Cardiology practices in the USA face significant financial challenges. Every year, they lose about $125 billion because of mistakes in billing, claims being rejected, payments being delayed, and patients owing more money. 

Insurance claim rejection rates are also high, with about 30% of initial claims denied 32% of these due to coding errors alone. Encouragingly, up to 86% of these denials could be prevented through accurate billing and streamlined processes. 

With such risks impacting revenue, the question arises, how can cardiology practices maximize their earnings and reduce revenue leakage? Using expert medical billing services and smart AI tools is becoming important to fix these issues and keep their finances strong.

We have prepared a list of the top 10 cardiology medical billing companies in the USA for you. This list includes companies known for their expertise, advanced technology, and high client satisfaction. It is designed to help you make an informed decision and choose the best billing partner for your cardiology practice with ease.

1. Nexus io

Nexus IO operates from Phoenix, Arizona, where they focus on helping cardiology practices get paid faster and more accurately. Their cardiology billing services are powered by a team of certified medical coders who handle the complex world of CPT and ICD-10 coding, process claims efficiently, and stay on top of insurance companies to reduce claim denials and keep money flowing into practices. What sets them apart is their impressive track record, they achieve over 90% collection rates for their cardiology clients.

The compliance department takes compliance seriously, ensuring every cardiovascular service is billed correctly as per Medicare or any other healthcare guidelines. Be it complex heart procedures such as placement of stents, simple EKG readings, or heart catheterizations, they are well versed in handling all. They would get approvals from insurance beforehand and also cross-check if the diagnosis codes match the actual procedure codes for the respective services performed, minimizing rejection of claims.

2. Coronis Health

Coronis Health has over 30 years of experience, with the headquarters in Jackson, Michigan, training 11,000+ experts, processing 31.2M plus claims in any given year, and managing $20B-plus in charges. Coronis is a cardiology medical billing and RCM company that specializes in custom solutions designed to increase accuracy and decrease administrative toll while effectively improving revenue. 

Services include AR management, automation tools, denial management reporting, financial reporting, systems integration, patient access management. Using certified coders with cutting-edge technology plus a data-driven perspective, Coronis will ensure absolute transparency, faster reimbursements, and optimized billing from cardiology practices across the nation.

3. Plutus Health

Plutus Health, based in Dallas, TX, has over 15 years of experience providing end-to-end cardiology medical billing and RCM services to more than 800 healthcare providers across the U.S. Their certified coders from AAPC are experts in all areas of cardiology, including invasive, non-invasive, cardiovascular, cardiothoracic, and interventional procedures. They ensure complete and accurate coding by following LCD guidelines and conducting thorough pre-billing audits, helping clients achieve a clean claim rate of over 95%.

With a strong focus on efficiency, Plutus Health guarantees that all charges are billed within 48 hours and payments are posted within 48 hours of receiving ERAs/EOBs. Denials are handled within 72 hours, significantly reducing accounts receivable (AR) days to just 25. Their proactive approach also helps bring denial rates down to less than or equal to 5%, leading to faster reimbursements and fewer revenue disruptions.

Thanks to their detailed workflow and technology-driven solutions, cardiology practices working with Plutus Health have seen their average contracted value collections reach 98%, while patient collection rates have improved by 35%. Plutus Health offers free revenue analysis and expert consultation to help practices optimize performance, reduce revenue leakage, and achieve consistent financial growth.

4. iMagnum Healthcare Solutions Inc.

Founded during 2017’s healthcare transformation era, iMagnum Healthcare Solutions brings together a quarter-century of revenue cycle mastery, specializing distinctively in cardiovascular practice billing services. Operating from three key locations with main headquarters in Katy, Texas. This organization harnesses cutting-edge artificial intelligence alongside robotic process automation to dramatically amplify billing operational performance.

iMagnum Healthcare Solutions has a 4.1-star Google rating from 72 reviews and electronic claim submissions within 48 hours. iMagnum supports multiple specialties like ABA, anesthesia, and dermatology. With around 198–245 employees, it reports revenue between $521K and $7.4M. 

iMagnum Healthcare Solutions specializes in cardiology billing-the most challenging with coding requirements and frequent errors, such as missing or incorrect modifiers. Their team ensures that all payer-specific guidelines are followed, including pre-authorizations and referrals. 

The focus is also on preventing denials of claims by using complete CPT codes and local coverage determination (LCD) rules. They then electronically submit claims within 48 hours to expedite revenue cycles for cardiology practices.

5. AltuMED

AltuMED is a trusted cardiology medical billing company based in Michigan, founded in 2011. With a 4.3-star rating on Google, clients praise their efficient and friendly service. They process claims with near-perfect accuracy (99% clean claims) and get 97% approved on the first try. Their services help doctors increase revenue by up to 30%, while keeping patients happy (98% satisfaction rate). AltuMED follows strict security rules (HIPAA, CMS) and has certified billing experts on their team.

AltuMED is very good at cardiology billing. They use smart AI technology and have a team of trained experts who follow all the rules. They interface with EHRs, charge full billing services, including from telehealth to credentialing. The selling points are the reduction of claim denials, increase in payments, and making the billing process easier for cardiologists so they have more time in front of patients rather than worrying about money.

6. Medcare MSO

Medcare MSO, started in 2012 and based in Irvine, California, is a trusted company in the USA that helps doctors with cardiology medical billing. They have more than 10 years of experience and a team of trained experts who handle everything from checking insurance to coding, sending claims, fixing denied claims, and collecting payments. 

Their special software works well with your current systems to reduce mistakes and get cardiology payments faster. Medcare MSO has good reviews, with a 4.7-star rating on Google for their Irvine office and 4 stars for their Santa Fe, New Mexico office. They have an 88% success rate for clean claims and can help increase your revenue by 15-20%. 

Their careful work and dedicated managers make sure your important cardiology claims don’t get lost or denied. Using Medcare MSO lets cardiology doctors focus more on patients and earn more money, making them a top choice for cardiology billing.

7. BillingParadise

Established two decades ago in the heart of Diamond Bar, California, BillingParadise emerged as a pioneering force within healthcare’s financial ecosystem, carving out specialized expertise in cardiovascular practice revenue optimization and comprehensive cardiac billing solutions management.

Recognized by Becker’s Hospital Review among the top 210 RCM companies and listed by Business News Daily as a top 20 medical billing service in 2019, they serve over 400 clients with a staff of 600 across four US locations. BillingParadise holds an A+ BBB rating and a 5-star Google Business Profile rating based on 1 review. 

These comprehensive cardiac billing solutions feature credentialed AAPC-CCC specialists operating continuously, achieving an exceptional 98% initial claim approval ratio. Organizations experience 40% operational expense reductions while maintaining seamless integration across leading EHR platforms, optimizing financial performance through specialized accounts receivable oversight, rejection resolution protocols, and Merit-based Incentive Payment System consultation.

8. Practicewithease

Practice With Ease is a reliable medical billing company that has been helping heart doctors with billing since 2006. They are based in East Rutherford, New Jersey, and work with over 100 medical practices. 

Their team includes trained coders who know how to bill correctly for heart-related services using CPT and ICD-10 codes. They work to reduce cardiology billing errors, get payments faster, and follow all healthcare rules. With smart software and strong knowledge of heart care, they help cardiologists earn more money and focus on treating patients. They also handle billing for brain and cancer care.

9. MGSI

MGSI Online is a Florida-based medical billing company founded in 2000, with over 30 years of experience, especially in cardiology billing. Located at 2810 W St. Isabel St #201, Tampa, FL 33607, MGSI serves over 600 physicians nationwide and earns an estimated $9.5–$10 million annually. 

The company has 37-44 employees and holds an A+ BBB rating. MGSI is HIPAA compliant and employs AAPC-certified coders who stay updated on LCDs, modifiers, and payer rules through ongoing education. With expertise in billing diagnostic, interventional, nuclear, pediatric cardiology, and Ansar testing, 

MGSI codes complex procedures like cardiac caths (93458–93461) and stents (92920–92941). Their commitment to compliance and accuracy sets them apart in the medical billing industry.

10. Physicians Revenue Group, Inc.

Physicians Revenue Group, Inc. (PRGMD) is a medical billing company that started in 1997. Their main office is in Downers Grove, Illinois. PRGMD team expert in helping heart doctors (cardiologists) with billing and coding. PRGMD has 20 years of experience in the cardiology billing industry.

