Medical Billing Companies & Consultants in Birmingham, AL - Page 2

A & O Medical Billing, LLC is a medical billing and coding company based in Birmingham, Alabama, in the Center Point area northeast of downtown. It works with healthcare providers who would rather hand off billing and claims than keep the whole job in-house. Its main pitch is that taking paperwork and payer follow-up off their plate leaves clinicians more time for patient care.

Who the firm serves

Its client base is small and mid-sized outpatient providers more than large hospital systems. Listings describe its clients as follows:

• Physicians, both established and newly practicing
• Counselors and therapists in behavioral health
• Home health agencies
• Clinics and independent practitioners

Because it serves both new and long-established physicians, it can support a practice still setting up its billing as well as one whose current setup has stopped working well.

Core billing and coding work

The firm's central job is preparing claims and sending them to insurance companies for its providers. Coding is a big part of that work. The team assigns procedure, diagnosis and supply codes using the CPT, ICD-10 and HCPCS code sets, so claims match the care actually given.

Directory listings say it also handles billing tied to patient accounts and works to raise collections for its clients. It reviews reimbursement rates too, which can show a practice whether it is being paid fairly for the services it bills.

A practice that already has billing staff can hire the firm just for coding, according to one listing. That suits offices that want outside coding help but plan to keep their own billing staff. Beyond claims, the company describes itself as helping clients keep up with changing healthcare laws and with running their practices. Smaller offices without a dedicated compliance or operations manager may find that useful.

Working arrangements

Third-party listings say the firm offers contracts that run month to month, so clients are not locked into long terms. They also note a free first consultation, where a provider can talk through its needs before signing up. This setup may suit independent practices that want to test outsourcing before committing to it for years.

Points for comparison

When comparing billing partners, buyers may want to look at A & O's focus on smaller practices and behavioral health, its choice of full billing or coding only, and its flexible contracts.

Because it is based in the Birmingham area, it may appeal to practices around Hoover and greater Jefferson County that want a regional vendor instead of a large national outsourcing firm. Buyers should ask the company directly about its staff's certifications, the software it uses, and how it reports results, since those details were not confirmed for this listing.

Aristo RCM is a Birmingham, Alabama revenue cycle management company built around a single specialty: emergency medicine. Its location places it close to practices in Vestavia Hills and across the greater Birmingham region. The firm manages professional fee billing and broader revenue management for emergency departments, and it also handles coding and optimization on the facility side. Its typical clients are hospitals and emergency physician groups that prefer to hand their emergency department revenue work to an outside specialist.

History and Background

According to business records, the company began operating in 2002, and its file with the regional Better Business Bureau dates to 2004. The firm itself points to nearly a quarter century of industry experience. Several business databases list a former name, Aristo E|R, which reflects how long the emergency room has been central to its work. The local Better Business Bureau office classifies the company under medical billing, business services, and billing services.

Services

The company's documented offerings all relate to emergency department reimbursement, covering both the physician and hospital sides of the encounter:

• Billing of professional fees for emergency physicians
• End-to-end revenue cycle management tailored to emergency medicine
• Coding of emergency department facility charges
• Revenue optimization supported by review of individual charts
• Submission of claims and follow-up on unpaid or denied items
• A call center that answers patients' billing questions

A regional guide to Birmingham billing firms reports that Aristo cites a volume of over fifteen million processed claims with no government audit. The same guide notes the company's claim that clients see an average improvement of about fifteen to twenty-five dollars per chart. These figures come from the company's own statements, so prospective clients should ask Aristo to verify them.

Leadership and Working Model

Aristo states that its leaders together bring more than 250 years of experience. Billing operations and the patient call center report to the same leader, which keeps claims handling and patient communication under one line of management rather than splitting them across departments. Gary Abel has served as billing manager since 2016.

He came to the role with experience in banking, healthcare finance, and the revenue cycle, and he holds a degree in business administration. That blend of financial and billing expertise suits an organization that processes large volumes of emergency claims.

What Buyers Should Know

Aristo RCM operates as a specialist and not as a billing service spread across many specialties. It is best matched to emergency physician groups and hospital emergency departments that need professional and facility coding handled together. Practices in other fields should confirm whether the company accepts work beyond emergency medicine.

Any prospective client should ask for current references and an explanation of the reports it will receive before entering an agreement. At the time of review, the web address associated with the company was displaying unrelated content, so prospects should confirm the firm's current communication channels directly.

ClinicAnywhere, a revenue cycle business based in Birmingham, Alabama, now operates within Assembly Health, a nationwide organization that handles billing and administrative support for healthcare providers. Through the acquisition, Assembly Health absorbed ClinicAnywhere's proprietary RCM technology along with its seasoned operations personnel.

Visitors who type in the old ClinicAnywhere address are now sent to the Assembly Health section devoted to physician groups. Practices in Alabaster and across the wider Birmingham region that are looking to outsource billing can connect with the merged organization this way.

