Medical Billing Companies in the USA: 12 Providers and What They Offer

By Your Health Magazine Contributor

Your Health Magazine Contributor

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Medical Billing Companies in the USA: 12 Providers and What They Offer

Choosing a medical billing company is an important operational decision for healthcare practices. Billing errors, denied claims, delayed reimbursements, and inefficient accounts receivable processes can all affect cash flow and staff workload.

Many practices outsource some or all of their billing and revenue cycle management functions to specialized companies. Services can range from basic claims submission to full revenue cycle management that includes coding, denial management, credentialing, accounts receivable follow-up, and reporting.

The companies below illustrate several different approaches available to healthcare organizations. They are presented for informational purposes rather than as a ranking.

Actigy

Actigy provides managed business process outsourcing services, including dedicated medical billing teams that work within a client’s existing systems and procedures.

Its healthcare services include medical billing and coding, charge entry, claim submission, denial management, accounts receivable follow-up, medical transcription, and broader revenue cycle management.

Actigy uses a pilot-based implementation model in which workflows can be documented and tested before broader deployment. Its delivery teams operate across Central and Eastern Europe and serve clients in several international markets.

Practices considering a dedicated outsourced billing team can learn more at https://actigy.com/.

athenahealth

athenahealth combines revenue cycle management with electronic health record and practice management technology. Its platform includes claims processing, eligibility verification, denial management, patient billing, collections, and reporting.

The company may be particularly relevant to practices looking for billing services that are closely integrated with an EHR environment.

Kareo

Kareo has historically focused on independent medical practices and smaller healthcare organizations. Its platform includes claims submission, coding support, accounts receivable tracking, insurance verification, payment processing, and practice management tools.

It may appeal to practices that want billing and administrative technology designed around smaller clinical organizations.

CareCloud

CareCloud combines medical billing and revenue cycle management with cloud-based EHR and practice management technology.

Its services include medical coding, claims management, credentialing, front-desk support, revenue cycle management, and other administrative functions.

DrChrono

DrChrono provides an EHR and practice management platform with medical billing services integrated into the clinical workflow.

Its services include claims processing, coding, denial management, insurance verification, analytics, and reporting. The platform has also been widely used by practices that rely on Apple devices and mobile clinical workflows.

AdvancedMD

AdvancedMD offers medical billing and practice management services alongside EHR technology.

Its revenue cycle services include claim submission, denial management, insurance verification, analytics, and billing support. Practices can use the platform across different stages of growth, from smaller offices to larger provider groups.

eClinicalWorks

eClinicalWorks provides EHR, practice management, population health, and revenue cycle management services.

Its billing capabilities include medical coding, claims submission, denial management, and revenue cycle support. Organizations involved in value-based care may also use its population health and analytics tools.

NextGen Healthcare

NextGen Healthcare serves medical groups, multispecialty practices, federally qualified health centers, and other healthcare organizations.

Its services include revenue cycle management, credentialing, coding, eligibility verification, documentation support, analytics, and managed technology services.

CureMD

CureMD combines EHR, practice management, and billing services within a unified platform.

Its billing services include claims submission, medical coding, accounts receivable management, payment posting, and patient engagement tools.

Practolytics

Practolytics provides medical billing, coding, credentialing, compliance, and revenue cycle management services.

The company combines client-facing support with distributed operational teams and also offers consulting for practices dealing with accounts receivable, coding, or revenue cycle challenges.

M&M Claims Care

M&M Claims Care provides medical billing and revenue cycle management services to a range of healthcare specialties.

Its services include medical billing and coding, claims submission, accounts receivable management, patient scheduling, and insurance credentialing.

Practices considering the company should review its current service information and request documentation for any reported performance metrics relevant to their specialty.

Revele

Revele, formerly known as GroupOne Health Source, provides medical billing and revenue cycle services supported by technology and billing specialists.

Its services include charge entry, accounts receivable management, coding audits, healthcare analytics, and other revenue cycle functions.

How to Compare Medical Billing Companies

Rather than looking for a single “best” company, healthcare organizations should compare providers based on their own operational needs.

Important factors include:

1. Scope of services. Determine whether you need basic claims submission or broader support with coding, credentialing, denial management, accounts receivable, and reporting.
2. Specialty experience. Billing requirements can differ significantly among specialties, so experience with your clinical area may be important.
3. EHR compatibility. Confirm whether the billing provider can work effectively with your existing electronic health record and practice management systems.
4. Reporting and transparency. Ask what information you will receive about claim status, denials, collections, accounts receivable, and other performance indicators.
5. Pricing structure. Medical billing companies may charge a percentage of collections, a flat fee, or another arrangement. Compare what is included rather than looking only at the headline price.
6. Communication. Clarify who will manage the account, how frequently performance will be reviewed, and how quickly questions or problems are handled.

Frequently Asked Questions About Medical Billing Services

Is there one medical billing company that is best for every practice?

No. The appropriate provider depends on factors such as practice size, specialty, existing technology, staffing, claim volume, and the amount of the revenue cycle a practice wants to outsource.

How much do medical billing services cost?

Pricing varies considerably. Some companies charge a percentage of collections, while others use flat monthly fees or customized arrangements. Practices should request detailed quotes and confirm which services are included.

What is the difference between medical billing and full revenue cycle management?

Medical billing generally focuses on creating and submitting claims and processing payments. Revenue cycle management can encompass a broader range of activities, including eligibility verification, coding, denial management, accounts receivable follow-up, credentialing, patient billing, and analytics.

What performance measures should practices monitor?

Common measures include clean-claim rates, denial rates, days in accounts receivable, collection performance, reimbursement timelines, and reporting visibility. Appropriate benchmarks vary by specialty, payer mix, and practice type.

Should a practice choose a general billing company or a specialty-focused provider?

Practices with complex coding requirements or unusual payer rules may benefit from a provider experienced in their specialty. Other practices may be well served by a broader medical billing company with appropriate staffing and technology.

Final Thoughts

Medical billing companies differ significantly in their service models, technology, staffing structures, specialty experience, and level of revenue cycle support.

Before selecting a provider, healthcare organizations should identify the functions they want to outsource, compare several companies, verify important performance claims, and request clear information about pricing, reporting, implementation, and contractual terms.

The right choice is not necessarily the company with the most features or the largest client base. It is the provider whose services, technology, communication model, and operational approach best fit the needs of the individual practice.