Healthcare Billing Services

What Healthcare Billing Services does

Healthcare Billing Services Inc. (HBS) is a privately held, Ohio-based professional services firm that provides Medicaid billing, documentation, and cost-reporting services exclusively to Ohio school districts participating in the Ohio Medicaid School Program (MSP). Founded circa 1989 and headquartered at 55 High Street, Carroll, Ohio, the company has served the Ohio K–12 market for over 35 years and maintains working relationships with the Ohio Department of Education & Workforce and the Ohio Department of Medicaid. Its service portfolio spans the full school-Medicaid reimbursement lifecycle: IEP/SSPOC documentation, therapist provider enrollment (NPI/CAQH/Medicaid revalidations), Random Moment Time Study (RMTS) participation, parental consent management, cost reporting and final settlement, AUP audits, contract procurement support, and indirect cost recovery.

HBS's core technology asset is the MSP Documentation System, a web-based platform (hosted at hbs.openpracticesolutions.com) that allows therapists, treasurers, and administrators to log Medicaid-billable services, manage parental consent, and submit billing for Ohio districts. The platform is supplemented by live documentation training webinars (annual August–December cadence with April refreshers), an active MSP bulletin publication program covering regulatory updates, and dedicated customer support with same-day email response. The company is HIPAA-compliant and handles protected health information within secure communication channels.

HBS monetizes through professional services fees — both percentage-based and fixed-fee billing arrangements per Ohio MSP bulletins — for billing processing, documentation system access, training, and compliance support. The go-to-market is sales-led, with direct engagement of district administrators, treasurers, and therapists across Ohio. The customer base is exclusively Ohio public school districts and the stakeholder ecosystem around them (therapists, treasurers, administrators, parents), giving the firm deep vertical specialization but limiting geographic and segment diversification.

Name

Healthcare Billing Services

Legal name

Healthcare Billing Services Inc.

Website

https://teamhbs.com

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

1–10 employees

Short description

Healthcare Billing Services Inc. is a privately held Ohio firm that provides Medicaid billing, documentation, cost reporting, and compliance support exclusively to Ohio school districts participating in the Ohio Medicaid School Program, via a web-based documentation system and direct professional services.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management (School Medicaid Billing)

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Healthcare Billing & Patient Payments Presentment (FSAMAJAH)

Keywords

• Medicaid billing services
• School healthcare billing
• Medicaid cost reporting
• MSP documentation
• Medicaid compliance training

Headquarters

HQ city

Carroll

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medicaid Billing Services: HBS provides comprehensive Medicaid billing services to Ohio school districts, assisting them in obtaining Medicaid reimbursement they are entitled to while maintaining program integrity. Revenue is derived from fees for billing services, documentation system access, training, and compliance support.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Healthcare Billing Services provides comprehensive Medicaid billing services to Ohio school districts under the Ohio Medicaid School Program. The company operates a web-based documentation system for therapists and providers, delivers live documentation training webinars, and offers cost reporting, AUP audit assistance, and ongoing customer support to help districts maximize entitled Medicaid reimbursement while maintaining program integrity. HBS works closely with the Ohio Department of Education & Workforce and Ohio Department of Medicaid to maintain compliance with state-specific MSP regulations.

Product overview

Healthcare Billing Services provides a comprehensive Medicaid billing service portfolio for Ohio school districts. The core offering is the MSP Documentation System—a web-based platform for managing Ohio Medicaid School Program documentation and billing workflows. This is complemented by documentation training webinars, cost reporting services, and dedicated customer support. The company has over 35 years of experience serving Ohio schools, working directly with the Ohio Department of Education & Workforce and Ohio Department of Medicaid to help districts obtain entitled Medicaid reimbursements while maintaining program integrity.

Differentiator

Problem solved

Functional benefit

Products and services

• MSP Documentation System Web-based documentation and billing management system for the Ohio Medicaid School Program, providing login access for therapists and providers to manage Medicaid billing workflows, IEP/SSPOC tracking, parental consent management, and billing processing for Ohio school districts.
• Medicaid Billing Services Comprehensive Medicaid billing services for Ohio school districts under the Ohio Medicaid School Program (MSP), providing reimbursement assistance, compliance management, and administrative support. Delivered to Ohio districts for over 35 years.
• HBS Documentation Training Webinars Live training webinars for the MSP documentation system, covering documentation procedures, system usage, and compliance requirements for Ohio school-based providers. Sessions include documentation training, nurses training, and refresher courses.
• Cost Reporting Services Assistance with Ohio Medicaid School Program cost reporting and final settlement processes, including PNM system filing, adjudication order management, reimbursement tracking, and AUP audit support for school district treasurers.
• Customer Support Service On-demand customer support for therapists, treasurers, parents, and administrators, with same-day response for inquiries about software, financial data, and parental consent. Includes quarterly reports to districts on students missing parental consent.

Named customers1 record

Segments5 records

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• Public Consulting Group: Public Consulting Group (PCG) operates a large school Medicaid billing and consulting practice that helps districts secure federal Medicaid reimbursements. It is one of the most direct competitors to HBS in the outsourced school-Medicaid billing services category.
• Frontline Education: Frontline Education provides K-12 administrative and operations software, including a Medicaid claiming solution used by school districts nationwide. It directly competes with HBS in school-based Medicaid billing and documentation, serving similar district customers with overlapping functionality.

Broad incumbents

• Conduent: Conduent is a large government and healthcare services provider that includes Medicaid claims processing, eligibility, and school-based claiming in its portfolio. It operates broadly across government services and overlaps with HBS in Medicaid administrative workflows.
• Maximus: Maximus provides government services across health, education, and human services, including Medicaid eligibility, enrollment, and program administration support. It overlaps with HBS in the broader Medicaid administration ecosystem serving public-sector clients.
• Gainwell Technologies: Gainwell Technologies is a major health and human services technology and services provider to state Medicaid agencies, including modules that touch school-based Medicaid claiming. It is a broad incumbent in the same payer-administration ecosystem as HBS.

Emerging players

• CentralReach: CentralReach provides practice management, clinical, and billing software for ABA and therapy providers, including features relevant to school-contracted services. It intersects with HBS's therapist-segment workflows but does not focus on Ohio's Medicaid School Program specifically.
• Therapy Brands: Therapy Brands offers practice management and billing software for therapy practices, including school-based therapists. It partially overlaps with HBS's therapist-facing documentation and billing workflows, particularly for OT/PT/SLP providers in Ohio districts.

Others

• PresenceLearning: PresenceLearning delivers online speech, OT, and mental health services to K-12 schools and supports related Medicaid billing workflows. It is an adjacent ecosystem participant rather than a direct billing services competitor to HBS.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/healthcare-billing-services-inc.

Compliance1 record

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 Healthcare Billing Services