Cosmos Medical Management, LLC

What Cosmos Medical Management, LLC does

Cosmos Medical Management, LLC (CMM) is a US-based, founder-owned healthcare administration services firm founded in 2007 and domiciled in Texas, providing outsourced credentialing, medical billing and coding, and revenue cycle management (RCM) to independent physicians, group practices, multi-specialty clinics, and large clinic/hospital clients. Core offerings include provider, laboratory, insurance, and DME credentialing; ICD-10/CPT/HCPCS-based medical billing; end-to-end revenue cycle management; claims denial management; fee schedule development; new-practice setup consultancy; and a modular a la carte offering for discrete tasks such as claims scrubbing, A/R recovery, payment posting, and EDI/EFT enrollment. The company differentiates on being 100% US-based with no offshore work and on contingency-based pricing in which CMM only earns a percentage of receipts collected plus one-time setup fees. Claimed operating KPIs include 99% first-pass clean claims, 95% of claims paid within 30 days, 100% collection from insurance companies, and A/R denials under 1%, with all claims submitted within 48 hours of receiving superbill.

The underlying platform is a conventional healthcare administrative technology stack rather than a proprietary product: clearinghouse-based electronic claim submission, ICD-10/CPT/HCPCS coding, practice management and EHR integration, CAQH ProView integration for credentialing data sharing, and PECOS for Medicare enrollment, all handled under self-attested HIPAA-compliant processes. There is no public API, no consumer app, and no disclosed AI/ML capability. GTM is sales-led, primarily direct, with free consultations as the entry point, supported by a website (cosmos-med.com), phone (+1-918-398-9154), email ([email protected]), Google/organic search presence, and healthcare content/blog marketing. CMM operates nationwide with formalized state-specific service pages for Missouri, Illinois, Kansas, Colorado, and Nebraska, and has rolled out modular a la carte solutions and credentialing product updates in 2025–2026. The company is privately held with 11–50 employees, no disclosed external funding, no M&A activity, and no parent or subsidiary structure.

Name

Cosmos Medical Management, LLC

Legal name

Cosmos Medical Management, LLC

Website

https://cosmos-med.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

11–50 employees

Short description

Cosmos Medical Management (CMM) is a US-based, founder-owned healthcare administration services firm founded in 2007 that delivers outsourced credentialing, medical billing and coding, and revenue cycle management to independent physicians, group practices, and multi-specialty clinics nationwide on a contingency-based pricing model.

Ownership category

akta.pro rank

Product category

Medical Billing & Healthcare Revenue Cycle Management

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Hospital & Medical Service Plans (6324), Services-Management Services (8741)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industry

Patient Billing, Statements & Payment Processing (HLACACAG)

Keywords

• Medical billing services
• Provider credentialing services
• Revenue cycle management
• Medical coding services
• Claims denial management

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Percentage-Based Billing Services: CMM charges fees as a percentage of receipts collected. The percentage varies based on specialty, practice size, and customized services offered. Commission is only charged after payment is received from insurance companies.
2. Setup Fees: One-time, nonrefundable setup fee for new and established practices to onboard and configure their billing systems.
3. Credentialing Services: Credentialing services can be provided on an hourly basis or per project basis for providers needing specific enrollment support.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

CMM provides end-to-end healthcare administrative services for U.S. providers, covering provider credentialing and enrollment (commercial, Medicare, Medicaid, DME, laboratory), medical billing and coding using ICD-10/CPT/HCPCS, full revenue cycle management, claims denial management, and new practice setup consultancy. Services are delivered virtually by a 100% U.S.-based in-house team on a contingency-based pricing model.

Product overview

Cosmos Medical Management (CMM) offers a unified platform of healthcare administrative services combining credentialing, medical billing, coding, and revenue cycle management. The core offering consists of Credentialing Services (covering provider, laboratory, insurance, and DME credentialing) paired with Medical Billing and Coding Services and Revenue Cycle Management. The A La Carte Solution serves as a modular framework allowing clients to purchase individual components including claims scrubbing, A/R recovery, payment posting, financial reporting, account reconciliation, EDI/EFT enrollment, staff training, and license renewals. Additional specialized modules cover fee schedule management, claims denial management, new practice setup consultancy, and state-specific services for Missouri, Illinois, Kansas, Colorado, and Nebraska. The company operates since 2007 serving healthcare providers nationwide.

