What ZenMed Solutions Inc does

ZenMed Solutions Inc is a privately held U.S. healthcare revenue cycle management company founded in 1999 in Diamond Bar, California, that has operated in its current form as an RCM provider since 2001. It delivers end-to-end medical coding, billing, denial management, credentialing and contracting, virtual medical scribing, MIPS/MACRA consultation, and revenue cycle audit services to solo practitioners, physician groups, urgent care centers, and small-sized hospitals. Its core technical asset is BLISS (Barometric Live Intuitive Solution), a proprietary AI- and RPA-enabled denial management and RCM analytics tool that tracks, categorizes, strategizes, corrects, and learns from denial patterns and reports on 15 KPIs, complemented by the CredentialingStar credentialing workflow tool, the WCCM workers' compensation claims module, and a Continuing Education System (CES) that requires AAPC/AHIMA certified coders to participate in AAPC forums and industry events. The firm also supports roughly 14 EMR/EHR integrations including eClinicalWorks, NextGen, Allscripts, and AdvancedMD, and claims a service guarantee of 95% of primary insurance claims paid within 2-6 weeks of submission.

Name

ZenMed Solutions Inc

Legal name

ZenMed Solutions Inc

Website

https://zenmedinc.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

11–50 employees

Short description

ZenMed Solutions Inc is a U.S.-based revenue cycle management company providing medical coding, billing, denial management, credentialing, and virtual scribing services to solo practitioners, physician groups, urgent care centers, and small hospitals using its proprietary AI-powered BLISS platform.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Custom Computer Programming Services (541511), Other Management Consulting Services (541618)

SIC

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

akta.pro primary industry

Claims Management, Scrubbing & Clearinghouse (HLACACAB)

akta.pro secondary industries

Clinical Coding Support (ICD/CPT/SNOMED) & Documentation Compliance Tools (HLACAAAO), Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Revenue Cycle, Coding & Telehealth Compliance Platforms (for provider orgs) (HLALABAM)

Keywords

• Medical billing services
• Revenue cycle management
• Medical coding services
• Provider credentialing
• Denial management

Headquarters

HQ city

Diamond Bar

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, Infrastructure

Revenue model

1. Medical Coding, Billing & RCM Services: Full-service revenue cycle management including medical coding by certified specialists, claim submission, denial management, patient statements, and KPI reporting. Claims transfer within 48 hours, payment posting within 48 hours.
2. Provider Credentialing & Contracting: Credentialing services for providers (MDs, PAs, DOs, DCs, PTs, FNPs, Optometrists) and facilities with insurance plans including Medicare/Medicaid applications.
3. Virtual Medical Scribe Services: Live documentation services for healthcare providers including chart documentation, ICD/CPT code capture, eRx, lab orders and referral processing.
4. Revenue Cycle Gap Analysis/Audit: Audit services to identify root causes of revenue loss including coding errors, billing errors, and clinical documentation deficiencies.
5. MIPS/MACRA Consultation: Consultation and measure submission support for MIPS/MACRA programs with assistance obtaining positive incentives from CMS.
6. Standalone Medical Coding Services: Coding services available independently from billing services, charged per chart or per certified resource basis.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

ZenMed Solutions Inc provides outsourced medical coding, medical billing, and end-to-end revenue cycle management (RCM) services to U.S. healthcare providers, including solo practitioners, physician groups, urgent care centers, and small hospitals. Service offerings include AAPC/AHIMA certified specialty-specific coding, claims submission and payment posting, denial management, provider credentialing and contracting, virtual medical scribing, MIPS/MACRA consultation, and revenue cycle gap analysis audits. Operations are supported by the proprietary BLISS denial management and analytics tool (with AI/RPA capabilities), CredentialingStar credentialing tracker, and a Continuing Education System for coders.

Product overview

ZenMed Solutions Inc offers a unified revenue cycle management platform centered on BLISS, their proprietary AI and RPA-powered denial management and analytics tool. The portfolio includes core services for medical coding (by AAPC/AHIMA certified coders), medical billing with 95% claim payment guarantee, credentialing/contracting (with CredentialingStar tool), virtual medical scribe, and revenue cycle auditing. Additional specialized offerings include MIPS/MACRA consultation, Workers Compensation Claims Management (WCCM), and the Continuing Education System (CES) for ongoing coder development. The services cover 8 medical specialties including Family Practice, Internal Medicine, Podiatry, Pain Management, Pediatrics, Urgent Care, Dental, Orthopedic, Dermatology, Rheumatology, Ophthalmology, and Neurology.

