QHS Health
- Company typePrivate
- Founded2010
- HeadquartersHigh Point, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What QHS Health does
QHS Health, operating as Quality Healthcare Systems, Inc., is a US-based medical billing and revenue cycle management company founded in 2010 by Jason Nikouyeh and headquartered in High Point, North Carolina. The firm specializes in Durable Medical Equipment (DME) billing — transmitting electronic HCFA claims to DMERCs, Medicare Part B, Medicaid, commercial payers, and private payers nationwide — and has extended this capability into adjacent verticals including pharmacy, home health, wound care, and orthopedic equipment billing. Core services span patient eligibility verification, coding and claims submission, denial management, A/R follow-up, payment posting, and financial reporting, supported by AAPC-certified coders and integrations with EHR/EMR systems such as Brightree.
The business operates on a percentage-of-collected-revenue pricing model with three published tiers (Lite 3%, Premium 5%, Premium+ 7%), aligning vendor compensation with client collections outcomes. Go-to-market is sales-led B2B using direct outreach, toll-free and local phone lines, Calendly-scheduled free 15-minute consultations, and a content marketing engine comprising a blog with 40+ articles plus social profiles on YouTube, LinkedIn, Facebook, Instagram, and Twitter. The customer base is dominated by small DME suppliers, home health agencies, and specialty providers, with several clients retained for 5–11+ years and a claimed 99% client satisfaction rate.
The firm is privately held, bootstrapped, and founder-controlled with no disclosed external funding, no subsidiaries, and a small team of 1–10 employees including a five-person leadership group. Technology integrations include partnerships with Brightree, ResMed, Fastrack, and other DME ecosystem vendors, but no AI/ML capabilities, API platform, or productized software offering have been disclosed — positioning QHS as a labor-intensive services firm rather than a technology company.
QHS Health firmographics
Firmographics- Name
- QHS Health
- Legal name
- Quality Healthcare Systems, Inc.
- Website
- https://qhshealth.com
- Company type
- Private
- Founded year
- 2010
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Ownership category
- akta.pro rank
QHS Health industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)
- akta.pro industry
- Accounts Receivable (A/R) & Collections ManagementHealthcare & Life Sciences/Digital Health & Health IT/Revenue Cycle Management (RCM) & Billing SoftwareEligibility & Benefits VerificationHealthcare & Life Sciences/Digital Health & Health IT/Revenue Cycle Management (RCM) & Billing SoftwarePatient Billing, Statements & Payment ProcessingHealthcare & Life Sciences/Digital Health & Health IT/Revenue Cycle Management (RCM) & Billing SoftwareClaims Processing, Adjudication & Payment Integrity
Keywords
Where QHS Health is headquartered
LocationHeadquarters
- HQ city
- High Point
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
QHS Health business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Percentage of Collected Revenue: QHS charges a percentage of collected revenue from billing services. Pricing tiers range from 3% to 7% of collected revenue depending on service package level (Lite, Premium, Premium+). This creates alignment between QHS and client success as revenue is earned only when collections are successful.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Lite - 3% of collected revenue |
| Transaction based/ take rate | Pay-as-you-go | Premium - 5% of collected revenue |
| Transaction based/ take rate | Pay-as-you-go | Premium+ - 7% of collected revenue |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels7 records
QHS Health product offering
Product offeringCore offering
QHS Health provides end-to-end medical billing, provider credentialing, and revenue cycle management services for Durable Medical Equipment suppliers and home healthcare providers. The offering covers patient eligibility verification, accurate claims submission, denial management, A/R follow-up, payment posting, and ongoing financial reporting, with electronic HCFA claims transmitted to DMERCs, Medicaid, Commercial, Medicare Part B, and private payers across all 50 states. Service packages are organized by vertical specialties (DME, pharmacy, home health, wound care, orthopedic) and tiered by features under the Lite, Premium, and Premium+ plans.
Product overview
QHS Health (Quality Healthcare Systems) is a US-based medical billing company providing end-to-end billing, credentialing, and revenue cycle management services. The company operates as a single integrated service offering centered around specialized medical billing, rather than a software platform with modules. The core portfolio includes DME Billing Services (primary specialty since 2010), Pharmacy Billing Services, Home Health Billing Services, Orthopedic Billing Services, and Wound Care Billing Services. Supporting these are add-on services including Provider Credentialing Services, Medical Billing for Small Practices, Accounts Receivable Management, Denial Management, and Revenue Cycle Management. The company transmits electronic HCFA claims to DMERCs, Medicaid, Commercial, Medicare Part B, and private payers nationwide.
Differentiator
Problem solved
Functional benefit
Products and services
- DME Billing Services End-to-end billing, credentialing, and revenue cycle management for Durable Medical Equipment suppliers, including claims processing, denial management, and payment collection for Medicare, Medicaid, Commercial, DMERCs, and private payers.
- Pharmacy Billing Services Specialized billing services for pharmacies of all sizes, handling brand name drugs, non-preferred drugs, with a pharmacy charge description master to minimize rejection rates and prevent revenue leakage.
- Home Health Billing Services Billing and collections services for home care agencies, covering Medicare, Non-Medicare, and all payers with customized billing and collections proposals.
- Orthopedic Billing Services Specialized orthopedic billing service addressing unique challenges for orthopedic equipment suppliers, managing complex coding for braces, prosthetics, joint supports, diabetic footwear, and mobility aids while ensuring insurance compliance.
