Practice Management Solutions
Practice Management Solutions is a Stafford, Virginia-based medical billing and practice management firm providing claims filing, coding, credentialing, and revenue cycle support to independent healthcare practices across the United States.
- Company typePrivate
- Founded2017
- HeadquartersStafford, United States
- Headcount1–10
- GTM typeB2B
- OfferingServices
What Practice Management Solutions does
Practice Management Solutions is a Stafford, Virginia-based medical billing and practice management services company founded in 2017 that serves independent healthcare practices across the United States. The company is structured as a privately held LLC, employs 1–10 people, and is led by President and CEO Aleshia Silva, a Certified Coding Specialist (Physician) with prior experience in the healthcare claims industry. The firm delivers three core service lines: Medical Billing Services (electronic and paper claims filing to primary, secondary, and tertiary payers, coding, claims tracking, payment posting, and A/R follow-up), Practice Management Services (eligibility verification, authorization, claims scrubbing, appeals, monthly reporting, and charge entry), and Credentialing Services (initial and re-credentialing, CAQH and NPI registration, Medicare 855 applications, and license renewal reminders). All work is delivered onshore from its 800 Corporate Drive headquarters with no offshore outsourcing.
Underlying these services is a proprietary web-based, HIPAA-compliant cloud platform that integrates scheduling, patient management, documentation, and reporting modules, with optional eSuperbills, ePrescribe, eEligibility, and EHR/EMR integration. Notable technical components include a rules-based claims scrubber that catches coding and field errors pre-submission, customizable collections worklists tailored to each practice's payer mix, and a drag-and-drop electronic document transfer system with request logging. The company targets a vertically segmented mix of specialties — pain management, anesthesiology, urology, surgical centers, urgent care, family/internal/general practice, chiropractic, mental health, emergency medicine, and therapy — and serves them nationally through a consultative, sales-led go-to-market executed via its website, direct phone outreach, and free practice analyses.
Revenue is generated primarily through flat monthly subscription fees customized to each practice based on services requested and a practice analysis; pricing is not publicly disclosed. Marketing channels are limited and relationship-driven — the company website, contact-form inquiries, direct phone outreach, and professional association memberships in AMBA and AHIMA — with no evidence of paid digital marketing or channel partnerships. Quoted operational metrics include 95% of claims submitted within 24–48 hours, a 100% clean-claims-on-first-submission target, a one-business-day call/email response guarantee, and customer-reported receivables times reduced to roughly one-quarter of typical practice levels. The company has no disclosed external funding, no parent company, no acquisitions, and no patents.
Practice Management Solutions firmographics
Firmographics- Name
- Practice Management Solutions
- Legal name
- Practice Management Solutions, LLC
- Website
- https://p-mgmtsolutions.com
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Practice Management Solutions is a Stafford, Virginia-based medical billing and practice management firm providing claims filing, coding, credentialing, and revenue cycle support to independent healthcare practices across the United States.
- Ownership category
- akta.pro rank
Practice Management Solutions industry classification
Industry- Product category
- Medical Billing Services
- NAICS
- Offices of Physicians (except Mental Health Specialists) (621111)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Patient Communications (Reminders/Confirmations/Recalls) (HLACADAH)
Keywords
Where Practice Management Solutions is headquartered
LocationHeadquarters
- HQ city
- Stafford
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Practice Management Solutions business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales
Revenue model
- Medical Billing Services: Full-service medical billing including electronic and paper claims filing, coding to primary, secondary, and tertiary payers, claims tracking, payment posting, and A/R follow-up. Includes patient statement generation and soft collection methods.
- Practice Management Services: Comprehensive practice management including billing, benefits/eligibility verification, authorization, payment posting, appeals, monthly reporting, claims scrubbing, and charge entry.
- Credentialing Services: Initial and re-credentialing services for providers including insurance company applications, CAQH registration, NPI registration, and license renewal reminders.
- Cost Savings for Practices: Hidden cost elimination from in-house billing operations, saving practices typically 3 to 5 percent in extra costs through outsourcing.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Flat monthly fee based on services and practice analysis |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels4 records
Practice Management Solutions product offering
Product offeringCore offering
Practice Management Solutions provides outsourced medical billing, practice management, and provider credentialing services to independent medical practices. Deliverables include electronic and paper claims submission, coding to primary/secondary/tertiary payers, claims scrubbing, A/R follow-up, payment posting, patient statements, benefits/eligibility verification, authorization handling, appeals, monthly reporting, and credentialing (CAQH, NPI, Medicare 855). Services are delivered via a HIPAA-compliant web-based platform with cloud server technology and a rules-based claims scrubber.
Product overview
Practice Management Solutions offers a suite of three interconnected medical billing and practice management services. The core offering is a web-based, fully integrated practice management platform that provides scheduling, patient, documentation, and reporting modules. This platform serves as the foundation for their Medical Billing Services (covering primary, secondary, and tertiary claims filing, coding, payment posting, and A/R follow-up), Credentialing Services (handling provider credentialing, CAQH, NPI, Medicare 855 applications), and Practice Management Services (encompassing billing, benefits verification, authorization, appeals, and monthly reporting). The optional services like ePrescribe, eEligibility, and EHR/EMR are integrated into the core platform. The company also provides a HIPAA-compliant cloud-based document transfer system for seamless data exchange with clients.