Services for Physician Practices

The firm positions itself as a comprehensive financial partner for medical offices, with the central goal of helping doctors capture a larger share of the revenue they earn. Clients may hand over their entire billing operation or select individual functions to supplement an in-house team that has weak spots. Its offerings cover:

• Complete oversight of the revenue cycle from start to finish
• Claim preparation and medical coding
• Follow-up on outstanding balances owed by insurers and patients
• Recording and reconciling incoming remittances
• Investigating, appealing and preventing rejected claims
• Financial dashboards and performance insights
• Payer enrollment and provider credentialing, which can be purchased separately
• Securing pre-approval from insurers, which can also be purchased separately

Specialties and Industries Served

Assembly Health's physician division concentrates on specialty medicine. It manages billing for eye care (ophthalmology), pain medicine, orthopedic surgery, radiation oncology, foot and ankle care (podiatry), imaging (radiology), outpatient surgery centers and practices that combine several specialties. Outside the physician market, the organization supports post-acute providers, including skilled nursing operators and long-term care companies.

Behavioral health is another focus, with clients ranging from addiction treatment programs to specialized mental health practices. Older directory entries identified ClinicAnywhere as a billing partner for offices running NextGen Office software.

How They Work with Clients

From day one, every new client is paired with a dedicated account manager. This individual monitors the practice's financial objectives and performance indicators while searching for opportunities to strengthen its bottom line. The team's process starts with a review of the client's current workflows, followed by pinpointing where money is slipping away and applying targeted corrections.

Transparency is a recurring theme: physicians and office staff receive an unobstructed view of their billing activity, so they understand both their financial position and the reasons behind it. The organization also states that it represents clients before insurance companies with integrity. Its staff is experienced with Epic, Nextech, eClinicalWorks, Athena, NextGen and custom-built electronic health record platforms.

Background and Differentiators

According to Assembly Health, its people bring decades of combined experience overseeing physician revenue cycles. The company has expanded by uniting regional billing businesses, with ClinicAnywhere being one of those additions. Reviews featured on its website come from ophthalmology groups, office administrators, rehab clinics and nursing facilities, and they highlight prompt communication, expertise, candor and thorough coding reviews.

For organizations evaluating outsourced billing partners, the strongest arguments in the company's favor are its specialty-practice orientation, a single named point of contact, open access to billing data and compatibility with a wide range of EHR systems, all supported by the resources of a national parent company.

Overview

Cypress Medical Management Group is a private medical billing company in Vestavia Hills, Alabama, a community on the southern edge of Birmingham. Business listings indicate it was founded in 2014. Its focus is the financial side of healthcare delivery.

The firm takes over billing and reimbursement duties for physicians and other providers so that clinical staff can give more attention to patients. Practices in the Birmingham and Bessemer area that are considering outsourced billing may see it as a regional alternative to large national vendors that run through call centers.

Clients and Specialties

Directories indicate that the firm supports physicians and a range of other providers across numerous specialties. At least two business profiles also name medical groups and clinical laboratories among its clients, which points to experience with both professional claims and laboratory billing. Other listings describe its customers as practices seeking help with their financial operations.

In practical terms, the company is best suited to independent offices, groups with several providers, and diagnostic labs that prefer not to staff and manage a complete billing department internally.

Services

Outside sources summarize the company's offerings as follows:

• Outsourced billing for physician practices
• Revenue cycle management, from claim submission through final payment
• Processing of medical claims and follow-up on insurance reimbursement
• Billing assistance for clinical laboratories
• Executive and administrative management services for medical groups

Cypress describes its role as that of a growth-oriented partner. Rather than leaving providers to work through payer requirements and reimbursement rules on their own, it handles those details and aims to give practices simpler ways of managing their revenue.

Team and Operations

Business directories place the firm's headcount between 11 and 50 people. Public profiles list positions including billing specialist, medical insurance biller and financial accountant, as well as human resources personnel. Employee reviews refer to billing staff working at the Vestavia Hills office alongside remote contractors who also handle billing tasks. For clients, this suggests a core office team supported by a flexible workforce that can expand or contract as claim volume changes.

What Sets It Apart

For Alabama practices, proximity is a central advantage. Because the office sits close to Birmingham, providers can realistically meet in person with the people managing their billing. Many organizations find this reassuring when they hand over control of their revenue cycle. Public listings leave several questions unanswered, however, and prospective clients would do well to ask:

• Which specialties the team handles most frequently
• Which practice management and billing software platforms it supports
• How it reports on collections and claim denials
• How responsibilities are divided between office-based and remote staff

Getting answers to these points early can help a practice judge whether the firm's local presence and its mix of billing and management services fit its own needs.

Direct Billing Services LLC, often shortened to DBS, is a revenue cycle management firm based in Birmingham, Alabama, with its office in the Century Park South area. The company was started in 1999. It works mainly with independent private practices and behavioral health clinics that would rather hand off insurance billing than run it in-house.