They make sure claims are coded correctly, sent on time, and followed up if denied. PRGMD also uses modern billing tools and gives clear reports. They have a 4.2-star rating on Google and over 1,000 employees. Their services help heart clinics across the U.S. earn more and avoid billing problems.

Things You Must Know Before Choosing the Right Cardiology Billing Company

When selecting a revenue cycle management partner for your cardiovascular medicine practice, several critical factors to consider:

Experience in Cardiology Billing

Pick a company that knows cardiology billing well. They should understand specific procedures like stress tests and echocardiograms, which helps reduce claim denials and improve payment speed.

Use of Modern Technology

The billing company should use advanced software that works smoothly with your current system. They must also protect patient data and follow HIPAA rules.

Clear Communication and Transparency

Select a company that has transparent fees and services. They should be able to give you periodic reports and updates easily. They also ought to be able to provide a timely response to your queries and, if possible, suggestions to improve the billing system.

Cost and Return on Investment (ROI)

Never go for the cheapest; know the pricing mechanism: whether it is per claim, percentage of the claim, or flat fee. Hidden charges may also be somewhere. In contrast, a slightly expensive company, but with much experience, could bring in better revenue by eliminating many errors and delays.

Customer Support

Good customer service is essential. You should be able to contact them easily when issues arise. Also, check if they provide training for your staff to improve documentation and coding.

Look at Reviews and Success Stories

Check reviews and feedback from other cardiology practices. Positive reviews, case studies, and success stories can help you judge if the company is reliable.

Try Before You Commit

If possible, choose a company that offers a trial period or short contract. This lets you test their services before making a long-term decision.

A Long-Term Partnership

Choosing a billing company that understands your goals and wants to work with you in the long run is the best choice. A strong working relationship tends to equal better financial results and fewer headaches when it comes to billing.

Bottom Line

After extensive research and analysis, we’ve compiled a trusted list of the Top 10 Cardiology Medical Billing Companies in the USA, including names like Nexus IO, Coronis Health, Plutus Health, Medcare MSO, and others. 

These cardiology billing companies stand out for their coding accuracy, advanced technology, high claim acceptance rates, and deep cardiology expertise. This guide was created to save you time and help cardiology practices confidently select to outsource medical billing to reduce claim denials, boost revenue, and maintain financial health with ease.

DME billing means sending insurance claims for medical equipment like wheelchairs or oxygen machines. It includes a doctor’s prescription, insurance check, coding, and claim submission to get payment from Medicare or other insurance companies.

Let’s take an example, a patient has breathing problems. The doctor gives a prescription for an oxygen machine. The billing team checks if Medicare will pay, adds the right code (E1390), and sends the claim. Medicare reviews it and pays for the machine.

DME billing is tough due to complex codes, slow coverage checks, strict documentation, and varying payer rules, causing frequent claim denials. To handle these issues healthcare practices must consider a reputable DME billing company.

A good DME billing service can help healthcare providers handle these problems and get the most payment possible. In this article, we have listed some of the best DME medical billing companies to make it easier for healthcare practices.

1. Nexus io

Nexus io is a medical billing company based in Phoenix, Arizona, offering DME billing services to providers across 30 plus USA states. Their team handles every part of the billing process, including claim submission, insurance follow-ups, and proper documentation for both rented and purchased equipment. 

With a 90% collection rate and a 30% reduction in accounts receivable (A/R), they help DME providers improve cash flow and focus more on patient care. Nexus io’s services include accurate HCPCS coding, detailed claim audits, and full revenue cycle management. By following insurance company rules and reducing billing errors, they ensure faster payments and better financial results for healthcare practices.

2. Medwave

Medwave was established in 2000 and is based in Cranberry Township, PA. The company makes about $5 million in revenue, according to ZoomInfo. Medwave provides billing services for Durable Medical Equipment (DME) across the USA. Their services include certified coding, data entry, cleaning up old accounts, audit help, and custom reports.

At the same time, they make sure that billing is appropriately according to rules under Medicare, Medicaid, or private insurance. From handling the full billing process to reducing claim denials, Medwave assists DME providers to make more money and spend less time with the bills, thereby giving more time for patient care.

3. Medisys Data Solutions

Medisys Data Solutions, based in Delaware and founded in 2018, earns about $7.8 million in revenue. Medisys Data Solutions help with everything from clean claim submissions to faster payments. 

Medisys Data Solutions expertly manages complex DME billing tasks, including coding for both rentals and sales of medical equipment such as wheelchairs, oxygen tanks, and hospital beds.

Their team uses correct HCPCS codes and modifiers to avoid denials. They also do regular dme billing audits, follow up with doctors, and make sure all paperwork is complete.

4. Medbill

Medbill is a Pittsburgh, Pennsylvania based DME billing company. They have been providing service since 2005. Medbill earns approximately $7.8 million according to ZoomInfo. Medbill offers billing services to DME providers across the USA for products like wheelchairs, hospital beds, and CPAP machines.

The services provided include claim filing, unpaid bill inquiries, audit assistance, and bill coding corrections. They focus on curbing errors, following Medicare guidelines, and ensuring that payments arrive promptly. DME providers proceed to care for their patients and expand their business with the time they get freed by Medbill.

5. Sunknowledge Services Inc.

Sunknowledge Services Inc., started in 2006 and based in New York, is a leading company in DME (Durable Medical Equipment) billing. They earn around $550.1 million, according to ZoomInfo. This company helps doctors and clinics get paid for medical equipment like CPAP machines, oxygen tanks, and wheelchairs. Their skilled team handles coding, sending claims to insurance, following up on payments, and helping with audits.

6. MedHeave

MedHeave is a DME billing company based in Boston, Massachusetts, founded in 2019. With $5.7 million in revenue, they specialize in Durable Medical Equipment (DME) billing services for healthcare providers across the USA. 

The company has over 10 years of experience and serves all medical specialties including labs and pharmacies. They offer services like insurance verification, claim submission, and accounts receivable recovery. Medheave promises a 99.9% clean claim ratio, 30-50% fewer claim denials, and 35% increased revenue in the first month for their clients.

7. 3Gen Consulting

3Gen Consulting helps medical equipment suppliers located in Houston to get paid quickly by streamlining the paperwork for wheelchairs, oxygen tanks, and hospital beds. Since 2006, their main focus has been DME billing, which is more difficult than regular medical billing. 

Their team performs insurance verification, obtains authorizations, uses proper dme billing codes, files claims, and performs follow-up to ensure that payments are made. This ensures suppliers get paid quickly so that they can spend time assisting patients rather than working with insurance companies.

8. RCM Matter

RCM Matter is a DME billing company based in Glendale, California, earning under $5 million in revenue (per ZoomInfo). They help medical equipment providers get paid quickly by doing accurate billing and coding. 

Their team takes care of claims for CPAP machines, home care equipment, artificial limbs, braces, and mobility items like wheelchairs and scooters. RCM Matter works with many billing systems and offers both full and flexible billing support. Their goal is to reduce denials, speed up payments, and boost revenue for DME suppliers.

9. Medcare MSO

MedCare MSO is a medical billing company in Irvine, California, that has been helping DME (Durable Medical Equipment) providers since 2012. They make sure providers get paid faster and with fewer problems. Their trained billing team knows the right codes and rules for DME claims. 

They take care of hard tasks like checking documents, getting approvals, fixing denied claims, and making sure everything is done correctly. They also use smart tools to speed up the process. With MedCare MSO’s help, DME providers can focus more on patients, make fewer mistakes, and get better cash flow. Working with them makes billing easier and more efficient.

10. MediBillMD

MediBillMD is a Dallas, Texas based DME billing company, founded in 2023. They help providers get paid faster by offering expert billing services for medical equipment like wheelchairs and hospital beds. 

Their results include, claims paid in under 30 days, 10-15% revenue increase, 97% first-pass claim rate, 96% collection ratio, and 98% clean claims rate. Their certified coders handle coding, claims, denials, payments, and reports. MediBillMD uses advanced tools, follows rules, and offers low prices with a 1% promo rate in the first month. They serve providers across the USA.

Things to Consider Before Choosing the Right DME Billing Company in the USA

Medicare and Insurance Claims for DME

Before finalizing a DME billing service company, check their background in Medicare, Medicaid, and private insurance laws relating to durable medical equipment such as wheelchairs, oxygen equipment, and medical supplies.

Nursery DME Technology and Billing Software

Search for DME billing services that use state of the art EMR systems, have real-time tracking of DME claims, and maintain HIPAA-compliant management of patient- and equipment-related data.