- Wound Care Billing Services Billing services for wound care supplies and services, including documentation requirements and payer-specific guidelines.
- Provider Credentialing Services Credentialing services to help healthcare providers enroll with insurance companies, Medicare, and Medicaid to become approved providers.
- Medical Billing for Small Practices Tailored billing solutions for small medical practices, providing medical billing, coding, consultations, and reimbursement collections.
- Accounts Receivable (A/R) Management Services Comprehensive A/R management including claims follow-up, denial resolution, revenue reporting, patient billing and collections, with customized solutions for healthcare practices.
- Denial Management Services Services to analyze denied claims, address root causes, implement strategies to reduce future denials, and work front-end rejections.
- Revenue Cycle Management Complete RCM services covering eligibility checks, documentation review, electronic claim submission, denial management, and payment posting.
Quantifiable outcome
- 99% client satisfaction rate
- +2 more outcomes
Companies that use QHS Health
Customer profileNamed customers8 records
Segments6 records
Ideal customer profiles3 records
QHS Health technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
QHS Health partnerships and signals
Strategic signalScale indicators3 records
Recent moves5 records
Expansion highlights4 records
QHS Health competitors and assessment
Company assessmentBroad incumbents
- Brightree (ResMed): Brightree, now part of ResMed, is a leading EHR/EMR and billing software platform purpose-built for HME/DME, home health, and hospice providers. It competes with QHS across both billing software and RCM services, but operates at significantly greater scale and pairs software with optional outsourced billing—a broader, incumbent model.
- Waystar: Waystar is a large healthcare revenue cycle management software platform covering claims management, eligibility, patient billing, and denials for hospitals and ambulatory providers nationwide. It is a broad incumbent that encroaches on the same downstream workflows QHS performs manually, often at lower marginal cost to clients.
- R1 RCM: R1 RCM is one of the largest outsourced revenue cycle management providers in the US, serving hospitals, health systems, and physician practices with end-to-end RCM including coding, claims, denial management, and patient access. As a broad incumbent, it represents the scaled, technology-enabled competitor QHS could face as clients grow.
Emerging players
- NikoHealth: NikoHealth provides cloud-based billing, compliance, and workflow software purpose-built for DME/HME suppliers. It overlaps with QHS in DME revenue cycle management, but differentiates as a software platform rather than a services firm, putting it in partial competition on claims and A/R workflows.
- McBee Associates: McBee Associates is a US healthcare consulting and outsourced services firm with strong roots in home health, hospice, and DME/post-acute billing and revenue cycle management. It is comparable to QHS in target customers (DME/home health) and core RCM service offering, though it operates as a larger consulting-driven firm.
Direct peers
- MedBill: MedBill is a US-based DME/HME and home health medical billing services company offering claim submission, A/R follow-up, and denial management to DME suppliers nationwide. Its specialization in the same DMERC and Medicare Part B workflows as QHS makes it a direct competitor for the same SMB DME customer base.
- Coronis Health: Coronis Health is a medical billing and RCM services company serving physician groups, hospitals, and specialty providers across multiple US states. It is comparable to QHS in business model (outsourced RCM, transaction-based pricing) and customer segment (SMB healthcare providers), though it operates at greater scale and across more verticals.
- Bonafide Health: Bonafide Health is a DME/HME-focused consulting and outsourced billing firm that, like QHS, serves Durable Medical Equipment suppliers and home health providers with revenue cycle and billing services. Overlapping specialty focus, SMB customer base, and percentage-of-collections pricing make it one of QHS's closest direct comparables.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat3 records
Key risks7 records
Key highlights7 records
Customer concentration
QHS Health social profiles
Digital presenceQHS Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
QHS Health leadership team
Management profileNumber of profiles
Profiles5 records
QHS Health funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
QHS Health 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 QHS Health
What does QHS Health do?
QHS Health provides end-to-end medical billing, provider credentialing, and revenue cycle management services for Durable Medical Equipment suppliers and home healthcare providers. The offering covers patient eligibility verification, accurate claims submission, denial management, A/R follow-up, payment posting, and ongoing financial reporting, with electronic HCFA claims transmitted to DMERCs, Medicaid, Commercial, Medicare Part B, and private payers across all 50 states. Service packages are organized by vertical specialties (DME, pharmacy, home health, wound care, orthopedic) and tiered by features under the Lite, Premium, and Premium+ plans.
Is QHS Health a public or private company?
QHS Health is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was QHS Health founded?
QHS Health was founded in 2010. It employs 11 to 50 people.
Where is QHS Health based?
QHS Health is headquartered in High Point, United States, in the North America region.
How does QHS Health make money?
One revenue line is on record: percentage of Collected Revenue.
Who are QHS Health's main competitors?
Broad incumbents on record are Brightree (ResMed), Waystar and R1 RCM. Emerging players are NikoHealth and McBee Associates. Direct peers are MedBill, Coronis Health and Bonafide Health.
Does QHS Health have an API?
No public API is recorded for QHS Health.
What industry is QHS Health in?
QHS Health's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACACAJ, Accounts Receivable (A/R) & Collections Management, with a secondary code of HLACACAD, Eligibility & Benefits Verification. Its NAICS code is 524292 and its SIC code is 6324.