Aps Medical Billing
Aps Medical Billing is a privately held healthcare revenue cycle management firm founded in 1960 and headquartered in Toledo, Ohio, providing proprietary billing, coding, credentialing, and reporting services to more than 250 pathology, radiology, and laboratory physician groups nationwide on a percentage-of-collections pricing model.
- Company typePrivate
- Founded1960
- HeadquartersToledo, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What Aps Medical Billing does
Aps Medical Billing, Inc. is a privately held healthcare revenue cycle management (RCM) company founded in 1960 and headquartered in Toledo, Ohio. The firm specializes in professional billing and RCM services for pathology, radiology, reference, and independent laboratory practices, serving more than 250 physician groups across nearly every U.S. state. APS was among the first billing firms to perform professional component of clinical pathology billing and has built its positioning on six decades of accumulated domain expertise in these niche specialties.
The company's core technology stack consists of proprietary billing software with real-time CPT-level payment validation that compares contracted carrier rates against actual payments to identify underpayments, proprietary in-house credentialing software guiding carrier documentation workflows, and a web-based reporting portal for client financial analytics. These systems are supported by certified AAPC coding professionals with ongoing training, and are complemented by business continuity infrastructure including nightly offsite backups and a Chicago hot site capable of full operation within 24 hours. The company maintains SOC 2 Type II, HITRUST CSF, PCI/DSS, HIPAA, and OIG compliance certifications audited annually by independent third parties.
APS operates a transaction-based revenue model, charging clients a percentage of revenue collected with monthly billing cadence and no typical start-up costs. Go-to-market is enterprise field sales, with a Director of Business Development and Practice Managers conducting client engagements with 50%+ travel, supported by dedicated client representatives serving as ongoing liaisons. The firm reaches prospects through a content marketing engine (regular white papers on regulatory and payer policy), conference sponsorships at 10+ pathology and radiology society events annually, and a LinkedIn presence. The company actively hires across billing, IT, operations, and sales departments.
Aps Medical Billing firmographics
Firmographics- Name
- Aps Medical Billing
- Legal name
- APS Medical Billing, Inc.
- Website
- https://apsmedbill.com
- Company type
- Private
- Founded year
- 1960
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Aps Medical Billing is a privately held healthcare revenue cycle management firm founded in 1960 and headquartered in Toledo, Ohio, providing proprietary billing, coding, credentialing, and reporting services to more than 250 pathology, radiology, and laboratory physician groups nationwide on a percentage-of-collections pricing model.
- Ownership category
- akta.pro rank
Aps Medical Billing industry classification
Industry- Product category
- Healthcare Revenue Cycle Management / Medical Billing Services
- NAICS
- Collection Agencies (561440)
- SIC
- Services-Health Services (8000), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Medical Billing & Coding Automation (HLACACAA)
- akta.pro secondary industries
- Charge Capture & Clinical Documentation Improvement (CDI) for Billing (HLACACAF), Patient Billing, Statements & Payment Processing (HLACACAG), Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)
Keywords
Where Aps Medical Billing is headquartered
LocationHeadquarters
- HQ city
- Toledo
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Aps Medical Billing business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others
Revenue model
- Revenue Cycle Management Services: Fees charged as a percentage of revenue collected. This performance-based model aligns APS incentives with client success. Fee varies based on size and scope of practice and ability to receive information electronically.
- Professional Billing Services: End-to-end revenue cycle management including charge capture, coding, claims submission, denial management, payment posting, and patient billing. No start-up costs typically charged.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Monthly | Percentage of revenue collected model |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels4 records
Aps Medical Billing product offering
Product offeringCore offering
APS Medical Billing delivers end-to-end medical billing and revenue cycle management services for pathology, radiology, and laboratory practices across the United States. Its offering combines proprietary billing and credentialing software with certified coding staff to handle charge capture, coding, claims submission, denial management, payment posting, patient billing, and payor credentialing, with pricing set as a percentage of revenue collected.
Product overview
APS Medical Billing offers a unified suite of medical billing and revenue cycle management services for pathology, laboratory, and radiology practices. The core offering consists of four integrated service modules: Revenue Cycle Management (the primary platform covering charge capture, claims submission, denial management, and payment posting), Payor Credentialing Services (provider enrollment and contract management), Practice & Custom Reporting (financial analytics and business intelligence), and Procedure & Diagnosis Coding (certified coding audits and compliance). These services work together as a cohesive billing solution, combining proprietary technology with experienced staff to maximize reimbursement for healthcare practices.
Differentiator
Problem solved
Functional benefit
Products and services
- Revenue Cycle Management
Quantifiable outcome
- More than doubled collections for some client practices
- +3 more outcomes
Companies that use Aps Medical Billing
Customer profileNamed customers20 records
Segments4 records
Ideal customer profiles4 records
Aps Medical Billing technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Aps Medical Billing partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core.
- Independent CPA FirmscoreSOC 2 audits conducted by independent CPA firms to validate controls over security, availability, processing integrity, confidentiality and privacy of client data and billing operations.
