Tebra gives you software. SignalRCM handles the billing.
Tebra is an all-in-one platform — EHR, practice management, billing software, and patient engagement — that your team runs in-house. SignalRCM is a managed billing partner for specialty practices and medical groups: we connect to the EHR you already use and handle the billing work while your team keeps visibility into every claim. This page is for deciding whether to run billing yourself on Tebra or hand it to a partner.
Two different ways to run billing
Tebra and SignalRCM are not the same kind of product. The real decision is who operates billing after the visit.
Choose Tebra when…
You want one platform for your EHR, scheduling, practice management, billing, and patient marketing — and your team is ready to run billing in-house. Tebra fits solo and small practices that prefer to own the day-to-day workflow on affordable, self-serve software.
Choose SignalRCM when…
You are a specialty practice or medical group that wants billing handled without replacing your EHR. SignalRCM operates coding review, claims, denials, payment posting, and patient billing as a service, so your staff is not the one working the queues.
The tradeoff
Tebra gives you software to run and keeps costs low, but the billing work stays inside your practice. SignalRCM takes that work off your team, but you are choosing a partner to manage claims, denials, payments, and patient balances rather than a tool you control directly.
Who owns the work in each model
The same billing tasks exist either way. What changes is whether your staff runs them or SignalRCM does.
| Area | With Tebra | With SignalRCM |
|---|---|---|
| Your EHR | Move to Tebra's own EHR (Kareo Clinical lineage) for the full platform | Keep your current EHR — Epic, Athena, eClinicalWorks, and others |
| Billing staff workload | Your team runs billing day to day inside the software | SignalRCM's team runs the billing workflow for you |
| Coding review | Staff code with AI Note Assist support; a managed billing add-on is available | Suggested ICD-10 and CPT codes are routed for physician review before submission |
| Claims & scrubbing | Built-in claim scrubbing; your team submits | Claims checked against payer rules and submitted for you |
| Denials & appeals | Denials surface in a worklist for staff to work | Every denial is reviewed and challenged — appeal, correction, or resubmission tracked through resolution |
| Payments & reconciliation | Posted and reconciled in the platform by your team | Payment posting and ERA reconciliation handled for you |
| Patient billing | Statements, payments, and reminders run through Tebra's modules (about $1.10+/statement) | Statements, follow-up, and patient billing questions handled by SignalRCM's team |
| Reporting & visibility | Dashboards and reports your team runs | Real-time dashboard into collections, denials, and payer performance |
| Getting started | Typical go-live in one to two weeks configuring software | Most practices go live in weeks; SignalRCM handles EHR connection, payer enrollment, and data migration |
What Tebra is good for
Tebra is a capable, affordable platform for practices that want to keep billing in-house. The details worth knowing:
What SignalRCM takes off your team
SignalRCM is built for specialty practices and medical groups that would rather have billing handled than operate it on software.
Software cost vs billing work removed
A lower software subscription can still leave significant billing work inside your practice. Weigh each option against the staff work it removes, not just the sticker price.
Tebra
Tebra publishes a per-provider, per-month subscription ranging from $49 to $799. Practice Essentials (clinical EHR + billing + telehealth) is $599/month for physicians on the standard tier; Billing Starter alone runs $99–$199/month per provider. Patient Experience + Marketing starts at $49–$99/month. Transactional fees apply for paper claims, statements, and AI-generated notes. Billing labor stays with your team.
SignalRCM
SignalRCM prices the managed billing service to practice size, specialty, and claim volume rather than per software seat. Pricing is set during a fit call; there are no separate clearinghouse, EHR, or patient-statement-software line items, because SignalRCM delivers the workflow rather than the tooling. The comparison is total billing cost, including staff time, not just software access.
Which one fits your practice
Choose Tebra if you want one platform for EHR, practice management, billing, and patient engagement and your team is ready to run billing in-house — especially as a solo or small practice that values low, month-to-month software cost. Choose SignalRCM if you are a specialty practice or medical group that wants to keep your current EHR and have billing handled by a managed partner, with physician-reviewed coding, denials worked through resolution, and full revenue visibility.
Questions practices ask
They solve different problems. Tebra is EHR and billing software a practice runs in-house. SignalRCM is a managed billing partner that handles coding review, claims, denials, payment posting, and patient billing on top of your existing EHR. Practices that want to run billing themselves often prefer Tebra; specialty practices and groups that want the work handled prefer SignalRCM.
Getting the full Tebra platform generally means adopting Tebra's own EHR. SignalRCM is EHR-agnostic and works around the system you already use — Epic, Athena, eClinicalWorks, and others — so you can keep your EHR and still hand off billing.
Tebra charges $49–$799 per provider per month for software, plus transactional fees, and your team still does the billing. SignalRCM prices the managed service to claim volume and includes the billing work itself. Compare total billing cost — software plus staff time — rather than the subscription alone.
In Tebra, your staff run coding, claim submission, denial appeals, payment posting, and patient billing inside the software. SignalRCM operates those steps for you — with physician-reviewed coding and denials worked through resolution — and gives you a dashboard for visibility instead of a workbench to staff.
Both move quickly. Tebra advertises one-to-two-week software go-lives that your office configures. SignalRCM's onboarding is comparable but different in scope: our implementation team handles the EHR connection, payer enrollment, and historical migration, and most practices can go live in weeks.