Strong DME Denial Management and Appeals Handling

Choose DME billing agencies that have the proven experience to fix denied claims, handle prior authorization requests, and appeals, especially for those claims related to CPAP machines, mobility equipment, and other high-dollar equipment.

Transparent DME Billing Prices

Inquire about setup fees, monthly fees, and reporting methodology based on DME revenue cycle way performance.

Responsive Customer Support for DME Providers

Regardless of the support model, evaluate the turnaround times, whether DME clients are assigned dedicated account managers, the availability of training resources, and the frequency of regular reporting, all of which are crucial to supporting the growth of your medical equipment company.

Bottom Line

Finding the right DME billing company is crucial for healthcare providers who supply medical equipment like wheelchairs, oxygen machines, and CPAP devices. The best DME billing companies in the USA for 2025 offer specialized services including accurate HCPCS coding, Medicare compliance, and efficient claim submission processes.

Top performers like Nexus io, Medwave, and Medisys Data Solutions provide proven results with high collection rates and reduced claim denials. These companies handle complex DME billing challenges including prior authorizations, insurance verification, and appeals management. 

We listed these best DME billing providers but take some time to do your own research before choosing one. Then pick the company that gives you the best value for your DME billing needs.

Are you a doctor or clinic in Phoenix struggling with medical billing and insurance claims? Looking for a billing company that helps you get paid faster and with fewer complications? Are you unsure which billing service in Phoenix will be the best fit for your practice?

The right billing partner can make a significant difference in the efficacy of your practice. Currently, there are about 1,646 primary care physicians, 25,342 specialists, 836 dentists, and 228 OB-GYNs spread throughout Phoenix and the areas surrounding it, so the demand for reliable support companies is at its peak. 

Most healthcare providers are now getting into serious contracts with experienced billing experts to develop, file, and collect claims, minimize errors, and enhance collections. This article will tell you the best medical billing companies in Phoenix’s that your practice can work with to save time, stay organized, and get paid on time.

1. Nexus IO

Located in Phoenix Arizona, Nexus IO is a trusted medical billing company that helps healthcare providers increase their revenue. If you’re looking for a reliable billing partner, Nexus IO is a great choice.

It works with over 50+ different medical specialties and makes billing simple. From sending claims to tracking payments, Nexus IO helps clinics and hospitals get paid faster and more accurately.

With a team of trained experts and smart technology, Nexus IO offers services that can help grow your revenue by up to 20%.

Some of the main services offered by Nexus IO in Phoenix Arizona include:

• End-to-End Medical Billing Solutions
• AI-Powered Medical Coding & Auditing
• Provider Enrollment & Credentialing Automation
• Predictive AR Recovery & Analytics
• Intelligent Revenue Cycle Optimization
• Real-Time Insurance Verification API
• Smart Claim Scrubbing with NLP
• Denial Prevention & AI-Driven Appeals
• Blockchain-Powered Payment Reconciliation
• Patient Financial Engagement Platforms

2. Fresh Start Medical Billing, LLC

Located in Phoenix, Arizona, Fresh Start Medical Billing, LLC is a trusted name in medical billing and coding services. With a strong focus on accuracy and compliance, this company helps healthcare providers get the maximum legal reimbursement—without sending any billing work overseas.

Fresh Start is run by certified billing and coding specialists who are committed to improving the financial health of your practice. All their services are performed in the USA, and their team is based locally in Phoenix, AZ.

They offer a full range of services, including:

• CPT Code Analysis
• Chart Audits
• Electronic Claims Processing
• Revenue Cycle Management
• Filing Secondary & Tertiary Claims
• Patient Billing & Statements
• Monthly Financial Reporting
• Follow-Up with Insurance Companies and Patients

Fresh Start stands out for using up-to-date codes, understanding payor policies, and making sure each claim is submitted correctly the first time. Their certified professionals (AAPC credentialed) bring deep expertise in both billing and consulting.

With a perfect 5-star rating on Google and affordable service rates, Fresh Start Medical Billing, LLC is a smart choice for medical practices in Phoenix looking to improve collections and cut billing costs.

3. Medfactor

Medfactor is a medical billing company based in Phoenix, Arizona. They help doctors and clinics get paid on time by making the billing process easier and more accurate. With a 98.8% success rate, Medfactor is trusted by many healthcare providers.

They have a big team of over 500 employees and work with more than 50 different medical specialties. No matter the size of your clinic, small or large. Medfactor is ready to help you with your billing.

They provide billing services for specialties like:

• Heart doctors (Cardiology)
• Foot doctors (Podiatry)
• Mental health (Psychiatry)
• Lab testing (Pathology)
• Surgery
• Medical equipment (DME)
• Pain clinics
• Drug rehab centers

Each type of doctor has different billing needs, and Medfactor makes special plans to match those needs. They have a 4-star rating on Google with happy clients, and their office is located at 2828 N Central Ave, Phoenix, AZ 85004.

4. Emerald AR Systems

Emerald AR Systems is a medical billing company in Phoenix, AZ that helps doctors and hospitals get paid faster. They started their services in 2007 and have been working hard to make patient billing easier and better ever since.

They help hospitals and other centers in radiology and anesthesiology in sending out patient bills, collecting payments, and in courteous yet clear communication with patients. Their goal is to ensure clarity for patients regarding their bills and to prevent clinics from losing revenue.

Emerald offers:

• Easy-to-read patient statements
• Help with early and late patient billing
• Phone and online payment options
• Support for English and Spanish speakers
• Help with Medicaid, probate, and more

5. My Billing Solution

My Billing Solution, located in Tempe, AZ, is a top-rated medical billing company with a 5-star rating and over 60 years of combined experience. They help doctors, mental health providers, detox centers, and surgery groups get paid faster and more accurately.

They have collected $70 million+ and processed over 25,000 claims every year.

Here’s what they do best:

• Use smart software to make billing easy
• Help with appeals and collecting payments
• Make sure your billing follows all the rules
• Support medical and behavioral health billing

6. Billing Partners Solution

Billing Partners Solution (BPS) is a medical billing company in Phoenix, AZ, dedicated to helping doctors, clinics, and behavioral health centers grow their practices. They have 30 years of experience in the field and focus on maximizing reimbursement for their clients. BPS follows HIPAA rules to keep patient information safe and offers honest, loyal, and friendly service.

They help medical groups, house call providers, and surgery centers with billing so doctors can focus on patients.

What BPS offers:

• Electronic claim submission and monthly patient statements
• Quick follow-up on unpaid claims over 30 days
• Works with many EMR/EHR systems for smooth billing
• Detailed monthly reports and staff training for new practices

7. Triton Medical Solutions

Triton Medical Solutions, founded in 2011 and based in Tempe, AZ, specializes in medical billing for dental and other healthcare practices. They recognize how confusing billing codes such as CPT and ICD-10 can be, standing on submit claims correctly and on time. Triton believes in clear communication and very honest reporting so that the client is never in doubt about the status of their payments. They also use data smartly to keep improving their process and stay ahead of changing billing rules. Their great work is reflected in their 5-star Google rating from 16 reviews.

• They create billing plans tailored to each practice
• They provide ongoing support and training
• They have special tools for Orofacial Pain billing
• They help practices manage their revenue smoothly

8. 5 Star Billing Service

5 Star Billing Services is a medical billing company based in Chandler, Arizona, specializing in comprehensive revenue cycle management for healthcare practices. Google Business Profile rating: 3.3 out of 5, based on 13 reviews.

Their proven 5-step process includes efficient data exchange, electronic and paper claims processing, aggressive accounts receivable follow-up, patient statement management, and detailed monthly reporting. 

The company focuses on maximizing collection rates and reducing AR days through systematic claim scrubbing, denial management, and continuous performance tracking. They handle Medicare, Medicaid, commercial insurance, and 1,900+ payers, offering customized reporting solutions to help practices optimize their financial performance.

9. Nation-Wide Medical Billing & Coding Services

Nation-Wide Medical Billing & Coding Services, founded in the 1990s and based in Anthem, AZ, is one of the largest RCM providers in the U.S., serving clients in over 42 states. With 15+ years of experience, 99% satisfaction, over 8 million claims processed annually, and more than 700,000 happy patients, they offer tailored solutions in medical billing, coding, denial management, risk adjustment, and clinical documentation. 

They integrate seamlessly with existing systems and provide business intelligence tools to improve revenue performance without requiring practice management changes. 

