After Silicon Valley (San Francisco Bay Area), Boston is the most promising place in the USA for health-tech startups. In 2023, the capital city of Massachusetts overtook New York to become the second-best city in the country for healthIT firms.
According to the data obtained by the U.S. Bureau of Labor Statistics, there were around 2,690 medical billers and coders in the Boston-Cambridge-Nashua metropolitan area in May 2023. Massachusetts’s robust healthcare industry, technology and innovation-driven ecosystem, and thriving economy create the perfect breeding ground for medical billing companies.
Let’s explore the 10 best medical billing companies in Massachusetts that are ensuring financial success for healthcare providers.
Top 10 Medical Billing Companies in Massachusetts
The health and medical insurance industry in Massachusetts is on the rise. According to IBISWorld, around 97 medical billing companies are actively offering services in Massachusetts and collectively they have reached a market size of $47.4 billion.
However, only a handful of the medical billing companies in Massachusetts offer the perfect combination of billing expertise, cost savings, secure and technologically advanced tools and software, and excellent results in the shortest turnaround time. These are listed as follows:
1. MediBill MD
Although MediBill MD is physically based in Dallas, Texas, it has made it to our list of ‘Top 10 Medical Billing Companies in Massachusetts’ as it offers the most affordable medical billing services nationwide through its remote operations and a centralized cloud-based system.
The company was formed in 2023 to fill a market gap in full-stack, premium quality, and tailored medical billing and revenue cycle management (RCM) solutions for all medical specialties at the lowest market rates.
Its full-service RCM offerings include medical billing and coding, claims filing, denial management, A/R recovery, payment posting, credentialing, and analytics and reporting, all of which are available to new clients at a promo rate of 1% of collections for the first month of service.
MediBill MD’s all-star team comprises certified professional coders, medical billing experts, and revenue cycle managers who work around the clock to provide state-specific billing assistance. In less than a year, MediBill MD has become a top-ranking medical billing company on the DesignRush and GoodFirms.
Here is why you should partner with MediBill MD:
- Medical billing expertise across 45+ specialties
- Proven RCM solutions
- AAPC-certified coders
- Flat 1% rate for 30 days
- A free billing/RCM audit
- 98% clean claims rate
2. Athenahealth
Athenahealth, Inc. is a leader in the innovative health-tech industry and offers remarkable cloud-based products and solutions for increased operational efficiency in the healthcare space. It is a Nasdaq-listed privately-held company, formed in 1997 in San Deigo, California. However, today, the company maintains its headquarters in Boston, Massachusetts.
It is one of the best medical billing companies in Massachusetts because of its suite of electronic health records (EHR), RCM, and patient engagement solutions like athenaOne®, athenaCollector®, and the athenaPatient® app. The company offers comprehensive medical billing and practice management solutions to healthcare organizations, boosting their financial success and enhancing patient satisfaction.
Athenahealth’s award-winning EHR solution, athenaOne for independent and small practices, can increase providers’ income by up to 6% and is purpose-built for specialty-specific workflows. Similarly, athenaIDX™ for enterprises is a cutting-edge RCM solution that leverages automation to reduce A/R days and cost of collections (up to 20%) for large health systems and hospitals.
Partnering with Athenahealth will unlock the following benefits:
- Cloud-based medical records, RCM, patient engagement, and care coordination services.
- 44% higher patient pay yield with athenaOne
- 91% clean claim rate within 3 months with athenaIDX
- 2-6% increase in net collections
- A free demo
- No hidden fees or long-term contracts
3. Medheave
Medheave Healthcare Services LLC is another Boston-based medical billing company in Massachusetts. The company was established in 2019 to offer full-service practice management, data management, and revenue cycle management solutions to healthcare practices across several states.
Medheave’s skilled medical billing team utilizes a range of software like Tebra, Populate, MedGen, AdvancedMD, CureMD, and more to streamline medical coding, billing, claims processing, insurance eligibility verification, denial management, and even healthcare data analytics.
The company offers medical billing expertise across 34 specialties, including urgent care, internal medicine, and mental health, and can easily transform revenue cycles of healthcare practices of all sizes.
By partnering with Medheave, you get 100% HIPAA-compliant and ISO-certified medical billing solutions for a strengthened revenue cycle. Plus, you get the promise of:
- 98% first submission pass rate
- 30% increase in collections
- 25% expense reduction
- Decades of billing expertise
- Specialty-specific, customized solutions
- 365 days availability
4. Innovation Billing Service, Inc.
Innovation Billing Service, Inc., formerly known as Midwife’s Billing Service, Inc., is the only midwife-owned company on our ‘Top Medical Billing Companies in Massachusetts’ list. Marnie Cabezas, CEO of Innovation Billing Service, Inc. and a midwife by profession, bought the company in 1998. Since then, she has offered medical billing, coding, and contracting services to midwives and small independent practices.
