Koha Health
- Company typePrivate
- Founded1984
- HeadquartersMerrimack, United States
- Headcount51–100
- GTM typeB2B
- OfferingServices
Koha Health firmographics
Firmographics- Name
- Koha Health
- Website
- https://kohahealth.com
- Company type
- Private
- Founded year
- 1984
- Operating status
- Acquired
- Headcount range
- 51–100 employees
- Ownership category
- akta.pro rank
Koha Health industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518), Software Publishers (513210)
- SIC
- Services-Computer Processing & Data Preparation (7374)
- akta.pro primary industry
- Accounts Receivable (A/R) & Collections Management (HLACACAJ)
- akta.pro secondary industries
- Cost of Care, Spend Analytics & Financial Performance Management (HLACAHAJ), Value-Based Contracting Analytics (ACO/MSSP/MA, shared savings/risk) (HLACAHAA)
Keywords
Where Koha Health is headquartered
LocationHeadquarters
- HQ city
- Merrimack
- HQ country
- United States
- HQ region
- North America
Markets served
Koha Health business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales
Revenue model
- Revenue Cycle Management Services: Comprehensive revenue cycle management services for healthcare organizations including coding, billing, collections, claims management, and denial management. The service model handles the entire billing process for medical practices and physician groups.
- Account Management & Analytics: Dedicated account management with advanced analytics providing real-time insights and actionable reporting for continuous revenue cycle performance improvement.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | Customized service models built to meet unique practice needs |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels4 records
Koha Health product offering
Product offeringCore offering
Koha Health, now part of Veradigm, delivers end-to-end revenue cycle management services to medical practices and physician groups. Its offerings encompass medical coding, claims and denial management, billing and collections, and dedicated account management supported by AI-powered analytics. The solution integrates with existing EHR and practice management systems to streamline workflows and improve financial performance.
Product overview
Koha Health operates as part of Veradigm's healthcare technology portfolio, offering revenue cycle management services through a platform-plus-modules architecture. The core offering is Veradigm Revenue Cycle Services, an end-to-end RCM solution that encompasses Coding Services, Billing & Collections, Claims & Denial Management, and Account Management & Advanced Analytics as distinct sub-products/modules. Additional related products include Veradigm Intelligent Payments for automated billing and Veradigm Payerpath as a clearinghouse solution. The offering incorporates AI-powered automation and analytics throughout for denial trend identification and real-time insights. Koha Health's specific services (staff management, workflow streamlining, medical coding accuracy, insurance claims submission, and reporting) have been integrated into Veradigm's broader revenue cycle management suite.
Differentiator
Problem solved
Functional benefit
Products and services
- Veradigm Revenue Cycle Services
Quantifiable outcome
- 98% first pass clean claims rate
- +3 more outcomes
Companies that use Koha Health
Customer profileSegments1 record
Ideal customer profiles2 records
Koha Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
Koha Health partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- VeradigmcoreKoha Health is now part of Veradigm. As part of Veradigm, Koha Health's services include advanced support for managing staff, streamlining workflows, ensuring medical coding accuracy, insurance claims submission, and comprehensive reporting. This integration leverages existing technology investments and drives meaningful improvements impacting bottom line.
Scale indicators6 records
Recent moves5 records
Expansion highlights4 records
Koha Health competitors and assessment
Company assessmentDirect peers
- Experian Health: Provider of claims management, billing, denials, and patient payment solutions to hospitals and physician groups. Overlaps with Koha Health's claims, denial management, and intelligent payments offerings.
- NextGen Healthcare: Ambulatory EHR and practice-management vendor with RCM services for specialty and primary-care physician practices. Comparable EHR+RCM positioning versus Koha Health's physician-group RCM model.
- eClinicalWorks: Ambulatory EHR vendor offering integrated practice management and RCM services for physician practices. Competes head-to-head with Koha/Veradigm in ambulatory practice segments.
- R1 RCM: Large-scale outsourced revenue cycle management provider serving hospitals, health systems, and physician groups. Directly comparable to Koha Health's end-to-end RCM service model and physician-segment focus.
- Availity: Healthcare clearinghouse and payer-provider data-exchange network offering claims, eligibility, and revenue cycle solutions. Highly comparable to Koha Health's Payerpath clearinghouse and RCM integrations.
- Athenahealth: EHR and practice-management vendor with integrated RCM services targeting physician practices. Comparable business model combining EHR, billing services, and analytics for ambulatory providers like Koha's customer base.
- Waystar: Cloud-based revenue cycle management platform covering claims management, billing, payments, and denial management for healthcare providers. Closely overlaps Koha Health's claims/billing/payments stack.
Broad incumbents
- Optum (Change Healthcare): Diversified health-services and health-IT business including claims clearinghouse, RCM, analytics, and payer services. Overlaps broadly with Koha Health across RCM, clearinghouse, and analytics, but at vastly greater scale.
- Oracle Health (Cerner): Enterprise health-IT platform combining EHR, revenue cycle, and population health for hospitals and large provider systems. Adjacent incumbent competing for the same provider RCM spend, particularly in larger systems.
Emerging players
- AKASA: AI-native revenue cycle automation platform targeting hospitals and health systems with machine-learning-driven billing, coding, and denial workflows. Direct emerging competitor to Koha Health's AI-enabled RCM roadmap.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
Koha Health social profiles
Digital presenceKoha Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Koha Health leadership team
Management profileNumber of profiles
Koha Health funding detail
Funding detailFunding overview
Funding rounds1 record
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Koha Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Koha Health
What does Koha Health do?
Koha Health, now part of Veradigm, delivers end-to-end revenue cycle management services to medical practices and physician groups. Its offerings encompass medical coding, claims and denial management, billing and collections, and dedicated account management supported by AI-powered analytics. The solution integrates with existing EHR and practice management systems to streamline workflows and improve financial performance.
When was Koha Health founded?
Koha Health was founded in 1984. It employs 51 to 100 people.
Where is Koha Health based?
Koha Health is headquartered in Merrimack, United States, in the North America region.
How does Koha Health make money?
Two revenue lines are on record. Revenue Cycle Management Services are the primary driver. The others are account Management & Analytics.
Who are Koha Health's main competitors?
Direct peers on record are Experian Health, NextGen Healthcare, eClinicalWorks, R1 RCM, Availity, Athenahealth and Waystar. Broad incumbents are Optum (Change Healthcare) and Oracle Health (Cerner). AKASA is listed as an emerging player.
Does Koha Health have an API?
No public API is recorded for Koha Health.
What industry is Koha Health in?
Koha Health's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACACAJ, Accounts Receivable (A/R) & Collections Management, with a secondary code of HLACAHAJ, Cost of Care, Spend Analytics & Financial Performance Management. Its NAICS code is 518 and its SIC code is 7374.