10. MediFunding Consulting

Medifunding Consulting is a 5-star company on Google with seven positive reviews, and it is a medical billing company located in Phoenix, AZ. It offers tailored billing and revenue cycle management services for smaller or mid-sized health care practices, including services for physical therapy, chiropractic, behavioral health, diagnostic imaging centers, urgent care clinics, pain management, podiatry, family medicine, and speech therapy.

Their services include complete billing, coding, denial management, credentialing, insurance verification, and RCM consulting. Medifunding speeds up payments for claims, reduces denials, and improves HIPAA compliance for the practices. Expert support assists practices in improving operations and enhances financial growth.

Bottom Line

A good medical billing company gets healthcare practices paid quickly while cutting down on claim denials. Supported by your medical billing company, your staff spends more time with patient care rather than chasing payments or rectifying billing mistakes.

Make sure that the medical billing company understands how to work with a practice in your particular specialty, i.e. family medicine, chiropractic, or mental health. They also need to maintain patient data security and adhere to every HIPAA regulation. Stay away from companies that charge hidden fees. Choose one that gives clear and simple reports about your payments.

We reviewed the top medical billing companies in Phoenix by looking at several important factors. These include a strong local presence, a wide range of services, and the ability to support multiple medical specialties. We also considered performance indicators like fast turnaround times, clean claim rates, and high collection rates. Positive customer reviews played a key role, along with each company’s commitment to compliance and effective denial management.

Medical credentialing is a process that checks if doctors, nurses, and other healthcare workers have the right education, licenses, training, and experience. This helps make sure they are able to care for patients safely.

This process is very important for hospitals, clinics, and insurance companies because it helps provide safe and good care to patients. If credentialing is not done, the healthcare provider may not get paid and may not be allowed to treat patients under that insurance plan.

Delays in credentialing can cost healthcare organizations about $9,000 per provider each day. Also, 15% to 30% of budgets are spent on administrative costs, and 46% of enrollment teams say these delays cause revenue losses. There are close to 1,400 medical billing companies in the USA, and many of them offer professional provider/ physician credentialing services. 

To avoid losses from credentialing delays and mistakes, healthcare providers can outsource this difficult process to special credentialing companies. These companies have the expertise, work faster, and manage compliance well, so the healthcare team can focus on caring for patients and increasing revenue.

This article also has a list of the top 10 credentialing companies to help healthcare practices compare and choose easily. Here is the list:

1. Nexus IO

The main office of Nexus IO is in Phoenix, Arizona, USA. Their credentialing team has experts with more than 10 years of experience in helping healthcare providers. Nexus IO provides simple and reliable medical credentialing services that help healthcare providers join leading insurance networks without delays. Every step, from filling out forms to getting final approval, is handled carefully to avoid mistakes and save time.

Nexus IO ensures that all documentation is accurate and fully compliant with critical regulations such as HIPAA and CMS. With a 95% success rate, Nexus IO effectively facilitates provider enrollment into premium insurance networks. These services benefit a wide range of healthcare professionals, including nurses, therapists, urgent care centers, laboratories, and others.

Each healthcare provider receives dedicated support from an account manager throughout the entire process, ensuring timely payments, improved organizational efficiency, and strict adherence to insurance requirements. Nexus IO is recognized as a trusted and reliable partner for medical credentialing services across the USA.

2. nCred

National Credentialing Solutions (nCred) is a credentialing company based in Chattanooga, Tennessee, with its main office at 1208 Pointe Centre Drive. It was founded in 2011 by experts in medical practice management. nCred has a 4.2 star rating and 19 reviews on Google. The company uses its own cloud-based software that lets clients track their credentialing files and see the status of their applications in real time. 

They offer credentialing services across the U.S. and can help with credentialing and provider enrollment in all states and with all major health plans. nCred focuses on supporting healthcare providers through the entire credentialing and contracting process. Their team is known for its experience and strong client support. The time it takes to complete credentialing depends on the insurance plan. Most commercial plans take 90 to 120 days, while Medicare usually takes around 60 to 90 days.

3. DoctorsManagement

DoctorsManagement, founded in 1956, is a well-established medical practice consulting firm headquartered at 10401 Kingston Pike, Knoxville, TN 37922, US. The company has a strong presence on its Google Business Profile, boasting a 4.6-star rating based on 10 reviews. 

Serving over 800 healthcare organizations and representing more than 20,000 providers, DoctorsManagement operates with a team of approximately 73 employees. The firm generates an estimated annual revenue of around $8.6 million. 

DoctorsManagement also offers complete physician credentialing services tailored to each client’s specialty and geographic location. A dedicated credentialing representative is assigned to ensure smooth communication and efficient handling of Medicare, Medicaid, and commercial insurance enrollments for both new and established practices.

4. Practolytics

Practolytics, started in 2000, is a well-known company for medical credentialing services. They have offices in Columbia, South Carolina, and Duluth, Georgia. On Google, they have a 4.2-star rating, with many clients praising their fast and dependable service.

Their team supports over 1,400 healthcare providers in 31 states and works with more than 28 medical specialties. Practolytics handles over 2.5 million claims every year and helps collect over $500 million for their clients. They have a strong client retention rate of 95%.

Customers are happy with their credentialing, billing, and revenue cycle services. Each client gets a dedicated credentialing manager for personalized help. Practolytics follows all HIPAA rules and has a 98% success rate for first-time credentialing. Their system sends real-time updates and alerts, helping providers finish paperwork quickly, avoid delays, and join insurance networks faster. With over 180 satisfied customers, Practolytics is known for being accurate, efficient, and supportive.

5. MedUSA RCM

Established in 1979, MedUSA RCM has grown into a well-respected credentialing medical billing and practice management company based in Sandy, Utah. MedUSA RCM holds a Google rating of 4.1 stars with 14 reviews from clients and an employee-based rating on Glassdoor of 3.5/5 stars. 

With a long history extending beyond 40 years, MedUSA has provided services to more than 2,500 clients and maintains an exceedingly high client retention rate of 97%. Their partners report an 18% average revenue increase, 34 A/R days from various specialties, and a 98% first-pass claims rate.

Though MedUSA provides end-to-end Revenue Cycle Management services, their strongest offering is credentialing. This knowledge streamlines and automates credentialing processes so that they minimize errors, and save time, thus allowing providers to concentrate on patient care. 

From payer contracting to provider enrollment, primary source verification, privileging, and hospital credentialing, the team at MedUSA handles all matters related to credentialing processes. They make sure that all payer applications are accurate and complete by thoroughly reviewing all documentation and provider CVs, thereby making the credentialing process smooth and reliable.

6- Billing Advantage, Inc

Billing Advantage, Inc. is a medical billing company started in 2004. It is based in North Reading, Massachusetts, and helps over 300 healthcare providers in 22 states. Many of their staff have more than 20 years of experience. The company makes about $3 million a year. 

On Google, it has a 4-star rating and 4 reviews, customers say it’s good at getting payments quickly. 

Billing Advantage also offers credentialing services, which help doctors and clinics join insurance networks like Medicare and Medicaid. They handle tasks like filling out CAQH forms, applying for NPI numbers, and updating provider information. 

They also help with re-credentialing, which must be done every two years in most states. The company was started by two clinicians, Richard Kaufman and Donna Whipple, and uses Tebra software for billing. The credentialing process can take up to six months, depending on the insurance company.

7. P3 Healthcare Solutions

P3 Healthcare Solutions was founded in 2015 and is located in Ontario. Based on 37 reviews, Google gives them a good 4.2-star rating on its Google Business Profile. The Better Business Bureau (BBB) also gives the company an excellent A+ rating.

P3 Healthcare Solutions provides credentialing for a wide variety of healthcare providers, such as individual physicians, medical groups, hospitals, surgery centers, and healthcare organizations. The services offered include credentialing for Medicare, Medicaid, and commercial insurance payors. 

P3 undertakes the entire credentialing process from background verification of education, licenses, and work history to provider enrollment application processing. They also handle Medicare provider re-approval, hospital privileges, managed care contracting, and consulting for healthcare organizations. The credentialing services will quickly service providers in becoming approved and stay compliant for timely payment to lessen administrative burdens.

8. Medcare MSO

Medcare MSO, established in 2012, is a trusted medical billing and credentialing company with offices in Santa Fe, New Mexico, and Irvine, California. On Google Business Profile, their Santa Fe location holds a 4-star rating from 4 reviews, while their Irvine office has a strong 4.7-star rating based on 7 reviews. The company has over 1,000 employees. 