Differentiator

Problem solved

Functional benefit

Products and services

• Credentialing Services End-to-end credentialing services including provider enrollment, recredentialing, payer communication, and compliance monitoring for healthcare providers.
• Laboratory Credentialing Services Specialized credentialing services for clinical laboratories to enroll with government and commercial insurance carriers including Medicare, Medicaid, and private payers.
• Insurance Credentialing Services Provider credentialing and enrollment services with commercial insurance carriers including PPO and HMO networks.
• DME Credentialing Credentialing services for Durable Medical Equipment suppliers to participate in Medicare, Medicaid, and commercial insurance networks.
• Credentialing Management Ongoing credentialing management including CAQH maintenance, Medicare and Medicaid revalidation, and commercial insurance recredentialing.
• Medical Billing and Coding Services Comprehensive medical billing and coding services using ICD-10, CPT, and HCPCS codes to ensure accurate claim submissions and timely reimbursements.
• Revenue Cycle Management End-to-end revenue cycle management from patient eligibility verification through payment collection and financial reporting.
• Claims Denial Management Claims denial analysis, appeal management, resubmission services, and prevention strategies to maximize reimbursement recovery.
• Fee Schedule Development and Management Custom fee schedule creation and maintenance services aligned with payer contracts to ensure proper reimbursement rates.
• New Practice Set Up Consultancy Services Practice setup consulting including business entity formation, NPI registration, state licensing, EHR selection, and payer enrollment support.
• A La Carte Solution Modular service offerings allowing providers to select specific administrative services including claims scrubbing, A/R recovery, payment posting, EDI/EFT enrollment, credentialing management, and staff training.
• Nationwide Medical Credentialing and Practice Start-Up Services Credentialing and practice start-up services for healthcare providers expanding across multiple states.
• State-Specific Credentialing and Billing Services Credentialing and billing services tailored for providers in Missouri, Illinois, Kansas, Colorado, and Nebraska.

Quantifiable outcome

• 100% collection from insurance companies
• +4 more outcomes

Named customers4 records

Segments11 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators8 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• Tebra: Practice growth and billing platform (formed via merger of Kareo and PatientPop) serving independent practices with EHR, billing, and patient engagement tools. Directly competes with CMM for solo practitioners and small group practices seeking integrated billing and credentialing.
• R1 RCM: One of the largest dedicated RCM outsourcing companies in the U.S., serving hospitals, health systems, and physician groups with end-to-end revenue cycle services. Directly comparable to CMM's managed billing and credentialing model, but operating at significantly greater scale across enterprise healthcare customers.
• Office Ally: Healthcare clearinghouse and medical billing services provider offering electronic claims processing, EHR, and practice management. Direct competitor to CMM in claims submission, billing, and credentialing support for small/mid-sized practices.
• CareCloud: Cloud-based practice management, EHR, and RCM company serving small and mid-sized physician practices. Provides medical billing and revenue cycle management services comparable to CMM's core offerings, with similar target customer profile.
• AdvancedMD: Cloud medical office software combining EHR, practice management, and medical billing services for independent practices. Closely aligned with CMM in target customer (small/mid-sized practices) and bundled billing-plus-credentialing offerings.

Broad incumbents

• Athenahealth: Cloud-based EHR, practice management, and revenue cycle platform serving physician practices nationwide. Offers integrated billing and RCM services as part of a broader software-plus-services suite, competing with CMM for the same small/mid-market practice customers.
• Greenway Health: Ambulatory EHR and practice management vendor with integrated RCM services for physician practices. Competes with CMM in the small/mid-market segment with a broader software suite that includes billing as a module.
• eClinicalWorks: One of the largest ambulatory EHR vendors, offering integrated practice management and RCM/billing services to physician practices. Competes with CMM across the small/mid-market practice segment with a technology-led, broader-platform approach.
• Waystar: Healthcare revenue cycle technology platform offering claims management, patient access, and denial prevention solutions. Competes with CMM on the technology-enabled RCM layer used by hospitals and large physician groups.
• Experian Health: Healthcare-focused division offering revenue cycle management technology, patient access, and claims management solutions. Overlaps with CMM on RCM and credentialing but typically serves larger hospital systems and payer-provider networks.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/cosmosmedicalmanagement
• LinkedInlinkedin.com/company/cosmos-medical-management-llc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

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 Cosmos Medical Management, LLC