Cape Medical Billing
Cape Medical Billing is a privately held medical billing and revenue cycle management service for small and mid-sized healthcare practices across 15+ specialties, including physicians, physical/occupational therapists, podiatrists, and ambulance companies in the New Jersey region.
- Company typePrivate
- Founded1998
- HeadquartersCape May Court House, United States
- Headcount1–10
- GTM typeB2B
- OfferingServices
What Cape Medical Billing does
Cape Medical Billing is a privately held medical billing and revenue cycle management (RCM) service provider headquartered in Cape May Court House, New Jersey. Founded circa 1998 and operating for over 23 years, the company serves healthcare providers across more than 15 medical specialties, with primary focus on physicians, physical and occupational therapists, podiatrists, and ambulance/EMS companies. The firm markets itself as a boutique alternative to in-house billing, targeting small and mid-sized practices that face revenue leakage from increasingly sophisticated payer denial strategies.
The company's core technology stack is built on Healthpac billing software, which supports appointment scheduling, patient eligibility verification, claim submission, denial management, and electronic patient statements. Cape Medical Billing also integrates with client EMR/EHR systems and with InstaMed for credit card and ACH patient payments. Notably, the company was selected as a beta-site for third-party medical billing AI software that observes, learns, and analyzes revenue cycle patterns to improve collected revenue, a capability the firm uses as a competitive differentiator. Operational reliability is supported by a backup generator and automatic onsite/offsite data backups every two hours.
The business model is professional services-based, with customized per-practice pricing (monthly cadence) determined by practice size and specialty rather than disclosed rate cards. Go-to-market is sales-led via the company website, direct phone outreach (888-633-2457), contact-form lead capture, monthly client newsletters (archived since 2007), and educational workshops. Strategic partnerships include MiddleGate (claims management), InstaMed (payments), and Cape Bank (remote deposit capture). Quantified customer outcomes claimed by the company include a 95%+ first-submission payment rate and Days in Accounts Receivable at half the national average.
Cape Medical Billing firmographics
Firmographics- Name
- Cape Medical Billing
- Legal name
- Cape Medical Billing, Inc
- Website
- https://capebilling.com
- Company type
- Private
- Founded year
- 1998
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Cape Medical Billing is a privately held medical billing and revenue cycle management service for small and mid-sized healthcare practices across 15+ specialties, including physicians, physical/occupational therapists, podiatrists, and ambulance companies in the New Jersey region.
- Ownership category
- akta.pro rank
Cape Medical Billing industry classification
Industry- Product category
- Medical Billing Services
- NAICS
- Health Care and Social Assistance (62)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- RCM Outsourcing & Managed Billing Services (HLACACAN)
- akta.pro secondary industries
- Patient Billing, Statements & Payment Processing (HLACACAG), Patient Access, Registration & Intake (Front-End RCM) (HLACACAE), Healthcare Billing & Patient Payments Presentment (FSAMAJAH)
Keywords
Where Cape Medical Billing is headquartered
LocationHeadquarters
- HQ city
- Cape May Court House
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Cape Medical Billing 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: Cape Medical Billing provides outsourced medical billing and revenue cycle management services for healthcare providers. They charge for processing claims, managing billing cycles, and handling insurance reimbursements on behalf of physicians, therapists, podiatrists, and ambulance companies. They offer cost-effective and efficient customized medical billing programs for practices of any size.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Monthly | Customized billing programs for any size practice |
Go-to-market motion2 records
Distribution channels1 record
Marketing channels5 records
Cape Medical Billing product offering
Product offeringCore offering
Cape Medical Billing provides outsourced medical billing and end-to-end revenue cycle management services to physician practices, physical and occupational therapy clinics, podiatrists, and ambulance/EMS companies. Its service covers claim submission, denial management, payment posting, insurance follow-up, credentialing, and patient billing, delivered through its Healthpac billing software platform and supplemented by an InstaMed-powered patient payment portal. The company also offers free EMR/EHR selection assistance and ICD-10 preparation support as value-added services.
Product overview
Cape Medical Billing provides a comprehensive suite of medical billing and revenue cycle management services for healthcare providers across multiple specialties. The core offering consists of medical billing services paired with proprietary Healthpac billing software, which handles appointment scheduling, eligibility verification, claim submission, and payment processing. Specialty-specific billing programs are tailored for physicians, physical/occupational therapists, podiatrists, and ambulance companies. The company also offers integrated patient payment solutions including electronic payment portals for credit card and ACH transactions.
Differentiator
Problem solved
Functional benefit
Products and services
- Medical Billing Services Comprehensive outsourced medical billing for healthcare providers covering claim submission, denial management, payment posting, insurance follow-up, and credentialing assistance.
- Revenue Cycle Management End-to-end revenue cycle management designed to reverse revenue leakage, maximize revenue collected, and improve cash flow for medical practices.
- Specialty-Specific Billing Customized billing programs tailored to specific medical specialties, including ambulance, cardiology, family practice, gastroenterology, general practice, general surgery, infectious disease, internal medicine, neurosurgery, OB/GYN, occupational therapy, pathology, physical therapy, podiatry, trauma surgery, and urology.