The company has limited its end-to-end medical billing, practice management, and software and financial consulting services to midwives and birth centers, women and family medicine providers, and independent practitioners. Narrowing the scope of its services allows Innovation Billing Service to be the best in its domain.
Based in Orange, Massachusetts, Innovation Billing Service, Inc. partners with AdvanceMD and utilizes its acclaimed platform for billing and practice management precision. Hence, the company additionally offers software training and troubleshooting services to its clients for seamless use of the AdvanceMD system.
Innovation Billing Service’s all-women medical billing team can offer you the following benefits:
- HIPAA-compliant medical billing and practice management
- A free consultation
- On-site training for AdvancedMD
- Completely paperless solutions
- Non-contractual services
- Decades of billing experience
5. Boston Billing Solutions
Even though Boston Billing Solutions Inc. is located in Londonderry, New Hampshire, it is a well-renowned medical billing company in Massachusetts, serving a variety of medical practices and specialties in and around Boston. The company was founded in 1997 as a full-service billing center offering medical billing expertise to behavioral health, chiropractic, optometry, podiatry, neurology, physical therapy, ophthalmology, and many more medical practices.
Its offerings include practice management, revenue cycle management, electronic health record management, embedded E&M coding, and consulting services. Clients can choose between the standard and deluxe plans or per-claim and percentage-based pricing to tailor the solutions and fees according to their liking and practices’ needs. This is because the per-claim fee structure is only applicable to some specialties.
However, both plans include free cloud-based data management, access to scheduling software, same-day insurance billing, claims follow-up, and monthly reporting. Another interesting fact is that Boston Billing Solutions also accepts payments made via Venmo.
You must consider Boston Billing Solutions for the following reasons:
- 27 years of medical billing excellence
- A Better Business Bureau (BBB) accredited company
- No long-term contracts
- Swift onboarding
- Tailored medical billing solutions for various specialties
- Per-claim and percentage-based price plans
6. Analytix Healthcare Solutions
With its corporate headquarters in Woburn, Massachusetts, Analytix Healthcare Solutions has offered medical billing and business consulting services since 2006 to various healthcare practices, including dental clinics and suppliers of durable and home medical equipment (DME/HME).
The company offers full-scale medical billing and RCM solutions to medical equipment suppliers, dental health providers, and physicians (regardless of their medical specialty). Services commonly offered to all three industries include patient enrollment, insurance verification, claims submission, follow-up, denial management, payment posting, and performance tracking.
Analytix Healthcare Solutions made it to our list of ‘Top-Rated Medical Billing Companies in Massachusetts’ because of its self-developed appointment scheduling software – Appoint360. The white-labeled technology solution is specially sold to DMEs and HMEs for efficient management of patient appointments. Its advanced features, like patient self-scheduling, automated notifications, calendar management, Google Maps routing, and more, allow patients to schedule appointments with their preferred provider based on clinic, location, and timing.
Partnering with Analytix Healthcare Solutions is worthwhile because of:
- HIPAA-compliant products and services
- 138+ service offerings
- 99.97% billing and coding accuracy
- 90-95% collection rate
- Complimentary pilot project
- Expert workforce
7. Medical Healthcare Solutions
Medical Healthcare Solutions, Inc. (MHS) is a privately owned medical billing company in Massachusetts. It was incepted in 1991 and maintains its headquarters in Andover, MA. The company was formed on the belief that the success of any business depends on excellent service and solutions.
Regardless of the medical specialties and the size and type of the healthcare practice, MHS’s services are available nationwide. Its proven solutions include medical billing, revenue cycle management, provider credentialing, practice management consulting, healthcare analytics, and even student health services billing.
At MHS, the team uses cutting-edge software and hardware to deliver excellence in patient scheduling, medical coding, data management, claim submission, A/R recovery, payment tracking, and predictive industry analytics. The company partners with professional organizations like AAPC, HBMA, MA/RI MGMA, NEHIMSS, and Healthcare Finance Group LLC to ensure the highest level of compliance, quality, and accuracy in all its deliverables.