Medcare MSO performs full credentialing for the doctor so that the doctor can enroll with Medicare, Medicaid, and all commercial payers such as Aetna, Cigna, and Humana. They obtain the documents, submit the application, and approve the network. 

They also provide services for Medicare DMEPOS enrollment and revalidation or re-credentialing to keep compliant. With 95% success, Medcare MSO avoids delays, saving time, making sure providers are active and getting paid in time. With Medcare MSO, the professional team and their smart tech make credentialing easy, quick, and stress-free.

9. Physician Credentialing Company

Physician Credentialing Company has been helping healthcare providers since 2008. Located in Brentwood, Tennessee, this company has earned a perfect 5-star Google rating from satisfied clients.

The company of Physician Credentialing Company has successfully credentialed over 50,000 providers and processed more than 5,000 credentials with a 95% success rate. The credentialing process is completed twice as fast and ten times smoother than typical industry standards.

Their credentialing team ensures maximum reimbursement, premium payer network access, and fast enrollment. The company handles all paperwork, reduces claim denials, and eliminates administrative burdens.

Healthcare providers gain quick access to premium payer networks while staying compliant with industry standards. The streamlined approach allows practices to focus more on patient care and less on paperwork, supporting long-term growth and revenue stability.

10. Dastify Solutions

Dastify Solutions is a Management Service Organization (MSO) founded in 2024, specializing in AI-powered business services for healthcare organizations, including crucial medical credentialing services. Their headquarters are located in California, USA. Dastify Solutions has gained positive recognition within the industry, reflected in their 4.8 Google rating based on 30 user ratings and a 4.7 rating on Glassdoor, where 73% of employees recommend the company. 

According to Dastify Solutions LinkedIn page, the company boasts a size of 201-500 employees, with some sources providing varying figures. Other noteworthy data points include an 80% approval rating and a reported revenue ranging from $384,000 to $52.5 million.

Dastify Solutions streamlines provider onboarding using its proprietary inCredibly platform offering real-time credentialing status, automated workflows, and expiration alerts via a secure Azure cloud.

Their services go beyond basic enrollment, managing closed-panel appeals with a 35% success rate and optimizing payor mixes using data-backed network research.

With full CAQH & PECOS maintenance, license applications (DEA, CLIA, CDS), and provider roster management, they eliminate credentialing bottlenecks at scale.

Tips for Selecting the Right Medical Credentialing Company for Your Practice

Choosing the right medical credentialing company is crucial for a healthcare practice’s success. 74% of healthcare organizations report that credentialing delays are their biggest obstacle to maximizing provider revenue. 55% of credentialing departments report being understaffed. Therefore healthcare practices must consider the following when choosing the medical credentialing company.

1. Check Industry Experience

A Credentialing Company with extensive industry experience understands payer-specific requirements and regulatory nuances. Such a Credentialing Company is more likely to deliver error-free Credentialing Services with minimal delays. Ensure the Credentialing Company has a proven track record across multiple specialties and states for reliable Credentialing Services.

2. Verify Compliance Standards

The Credentialing Company must follow NCQA, CMS, and HIPAA guidelines to ensure compliant credentialing services. An ideal credentialing company implements standardized procedures to avoid sanctions or payer rejections. Credentialing services from the best credentialing company protect your organization from legal and financial risks.

3. Evaluate Technology & Automation

Credentialing companies work faster by using modern tools like CAQH and automated systems. These tech-based services help send real-time updates, give alerts, and get quick responses from payers. Choose a company that uses cloud-based systems so your credentialing is safe, easy to grow, and ready for audits.

4. Assess Turnaround Time

A high-performing credentialing company should commit to defined turnaround times for both initial and re-credentialing processes. Delays in credentialing services can impact revenue cycle timelines, reimbursement rates, and provider onboarding. Engage with a credentialing company that tracks kpis like average processing time and denial rates in its credentialing services.

5. Review Client Feedback & Reputation

Check what other clients say about the credentialing company by reading reviews and case studies. A good company is trusted by many long-term clients and is known in the industry. Make sure they are clear in communication and focused on getting real results.

Bottom Line

To identify the 10 best medical credentialing companies of 2025, we evaluated each contender based on key performance indicators such as pricing transparency, industry recognition, client reviews and ratings, years of experience, domain expertise, use of technology, credentialing turnaround time, compliance with NCQA and cms standards, customer service quality, and overall success rates. 

We hope this comprehensive guide empowers you to make an informed decision when selecting a credentialing partner, one that enhances compliance, accelerates provider onboarding, and ultimately drives sustainable revenue growth for your healthcare organization.

Efficient medical billing is the backbone of a profitable healthcare practice. Whether it’s a physician group, outpatient clinic, or large hospital network, accurate coding and timely claim submission are essential to ensure reimbursement. In the United States, with over 330,000 active physician groups (Definitive Healthcare), 6,000+ hospitals (AHA), and nearly 32,000 clinics (xMap AI), the need for reliable Revenue Cycle Management (RCM) services has surged in 2025.

Top medical billing companies in the USA now offer end-to-end RCM solutions, combining CPT®/ICD-10 coding, claims submission, denial management, and EHR integration, all while ensuring HIPAA compliance. These companies help practices reduce administrative burden, prevent payment delays, and improve revenue performance.

Choosing the right billing partner depends on practice size, specialty, and operational needs. The following list highlights the best medical billing companies in USA 2025, based on their industry reputation, technology-driven services, compliance expertise, and client satisfaction.

1- Nexus IO

Nexus IO provides expert medical billing services for medical facilities in the USA, helping increase revenue by up to 20%. The company manages the entire revenue cycle, including insurance verification, medical coding, claim submission, denial management, and payment posting. Whether serving a solo clinic or a large multi-provider practice, Nexus IO’s tailored billing solutions reduce errors, speed up reimbursements, and maintain full HIPAA compliance.

With a 90% collection rate, 88% clean claims on the first submission, and a 30% reduction in accounts receivable days, Nexus IO has supported over 250 providers across more than 30 states. AAPC-certified billers use secure software integrated with leading EHR systems to offer real-time financial tracking and reporting.

Nexus IO specialized in billing for physicians, hospitals, labs, and ambulatory surgery centers. A free demo is available to demonstrate how data-driven billing can increase revenue and simplify practice management.

2- CareCloud

CareCloud is a company that started in 1999. It helps doctors and clinics with medical billing and daily office work. It has a 4-star rating and 13 reviews on its Google Business Profile. CareCloud uses a cloud-based system, which means everything is online and easy to use. It follows HIPAA rules to keep patient information safe. The system helps reduce billing mistakes, fix denied claims, and make data entry faster. 

A review site called SelectHub says CareCloud is one of the top 10 EMR (Electronic Medical Records) systems. It works well for many types of doctors, like heart, skin, brain, eye, and urinary specialists. Some useful tools include patient records, appointment booking, insurance checks, and finance reports. CareCloud is simple to use, fits many clinic types, and is affordable. But users may have to sign long-term contracts.

3- CureMD

CureMD’s main office is in New York. CureMD helps doctors and clinics get paid faster and with fewer mistakes. Current rating of CureMD on Google Business Profile is 4.6 stars and got 65 reviews.Their smart software uses advanced AI to handle all billing tasks, so healthcare practices don’t need to hire or train billing experts. This saves both time and money.

CureMD works with many specialties like cardiology, neurology, OB/GYN, and more. They ensure a smooth medical billing process for healthcare practices, from checking patient insurance to collecting copays and managing claims.

Their service helps healthcare providers collect more revenue, with 96% of claims paid on the first try and a 5–10% increase in collections within months. Real-time reports allow medical practices to track performance and identify areas for improvement.

CureMD also offers a free financial audit to catch missed payments and errors. Setup is easy and cost-effective, with no extra fees for software or training. Healthcare practices only pay based on the money CureMD collects for them.

4- MedCare MSO

MedCare MSO offers full medical billing services for over 50 specialties. Medcare MSO has a 4.7 stars rating and got 7 reviews on its Google business profile. For more than 10 years, MedCare MSO has helped clinics and hospitals get paid faster and manage their revenue better. MedCare MSO uses advanced software to make billing simple, accurate, and secure. Healthcare practices can expect 30% faster payments and up to 50% better efficiency. MedCare MSO also helps reduce claim denials and track payments in real time.