- Patient Payment Portal Website-based electronic payment system allowing patients to pay medical bills using credit cards and ACH transfers via links on patient statements, enabling faster payment collection for clients.
Quantifiable outcome
- Over 95% of charges submitted are paid on first submission
- +1 more outcomes
Companies that use Cape Medical Billing
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles4 records
Cape Medical Billing technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
AI capability2 records
Feature4 records
Cape Medical Billing partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and minor.
- MiddleGatecoreCape Medical Billing partners with MiddleGate to stay ahead of claim management and improve client revenue streams. This partnership enables the company to leverage additional resources for claim processing and revenue optimization for their healthcare clients.
- InstaMedcoreCape Medical Billing integrates with InstaMed for credit card and ACH payment processing. This integration enables clients to process patient payments electronically, with website links on patient statements for convenient online bill payment, resulting in faster payment collection.
- Cape BankminorCape Medical Billing has set up remote deposit capture with Cape Bank, allowing the company to deposit checks remotely for clients without mailing physical checks. This service provides extended deposit deadlines (8:00 PM vs standard 3:00 PM) and next-day access to funds.
Scale indicators3 records
Recent moves6 records
Expansion highlights3 records
Cape Medical Billing competitors and assessment
Company assessmentDirect peers
- eClinicalWorks: EHR and practice management vendor offering integrated billing and RCM tools to physician practices across many specialties. Comparable target customers and overlapping service suite including claim management and patient payments.
- Practice Fusion: Cloud-based EHR with integrated billing and claims management for independent practices. Comparable small-practice focus and feature set around claim submission, eligibility, and payment processing.
- DrChrono: EHR and practice management platform with built-in medical billing and RCM features for small and specialty practices. Direct overlap with Cape Medical Billing's target segment of independent physician offices.
- Tebra (formerly Kareo): Cloud-based practice management and medical billing platform serving small and mid-sized physician practices. Directly comparable to Cape Medical Billing on outsourced billing and RCM for independent practices.
- AdvancedMD: Provides cloud-based medical billing, scheduling, and RCM software plus outsourced billing services for small-to-mid-sized practices. Comparable specialty breadth and target market of independent physician offices.
- MedBillingExperts: Outsourced medical billing and RCM services company serving physician practices and specialty groups. Closely comparable business model of outsourced claim processing and revenue cycle services.
Broad incumbents
- Athenahealth: Major EHR and RCM platform serving physician practices and health systems with network-enabled billing services. Overlaps with Cape Medical Billing's specialty billing offerings but at much larger scale and broader portfolio.
- NextGen Healthcare: Provides EHR, practice management, and revenue cycle management solutions for ambulatory specialty practices. Comparable customer base of multi-specialty physician groups with similar billing and patient engagement needs.
- R1 RCM: Leading outsourced RCM provider for hospitals and large physician groups. Operates in the same end-to-end revenue cycle management category but focused on enterprise-scale customers rather than small practices.
Others
- Healthpac: Billing software vendor whose platform Cape Medical Billing uses and offers to clients. Adjacent ecosystem participant whose product underpins Cape's core workflows and whose customer base overlaps in small-practice billing.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat3 records
Key risks6 records
Key highlights7 records
Customer concentration
Cape Medical Billing social profiles
Digital presenceCape Medical Billing financial estimates
Financial estimateRevenue estimate
Valuation estimate
Cape Medical Billing leadership team
Management profileNumber of profiles
Cape Medical Billing funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Cape Medical Billing 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 Cape Medical Billing
What does Cape Medical Billing do?
Cape Medical Billing provides outsourced medical billing and end-to-end revenue cycle management services to physician practices, physical and occupational therapy clinics, podiatrists, and ambulance/EMS companies. Its service covers claim submission, denial management, payment posting, insurance follow-up, credentialing, and patient billing, delivered through its Healthpac billing software platform and supplemented by an InstaMed-powered patient payment portal. The company also offers free EMR/EHR selection assistance and ICD-10 preparation support as value-added services.
Is Cape Medical Billing a public or private company?
Cape Medical Billing is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Cape Medical Billing founded?
Cape Medical Billing was founded in 1998. It employs 1 to 10 people.
Where is Cape Medical Billing based?
Cape Medical Billing is headquartered in Cape May Court House, United States, in the North America region.
How does Cape Medical Billing make money?
One revenue line is on record: medical Billing Services.
Who are Cape Medical Billing's main competitors?
Direct peers on record are eClinicalWorks, Practice Fusion, DrChrono, Tebra (formerly Kareo), AdvancedMD and MedBillingExperts. Broad incumbents are Athenahealth, NextGen Healthcare and R1 RCM. Healthpac is listed as an others.
Does Cape Medical Billing have an API?
No public API is recorded for Cape Medical Billing.
What industry is Cape Medical Billing in?
Cape Medical Billing's product category is Medical Billing Services. Its primary akta.pro industry code is HLACACAN, RCM Outsourcing & Managed Billing Services, with a secondary code of HLACACAG, Patient Billing, Statements & Payment Processing. Its NAICS code is 62 and its SIC code is 8000.