- HITRUST Certified VendorcoreThird-party certified vendor relationship for HITRUST assessment and certification ensuring effective program of information security meeting HIPAA and other federal, state and third-party requirements.
- Qualified Security Assessor (QSA)corePCI/DSS compliance audits conducted by QSA approved by PCI Security Council to evaluate security infrastructure including procedures, policies, networks and systems.
- SunGardcoreDisaster recovery vendor providing offsite backup and business continuity services. APS utilizes SunGard for Disaster Recovery with annual testing performed to ensure rapid recovery capabilities.
Scale indicators3 records
Recent moves5 records
Expansion highlights4 records
Aps Medical Billing competitors and assessment
Company assessmentBroad incumbents
- R1 RCM: R1 RCM is a large, publicly-traded (formerly) revenue cycle management company serving hospitals and large physician groups. It is comparable as a leading RCM vendor competing for the same healthcare billing spend, though at much larger enterprise scale than APS Medical Billing.
- Ensemble Health Partners: Ensemble Health Partners is a large RCM services provider focused on hospitals and health systems. Comparable as a direct competitor in outsourced revenue cycle management, though it focuses on larger enterprise clients rather than specialty physician practices.
- FinThrive (formerly nThrive): FinThrive provides end-to-end RCM technology and services to hospitals and health systems. Comparable as a broad RCM incumbent offering overlapping medical billing, coding, and claims management capabilities across healthcare providers.
- Optum (UnitedHealth Group): Optum's Health Services segment includes revenue cycle management, medical coding, and billing services for providers and payers. Comparable as a broad incumbent that competes with APS Medical Billing for healthcare billing spend, though Optum operates at vastly larger scale as part of UnitedHealth Group.
- Parallon: Parallon, a subsidiary of HCA Healthcare, provides revenue cycle management, medical billing, and healthcare administrative services. Comparable as a broad incumbent in the medical billing and RCM services space serving hospitals and large physician groups.
Direct peers
- AGS Health: AGS Health provides medical billing, coding, and revenue cycle management services to physician practices and health systems. Comparable as a directly competing RCM services firm with similar percentage-of-collections pricing and offshore coding operations, though AGS operates at significantly larger scale.
- Aviacode: Aviacode (a Healthcare Financial Services company) provides medical coding, auditing, and RCM services to physician practices. Comparable as a direct peer in the medical coding and billing services space, with similar specialty physician practice customer focus.
- Coronis Health: Coronis Health (formerly CardioVascular Management Associates) provides revenue cycle management and medical billing services, with particular depth in pathology, laboratory, and specialty physician practice billing. Comparable as a closely aligned direct peer in specialty RCM.
- PMMC: PMMC provides hospital revenue cycle management services with proprietary software for contract management, underpayment identification, and claims processing. Comparable as a direct peer offering contract management and payer underpayment tools similar to APS's proprietary validation software.
- Office Ally: Office Ally provides medical billing software, clearinghouse services, and revenue cycle management for physician practices. Comparable as a direct peer offering medical billing technology and services to physician offices, though with a stronger technology-as-a-service orientation.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Aps Medical Billing social profiles
Digital presenceAps Medical Billing compliance and trust
Trust signalCompliance5 records
Aps Medical Billing financial estimates
Financial estimateRevenue estimate
Valuation estimate
Aps Medical Billing leadership team
Management profileNumber of profiles
Aps Medical Billing funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Aps Medical Billing M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Aps Medical Billing
What does Aps Medical Billing do?
APS Medical Billing delivers end-to-end medical billing and revenue cycle management services for pathology, radiology, and laboratory practices across the United States. Its offering combines proprietary billing and credentialing software with certified coding staff to handle charge capture, coding, claims submission, denial management, payment posting, patient billing, and payor credentialing, with pricing set as a percentage of revenue collected.
Is Aps Medical Billing a public or private company?
Aps Medical Billing is a private company. It is classified as unknown and is currently operating.
When was Aps Medical Billing founded?
Aps Medical Billing was founded in 1960. It employs 101 to 250 people.
Where is Aps Medical Billing based?
Aps Medical Billing is headquartered in Toledo, United States, in the North America region.
How does Aps Medical Billing make money?
Two revenue lines are on record. Revenue Cycle Management Services are the primary driver. The others are professional Billing Services.
Who are Aps Medical Billing's main competitors?
Broad incumbents on record are R1 RCM, Ensemble Health Partners, FinThrive (formerly nThrive), Optum (UnitedHealth Group) and Parallon. Direct peers are AGS Health, Aviacode, Coronis Health, PMMC and Office Ally.
Does Aps Medical Billing have an API?
No public API is recorded for Aps Medical Billing.
What industry is Aps Medical Billing in?
Aps Medical Billing's product category is Healthcare Revenue Cycle Management / Medical Billing Services. Its primary akta.pro industry code is HLACACAA, Medical Billing & Coding Automation, with a secondary code of HLACACAF, Charge Capture & Clinical Documentation Improvement (CDI) for Billing. Its NAICS code is 561440 and its SIC code is 8000.