Anesthesia Business Consultants

What Anesthesia Business Consultants does

Anesthesia Business Consultants, LLC (ABC) is a Jackson, Michigan-headquartered provider of outsourced revenue cycle management and practice management services exclusively focused on the anesthesia and pain management specialties. Founded in 1979 and now operating as a subsidiary under Coronis Health (itself under MiraMed Global Services following the 2019 merger with Medac), ABC claims to be the largest anesthesia-only provider of outsourced billing and management services in the U.S., serving over 15,000 anesthesiologists and CRNAs across approximately 90 local offices. The company targets anesthesia and pain management practices (typically with three or more providers) through a direct enterprise field sales motion, with complimentary practice analysis as the standard entry point and quote-based pricing.

ABC's technology stack is anchored by F1RSTAnesthesia, an Oracle-based proprietary billing and A/R platform refined over more than 40 years, supported by an expanding suite of branded modules: F1RSTAnalytics (KPI, A/R, and facility productivity dashboards), F1RSTCode (anesthesia-specific ICD-10 documentation), F1RSTCred (provider enrollment and credentialing), F1RSTClient (secure client portal), and F1RSTManagement (full practice management). Through its wholly-owned subsidiary Plexus Technology Group, ABC distributes Anesthesia Touch (an AIMS electronic anesthesia record integrated with Epic and Cerner in 400+ hospitals), Pharmacy Connect (HL7-based pharmacy integration), and partners for AlertWatch patient monitoring and Survey Vitals satisfaction measurement. Revenue is generated through managed services RCM, professional services practice management, consulting, and Quality Payment Program compliance (MIPS). ABC launched the F1RST AI platform in April 2020 to add predictive analytics on practice performance and patient outcomes to its offering.

Name

Anesthesia Business Consultants

Legal name

Anesthesia Business Consultants, LLC

Website

https://anesthesiallc.com

Company type

Private

Founded year

1979

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Anesthesia Business Consultants is a Jackson, Michigan-based provider of outsourced revenue cycle management, practice management, and consulting services exclusively serving anesthesia and pain management practices, using its proprietary Oracle-based F1RSTAnesthesia platform to serve over 15,000 anesthesiologists and CRNAs.

Ownership category

akta.pro rank

NAICS

Management Consulting Services (54161), Office Administrative Services (5611), Other Scientific and Technical Consulting Services (54169)

SIC

Services-Management Consulting Services (8742), Surgical & Medical Instruments & Apparatus (3841)

akta.pro primary industry

Perioperative/Anesthesia & Surgical Documentation Systems (HLACAAAF)

akta.pro secondary industries

Perioperative Anesthesia Services & Management (HLAFAIAM), Anesthesia & Airway Management Equipment (Workstations, Laryngoscopy, Ventilation adjuncts) (HLAHADAJ)

Keywords

• Anesthesia billing services
• Practice management software
• Revenue cycle management
• Anesthesia consulting
• Anesthesia information management

Headquarters

HQ city

Jackson

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Anesthesia Billing and Accounts Receivable Services: Revenue cycle management services including claims processing, electronic filing, payment posting, coding compliance, and A/R follow-up for anesthesia and pain management practices.
2. Practice Management Services (F1RSTManagement): Comprehensive business process outsourcing covering accounting, financial reporting, payroll, accounts payable, strategic planning, contract negotiation, and human resources management for anesthesia practices.
3. Anesthesia Consulting: Consulting services including revenue cycle management coordination, accounting and financial reporting, facility credentialing, hospital/payer negotiations, staffing, scheduling optimization, and risk management.
4. Quality Payment Program Compliance: MiraMed QPP Platform for Compliance guides clients through MIPS quality reporting requirements with CMS-approved Qualified Registry and certified EHR solutions.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

Anesthesia Business Consultants provides outsourced anesthesia and pain management billing, accounts receivable management, and full practice management business process outsourcing for practices with three or more providers, supported by its proprietary Oracle-based F1RSTAnesthesia platform and an integrated suite of analytics, credentialing, ICD-10 documentation, AIMS, pharmacy, patient satisfaction and patient monitoring tools. ABC also delivers anesthesia consulting, MIPS/Quality Payment Program compliance and provider education and training services.

