Medical Management Services
Medical Management Services is a founder-owned revenue cycle management company in Columbus, Georgia providing medical billing, coding, and denial management to hospital-based practices, anesthesia groups, ASCs, and emergency medicine providers across multiple states under a percentage-of-collections pricing model.
- Company typePrivate
- Founded1987
- HeadquartersColumbus, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What Medical Management Services does
Medical Management Services (MMS), operating under the brand "My Billing Guy," is a privately held, founder-owned medical billing and revenue cycle management (RCM) company headquartered in Columbus, Georgia. Founded in 1987 by Mark Manning, the company provides end-to-end RCM services to healthcare practices across multiple states, with particular specialization in hospital-based practices, anesthesia, pain management, emergency medicine, and ambulatory surgery centers (ASCs). The offering combines medical billing, claims processing, denial management, medical coding by AAPC-certified professional coders, reimbursement optimization, credentialing, compliance education, and management reporting.
The underlying technology stack includes electronic claims submission (with over 95% of claims filed electronically), EDI-based payer reporting for acceptance verification, rule-based A/R follow-up queues with daily aging reports, payment variance tracking against contracted payer rates, and a patient-facing online bill pay module. Service quality is reinforced through a compliance education program that ingests regulatory updates from Medicare, Medicaid, Tricare, Blue Cross Blue Shield, and major commercial payers, as well as from Decision Health, AAPC Coding Edge, and MGMA publications.
MMS generates revenue under a percentage-of-net-collections pricing model that aligns its incentives with client reimbursement outcomes, supplemented by bundled practice management services such as payroll and accounts payable. Go-to-market is direct and founder-led, relying on consultative demos, free denial rate analysis, and 15-minute consultations targeted at physician groups, hospitals, and surgery centers. Distribution is exclusively direct sales with no channel partners or resellers. The company has reported client relationships spanning 25-30+ years, with named customers explicitly noting they returned to MMS after attempting alternative billing services.
Medical Management Services firmographics
Firmographics- Name
- Medical Management Services
- Legal name
- Medical Management Services
- Website
- https://mybillingguy.com
- Company type
- Private
- Founded year
- 1987
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Medical Management Services is a founder-owned revenue cycle management company in Columbus, Georgia providing medical billing, coding, and denial management to hospital-based practices, anesthesia groups, ASCs, and emergency medicine providers across multiple states under a percentage-of-collections pricing model.
- Ownership category
- akta.pro rank
Medical Management Services industry classification
Industry- Product category
- Medical Billing and Revenue Cycle Management Services
- SIC
- Services-Health Services (8000)
- akta.pro industry
- Medical Coding, Billing & Clinical Documentation SupportBusiness & Public Services/Administrative & Support Services (BPO, Call Centers, Back Office)/Claims Processing & Adjudication SupportHealthcare Billing & Patient Payments Presentment
Keywords
Where Medical Management Services is headquartered
LocationHeadquarters
- HQ city
- Columbus
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Medical Management Services business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- Revenue Cycle Management Services: MMS charges fees based on a percentage of net collections, providing incentive for the company to maximize collections for clients. This performance-based pricing aligns MMS interests with client revenue outcomes. The percentage-based model means fees scale with client revenue, creating a partnership dynamic rather than a fixed cost arrangement.
- Practice Management Services: Comprehensive practice management services including billing, collections, payroll, accounts payable, and overall medical practice management. Services are bundled with core RCM offerings.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Percentage of Net Collections |
Go-to-market motion2 records
Distribution channels1 record
Marketing channels6 records
Medical Management Services product offering
Product offeringCore offering
Medical Management Services provides outsourced medical billing, revenue cycle management, and medical coding services to healthcare practices. The company handles claims submission, payment posting, denial management, A/R follow-up, appeals, reimbursement optimization, credentialing, and compliance education. Specialty expertise covers anesthesia, pain management, emergency medicine, ambulatory surgery centers, general surgery, pediatrics, and OB/GYN practices.
Product overview
Medical Management Services (MMS) offers a unified medical billing and revenue cycle management platform designed for healthcare practices. The core offering combines Medical Billing Services, Revenue Cycle Management (RCM), and Medical Coding Services delivered by Certified Professional Coders. Supporting modules include Compliance Education providing ongoing regulatory updates, Management Reports for financial analysis, Online Bill Pay for patient payments, and Credentialing Services. The company specializes in high-acuity specialties including anesthesia, pain management, emergency medicine, and ambulatory surgery centers (ASCs), with dedicated Claims Processing infrastructure that files over 95% of claims electronically. Additional services include Reimbursement Optimization and Denial Management and Appeals to maximize collections. The platform operates as a turnkey system focused on reducing administrative burden while maximizing reimbursement through comprehensive A/R follow-up and payer-specific expertise.
Differentiator
Problem solved
Functional benefit
Products and services
- Medical Billing Services Comprehensive medical billing services including claims submission, payment posting, denial management, and accounts receivable follow-up designed to maximize revenue collection for healthcare practices.
- Revenue Cycle Management (RCM) End-to-end revenue cycle management solution covering charge capture, claims processing, payment posting, and collections to ensure maximum reimbursement for medical practices.
- Compliance Education Program Ongoing compliance education program for certified coders and clients, providing resources from Decision Health Publications, AAPC Coding Edge, MGMA newsletters, and automatic updates from Medicare, Medicaid, Tricare, Blue Cross Blue Shield, and major commercial managed care payers.
- Management Reports Customized financial reporting and analysis including charges, revenue, and adjustment breakdowns by physician, referral source, service location, and payer class, with A/R aging and analysis reports.