MedCare MSO provides hospital and physician billing, AR recovery, medical credentialing, and EHR integration. Healthcare practices receive a personal billing manager, daily claim submissions, and real-time financial reports. With smart AI tools, MedCare MSO ensures all processes follow the latest healthcare regulations and remain compliant.

MedCare MSO is trusted by providers nationwide. Book a free demo today to see how MedCare MSO can help healthcare practices increase revenue and reduce billing stress.

5- Tebra

Tebra connects independent healthcare practices with trusted billing companies. Tebra got a 4.3 stars rating and 1,374 Google reviews on its Google Business profile. These partners understand each practice’s specialty and help improve reimbursements. Tebra’s billing experts handle tasks like claim tracking, charge capture, and scheduling to reduce denials and errors. 

Their cloud-based platform keeps the front office, clinical team, and billing staff in sync. Tebra’s system also supports staff by automating tasks such as patient intake, check-in, and billing.

Every practice matched by Tebra is guided through a smooth onboarding process. Tebra also offers built-in analytics to track performance and boost revenue. With mobile apps, EHR tools, and strong support from both the billing company and Tebra, practices can focus more on patient care and less on paperwork.

Tebra selects billing partners through a strict vetting process, ensuring high-quality service for practices of all sizes.

6- BellMedEx 

BellMedEx is a leading medical billing consulting company that helps healthcare providers collect more money, reduce claim denials, and get paid faster. It has a 97.35% claim approval rate, 98.17% fast payments, and a 98.89% satisfaction score. Bell MedEx holds a 4.8-star rating and 389 Google reviews on its Google Business Profile.

The company manages the full billing process, including electronic claim submission, checking codes, handling denied claims, and making sure rules are followed. Using smart AI tools and live dashboards, BellMedEx helps practices track their billing and find any money lost.

BellMedEx works with many specialties, from mental health to urgent care, and offers 24/7 support for billing and coding. The team makes sure claims are filed correctly, payments are posted on time, and accounts receivable are followed up regularly to improve cash flow.

Extra features like patient payment reminders, performance dashboards, and automatic insurance checks make billing easier. BellMedEx helps practices increase their revenue by up to 30%.

7- SybridMD

SybridMD understands that small and new medical practices often work with a limited budget. According to Google Business Profile, SybridMD is rated 4.3 stars and 31 Google reviews. That’s why the company offers cost-effective billing packages designed especially for small practices. With over 20 years in business and a team that brings 50+ years of combined experience, SybridMD helps small clinics with medical billing, coding, transcription, front desk management, and virtual medical assistants.

SybridMD has helped many startups across the U.S. and offers free consultations to understand each practice’s unique needs. The team also provides guidance on setting up billing systems, handling credentials, and launching smoothly.

Small practices can start with a free 30-day trial and enjoy premium services without upfront software or setup costs. SybridMD integrates easily with any practice management system and offers round-the-clock support to assist whenever needed.

8- Dastify Solutions

Dastify Solutions, located in Manhattan, New York, offers medical billing services that help healthcare practices earn more and work smoothly. Sunknowledge Services, Inc. maintains a 4.1 -star rating  on Google Business Profile and has 19 Google reviews.. Providing medical billing solutions since 2006, the company supports various medical specialties with a skilled workforce of billers and certified coders. With meticulous attention to detail, their team works to all but eliminate billing errors, claim denials, and payment delays.

Dastify Solutions adheres to HIPAA rules and performs the entire billing process, entering patient information, generating insurance verification, securing prior authorizations, medical coding, claim submission, denial management, and posting payments. The company claims clients can save up to 80% on billing costs and see a 30% reduction in unpaid claims in a month.

In keeping medical billing in check, Sunknowledge allows other doctors to focus on patient care. Many large providers across the United States trust the company with the highest reliability and cutting-edge billing solutions that boost income and workflow.

9- Invensis

Invensis, a trusted name since 2000, offers medical billing outsourcing services for healthcare providers. On Trustpilot, Invensis Inc. is rated 4.1 out of 5 stars and got 5 reviews. With over 25 years of experience and 6,000+ skilled professionals, the team helps generate accurate bills by adjusting copayments, deductibles, and verifying codes like ICD and CPT. This ensures faster claim approval and fewer rejections.

Medical billing services are supported by multi-level quality checks, regular staff training, and the latest compliance standards, including HIPAA. The process includes patient registration, insurance verification, coding, charge entry, claim submission, and payment posting.

Invensis serves over 13 healthcare sectors including urgent care, internal medicine, ambulance, and hospital billing. Leading global companies like Amazon, IBM, and Qatar Airways trust Invensis for their services.

Using advanced billing tools and popular software like DrChrono and Kareo, Invensis ensures faster reimbursements and clean claims with fewer errors. Pre-submission audits and real-time metrics help improve performance and maximize collections.

10- Certified Healthcare Billing

Certified Healthcare Billing offers reliable outsourced medical billing services for all types of healthcare practices. On Yelp, Certified Healthcare Billing is rated 4.2 out of 5 stars and got 5 reviews. Services are designed to improve cash flow, reduce claim denials, and cut down operational costs. With 97% clean claims and 100% claims submitted within 24 hours, revenue collection becomes faster and more accurate.

The company manages the full revenue cycle, from claim creation to insurance follow-ups with strong focus on transparency, compliance, and performance. Billing is handled using advanced systems compatible with most EHR platforms. No payments are required upfront; charges apply only when collections are made.

Unlike others, Certified Healthcare Billing doesn’t write off claims easily and treats each case with full attention. Clients receive a dedicated account manager, HIPAA-compliant service, and support that fits both small clinics and large hospital networks.

Certified by BBB and GSA, the company is known for professionalism, fast response times, and trusted results across various specialties.

Bottom Line

Choosing the right medical billing company is important to increase income, reduce paperwork, and follow rules. As billing gets more complex, hiring a good billing partner can make work easier and improve finances.

Look for a company with experience in the medical field and your specialty. Use smart tools that work well with EHR systems and provide real-time reports. Check how many claims they approve, how they handle denied claims, and how fast they collect payments. Make sure they follow strong data protection and HIPAA rules. 

Choose companies with fair, performance-based fees and avoid long contracts if possible. Having 24/7 support and a personal account manager helps a lot. Try free demos or audits before deciding to see if they fit the practice’s needs.

Top companies like Nexus IO, CureMD, and BellMedEx are known for good service and results. Picking the right partner helps increase revenue and lets healthcare providers focus more on patient care.The listed companies were chosen based on real client reviews, testimonials, and Google ratings. This helps ensure they deliver reliable service and proven results.

Mental health is a key part of overall behavioral health. It includes how we feel, think, and act in daily life. It affects how we handle stress, build relationships, and make decisions. Good mental health helps us stay balanced emotionally, mentally strong, and socially connected.

Mental health conditions like Anxiety Disorders, Depression, Generalized Anxiety Disorder (GAD), panic disorder (Panic Attack), Post-Traumatic Stress Disorder (PTSD), Phobias, Obsessive-Compulsive Disorder (OCD), Social Anxiety Disorder, Bipolar Disorder, are most common health issue in USA. 

There are more than 40,000 psychiatrists in the USA. About 6,000 new doctors complete psychiatry training each year across 137 residency programs. Roughly 1 in 5 USA adults experiences a mental illness each year, and 1 in 20 suffers from a serious mental illness.

In 2024, the USA had about 18,516 mental health and substance abuse clinics. Analysts expect that number to reach nearly 19,600 by 2025.

Patients can access mental health care via in-person visits, telehealth, or helplines, but providers like psychiatrists and LCSWs, psychologists, and licensed clinical social workers often struggle to secure fair payments from insurances, Medicare and Medicaid for services.

As a result of this issue, mental health billing companies across the USA are collaborating with mental health providers to simplify the insurance billing process. With billing professionals overseeing the whole workflow, mental health doctors can dedicate their time to delivering excellent patient care, which ultimately leads to faster reimbursements.

This blog will spotlight the leading mental health billing companies for 2025 in USA and outline what to look for when choosing the right billing partner for your practice.

Top 10 Mental Health Billing Companies in the USA

With the landscape for mental health billing in 2025 becoming highly competitive, companies offer niche solutions that streamline the mental health revenue cycle management for providers. 

The top 10 mental health billing services, with high collection rates, HIPAA compliance, EHR integration, and services customized for psychiatrists, therapists, and group practices, stand out. 