Differentiator

Problem solved

Functional benefit

Brands

• F1RSTAnesthesia: Oracle-based proprietary anesthesia billing software platform for accounts receivable management
• F1RSTCode
• F1RSTClient
• F1RSTAnalytics
• F1RSTCred
• F1RSTManagement
• Anesthesia Touch
• Pharmacy Connect
• Survey Vitals
• AlertWatch
• MiraMed Quality Payment Program (QPP)
• F1RSTAI

Quantifiable outcome

• ABC claims client retention and customer satisfaction are the highest in the industry
• +1 more outcomes

Segments4 records

Ideal customer profiles3 records

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability2 records

Feature9 records

Partnerships

Four partnerships are on record, tiered core.

• Coronis HealthcoreStrategic or Co-development PartnerABC is a subsidiary of Coronis Health, operating under the same specialized support powered by human-focused, tech-enabled RCM. Coronis Health is the parent company providing shared infrastructure and resources.
• Plexus Technology Group LLCcoreTechnology or IntegrationPlexus TG is a subsidiary providing Anesthesia Touch electronic anesthesia record technology and Pharmacy Connect integration. ABC provides Anesthesia Touch free of charge to billing clients and it directly interfaces with Epic and Cerner in over 400 hospitals.
• MiraMed Global ServicescoreStrategic or Co-development PartnerParent company of ABC. Tony and Sue Mira own and operate MiraMed Global Services, with ABC as a subsidiary. MiraMed completed merger with Medac in 2019 to create leading revenue cycle management platform in anesthesia market.
• Epic and CernercoreTechnology or IntegrationAnesthesia Touch automatically extracts billing information including quality reporting data from Epic and Cerner systems in over 400 hospitals.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Zotec Partners: Largest direct competitor specializing exclusively in anesthesia and emergency medicine RCM and practice management software, serving a similar provider base with comparable billing and analytics offerings.

Broad incumbents

• Coronis Health: Parent company of ABC, offering human-focused, tech-enabled RCM across multiple specialties beyond anesthesia; provides a broader portfolio against which ABC's niche depth must compete.
• MiraMed Global Services: ABC's parent and a multi-specialty RCM platform formed by the 2019 MiraMed-Medac merger; comparable in service model (billing + consulting) but operates more broadly than anesthesia alone.
• R1 RCM: Large, publicly-traded healthcare RCM platform serving hospitals and physician groups across many specialties; competes for the same outsourced billing wallet with a much broader portfolio and scale.
• Waystar: Healthcare RCM technology platform providing claims management, patient billing, and analytics; competes with ABC's F1RSTAnalytics/F1RSTAnesthesia stack at the technology layer for multi-specialty practices.
• Optum (UnitedHealth Group): Largest diversified healthcare services and RCM player with deep anesthesia and hospital RCM capabilities; a strategic competitor with unmatched scale and capital.
• Athenahealth: Cloud-based EHR, practice management, and patient billing platform for physician practices; competes for the same anesthesia practice technology wallet with modern, integrated cloud-native tooling.

Emerging players

• NextGen Healthcare: EHR and practice management vendor with ambulatory RCM offerings for specialty groups; partial overlap with ABC's software suite for specialty physician practices.
• eClinicalWorks: Ambulatory EHR and practice management vendor offering integrated billing services; competes for smaller anesthesia and pain practices seeking a single-vendor EHR+RCM stack.
• Tebra (Kareo): Cloud-based practice management, EHR, and billing platform built for independent practices; an emerging alternative for small anesthesia groups that may consider in-house tools over outsourcing.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/AnesthesiaLLC
• Facebookfacebook.com/anesthesiallc
• LinkedInlinkedin.com/company/tonymira

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Anesthesia Business Consultants