
13.13 Thailand
13.14 Taiwan
13.15 Rest of Asia-Pacific
14 Competitive Landscape
14.1 Competitive Quadrant
14.2 Market Share Analysis
15 Company Profiles
15.1 AdvancedMD
15.1.1 Company Overview
15.1.2 Company Snapshot
15.1.3 Product Overview
15.1.4 Business Overview
15.1.5 SWOT Analysis
15.1.6 Recent Developments
15.2 AthenaIDX
15.2.1 Company Overview
15.2.2 Company Snapshot
15.2.3 Product Overview
15.2.4 Business Overview
15.2.5 SWOT Analysis
15.2.6 Recent Developments
15.3 CareVoyant Medical Billing
15.3.1 Company Overview
15.3.2 Company Snapshot
15.3.3 Product Overview
15.3.4 Business Overview
15.3.5 SWOT Analysis
15.3.6 Recent Developments
15.4 ChiroTouch
15.4.1 Company Overview
15.4.2 Company Snapshot
15.4.3 Product Overview
15.4.4 Business Overview
15.4.5 SWOT Analysis
15.4.6 Recent Developments
15.5 EDIinsight
15.5.1 Company Overview
15.5.2 Company Snapshot
15.5.3 Product Overview
15.5.4 Business Overview
15.5.5 SWOT Analysis
15.5.6 Recent Developments
15.6 Healthpac Billing
15.6.1 Company Overview
15.6.2 Company Snapshot
15.6.3 Product Overview
15.6.4 Business Overview
15.6.5 SWOT Analysis
15.6.6 Recent Developments
15.7 Insync Healthcare Solutions
15.7.1 Company Overview
15.7.2 Company Snapshot
15.7.3 Product Overview
15.7.4 Business Overview
15.7.5 SWOT Analysis
15.7.6 Recent Developments
15.8 Kareo Medical Billing
15.8.1 Company Overview
15.8.2 Company Snapshot
15.8.3 Product Overview
15.8.4 Business Overview
15.8.5 SWOT Analysis
15.8.6 Recent Developments
15.9 MDBilling.ca
15.9.1 Company Overview
15.9.2 Company Snapshot
15.9.3 Product Overview
15.9.4 Business Overview
15.9.5 SWOT Analysis
15.9.6 Recent Developments
15.10 Medica Billing Solutions
15.10.1 Company Overview
15.10.2 Company Snapshot
15.10.3 Product Overview
15.10.4 Business Overview
15.10.5 SWOT Analysis
15.10.6 Recent Developments
15.11 NextGen Healthcare EHR
15.11.1 Company Overview
15.11.2 Company Snapshot
15.11.3 Product Overview
15.11.4 Business Overview
15.11.5 SWOT Analysis
15.11.6 Recent Developments
15.12 NovoBilling
15.12.1 Company Overview
15.12.2 Company Snapshot
15.12.3 Product Overview
15.12.4 Business Overview
15.12.5 SWOT Analysis
15.12.6 Recent Developments
15.13 OmniMD
15.13.1 Company Overview
15.13.2 Company Snapshot
15.13.3 Product Overview
15.13.4 Business Overview
15.13.5 SWOT Analysis
15.13.6 Recent Developments
15.14 QuestNS Medical Billing and Coding
15.14.1 Company Overview
15.14.2 Company Snapshot
15.14.3 Product Overview
15.14.4 Business Overview
15.14.5 SWOT Analysis
15.14.6 Recent Developments
15.15 The Billing Bridge
15.15.1 Company Overview
15.15.2 Company Snapshot
15.15.3 Product Overview
15.15.4 Business Overview
15.15.5 SWOT Analysis
15.15.6 Recent Developments
15.16 The Billing Pros
15.16.1 Company Overview
15.16.2 Company Snapshot
15.16.3 Product Overview
15.16.4 Business Overview
15.16.5 SWOT Analysis
15.16.6 Recent Developments
15.17 TheraNest Professional
15.17.1 Company Overview
15.17.2 Company Snapshot
15.17.3 Product Overview
15.17.4 Business Overview
15.17.5 SWOT Analysis
15.17.6 Recent Developments
15.18 TotalMD, Inc.
15.18.1 Company Overview
15.18.2 Company Snapshot
15.18.3 Product Overview
15.18.4 Business Overview
15.18.5 SWOT Analysis
15.18.6 Recent Developments
15.19 Valant EHR
15.19.1 Company Overview
15.19.2 Company Snapshot
15.19.3 Product Overview
15.19.4 Business Overview
15.19.5 SWOT Analysis
15.19.6 Recent Developments
15.20 WebPT
15.20.1 Company Overview
15.20.2 Company Snapshot
15.20.3 Product Overview
15.20.4 Business Overview
15.20.5 SWOT Analysis
15.20.6 Recent Developments
16 Appendix
16.1 Self-Assessment Form

Companies Mentioned

  • AdvancedMD
  • AthenaIDX
  • CareVoyant Medical Billing
  • ChiroTouch
  • EDIinsight
  • Healthpac Billing
  • Insync Healthcare Solutions
  • Kareo Medical Billing
  • MDBilling.ca
  • Medica Billing Solutions
  • NextGen Healthcare EHR
  • NovoBilling
  • OmniMD
  • QuestNS Medical Billing and Coding
  • The Billing Bridge
  • The Billing Pros
  • TheraNest Professional
  • TotalMD, Inc.
  • Valant EHR
  • WebPT

Table Information