First Professional Services
First Professional Services is a founder-owned, Loveland, Colorado-based revenue cycle management company founded in 1987 that provides medical billing, coding, auditing, MIPS support, and reporting services to physician practices and medical groups across the United States on a percentage-of-collections pricing model.
- Company typePrivate
- Founded1987
- HeadquartersLoveland, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What First Professional Services does
First Professional Services (FPS) is a privately held, founder-owned revenue cycle management (RCM) company founded in 1987 and headquartered in Loveland, Colorado. The company provides medical billing, coding, auditing, and end-to-end RCM services to physician practices and medical groups across multiple specialties, generating revenue through a percentage-based billing rate applied to client collections. Service delivery covers the full revenue cycle, including electronic claim submission, denial mitigation and appeals, patient inquiry handling, credit balance management, physician credentialing, and insurer contract negotiation support.
FPS offers four integrated service modules: Revenue Cycle Management (the core billing, coding, and collections offering staffed by certified professional coders), Audit/Compliance Programs (workflow analysis, documentation review, EHR usage assessment, and onsite education), MIPS Assistance (navigation and reporting for the Medicare Quality Payment Program under MACRA), and Reporting/Metrics (business intelligence with pre-defined, flex, and ad-hoc custom reports powered by a relational search-based data extraction tool). The technology stack emphasizes EHR integration, electronic claim submission, and configurable reporting, supported by an in-house IT team handling payer and vendor data exchanges.
The go-to-market is consultative and direct-sales led, with business development professionals offering free confidential consultations to physician practices, supplemented by inbound website inquiries. Marketing is concentrated in content (blog, social media on Facebook, Twitter/X, and Pinterest) and earned media, including a 2019 Forbes.com feature of the founder. The company operates from a single U.S. location with 11-50 employees, has never raised external capital, and has maintained a stated policy of never raising client billing percentages.
First Professional Services firmographics
Firmographics- Name
- First Professional Services
- Legal name
- First Professional Services
- Website
- https://1stprofessional.com
- Company type
- Private
- Founded year
- 1987
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- First Professional Services is a founder-owned, Loveland, Colorado-based revenue cycle management company founded in 1987 that provides medical billing, coding, auditing, MIPS support, and reporting services to physician practices and medical groups across the United States on a percentage-of-collections pricing model.
- Ownership category
- akta.pro rank
First Professional Services industry classification
Industry- Product category
- Medical Billing & Revenue Cycle Management Services
- NAICS
- Accounting, Tax Preparation, Bookkeeping, and Payroll Services (54121)
- SIC
- Services-Management Services (8741), Services-Prepackaged Software (7372)
- akta.pro primary industry
- Medical Billing & Coding Automation (HLACACAA)
Keywords
Where First Professional Services is headquartered
LocationHeadquarters
- HQ city
- Loveland
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
First Professional Services business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Revenue Cycle Management Services: Percentage-based billing rate for comprehensive revenue cycle management services including billing, coding, auditing, and collections. Services are bundled into the standard RCM billing rate, including denial mitigation, credentialing, and compliance support.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Revenue Cycle Management bundled services |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels4 records
First Professional Services product offering
Product offeringCore offering
First Professional Services provides outsourced revenue cycle management for physician practices, bundling medical billing, coding by certified professionals, denial mitigation and appeals, credentialing administration, insurer contract negotiation, regulatory and compliance support (MIPS, E/M documentation), and business intelligence reporting into a single recurring service engagement. Deliveries are powered by electronic claim submission, EHR and payer integrations maintained by an in-house IT team, and a relational search-based business intelligence tool that lets practices pull operational and financial data on demand.
Product overview
First Professional Services offers a unified revenue cycle management platform consisting of four integrated service modules: Revenue Cycle Management (billing, coding, and collections), Audit/Compliance Programs (coding audits and regulatory compliance), MIPS Assistance (Medicare Quality Payment Program navigation), and Reporting/Metrics (business intelligence and custom reporting). These modules work together as a comprehensive solution designed to maximize reimbursements and ensure regulatory compliance for physician practices.
Differentiator
Problem solved
Functional benefit
Products and services
- Revenue Cycle Management End-to-end billing, coding, and collections service for physician practices, with dedicated billing teams, certified coder coding and auditing, electronic claim submission, denial mitigation with re-submissions and appeals, patient inquiry handling, credit balance management and refund issuance, monthly reporting, physician credentialing administration, insurer contract negotiation support, regulatory and legislative advisory, and compliance with local, state, and federal regulations. Delivered as a recurring percentage-based engagement billed monthly.
- Audit/Compliance Programs Coding and billing audit and compliance service for physician practices, including workflow analysis of documentation and coding cycles, review of current documentation and coding, assessment of EHR usage for appropriateness and compliance, on-site education sessions for findings and documentation/coding training, evaluation and management (E/M) audits, and surgical documentation and coding audits. Annual audits and compliance policy reviews help clinics reduce OIG, CMS, and modifier 59 audit risk.
