When you lose a biller, you have multiple claims piling up at once, resulting in more accounts receivable than you can actually collect from insurance. This issue is occurring so often that many practices no longer consider it to be an isolated incident; therefore, they must search for solutions. MedCare MSO and eClinicalWorks are good examples of where billing and revenue cycle (RCM) will be handled differently based on how your practice finances itself.
MedCare MSO is your complete RCM and medical billing solution, whereas eClinicalWorks provides an EHR application with integrated PM functions, and there are optional RCM services available via EMR function.
This blog will compare MedCare MSO and eClinicalWorks as to which will provide the best ROI for revenue-based operations in 2026.
01. Why This Comparison Matters in 2026
Healthcare providers are facing more challenges in getting paid. In 2025, about 12% of claims were denied on the first submission, and even after appeals, around 3% were still denied. These denials lead to billions of dollars in lost revenue each year for hospitals, clinics, and other healthcare organizations.
Current trends regarding different forms of pressure on the revenue cycle include complex staffing shortages, more complex payor environments, and tighter regulatory oversight, all of which are further compounded by changes to billing processes through artificial intelligence and automation technologies. Therefore, organizations are beginning to evaluate if they should continue to use software-based revenue cycle management solutions internally or contract with third-party revenue cycle management solution providers.
02. What Is MedCare MSO?
MedCare MSO is a well-established AI-Powered Revenue Cycle Management (RCM) provider. By offering outsourced medical billing with state-of-the-art digital billing technology. MedCare MSO helps you increase collections, decrease denials, and create a more streamlined process for your practice. All while using both human intelligence and Artificial Intelligence (AI)- based automation technologies.
MedCare MSO provides complete and robust RCM services, including AI medical billing , AI coding, revenue cycle management, denial management, accounts receivable recovery (A/R), credentialing, (AI-based) Scribe, (AI-based) coding, billing software, and revenue analytics.
MedCare MSO’s Technology
The Medcare MSO technology platform enables the use of Artificial Intelligence (AI) driven tools and automation to improve the efficiency and accuracy of the claims process. Such tools are part of a technology stack that includes AI Scribe documentation support, AI-assisted claims coding, claim scrubbing systems, automated eligibility verification, and real-time revenue analytics dashboards that track the financial performance for you and your practice.
Denial Management
MedCare MSO offers hands-on denial management services to its clients via a team of dedicated billing professionals, unlike other software-only platforms. These teams engage in a broad range of activities, including denial prevention, submitting appeals, communicating with payers, conducting root-cause analyses, and recovering accounts receivable, to ensure that denied claims are eventually resolved.
MedCare MSO’s Pricing
The majority of MedCare MSO’s engagements use a percentage-of-collections pricing model, which aligns MedCare MSO’s success with the client’s revenue results. This model eliminates an upfront cost and aligns the incentives of both parties to improve collections.
Transparency & Support
Clients also receive a dedicated account manager, a revenue cycle manager, financial reports that detail key performance metrics, and continuous performance reviews. This creates transparency for clients in the form of access to collections, denial rates, and A/R aging.
Typical Results
While results vary by specialty and payer mix, an outsourced Medical Billing Partner such as MedCare MSO may consistently strive for a clean claim rate of more than 98.5%, lower denial rates, shorter 35% A/R days, and faster reimbursement cycles through proactive management of billing procedures.
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Get Started03. What is eClinicalWorks?
eClinicalWorks offers an extensive range of EHR software applications that provide a complete solution for managing a range of clinical, operational and administrative functions. eClinicalWorks has gained wide acceptance among physician groups as an easy-to-use, highly customizable, and affordable software option and it can also be implemented through multiple delivery methods.
eClinicalWorks consists of a number of integrated products that support healthcare organizations with patient management, revenue cycle management, clinical operations, and quality improvement. In addition to its core functionality as an EHR system, eClinicalWorks provides enhanced capabilities and additional revenue generation through its integrated offerings.
eClinicalWorks Technology
eClinicalWorks serves as a complete healthcare ecosystem that connects clinical and administrative activities through the use of a single platform. The eClinicalWorks ecosystem includes EHR functionality, patient portals, appointment scheduling, telehealth technology, and artificial intelligence (AI) and machine learning-based automation that enhances workflow efficiency.
Denial Management
eClinicalWorks provides automated claim edits, work queues, billing workflows, and reporting tools to assist denial management. Many providers still rely on internal billing staff to resolve appeal and denial issues.
eClinicalWorks RCM pricing
Pricing for eClinicalWorks varies based on factors such as number of providers, selected modules, implementation requirements, integration needs, and optional revenue cycle management (RCM) services. This variability allows for custom pricing, however, can complicate the overall cost prediction for healthcare organizations.
Transparency & Support
The support offered includes technical support, training on the iPatient technology platform, assistance with implementation, as well as general revenue cycle management workflow guidance. For the most part, the support is for the system, not optimizing revenue.
04. MedCare MSO vs eClinicalWorks: Quick Comparison
| Category | MedCare MSO | eClinicalWorks |
|---|---|---|
| Primary Focus | Revenue Cycle Management | EHR & Practice Management |
| Business Model | Outsourced RCM Partner | Healthcare Software Platform |
| Medical Billing Team | Dedicated Specialists | Service Varies |
| Medical Coding Support | Full-Service Coding | Software-Assisted |
| AI Scribe | Yes | Yes |
| AI Coding | Yes | Limited |
| Denial Management | Hands-On Management | Workflow-Based |
| Appeals Handling | Dedicated Billing Team | Internal Staff Required |
| Claims Scrubbing | Included | Available |
| Reporting | Revenue-Focused Analytics | Operational Reporting |
| Internal Staffing Needs | Low | Moderate to High |
| Specialty Expertise | Extensive | Generalized |
| Pricing Model | Percentage of Collections | Software + Service Fees |
| Contract Structure | Customized | Software Agreements |
| Best For | Revenue Optimization | Integrated Clinical & EHR Environment |
09. What should you choose?
MedCare MSO may be the better fit for:
If your focus is on collections, reducing denials, and cutting down on administrative burden, then you might consider MedCare MSO RCM Services, since we provide dedicated support for managing revenue cycles as part of a partnership with our clients.
- Independent provider groups
- Specialty practices
- Multi-practice organizations
- Practices that are having trouble getting their claims approved
- Billing departments that are short-staffed
- Healthcare organizations that want an expert to help them manage an outsourced revenue cycle
eClinicalWorks may be the better fit for:
- If your focus is on getting the right software to manage your clinic’s clinical operation and practice management then eClinicalWorks can be an excellent choice.
- Providers looking to use a full electronic health record system
- Those with integrations into their existing clinical workflows
- Providers that are already using the eClinicalWorks system
- Providers who have an experienced internal billing staff
- Providers looking for an integrated technology platform
Not sure which is right for you!
Talk to our experts today and get a tailored recommendation based on your practice needs.
Final Thoughts
The primary functions of MedCare MSO and eClinicalWorks are dissimilar, with MedCare MSO supporting the revenue cycle while eClinicalWorks provides a robust EHR platform for practicing physicians. To enhance the quality of service delivered to practicing physicians, both MedCare MSO and eClinicalWorks have implemented solutions that are complementary to one another within the healthcare industry.
MedCare MSO provides physicians with hands-on support for billing as well as AI-powered solutions for revenue cycle management and measurable improvements in financial performance, while eClinicalWorks offers physicians an efficient and integrated environment for EHR solutions.
