It is a known fact that, on average, 35% of the revenue from healthcare services is lost due to operational inefficiencies in billing systems and claims that are not processed. Here, medical billing companies come to the forefront to reimburse this lost amount.
With increasing operational costs and complicated rules, such companies are specifically helpful to healthcare providers in dense regions, like Massachusetts, where medicine and technology blend wonderfully.
Focusing on patient care and managing intricate billing systems is far easier thanks to these companies. In this article, we will look at their services, the top medical billing companies in Massachusetts, and essential information related to them.
Why Medical Billing Companies are Important for Healthcare Providers?
Before listing the companies, we will see what kind of medical and coding services these companies offer and show their importance in the health industry.
- Decrease claim denials and increase reimbursement rates.
- Adhere to HIPAA, ICD, CPT, and CMS nurse rules and regulations.
- Shift office work and the associated paperwork from clinicians’ to clinical support’s needs, resulting in reduced clinical work and increased non-clinical work.
- Quicker claim processing submissions lead to faster payouts.
- No need for maintenance of billing divisions within the company’s premises.
- Coding-related errors that lead to rejection or audit correction.
- Reduced frustration due to fewer billing errors.
Top 5 Medical Billing Companies in Massachusetts
1. Athenahealth
- Location: Watertown, MA
Athenahealth is a leading medical billing company Massachusetts, providing cloud solutions that work well with EHR and practice management tools. Their flagship product, AthenaCollector, takes care of revenue cycle management from scheduling to claims processing.
What makes them special?
- ADA member with over 160K providers using it in the US.
- Real-time dashboards to track collections.
- Automated rules engine improving claim denial rates.
- HIPAA-certified AI that adapts and learns.
With their AthenaOne ecosystem, practices get care coordination with billing, analytics, and automation integrated right at their fingertips.
2- Providers Care Billing LLC
Location: Schaumburg, IL, with services across Massachusetts
Providers Care Billing LLC is one of the top medical billing companies, while attending to the specialised needs of customers in Massachusetts. They aim at increasing clients’ income and decreasing administrative work by offering a full suite of services, which include medical billing, coding, credentialing, and consulting.
Key Highlights:
- Medical billing services are offered at extremely competitive pricing with an unmatched average of 2.89% as compared to industry standards.
- Highly skilled medical billers in medical billing systems and processes
- Better than 99% first-time claim settling success, and a history of happy clients from numerous fields.
- All-in-one service as described by them – everything from checking patient eligibility for the procedure through to managing the practice’s revenue accounts.
- Adjustment to the requirements of their customers, whether it’s small practices or big hospitals.
With Providers Care Billing LLC, clients experience enhanced operational productivity alongside other competitive advantages when dealing.
So, if you also need these advantages, contact Providers Care Billing right now.
2. MedBillingExperts
- Location: Boston, MA
MedBillingExperts provides specialty-specific medical billing experts Massachusetts, from cardiology to orthopaedics. Known for its accuracy and transparency, they manage patient enrollment for AR follow-ups.
Best-known Features
- 24/7 support and claims processing.
- Denial management and resubmission workflows.
- Certified coders well-versed with ICD-10, CPT, and HCPCS.
- Patient billing and payment collection support.
Their global delivery model provides cost savings, maintains compliance, and reduces turnaround time. This strategy makes them appealing to small clinics as well as large hospitals.
3. Outsource Strategies International (OSI)
- Location: Boston, MA
With more than 20 years in business, OSI is one of the trusted medical billing companies in U.S.A. It provides a lot of services like billing, coding, and revenue cycle management services with a high degree of specialisation. It offers both U.S.-based and offshore staffing, which enables them to provide excellent service at reasonable prices.
Why Healthcare Providers Trust OSI?
- Covers more than 30 medical specialties.
- Employs AAPC and AHIMA-certified coders.
- Experienced in Medicare/Medicaid and private payer billing.
- Medical transcription and document management services.
OSI’s value as a long-term partner for medical practices stems from its focus on HIPAA compliance, reducing revenue leakage, and protecting exposed practice value.
4. MediBilling Experts
- Location: Cambridge, MA
Solo practitioners and multi-location healthcare facilities turn to MediBilling Experts for their custom-tailored solutions. They offer comprehensive medical billing services from credentialing and charge entry to denial management and reporting.
Their Core Strengths:
- Claim submission automation.
- Over 99% first pass claim acceptance rate.
- Defensive reporting and actionable analytics every month.
- Specialised pods for radiology, neurology, paediatrics, and more.
Their approach focuses on improved provider repayment and reduced administrative complexity. Their reputation for result-driven service has fostered a loyal client following.
5. eCatalyst Healthcare Solutions
- Location: Boston, MA
Even though eCatalyst is located in Arizona, its billing and coding services have a strong Massachusetts presence. So, it is a trustworthy medical billing company near me. Their services are centred on risk adjustment, compliance, and coding optimisation for greater return on investment.
What Sets Them Apart?
- HCC, HEDIS, and RADV coding support.
- NLP technology is incorporated into coding to improve accuracy.
- Provider documentation error education reduces mistakes.
- Surgical and ambulatory billing is a core competency.
As revenue consultants, not just billers, they position healthcare organisations for sustained financial health.
Client Testimonials of Providers Care Billing!
“Outstanding service—quick, attentive to special requests, and always friendly. Very satisfied with Providers Care Billing.”
– Dr. Bruce Christensen
“For 18 years, we have used several billing services, but Providers Care Billing LLC has set the bar at what it should be. Efficient, prompt, affordable, and accurate.”
– JOHN L. JANKORD, MA, LMFT, LADC, LPCC
“I have been associated with the team in 2019. It has taken a great deal of stress off me. Before I tried a few companies, but they all never gave me the peace of mind that this team did.”
– Robert Stanford, LPC.
“The Providers Care Billing Team has been a great asset to my practice. Gustavo is professional, responsive, and knowledgeable.”
– Jacob Root, LMFT.
FAQs
1- What are the two most common approaches to medical billing?
Medical billing is an important aspect of the healthcare market because providers are paid for services, and the money is transparent. There are two categories of billing in this field: professional billing and institutional billing.
2- How do I choose the best medical billing company in Massachusetts for my practice?
First, identify your practice’s necessary speciality-specific billing, claim denial rates, turnaround time, and compliance standards. Next, filter the companies according to how strong their track record is, whether they provide client testimonials, their transparency in pricing, and whether they provide services like credentialing or consulting.
3- What is the highest salary in medical billing companies?
Medical billing and coding services near me pay up to $122,000 per year in the best Medical Coder jobs. Medical billers and coders work in doctors’ offices, hospitals, or other medical facilities in the billing department. They take the healthcare claims and translate them into universal medical codes for insurance reimbursement.
Final Thoughts!
To sum up, there is more to medical billing than submitting claims; there is also optimising revenue, regulatory compliance, and allowing the providers to give their attention to the patients. For an individual doctor or even a hospital group, selecting the billing partner has the ability to transform growth from stagnation to sustainable growth.
In Massachusetts, there is no shortage of world-class billing partners due to its position as a hub for medical innovation. We have provided you with information about the top medical billing companies, especially Providers Care Billing, which is always ready to give you astonishing services.