- Online Bill Pay Digital bill payment platform allowing patients to pay medical bills online without traditional paper-based methods.
- Credentialing and Provider Enrollment Provider enrollment and payer credentialing services to help medical practices get properly enrolled with insurance companies.
- Medical Coding Services Professional coding services performed by Certified Professional Coders with full AAPC certification, covering E&M procedure, diagnosis, and HCPCS coding for medical practices.
- Anesthesia and Pain Management Billing Specialized billing programs developed for anesthesia and pain management medical specialties with expertise in reimbursement patterns and allowable amounts.
- Emergency Medicine Billing Specialized billing services for emergency medicine practices, handling the unique coding and billing requirements of emergency care settings.
- Claims Processing Electronic claims submission with over 95% filed electronically, using EDI payer reports to verify acceptance and front-end action for resubmission when claims are not accepted.
- Reimbursement Optimization Maximum reimbursement services including knowledge of reimbursement patterns and allowable amounts, complete A/R follow-ups, appeals of incorrect payer remittance or denials, and consistent billing statements.
- Denial Management and Appeals Front-end claims audit plus back-end denial analysis and appeals services to recover denied or incorrectly paid claims.
Quantifiable outcome
- Over 95% of claims filed electronically for faster cash flow turnaround
- +4 more outcomes
Companies that use Medical Management Services
Customer profileNamed customers4 records
Segments8 records
Ideal customer profiles4 records
Medical Management Services technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
Medical Management Services partnerships and signals
Strategic signalScale indicators5 records
Recent moves1 record
Expansion highlights3 records
Medical Management Services competitors and assessment
Company assessmentDirect peers
- AdvancedMD: AdvancedMD is a cloud-based medical billing and RCM platform serving independent physician practices with EHR, practice management, and revenue cycle services. Directly competes with MMS in the ambulatory medical billing market, particularly for specialty and small-to-mid practice segments.
- Kareo (now Tebra): Tebra (formerly Kareo) offers an integrated practice management, EHR, and medical billing platform designed for independent practices. Targets the same small-to-mid specialty practice segment as MMS with a SaaS-enabled RCM service model.
- CareCloud (formerly MTBC): CareCloud provides cloud-based revenue cycle management, practice management, and EHR solutions to physician practices across multiple specialties. Competes directly with MMS in specialty billing services and ambulatory RCM.
- BillingParadise: BillingParadise is a medical billing and RCM services company specializing in end-to-end revenue cycle management for physician practices across multiple specialties. Closely comparable to MMS in service model, specialty focus, and target customer.
- CureMD: CureMD offers integrated EHR, practice management, and medical billing services for specialty practices including anesthesia and pain management. Closely aligned with MMS's specialty RCM focus and target customer base.
- Medical Billing Services (MBS): MBS is a third-party medical billing company offering RCM, coding, and practice management services to physician practices. Operates in the same boutique RCM service model as MMS, targeting specialty practices and ambulatory groups.
Broad incumbents
- athenahealth: athenahealth is a large, established healthcare technology platform offering integrated EHR, practice management, and revenue cycle management services. While it serves a similar end market, it operates at significantly larger scale and with a broader suite than MMS's specialty RCM focus.
- eClinicalWorks: eClinicalWorks is a major ambulatory EHR and practice management vendor with integrated RCM services. Competes with MMS indirectly by offering bundled billing through its platform to the same practice segments.
- Greenway Health: Greenway Health provides EHR, practice management, and revenue cycle management solutions to ambulatory practices. An incumbent competitor in the broader physician-practice RCM market where MMS competes.
Regional players
- Prominence Health Plan: Prominence Health is a regional health plan and provider organization that also operates in the medical billing and RCM services space. Functions as a regional player with healthcare administrative services potentially overlapping with MMS's geographic focus.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat3 records
Key risks6 records
Key highlights7 records
Customer concentration
Medical Management Services social profiles
Digital presenceMedical Management Services financial estimates
Financial estimateRevenue estimate
Valuation estimate
Medical Management Services leadership team
Management profileNumber of profiles
Profiles3 records
Medical Management Services funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Medical Management Services 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 Medical Management Services
What does Medical Management Services do?
Medical Management Services provides outsourced medical billing, revenue cycle management, and medical coding services to healthcare practices. The company handles claims submission, payment posting, denial management, A/R follow-up, appeals, reimbursement optimization, credentialing, and compliance education. Specialty expertise covers anesthesia, pain management, emergency medicine, ambulatory surgery centers, general surgery, pediatrics, and OB/GYN practices.
Is Medical Management Services a public or private company?
Medical Management Services is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Medical Management Services founded?
Medical Management Services was founded in 1987. It employs 101 to 250 people.
Where is Medical Management Services based?
Medical Management Services is headquartered in Columbus, United States, in the North America region.
How does Medical Management Services make money?
Two revenue lines are on record. Revenue Cycle Management Services are the primary driver. The others are practice Management Services.
Who are Medical Management Services's main competitors?
Direct peers on record are AdvancedMD, Kareo (now Tebra), CareCloud (formerly MTBC), BillingParadise, CureMD and Medical Billing Services (MBS). Broad incumbents are athenahealth, eClinicalWorks and Greenway Health. Prominence Health Plan is listed as a regional player.
Does Medical Management Services have an API?
No public API is recorded for Medical Management Services.
What industry is Medical Management Services in?
Medical Management Services's product category is Medical Billing and Revenue Cycle Management Services. Its primary akta.pro industry code is BPAAAFAD, Medical Coding, Billing & Clinical Documentation Support, with a secondary code of FSAMAJAH, Healthcare Billing & Patient Payments Presentment. Its SIC code is 8000.