1- Nexus IO

Nexus IO, headquartered in Phoenix, Arizona, is quickly emerging as a leading company in the field of mental health billing services. Nexus IO is helping practices boost revenue by up to 30% and reduce A/R by 30% through advanced, cloud-based RCM solutions. Nexus IO ensures accurate coding, real-time claim tracking, and HIPAA compliance. 

Their team of AAPC-certified behavioral health coders specializes in ICD-10, CPT, HCPCS, and HBAI codes. From telehealth billing to automated claim submissions and eligibility checks, Nexus IO empowers mental health providers to focus on care while optimizing financial outcomes.

You can partner with Nexus IO for physician credentialing, claim filing, payment posting, denial management, patient collections with 90% collection rate, 88% clean claims rate, and services available in more than 50+ states make it one of the best mental health billing companies. 

2- TheraThink

Founded in 2014 and based in California, TheraThink stands out as the only mental health billing company currently offering free credentialing services until the end of this month. The company has built its reputation by working exclusively with licensed mental health professionals, providing comprehensive services including coding, claims processing, payment accounting, appointment scheduling, and denial management. 

Beyond billing, they offer complimentary services like patient eligibility verification, benefits verification, and EHR/EMR software integration for new clients. TheraThink charges a percentage of collected claims and offers a 30-day free trial to help practices evaluate their HIPAA-compliant services.

3- Resilience Billing

Resilience Billing is a specialized mental health billing company based in Northern Illinois. Since 2019, it has been exclusively serving psychotherapists and psychiatric practices, initially supporting outpatient group practices with 22 providers. The company offers comprehensive revenue cycle management services to practices of all sizes, from solo practitioners to large group practices, serving psychiatrists, clinical psychologists, neuropsychologists, licensed counselors, and psychiatric nurse practitioners. 

What sets them apart is their HIPAA-compliant approach and performance-based pricing model, Charge a 3 to 10 percentage of net collections received by the practice.charging based on collected revenue rather than billed revenue, which aligns their success with their clients’ financial outcomes. With operating expenses for medical practices surging by an average of 11.1% in 2025, their expertise in working with proven platforms like TherapyNotes and Kareo becomes even more valuable. Resilience Billing has a Google My Business rating of 3.8 out of 5, based on a total of 10 reviews.

4- Psychiatric Billing Associates

Psychiatric Billing Associates (PBA), established in 1994, has been providing billing services to mental health providers for nearly 30 years. The company is headquartered in Mount Sinai, New York. They keep on top of behavioral health billing and help practices collect about 96% of what is owed to them from whatever they bill. They are responsible for all electronic claim submissions and payment follow-ups with insurers, plus confirming patient benefits before the appointment to avoid any surprises. 

Each staff member at PBA has over 15 years of experience in mental health billing. There is an initial registration fee, which can be up to $300. After that, they charge a percentage of the monthly net collections, or in some cases, an hourly fee.

The fees are negotiated based on the specific needs of each individual or practice. There is no long-term contract you can discontinue the services with a 30-day notice if you are dissatisfied.

5- Medcare MSO

Since 2012, MedCare MSO has been involved in mental health billing, having brought a decade plus into the niche. Their strong history has set them apart – an 88% first-pass clean claims rate is achieved, along with a 90% collection ratio, for clients.

The system they have is well-integrated with existing EHR platforms and is compliant with all relevant regulations including HIPAA, MHPAEA, and 42 CFR Part 2. The accounts receivable of practices that work with MedCareMSO generally fall by as much as 30%, whereas reimbursements increase by as much as 50%. 

This makes them highly useful to solo practitioners and group practices, as they allow them to spend less time worrying about billing and more time with patients, plus they offer 24/7 support and services that can grow with your practice.

6- CureMD

Established in 1997 in New York City, CureMD is a multi-award-winning mental health medical billing company and has been featured on a number of high authority platforms, such as the New York Times, WebMD, and Medical Economics. CureMD is known as a full mental health billing solution with fantastic results, with a 98% clean claim rate and 100% compliance guarantee. The platform specializes in therapy sessions, medication management, and telehealth services while adhering to strict HIPAA compliance through advanced data encryption. 

CureMD promotes the efficiency of the processes by assigning dedicated account managers and providing expert support for claims around the clock, resulting in revenue increase of up to 30% and payments three times faster, through proactive denial prevention and automated claims follow-up. The scalable services offer solo providers and multi-location practices alike smooth transitions with almost no disruption to current workflow. 

With their expert knowledge in mental health CPT and ICD codes, CureMD streamlines every step of the revenue process, fully supporting credentialing all the way to real-time reporting and analytics so that mental health professionals can focus on caring for their patients.

7- MindEase Billing

Since its founding in 2008, MindEase Billing has developed into an established and mature company providing the very specialized billing needs for individual mental health practitioners. Although its primary focus has been on psychiatrists (MD) and mental health nurse practitioners (MHNP), they have extended their billing services to all license types in the mental health field. 

The company has carved a reputation as a stellar alternative for new practitioners attempting to start their practices. It is also seen as a remedy for professionals wanting to recover from poor billing experiences. Aside from billing, they support their clients with various consultative services and maintain a board-directed policy of yearly charitable giving, illustrating their commitment to community impact and company profits.

8- CareMSO

CareMSO, established in 2020 and has operations headquartered in Weatherford, Texas. It caters to the needs of mental health-related professionals across the USA with behavioral health billing solutions. The company touts a 95% reimbursement rate and offers billing services for psychiatrists, psychologists, psychiatric social workers, and psychoanalysts. 

CareMSO’s professional billers contend with complicated CPT codes, modifiers, and insurance issues such as verification and authorization, working perfectly within EHR systems to minimize errors and maximize efficiencies. The company, keeping in view the peculiarities of mental health billing involving individualized treatment plans and ever-changing medications, enables practices to focus on their patients while maintaining their financial health. 

Having national coverage combined with an expertise in behavioral health billing, they pitch themselves as the trusted vendors for mental health practices looking to fine-tune revenue cycle management.

9- Behavioral Health Billing Solutions

Behavioral Health Billing Solutions (BHBS) stands out as a specialized mental health billing partner, founded in 2017 and led by CEO Teresa Heim. The company has earned recognition through its official affiliate partnership with Qualifacts, makers of the CareLogic EHR system specifically designed for behavioral health practices. 

BHBS achieves an impressive average reimbursement rate of 96-98%, demonstrating their expertise in maximizing revenue for small and medium mental health practices. Their comprehensive services include billing process evaluation, EHR implementation, and specialized support for Ohio’s Behavioral Health Redesign requirements. BHBS focuses on meticulous credentialing and seamless claim submission to ensure optimal financial outcomes for their clients.

10- Cascade Therapy Billing

Cascade Therapy Billing started up in 2016 and is situated in Riviera Beach, Florida. Cascade Therapy Billing only serves the mental health professionals in need of special billing solutions for solo practitioners, group practices, and enterprises. The company handles all aspects of billing such as electronic claims, daily claims filing, and follow-up, handling claims at multiple payer levels, denial and underpayment management, and seamless integration with EMR for real-time reporting. 

This very small company structure allows for a great deal of focus to be placed on individual clients and what they say is the fastest turnaround time in the entire industry. Cascade Therapy Billing focuses on maximizing revenue and cutting costs and on efficiency, giving mental health professionals more time with their clients instead of behind paperwork. 

It tries to work as an in-house biller while appearing as an outside service, with comprehensive aggressive follow-up and complete transparency in billing operations. 

Tips to Choose the Best Mental Health Billing Company

Check Their Specialization: Check if the company has mental health billing experience with knowledge about CPT codes (like 90837 for therapy) and behavioral health insurance policies.

Verify Compliance & Security: Verify HIPAA compliance of services and strong encryption for patients’ confidentiality.

Review Their Success Metrics: Look into clean claim rates (highest rating: 90%+) and average collection times as measures of efficiency.

Assess Pricing Structure: Avoid hidden fees; performance pricing (percentage of collections) is preferable over flat fees.

Evaluate Tech & EHR Integration: Look for a company whose medical billing services integrate seamlessly with your existing EHR/EMR system.

Read Client Reviews: Testimonials and case studies indicate reliability, customer support, and dispute resolution training.

Bottom Line

The top 10 mental health billing companies in the USA for 2025 have been carefully chosen after deep research. This included checking real client reviews, expert comparisons, and current trends in the industry. 

