Certified Healthcare Medical Billing Services

Name

Certified Healthcare Medical Billing Services

Legal name

Certified Healthcare Billing Services, Inc.

Website

https://chbmdbilling.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management Services

NAICS

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

SIC

Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industries

Claims Management, Scrubbing & Clearinghouse (HLACACAB), Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Patient Billing, Statements & Payment Processing (HLACACAG)

Keywords

• Medical billing services
• Revenue cycle management
• Claims processing
• Denial management
• EHR integration

Headquarters

HQ city

Pasadena

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

Revenue model

1. Percentage-of-Collection Medical Billing Services: CHB charges a percentage of collections as their primary revenue stream. Their fee is only applied when payments are received, making it a performance-based model. Rates start as low as 2.5% and vary based on monthly collection volume tiers. This aligns the company's incentives with client outcomes.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Certified Healthcare Medical Billing Services provides full-service, end-to-end medical billing, coding, and collection services for US-based physician practices and healthcare systems. The core offering is Revenue Cycle Management (RCM), spanning patient registration through final reimbursement, with specialty-specific billing across cardiology, dermatology, orthopedics, OB/GYN, neurology, pediatrics, podiatry, urgent care, mental health, and other verticals, supported by AI-driven claim scrubbing, denial management, AR follow-up, credentialing, payment posting, and integration with 50+ EHR platforms.

Product overview

Certified Healthcare Medical Billing Services (CHB) offers a unified, full-service medical billing platform primarily serving healthcare practices across California and nationally. The core offering is its Medical Billing Services platform, which encompasses end-to-end Revenue Cycle Management (RCM) including claims submission, medical coding, payment posting, patient balance billing, AR follow-up, denial management, and credentialing. This core platform is extended through several integrated service modules: EHR Integration and Management (supporting over 50 EHR systems), Accounts Receivable Follow-Up and Management Services, Denial Management Services, Credentialing Services, Payment Posting, Customer Support, and an Individual Account Executive program. The company also provides Specialty Medical Billing Services tailored to individual practice areas (cardiology, dermatology, orthopedics, OB/GYN, neurology, pediatrics, podiatry, urgent care, internal medicine, family medicine, mental health, general surgery, hospital, and urology). All services are powered by AI-driven automation including intelligent claim scrubbing and denial prevention, with pricing based on a percentage of collections. The company is based in California (Sunland/Los Angeles area) and Nevada.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Billing Services End-to-end medical billing services including claims submission, medical coding, payment posting, and patient balance billing, covering all medical specialties, sold to physician practices and healthcare providers.
• Revenue Cycle Management (RCM)
• Accounts Receivable (AR) Follow-Up and Management Services
• Denial Management Services
• Credentialing Services
• Payment Posting
• EHR Integration and Management
• Individual Account Executive Service
• Specialty Medical Billing Services
• Customer Support

Quantifiable outcome

• 25% average revenue increase for client practices
• +7 more outcomes

Named customers6 records

Segments12 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration20 records

AI capability5 records

Feature3 records

Partnerships

17 partnerships are on record, tiered core.

• EpiccoreTechnology or IntegrationIntegration partnership for seamless data exchange with Epic EHR systems. CHB has expertise in custom setups with Epic for billing workflow integration.
• Athena HealthcoreTechnology or IntegrationIntegration with Athena Health EHR platform for streamlined claims processing and billing integration.
• KareocoreTechnology or IntegrationProficiency in Kareo EHR software with deep understanding of billing service integration.
• Practice FusioncoreTechnology or IntegrationEHR integration and billing services for Practice Fusion users.
• CernercoreTechnology or IntegrationIntegration capability with Cerner EHR systems for healthcare data exchange.
• eClinicalWorkscoreTechnology or IntegrationEHR integration with eClinicalWorks for billing workflow optimization.
• Office AllycoreTechnology or IntegrationIntegration with Office Ally EHR platform for claims processing.
• AdvancedMDcoreTechnology or IntegrationIntegration with AdvancedMD EHR and practice management systems.
• AllscriptscoreTechnology or IntegrationIntegration capability with Allscripts EHR systems.
• AprimacoreTechnology or IntegrationEHR integration with Aprima for billing services.
• NextGen HealthcarecoreTechnology or IntegrationIntegration with NextGen EHR for healthcare data and billing workflow.
• WaystarcoreTechnology or IntegrationWaystar EHR integration capability for claims management.
• PCC (Pediatric Care Company)coreTechnology or IntegrationSpecialized integration with PCC pediatric EHR solutions with great understanding of billing service requirements.
• Elation HealthcoreTechnology or IntegrationIntegration with Elation EHR platform for billing workflow.
• TEBRAcoreTechnology or IntegrationIntegration with TEBRA EHR systems for healthcare billing.
• Simple PracticecoreTechnology or IntegrationIntegration with Simple Practice EHR for billing services.
• Practice SuitecoreTechnology or IntegrationIntegration with Practice Suite EHR platform.

Scale indicators7 records

Recent moves6 records

Expansion highlights2 records

Broad incumbents

• Waystar: Waystar provides enterprise healthcare claims management, patient billing, and revenue cycle software used by hospitals and large practices — a broader, scaled incumbent in claim scrubbing and denial management.
• athenahealth: athenahealth is a major EHR + revenue cycle management platform serving practices of all sizes with built-in billing, coding, and claim management — directly competing with CHB's outsourced RCM model for ambulatory practices.
• eClinicalWorks: eClinicalWorks is a large EHR vendor that also provides RCM and billing services for ambulatory practices, competing with CHB at the integrated-EHR-plus-billing layer.

Direct peers

• AdvancedMD: AdvancedMD provides cloud-based EHR, practice management, and RCM services to small and mid-sized medical practices — overlapping with CHB's target market of independent physician groups across multiple specialties.
• Aviacode: Aviacode specializes in outsourced medical coding and RCM services for healthcare providers — directly comparable on coding/clinical documentation support elements of CHB's offering.
• Coronis Health: Coronis Health provides outsourced medical billing, coding, and RCM services to physician groups and hospitals — competing for the same outsourced RCM dollar as CHB.
• GeBBS Healthcare Solutions: GeBBS provides outsourced medical billing, coding, and RCM services to hospitals and physician groups — a scaled comparable peer in outsourced revenue cycle management.
• Kareo (Tebra): Tebra (formerly Kareo) offers integrated EHR, practice management, and medical billing services aimed at independent practices — a directly comparable offering to CHB's specialty-agnostic outsourced billing model.
• BillingParadise: BillingParadise offers end-to-end medical billing, coding, and RCM services for physician practices across multiple specialties — a comparable outsourced billing services peer.
• Medusind: Medusind is a medical billing and RCM outsourcing company serving dental, medical, and specialty practices — a closely comparable outsourced billing services peer for multi-specialty practices.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/certified-healthcare-billing
• Instagraminstagram.com/chb.mdbilling

Compliance3 records

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 Certified Healthcare Medical Billing Services