The Kareo Alternative

Kareo (now Tebra) is software — you still pay biller salaries on top. Go Medical Billing is the full team plus the workflow, all-in at 2.49% of net collections. AAPC-certified coders, 96%+ net collection rate, all 50 states. No software subscriptions, no per-provider fees, no setup costs.

AAPC Certified
HIPAA Compliant
All 50 States
Starting at 2.49%
HIPAA Compliant
AAPC Certified
4.9/5 Rating
300+ Practices
2.49%Our Rate (All-In)
$150Kareo Starting Rate
0Our Setup Fees
30-dayCancel Anytime

What is Kareo (now part of Tebra)?

Kareo is a cloud-based practice management and billing platform for small practices, now operating as Tebra after the 2021 PatientPop merger. It offers EHR, billing, telehealth, and patient engagement modules sold as software — the practice still hires billers to operate it.

What Kareo is known for

  • Affordable entry-level pricing for solo and small practices
  • User-friendly interface with shallow learning curve
  • Integrated EHR + billing + patient engagement in one suite
  • Telehealth module bundled in

Common concerns buyers raise

  • Per-provider pricing scales painfully as practices grow
  • Customer support response times have degraded post-Tebra merger
  • Reporting depth is shallow compared to enterprise PM systems
  • Denial management workflow requires manual biller effort — the software does not appeal claims
  • Buyers still pay biller salaries on top of the software subscription

Pricing Model

Per-provider monthly subscription, modules priced separately

Typical Range

$150–$400 per provider per month, plus EHR add-ons

Category

Practice management software

Go Medical Billing vs Kareo: Side-by-Side

Dimension
RecommendedGo Medical Billing
Kareo
Model
Full-service outsourced billing team — we work your claims end to end
Software you operate yourself with your in-house billers
Total cost (mid-size practice)
2.49% of net collections, all-in
$150–400/mo per provider for software PLUS biller salary, benefits, overhead
Coders included
AAPC-certified specialty teams included
You hire and pay biller/coder staff separately
Denial management
We appeal every overturnable denial within 48 hours
Your staff appeals denials manually using the software
Aged A/R recovery
Dedicated A/R team works every age bucket
Depends entirely on your in-house team's bandwidth
Setup fees
None
Implementation fees plus EHR migration costs
Long-term contracts
None — month to month
Annual contracts standard, multi-year discounts pushed
Specialty coding expertise
Cardiology, behavioral health, orthopedics, oncology, anesthesia — specialty teams
Generic — depends on whoever you hire
Reporting
Monthly KPI report including denial rate, net collection rate, days in A/R
Standard PM dashboards, depth varies by tier
Compliance
HIPAA-compliant, AAPC quality standards, quarterly internal audits
HIPAA-compliant — coding accuracy depends on your billers

Why Practices Switch from Kareo to Go Medical Billing

1

Eliminate the biller-payroll line entirely

Kareo charges $150–400/mo per provider for software access. On top of that, you pay $50–80K per year for a biller plus benefits, software training, oversight time, and turnover costs. Go Medical Billing rolls everything into 2.49% of net collections with no software fees, no per-provider charges, no biller salaries. For most mid-size practices that is half the all-in cost or less.

2

Get specialty-specific coding without hiring for it

Kareo is generic software. The coding accuracy you get depends entirely on the biller you hire. A behavioral-health practice using Kareo with a generalist biller will denial-rate at 8–12%. We staff specialty-specific AAPC-certified coders who know cardiology cath codes, orthopedic global periods, anesthesia ASA units, and behavioral health time-based therapy codes — included.

3

Stop paying for software modules you do not use

Tebra (post-Kareo) sells modules separately — billing, EHR, patient engagement, telehealth, payments. Many practices end up paying $400+/mo per provider before they hire one biller. Our 2.49% includes everything we do — billing, coding, denial management, A/R recovery, prior auth, eligibility, patient billing, credentialing — with no module pricing.

4

Recover the aged A/R Kareo's workflow leaves behind

The biggest hidden cost on Kareo is aged A/R that your in-house biller never gets back to. The 60-90 and 90+ buckets pile up because they are working incoming claims first. Our dedicated A/R recovery team works oldest-first by payer, recovering 30–60% of aged claims that in-house teams have effectively written off.

5

No long-term contracts — switch back if it doesn't work

Kareo's annual contracts and Tebra's multi-year discounts make leaving expensive. We work month-to-month with no contracts, no setup fees, and no termination penalties. If we do not improve your collection rate within 90 days, you switch with zero friction.

Which Is the Right Fit?

Kareo is the better fit if…

Solo practitioners and 1–3 provider groups who already have an in-house biller and want a simple, affordable software stack to support them.

Go Medical Billing is the better fit if…

Practices that want to eliminate biller payroll, recover aged A/R, or get specialty-specific coding expertise without hiring more staff.

Considering switching from Kareo?

Free comparison from an AAPC-certified specialist. We'll review your current billing performance and project the savings — no commitment.

98%+ clean claim rate
2.49% starting rate
Results in 30 days

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Switching from Kareo: FAQ

Common questions buyers ask before switching.

Yes. We work in any EHR or PM system you already use — Kareo, Tebra, eCW, AdvancedMD, Athena, DrChrono, Practice Fusion, Greenway, NextGen, CareCloud, or any of the others. You keep your existing platform; we plug in our billing team. Many practices keep Kareo as their EHR/clinical system and route billing through us, dropping the Kareo billing module.
For a typical 3-provider practice, Kareo runs $450–1,200/mo for the platform, plus $60–80K/year for one in-house biller, plus benefits and overhead — total all-in cost is roughly $80–110K/year. At a typical $1.5M/year in collections, the same practice on Go Medical Billing pays 2.49% = $37,350/year. The math is one-sided for most mid-size practices.
Most switches complete in 2–4 weeks. The first week is access setup — payer enrollments, clearinghouse credentials, EHR access. The second week is parallel processing where we handle new claims while your existing aged A/R continues being worked. By week 3–4 we are running the full revenue cycle. We never delay your incoming claim flow during transition.
No. Your patient records and historical claim data stay in Kareo (or whatever EHR you use). We pull patient demographics and active claims through standard integrations. Historical reporting, A/R aging, and patient ledgers all remain intact. If you decide to drop Kareo as your EHR later, that is a separate migration we can advise on.
We have specialty-specific coding teams — cardiology, internal medicine, family practice, behavioral health, orthopedics, OB/GYN, urgent care, pain management, dermatology, oncology, and more. A multi-specialty group on Kareo gets routed to the appropriate specialty team for each provider, with consolidated reporting at the group level. See our specialty pages for details.

Ready to compare for your specific practice?

Free billing assessment from AAPC-certified coders. We'll project the dollars at stake versus your current Kareo setup. No commitment.