Companies like Nexus IO, TheraThink, and CureMD made the list because they offer strong services, such as high collection rates, HIPAA compliance, EHR integration, and happy clients. This list is a helpful guide for mental health providers who want to choose the right billing partner. It can support better decisions and improve the financial health of your practice.

Revenue cycle management (RCM) in healthcare is the process of tracking and managing the financial aspects of patient care, from the initial appointment to final payment.

Healthcare practices are being pressured more and more to maintain steady cash flow and deal with administrative complexities, hence creating situations that sometimes drain internal resources. 

Outsourcing RCM services to the best vendors enables healthcare facilities to garner the optimum reimbursements while limiting their operating costs. 

More than 354 RCM health care services across the USA make it important to carefully examine potential partners on the basis of industry knowledge, technology, and scope of services. 

Healthcare practices must analyze potential RCM providers in-depth to ascertain a fit for their practice and its specific needs, as well as the operational requirements for sustainable financial viability and long-term success.

In this guide, we will provide you with a list of companies who are experts in medical rcm services.

Top 10 Healthcare RCM Companies in the USA in 2025

1. Nexus IO

Nexus IO, established in 2025 and it is a Phoenix based medical billing company. The Nexus IO offers AI-driven end-to-end revenue cycle management that simplifies billing operations and maximizes reimbursements. Its services include provider credentialing, charge capture, claims processing, patient collection, payment posting, and performance reporting.

With a 90–95% collection ratio and 30% A/R reduction, practices experience faster payments and improved cash flow. Their services support 30+ specialties across all 50+ USA states, backed by 1 year of industry experience. Practices also see a 10–15% boost in operational efficiency and 30% revenue increase with Nexus IO’s real-time billing insights, clean claims (88% first-pass rate), and specialty-focused solutions.

2. Medcare MSO

Medcare MSO is a California based Healthcare RCM company. Since 2012, Medcare MSO has been a trusted name in healthcare rcm solutions.

With 3 layers of CPT code validation and advanced claim scrubbing tools, they maintain a 92% clean claim rate and achieve fast, accurate reimbursements. Their strategic AR recovery model reduces billing backlog and boosts collections, leading to up to 30% revenue growth across 50+ specialties. 

Providers benefit from a 1.2% reduced cost to collect and 18.3% average YoY practice growth. Medcare ensures end-to-end compliance (HIPAA, CMS, OIG) and maximizes FTE efficiency through integrated workflows. Their encrypted systems and 24/7 support offer unmatched data security and customer care.

3. PwC

PwC is also one of leading Healthcare RCM companies. This company is expert in managing account receivable and denial management, charge capture and claim posting, physician/clinician advisory services, revenue cycle automation, and analytics support. 

This company covers clinics, hospitals and other healthcare sectors. PwC is located in New York. The best part of this company is that they provide medical RCM solutions through artificial intelligence (AI), machine learning (ML). PwC automates repetitive administrative tasks through AI for maximum output.  

4. R1 RCM

R1 RCM helps hospitals and doctors to manage their finances. R1 RCM Founded in 2003 as Accretive Health, it became R1 RCM in 2017. Headquarter of the company is in Murray, Utah.

R1 RCM smooths the billing-and-payment process for hospitals, health systems, and physician groups. They apply smart technology and AI to address difficult payment issues.

Their services include full-cycle revenue management (billing from end to-end), lost revenue collection, revenue maximization, clinical records reconciliation, compliance, and digital services such as online payments and appointment scheduling. 

With automation and AI, R1 assists in eliminating paper and streamlining payments for patients and healthcare providers. The company exploded onto the scene, becoming a major player after partnering with Ascension in 2015, which positioned them to handle even more patient billing services.

5. Change Healthcare

Change Healthcare, established in 2007 with headquarters in Nashville, Tennessee, stands as a leading healthcare technology company specializing in revenue and payment cycle management solutions for the healthcare industry.

Key services include medical coding, claims processing, denial management, payment posting, accounts receivable and Patient Billing.

6. Experian Health

Experian Health considered as 2024 #1 Best in KLAS (Claims Management and Clearinghouse).The company’s headquarters is in Costa Mesa, California. 

Experian Health offers end-to-end RCM solutions. Their Patient Access tools help reduce billing errors from the start. Healthcare Collections services improve recovery rates on overdue accounts. With automated claims management, they streamline workflows. 

Their Payer Contract Management audits underpayments to ensure full revenue. They support 2,700+ payers, process 175M claims, and handle $4.9B in collections annually.

7. CareCloud

Carecloud was founded in 1999. CareCloud offers an AI-powered, all-in-one RCM system that’s helping healthcare providers get their denial rates below 3% and achieve up to 97% First Time Pass Rate. That’s impressive numbers in this industry.

Their system automates the heavy lifting claim submission, prior authorizations, appeals – which directly improves your cash flow and financial accuracy. No more manual processing errors or delays.

What’s smart is how it integrates seamlessly with your existing EHR systems. You get real-time synchronization between clinical and billing data, so there’s no disconnect between patient care and revenue capture.

8. Athenahealth

Athenahealth was founded in 1997 and is based in Watertown, Massachusetts, United States. Its Revenue Cycle Management (RCM) services help large practices, health systems, and hospitals reduce days in accounts receivable (A/R) and lower the cost to collect by increasing automation and minimizing redundancies. 

Their solution automates routine A/R follow-up tasks, freeing staff to focus on higher-value work. It integrates seamlessly with existing EMRs through a strong interoperability approach, providing a consolidated platform for all hospital and professional financial data. 

9. NextGen Healthcare

NextGen Healthcare was founded in 2001 in Irvine, California, United States. NextGen Healthcare’s Revenue Cycle Management (RCM) services help practices maximize revenue integrity by reducing denials, accelerating collections, and improving patient experience. 

Their customizable solutions include claims management, payment posting, medical coding, credentialing, patient call centers, and revenue analytics. Utilizing cutting-edge technology and a centers-of-excellence approach, NextGen centralizes core functions to optimize specialty-specific needs like denial prevention and A/R recovery. 

Practices benefit from expert consultation, actionable financial insights via customizable dashboards, and reduced administrative burden, allowing staff to focus on patient care while improving financial outcomes.

10. eClinicalWorks

Healthcare RCM company eClinicalWorks was founded in 1999 in Westborough, Massachusetts, United States. eClinicalWorks serves over 100,000 physicians and 600,000 users nationwide, making it a key player in the healthcare technology sector.

The company offers a range of AI-powered solutions designed for ambulatory practices, including Electronic Health Records (EHR), practice management tools, and patient engagement solutions. Their EHR system is certified and features in-place editing and patient safety dashboards.

This company excels in delivering a comprehensive end-to-end solution that offers real-time insurance eligibility, claim management, denial handling, payment processing, and detailed performance dashboards to optimize practice efficiency.

Key Factors for Choosing a Healthcare RCM Company

Healthcare RCM Experience & Expertise

Analyze the company’s track record, years of experience in healthcare revenue cycle management, specialty-specific knowledge, and proven success rates with practices similar to yours.

Advanced Tech & EHR Integration

Assess their software platforms, electronic health record (EHR) integration, automation tools, reporting dashboards, and their ability to stay updated with evolving healthcare technology trends.

Offerings Scalable and Comprehensive Services

Review their full range of services, including medical coding, billing, denial management, patient collections, and their capacity to scale alongside your practice’s growth.

HIPAA Compliance & Strong Security

Ensure the RCM company strictly follows HIPAA regulations, implements strong data security measures, maintains regulatory adherence, offers audit capabilities, and has effective risk management protocols.

Transparent Pricing

Analyze their cost models, transparent pricing policies, performance-based fees, expected return on investment, and overall value proposition tailored to your healthcare practice.

Bottom Line

We created this list of the Top 10 Healthcare RCM Companies in 2025 based on their real-world performance, client testimonials, verified reviews, industry reputation, and proven track record. Each company was selected for its customer satisfaction rates, success stories, and case studies, whether it’s AI-driven automation (like PwC or CareCloud), end-to-end solutions (like R1 RCM or Experian Health), or specialty-focused services (like Medcare MSO).

We analyzed user feedback, expert opinions, and financial impact data to ensure that these companies deliver actual results. If you’re choosing an RCM partner, prioritize industry experience, tech integration, scalability, transparency, and verified client reviews.

By working with these top-rated companies, healthcare practices can reduce denial rates, improve collections, and optimize operational costs. Their real client testimonials and case studies prove that these providers help ensure long-term financial success. A smart selection can strengthen your entire revenue cycle.