Differentiator

Problem solved

Functional benefit

Brands

• BLISS (Barometric Live Intuitive Solution): Proprietary denial management and RCM analytics tool that tracks, categorizes, strategizes, corrects, and learns from claim denials, and provides 15 different KPI reports.
• CredentialingStar
• CES (Continuing Education System)

Products and services

• Medical Coding AAPC/AHIMA certified specialty-specific medical coding services available standalone or bundled with billing. Coders operate under a Continuing Education System (CES) to stay current with payer requirements and OIG/CMS guidelines. Charged per chart or per certified resource basis.
• Medical Coding, Billing & RCM Full-service revenue cycle management combining certified specialty-specific coding, claim submission with 48-hour transfer, payment posting within 48 hours, denial management via the BLISS tool, patient statement mailing, bilingual patient support, daily/weekly/monthly RCM reporting, and 10 KPI reports. Includes a guarantee that 95% of primary insurance claims are paid within 2-6 weeks.
• Credentialing and Contracting End-to-end provider and facility credentialing and contracting service for Medicare/Medicaid and commercial payers, supported by the CredentialingStar tracking tool with weekly progress reports.
• Virtual Medical Scribe Live documentation service where remote scribes assist physicians with real-time chart documentation including HPI, ROS, P/E, ICD/CPT code capture, eRx, lab ordering, and referral processing. Marketed as saving 2 hours per day of documentation time and enabling 1 additional patient per hour.
• Revenue Cycle Audit Audit services by AHIMA/AAPC certified experts to identify root causes of revenue loss including coding errors, billing errors, and clinical documentation deficiencies. Includes KPI benchmarking with 1-week turnaround.
• MIPS/MACRA Consultation Consultation and measure submission support for the MIPS/MACRA programs with assistance obtaining positive incentives from CMS, delivered by certified MIPS specialists.
• WCCM - Workers Compensation Claims Management Workers' compensation claims management service for urgent care providers, allowing electronic transfer of claims and medical records to employers within 48 hours with employer acknowledgment tracking.

Quantifiable outcome

• 95% of primary insurance claims paid within 2-6 weeks of submission
• +5 more outcomes

Named customers6 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration10 records

AI capability6 records

Feature4 records

Scale indicators7 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• NextGen Healthcare: NextGen provides EHR and RCM solutions to ambulatory practices, including specialty practices. ZenMed bills on NextGen, indicating it competes both as a partner and as an alternative outsourced RCM layer.
• eClinicalWorks: eClinicalWorks is a major EHR vendor that also offers RCM/billing services to ambulatory practices, overlapping directly with ZenMed's target customer base. ZenMed already bills on eClinicalWorks, illustrating the dual partner/competitor dynamic.
• Greenway Health: Greenway Health offers EHR, practice management, and revenue cycle management services to ambulatory practices. Like ZenMed, it serves multi-specialty SMB providers and integrates billing with clinical workflows.
• Practice Fusion: Practice Fusion is an EHR platform with built-in billing/RCM functionality targeted at independent practices. It is a comparable SMB-focused competitor bundling RCM into a free/affordable EHR model.
• AdvancedMD: AdvancedMD provides cloud-based EHR, practice management, and RCM services to small and mid-sized medical practices. ZenMed integrates with AdvancedMD as an EMR but AdvancedMD also offers competing outsourced billing, making it both partner and competitor.
• Tebra (formerly Kareo): Tebra is a leading SMB-focused practice management, EHR, and RCM platform that directly competes with ZenMed by bundling billing services into its EHR software. Targets the same solo-practitioner and small-group segment with an integrated, tech-led approach.
• CollaborateMD: CollaborateMD is a cloud-based medical billing and practice management software for small practices, offering outsourced billing services that compete with ZenMed's RCM offering for the same SMB physician segment.
• CureMD: CureMD provides integrated EHR, practice management, and RCM/billing services for small to mid-sized practices, competing head-to-head with ZenMed on outsourced medical coding, billing, and denial management.

Broad incumbents

• athenahealth: athenahealth is a large, established EHR + RCM incumbent serving practices of all sizes. It is a much larger competitor with deeper tech and broader service offerings, relevant as a scaled alternative to ZenMed for growing practices.
• R1 RCM: R1 RCM is a large-scale, technology-led RCM provider primarily serving hospitals and health systems. While it focuses on enterprise, its expansion into ambulatory care overlaps with ZenMed's addressable market.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/ZenMedSolutions
• Facebookfacebook.com/zenmedsolutions

Compliance4 records

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 ZenMed Solutions Inc