Healthcare Management and Billing

What Healthcare Management and Billing does

Healthcare Management and Billing offers expertise and efficiency in the field of healthcare finance. Its team works hard to ensure the best medical billing solutions are utilized for every client. Its experienced team follows the newest guidelines for every claim to maximize revenue and in-house claim follow-up helps expedite claims.

Name

Healthcare Management and Billing

Legal name

Healthcare Management & Billing

Website

http://www.healthcaremb.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Healthcare Management and Billing is a medical consulting firm that offers practice management, claim processing, and other services.

Ownership category

akta.pro rank

Product category

Medical Billing and Revenue Cycle Management

NAICS

Office Administrative Services (5611)

SIC

Services-Management Services (8741), Services-Health Services (8000)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industry

Claims Management, Scrubbing & Clearinghouse (HLACACAB)

Keywords

• Practice management
• Revenue cycle management
• Healthcare consulting
• Claims processing
• Medical billing services

Headquarters

HQ city

Santa Rosa

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, Marketing or Sales, Operations

Revenue model

1. Medical Billing Services: Professional medical billing services for healthcare providers including claim processing, submission, follow-up, and payment posting. Services are tailored to organization needs with personalized support.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Healthcare Management and Billing (HMB) is a healthcare consulting and medical billing service firm that provides end-to-end revenue cycle management for home health agencies, hospice practices, and other healthcare providers nationwide. Its offerings include medical billing, claim process management, practice management, credentialing, and cost-optimization services delivered through proprietary medical billing software with electronic claim submission, claims scrubbing, and a secure client portal.

Product overview

Healthcare Management and Billing (HMB) offers a unified suite of healthcare billing and practice management services for home health care organizations and hospice practices nationwide. The portfolio consists of four integrated service modules: Medical Billing Services (handling claims submission, eligibility verification, and payment posting), Medical Claim Process Management (managing the complete billing cycle from start to finish), Practice Management (credentialing, reporting, and HIPAA compliance), and Cost Benefits and Savings (operational cost reduction). These services work together as a comprehensive revenue cycle management solution built on a state-of-the-art medical billing and management software platform.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Claim Process Management End-to-end medical claim process management service handling the complete billing cycle from claim submission through reimbursement, including follow-up on unpaid or disputed claims with all payers, freeing up valuable time and resources for clients.
• Medical Billing Services Comprehensive medical billing service covering Medicare, Medi-Cal/Medicaid, managed care, private pay, and special billings with eligibility verification, electronic submissions, claim follow-up, and payment posting, tailored to healthcare providers' needs.
• Practice Management Practice management solution providing physician credentialing, comprehensive billing services, insurance claim follow-up, reporting tools, payment posting, and HIPAA compliance assurance, leveraging extensive medical billing and management expertise.
• Cost Benefits and Savings Cost optimization service that helps reduce operational and capital expenditures through streamlined billing processes, eliminating the need for hardware/software purchases, new employees, and clearing house fees, with cited immediate savings of $5,000 to $50,000 and yearly average savings of $15,000.

Quantifiable outcome

• Immediate savings of $5,000 to $50,000 with no hardware or software purchase required
• +2 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Scale indicators3 records

Recent moves3 records

Expansion highlights3 records

Direct peers

• HHAeXchange: HHAeXchange is a home care-specific platform providing billing, scheduling, and EVV for home health and hospice agencies — the same verticals HMB targets, making it the closest direct competitor in HMB's niche.
• Tebra (formerly Kareo): Tebra offers practice management and medical billing software plus RCM services for small/mid healthcare practices, directly competing with HMB's bundled billing + practice management offering.

Broad incumbents

• athenahealth: athenahealth provides EHR-integrated practice management and RCM services to a broad provider base, including home health and hospice, overlapping with HMB's end-to-end billing proposition at larger scale.
• Waystar: Waystar delivers enterprise RCM, claims scrubbing, and payment processing across the healthcare industry, directly overlapping HMB's claims management and electronic submission capabilities.
• Availity: Availity operates a large healthcare clearinghouse and revenue cycle platform, competing in claims submission, eligibility verification, and payer connectivity — services HMB also provides.
• Experian Health: Experian Health offers RCM, claims management, and patient access solutions across providers, providing scaled alternatives to HMB's outsourced billing services.
• R1 RCM (now Tower Health RCM): R1 is a large-scale RCM outsourcing and managed billing services provider, addressing the same end-to-end billing cycle as HMB but primarily for hospital and large provider systems.
• eClinicalWorks: eClinicalWorks bundles EHR with practice management and billing for ambulatory providers including home health, overlapping with HMB's bundled practice management and billing services.
• Cerner / Oracle Health: Oracle Health (formerly Cerner) offers enterprise EHR-integrated billing and RCM capabilities that compete for the same healthcare provider wallet share as HMB at much greater scale.

Others

• CareCentrix / Modivcare (home health services segment): Modivcare's home and community services segment operates in home health with managed care contracting experience, representing an adjacent ecosystem participant that could partner with or compete against HMB in the home health billing space.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/healthcare-management-and-billing-inc-

Compliance1 record

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 Healthcare Management and Billing