- MIPS Assistance Navigation and reporting support for the Merit-based Incentive Payment System (MIPS) under MACRA's Quality Payment Program, covering the four performance categories of Quality, Cost, Improvement Activities, and Promoting Interoperability. Helps clinicians understand scoring weights, prepare for MIPS Final Score calculations, and manage positive or negative Medicare payment adjustments.
- Reporting/Metrics Business intelligence and reporting service for medical practices, providing pre-defined reports, flex reports, and ad-hoc custom reports based on client needs. Includes a Relational Search BI tool that lets users extract any data in the system by typing queries into a search bar, similar to a website search, enabling faster financial and operational decision-making.
Companies that use First Professional Services
Customer profileNamed customers1 record
Segments1 record
Ideal customer profiles1 record
First Professional Services technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
First Professional Services partnerships and signals
Strategic signalScale indicators3 records
Recent moves5 records
Expansion highlights4 records
First Professional Services competitors and assessment
Company assessmentDirect peers
- Practice Management USA: Provides medical billing, coding, and revenue cycle management services primarily to physician practices and small medical groups. Closely comparable in target customer (independent physician practices), service mix (billing/coding/audits), and percentage-based fee model.
- Kareo (Tebra): Integrated practice management, EHR, and medical billing/RCM platform targeting small to mid-sized physician practices. Comparable in serving independent practices with bundled billing services, though Tebra delivers via SaaS rather than service-only model.
- AdvancedMD: Cloud-based practice management, EHR, and RCM service bureau for small and independent medical practices. Overlaps with FPS on outsourced billing, coding, and claim management for physician groups.
- CureMD: Offers EHR, practice management, and medical billing/RCM services to physician practices across specialties. Comparable in serving small/medium physician groups with outsourced billing and coding workflows.
- Coding Network: Medical coding, auditing, and RCM services for physician practices and specialty groups. Closely comparable niche overlap on certified coder expertise, audit services, and specialty-specific coding support.
Broad incumbents
- athenahealth: Large, established vendor of cloud-based EHR, practice management, and RCM services to physician practices and health systems. Broader portfolio (EHR + billing) and materially larger scale than FPS, but competes head-to-head for the same physician-practice RCM accounts.
- NextGen Healthcare: Provides EHR, practice management, and RCM solutions to ambulatory practices and specialty groups. Competes with FPS in physician-practice billing/collections, but as part of a larger integrated suite of products.
- R1 RCM: Major RCM company serving hospitals, health systems, and physician groups with end-to-end revenue cycle services. Overlaps with FPS in physician-billing RCM but addresses much larger enterprise customers with technology-led delivery.
- Optum (UnitedHealth Group): One of the largest healthcare services and RCM providers in the U.S., serving payers, providers, and physician practices. Comparable category (outsourced RCM and medical billing) but at vastly larger scale and with capital, payer relationships, and technology beyond FPS's reach.
Others
- AAPC (American Academy of Professional Coders): Provides medical coding training, certification, and education resources used by physician practices and RCM vendors. Adjacent rather than competitive; FPS's certified coders typically hold AAPC credentials, making AAPC a relevant ecosystem participant.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat3 records
Key risks6 records
Key highlights7 records
Customer concentration
First Professional Services social profiles
Digital presenceFirst Professional Services financial estimates
Financial estimateRevenue estimate
Valuation estimate
First Professional Services leadership team
Management profileNumber of profiles
First Professional Services funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
First Professional 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 First Professional Services
What does First Professional Services do?
First Professional Services provides outsourced revenue cycle management for physician practices, bundling medical billing, coding by certified professionals, denial mitigation and appeals, credentialing administration, insurer contract negotiation, regulatory and compliance support (MIPS, E/M documentation), and business intelligence reporting into a single recurring service engagement. Deliveries are powered by electronic claim submission, EHR and payer integrations maintained by an in-house IT team, and a relational search-based business intelligence tool that lets practices pull operational and financial data on demand.
Is First Professional Services a public or private company?
First Professional Services is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was First Professional Services founded?
First Professional Services was founded in 1987. It employs 11 to 50 people.
Where is First Professional Services based?
First Professional Services is headquartered in Loveland, United States, in the North America region.
How does First Professional Services make money?
One revenue line is on record: revenue Cycle Management Services.
Who are First Professional Services's main competitors?
Direct peers on record are Practice Management USA, Kareo (Tebra), AdvancedMD, CureMD and Coding Network. Broad incumbents are athenahealth, NextGen Healthcare, R1 RCM and Optum (UnitedHealth Group). AAPC (American Academy of Professional Coders) is listed as an others.
Does First Professional Services have an API?
No public API is recorded for First Professional Services.
What industry is First Professional Services in?
First Professional Services's product category is Medical Billing & Revenue Cycle Management Services. Its primary akta.pro industry code is HLACACAA, Medical Billing & Coding Automation. Its NAICS code is 54121 and its SIC code is 8741.