You can unlock the following benefits by choosing MHS as your billing partner:
- 98% clean claim rate
- On average, 21.5 days in AR
- A free personalized demo
- Access to the latest industry innovations
- More than 30 years of industry experience
- Perfect 5-star customer service
8. Bradford Medical Associates
Bradford Medical Associates is another notable mention in our ‘Best Massachusetts Medical Billing Companies’ list because of its 20+ years of experience in automating medical billing workflows for specialties of all sizes. Judy Coleman and John Depew co-founded the company in 2003 after obtaining years of experience in medical billing, practice management, and technology sales and support.
Bradford Medical Associates has a corporate office in North Andover, MA, and from here, its small team of around 15 medical billing specialists delivers comprehensive billing and RCM solutions to healthcare practices in Massachusetts and New Hampshire. Some of its listed services are on-time electronic claim filing, monitoring the status of claims, following up on unpaid claims, medical coding, reporting and analysis, and around-the-clock account and practice management.
It is unclear what Bradford Medical Associates charges for its bundled and standalone services. However, you may contact the company via phone, fax, or email to get the pricing details.
Here is why you should consider Bradford Medical Associates as your outsourced billing expert:
- HIPAA-compliant solutions
- Nearly 25 years of medical billing experience
- Clean claim filing within 48 hours of receipt
- Continuous follow-up
- System-level approach to practice management
9. Comprehensive Practice Management
Comprehensive Practice Management (CPM) is one of the oldest medical billing companies in Massachusetts. The company started its operations as early as 1984 in Framingham, MA. Since then, it has offered tailored medical billing and collections support and full-suite revenue cycle management systems to all medical specialties, sub-specialties, medical groups, clinics, and primary care physicians.
The company’s workforce of between 11 and 50 employees can efficiently handle insurance eligibility checks, medical coding, precise charge entry, claims processing, payment reconciliation, cash flow tracking, and more. A certified professional accountant (CPA) manages each client account to ensure every deliverable is of premium quality.
CPM calls itself “the doctor’s business doctor” because the same way doctors care for their patients, CPM takes care of doctors’ businesses. Although the pricing details are unavailable on the website, CPM assures that their basic fee is less than what large chains charge and that the fee structure is purposed to suit the client’s preferences.
Partnering with CPM can help your healthcare practice because:
- It hires CPAs for healthcare accounts receivables
- It guarantees 40 years of medical billing knowledge
- It proposes a comprehensive plan tailored to your needs
- It is a GoodFirms-listed medical billing company in Massachusetts.
10. Emerald Health
The last name that made it to your list of ‘Top 10 Medical Billing Companies in Massachusetts’ in 2024 is Emerald Health, LLC. The company’s corporate office is in Dartmouth, MA, and for almost 14 years, it has reduced the administrative burden of healthcare providers by offering tech-driven medical billing solutions.
The company’s open-sourced electronic medical records software, Emerald Health EMR, was designed to streamline the billing workflow and seamlessly integrate with all systems. Some of its features include patient data management, clinical decision support, e-prescribing, and reporting and analytics. Besides selling software as a service (SaaS), Emerald Health provides end-to-end medical billing solutions, staff augmentation, and RCM services.
Although Emerald Health is not transparent about its fee structure, you can contact the sales team via phone, email, or by filling out an online form. Since 2010, the company has processed over 1.5 million claims, and the overall denial rate was always less than 4%.
Choosing Emerald Health as your trusted billing partner in Massachusetts can be a worthwhile investment because:
- It ensures less than 4% denial rate
- Adheres to federal/state rules and regulations
- HIPAA-compliant Emerald Health EMR software
- Offers a free consultation
- Ad-hoc staff augmentation support in English and Spanish
Comparing the Best Medical Billing Companies in Massachusetts
So, now that you are aware of the 10 best medical billing companies in Massachusetts for the fiscal year 2024, how will you compare them and choose the most suitable one for your healthcare practice? A strategic masterstroke would be to evaluate each company on the basis of its cost of services, specialty-specific billing and RCM expertise, technological solutions, and statistics like clean claim rate, AR days, and collection ratio, and then prioritize your preferences.
For example, not all the billing companies in Massachusetts provide their copyrighted software as a service. However, the ones that do, like Athenahealth and Analytix Healthcare Solutions, do not offer services at the lowest market rates. Similarly, a medical billing company with the highest clean claim rate and collection ratio may not necessarily cater to your medical specialty. For instance, Boston Billing Solutions is accepting only in-network behavioral health practices as clients.
So, you must weigh your priorities and partner with a Massachusetts medical billing company that offers a good balance of price, expertise, technology, and proven results.
