Medical Management Solutions

What Medical Management Solutions does

Medical Management Solutions, Inc. (MMS) is a privately held, founder-operated healthcare services firm founded in 1987 by Mohammad Ali Dorafshar and headquartered in Canoga Park, California. The firm delivers three core service lines to medical practices across Southern California: full-service medical billing and revenue cycle management (CPT/ICD coding review, fee schedule design, electronic claims submission, ERA processing, daily charge posting, and persistent unpaid charge collection); practice management consulting built around a proprietary GAP analysis methodology (scheduling, eligibility and benefits verification, EHR/EMR selection, MIPS QPP reporting, HEDIS/P4P coding, and personnel management); and Health Plans Enrollment, including credentialing and contract negotiation across PPOs, HMOs, IPAs, Medicare, and Medi-Cal. A supplementary Medical Marketing Services module extends the offering with community outreach and patient referral programs. The firm's underlying technology stack is built on cloud-based servers running Cal-Med and Prime Clinical Systems for billing and collections, with 100% HIPAA-compliant hosting, multi-daily independent backups, firewalls, and 24/7 client portal access for practice users.

The company monetizes through a transaction-based, percentage-of-collections model, typically priced at 6-8% of gross receipts and determined by specialty, practice size, and scope of services; under this structure the firm is not paid unless the client is paid. GTM is sales-led and direct: the firm markets via its website (medicalmanagementsolutions.com), toll-free and direct phone lines (800-559-5021, 818-999-0099), and word-of-mouth referrals, assigning dedicated account specialists to each practice. Customer segments include individual practitioners, multi-specialty groups, surgery centers, DME suppliers, radiology centers, and urgent care providers, with named clients spanning Cedars Health Clinic, Tarzana Multi-Specialty Medical Center, Diamond Reference Laboratory, Pars Medical Clinic, Casa De Salud, Allergy and Asthma Clinics of Orange County, Bahari Medical Group, and Shiraz Medical Group, among others. Operational scale is modest: a team of 18+ staff carrying 200+ combined years of medical management experience serves 100+ practices, generating a stated 25% typical client revenue uplift within six months and serving primarily the Southern California market without disclosed geographic expansion beyond it.

Name

Medical Management Solutions

Legal name

Medical Management Solutions, Inc.

Website

https://medicalmanagementsolutions.com

Company type

Private

Founded year

1987

Operating status

Operating

Headcount range

11–50 employees

Short description

Medical Management Solutions, founded in 1987 and headquartered in Canoga Park, California, provides medical billing, practice management consulting, and MCO contracting services to over 100 medical practices across Southern California on a percentage-of-collections basis.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management (Medical Billing & Practice Consulting)

NAICS

Professional, Scientific, and Technical Services (54)

SIC

Services-Health Services (8000), Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro primary industry

Accounts Receivable (A/R) & Collections Management (HLACACAJ)

akta.pro secondary industries

Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Medical Debt Collection & Revenue Cycle Bad-Debt Recovery (FSAKAJAM)

Keywords

• Medical billing services
• Revenue cycle management
• Practice management consulting
• Health plan enrollment
• MIPS quality reporting

Headquarters

HQ city

Canoga Park

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medical Billing Services: Percentage-based fee determined by specialty, size of practice, and type of services. Fees typically range from 6% to 8% of gross receipts/collections. This is a performance-based model where the company does not get paid unless the client gets paid.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels2 records

Core offering

Medical Management Solutions provides outsourced medical billing, coding, and accounts receivable services, along with practice management consulting and Managed Care Organization (MCO) enrollment/credentialing, primarily for medical practices in Southern California. Revenue is generated through a percentage-of-collections fee model, complemented by strategic consulting (using a proprietary GAP analysis) and health plan contracting services. A supplementary medical marketing module extends the offering with community outreach, hospital marketing, and referral programs.

Product overview

Medical Management Solutions offers a suite of three integrated core service lines for medical practices: Medical Billing Services, Practice Management Consulting, and Health Plans Enrollment. These services are designed to work together—billing services manage the revenue cycle, practice management consulting optimizes operational workflows and compliance, and health plans enrollment handles MCO contracting and credentialing. A supplementary Medical Marketing Services module extends the offering with community outreach and referral programs. The company serves over 100 Southern California medical practices including specialists, surgery centers, DME suppliers, and radiology centers, leveraging over 30 years of industry experience and a proprietary GAP analysis methodology to deliver a typical 25% revenue increase within six months.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Billing Services Full-service medical billing and coding for medical practices, including revenue cycle management, CPT/ICD coding review, fee schedule design, electronic claims submission, ERA processing, daily charge posting, persistent unpaid charge collection, EOB process improvement, and 24/7 online data access. Designed for specialists, surgery centers, DME suppliers, radiology centers, laboratories, urgent care, and multi-specialty medical groups.
• Practice Management Consulting Strategic consulting using a proprietary GAP analysis process to improve medical practice operations, covering scheduling and admission, eligibility and benefits verification, fee schedule design, health plan contract review, EHR/EMR selection, MIPS Quality Payment Program reporting, HEDIS coding, personnel management, and overall business intelligence. Targeted at medical practice owners and operators across Southern California.
• Health Plans Enrollment Managed Care Organization (MCO) contracting and enrollment services covering PPOs, HMOs, IPAs, Medicare, and Medi-Cal programs, including credentialing package preparation, contract negotiation, and enrollment approval follow-through. Designed to maximize patient load and profitability for medical practices.
• Medical Marketing Services Supplementary marketing services for medical practices, including hospital financial assistance negotiation, start-up loan access, shared hospital marketing programs, community promotion via radio/TV/social media, patient referral increase programs, and website design consulting.

Quantifiable outcome

• 25% typical revenue increase within 6 months
• +4 more outcomes

Named customers9 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

One partnership is on record.

• Cal-MedcoreTechnology or IntegrationCal-Med is used as the medical billing and collection software platform for processing claims and managing client billing operations.

Scale indicators5 records

Recent moves4 records

Market position

Strengths5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Medical Management Solutions