Differentiator
Problem solved
Functional benefit
Products and services
- Medical Billing Services
Quantifiable outcome
- Claims submitted within 24-48 hours for 95% of submissions
- +3 more outcomes
Companies that use Practice Management Solutions
Customer profileNamed customers3 records
Segments10 records
Ideal customer profiles1 record
Practice Management Solutions technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
Practice Management Solutions partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered supporting.
- American Medical Billers Association (AMBA)supportingProfessional membership organization for medical billing professionals. Membership provides industry credibility, networking opportunities, and access to industry resources and best practices.
- American Health Information Management Association (AHIMA)supportingProfessional association for health information management professionals. Membership demonstrates commitment to HIM standards and provides ongoing education and credentialing resources.
Scale indicators6 records
Recent moves6 records
Expansion highlights4 records
Practice Management Solutions competitors and assessment
Company assessmentDirect peers
- RXNT: Integrated cloud-based EHR, practice management, e-prescribing, and billing for small to mid-sized practices — comparable subscription-based ambulatory workflow platform with RCM functionality.
- CureMD: All-in-one EHR, practice management, and medical billing platform with specialty-specific workflows — competing for the same independent practice RCM customers with a similar bundled subscription model.
- DrChrono (by EverHealth): Cloud EHR, practice management, and medical billing platform targeted at small independent practices with mobile-first workflows — direct overlap on platform and billing services for SMB clinicians.
- AdvancedMD: Cloud practice management, EHR, and outsourced medical billing for small and mid-sized independent practices, with specialty workflows and recurring RCM services — directly comparable in customer profile and service mix.
- CollaborateMD: Cloud-based medical billing and practice management software for SMB practices and billing services — a closely comparable subscription model aimed at the same independent-practice customer base.
- Tebra (formerly Kareo + PatientPop): Cloud-based practice management, EHR, and medical billing platform purpose-built for independent medical practices — the same SMB target market and core RCM/practice management workflow as Practice Management Solutions.
Broad incumbents
- athenahealth: Large incumbent offering practice management, EHR, and RCM services to ambulatory practices; overlaps with Practice Management Solutions on billing services and scheduling/workflow tools but operates at vastly greater scale.
- R1 RCM: Large-scale outsourced RCM provider for hospitals, health systems, and physician groups — represents the consolidation endgame for outsourced medical billing and pressure on smaller specialty billers.
- eClinicalWorks: Major ambulatory EHR and practice management vendor with integrated billing and population health — broader portfolio but serves the same independent and specialty practice market as Practice Management Solutions.
- NextGen Healthcare: Ambulatory EHR, practice management, and RCM platform with strong specialty coverage (including surgical and pain management) — overlapping specialty focus and similar customer profile but at enterprise scale.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Practice Management Solutions social profiles
Digital presencePractice Management Solutions financial estimates
Financial estimateRevenue estimate
Valuation estimate
Practice Management Solutions leadership team
Management profileNumber of profiles
Profiles1 record
Practice Management Solutions funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Practice Management Solutions 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 Practice Management Solutions
What does Practice Management Solutions do?
Practice Management Solutions provides outsourced medical billing, practice management, and provider credentialing services to independent medical practices. Deliverables include electronic and paper claims submission, coding to primary/secondary/tertiary payers, claims scrubbing, A/R follow-up, payment posting, patient statements, benefits/eligibility verification, authorization handling, appeals, monthly reporting, and credentialing (CAQH, NPI, Medicare 855). Services are delivered via a HIPAA-compliant web-based platform with cloud server technology and a rules-based claims scrubber.
Is Practice Management Solutions a public or private company?
Practice Management Solutions is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Practice Management Solutions founded?
Practice Management Solutions was founded in 2017. It employs 1 to 10 people.
Where is Practice Management Solutions based?
Practice Management Solutions is headquartered in Stafford, United States, in the North America region.
How does Practice Management Solutions make money?
Four revenue lines are on record. Medical Billing Services are the primary driver. The others are practice Management Services, credentialing Services and cost Savings for Practices.
Who are Practice Management Solutions's main competitors?
Direct peers on record are RXNT, CureMD, DrChrono (by EverHealth), AdvancedMD, CollaborateMD and Tebra (formerly Kareo + PatientPop). Broad incumbents are athenahealth, R1 RCM, eClinicalWorks and NextGen Healthcare.
Does Practice Management Solutions have an API?
No public API is recorded for Practice Management Solutions.
What industry is Practice Management Solutions in?
Practice Management Solutions's product category is Medical Billing Services. Its primary akta.pro industry code is HLACADAH, Patient Communications (Reminders/Confirmations/Recalls). Its NAICS code is 621111 and its SIC code is 8000.