DBS has no outside investors or parent company, and it says most of its growth over more than 25 years has come from client referrals rather than heavy marketing.

Specialties and Clients Served

The firm serves a range of outpatient disciplines. Mental and behavioral health is a particular focus, including Autism ABA therapy programs with high visit volumes. The website lists these specialties:

• Mental and behavioral health, including time-based session modifiers and managed care carve-outs from other states
• Autism ABA therapy, including the 97151 through 97158 code family
• Physical therapy, with attention to the CMS 8-minute rule and therapy cap limits
• Wound care, including documentation of tissue product wastage
• Internal medicine, family practice and ENT (otolaryngology)
• Chiropractic offices and urgent care centers

How the Billing Process Works

DBS describes its process in three stages. First, it collects encounter data and checks each patient's insurance coverage before a claim goes out. Next comes a coding review, where staff check modifiers such as 25, 59 and XE, timed units and diagnosis pairings.

Last is a recovery stage, where the team reviews remittances, looks into payer rejections line by line and resubmits corrected claims before filing deadlines pass. Each client practice gets its own certified senior audit manager instead of relying only on automated clearinghouse checks. The company says this hands-on review keeps its first-pass clean claim rate above 98 percent.

Clients can stay with the systems they already use. The firm's staff log in and work directly within platforms such as Tebra (formerly Kareo), WebPT and Therabill, Medisoft, Medisys, Practice Suite and PromptEMR, so practices on these systems don't have to export superbills. Practices that still use paper encounter forms, insurance cards or paper EOBs can send them through DBS's own encrypted upload portal. Email from the company is automatically encrypted with Paubox to protect patient health information.

Credentialing and Practice Startups

DBS also helps new practices get started. It sets up NPI and CAQH profiles, handles enrollment with commercial insurance networks, configures billing software to match clinical workflows and compares a new practice's contracted rates with regional benchmarks. Credentialing is only available to practices that also use DBS for billing.

What Distinguishes the Firm

For buyers comparing vendors, DBS's main selling points are local ownership, a domestic staff that can be reached directly and named auditors assigned to each account, as opposed to offshore processing or ticket-based support. Its live support desk is open Monday through Thursday during regular business hours and closes early on Fridays.

Client testimonials on the site include an ABA provider and a physician practice that says DBS kept its billing going and protected its records after a fire in 2008.

Kassouf Healthcare Solutions is a practice management firm based in Birmingham, Alabama. It handles the business side of physician practices so that doctors can spend more of their time on patient care. The company started in 1999.

Its staff includes operations managers and revenue cycle specialists, and it works with medical groups dealing with the administrative and financial demands of today's healthcare system. For practices that need billing help, it offers revenue cycle management as one part of a wider set of administrative services.

Revenue Cycle and Billing Services

The firm's billing work falls under its revenue cycle management service. Its staff are local to Birmingham, and the company says its focus is on speed and accuracy. Physicians get monthly reports that show the financial health of their practice, so owners always know where things stand. Gregory Rankins is Director of Revenue Cycle Management and leads this work, which gives clients one named person in charge of billing.

Broader Practice Management Support

Kassouf is more than a billing vendor. It sells itself as something like an outside corporate office for independent practices, providing the resources of a larger organization without the layers of bureaucracy. Its team runs daily operations, while physicians keep ownership and control of their practices. Services include:

• Revenue cycle management and monthly financial reporting
• Accounting and consulting services
• Human resources management and consulting
• Management and consulting for ongoing operations
• Information technology services
• Back-office support for clinic operations, including compliance knowledge

This approach may suit practices that want billing, accounting, HR and IT handled by one coordinated team instead of several separate vendors. The company also publishes articles and a podcast for practice owners. Recent topics include leasing medical office space, changing physician pay plans, cybersecurity risks in healthcare and retirement plan changes under SECURE 2.0.

Leadership and Approach

The leadership team has strong financial credentials. Directors Gerard J. Kassouf and Wesley A. Brown are both CPAs. Mr. Kassouf also holds PFS, CFP, AEP and CGMA credentials, and Mr. Brown holds CVA and ABV credentials. Jeff Dance, MBA, is Executive Director, and Jessica Bakane, MHA, is Senior Director of Operations. The rest of the management team includes a human resources manager, a controller and a manager for accounts payable and procurement.

The company's service values follow the acronym CARE: creating chances to serve customers, anticipating client needs, treating everyone with respect and holding its work to high standards. It describes its approach as hands-on and centered on customers. Buyers comparing medical billing companies should know that Kassouf works mainly with physician practices that want a long-term management partner, not just claims processing. Its office is in Birmingham's Southside area, where it serves practices that value a local team.

LTD Medical Billing & Consulting, LLC is a healthcare billing company based in Birmingham, Alabama, in the area that borders Vestavia Hills on the city's south side. Business directories describe it as a provider of professional billing and consulting management for medical practices. Some listings also show an alternate name, LTD Billing Service & Consulting, LLC, which prospective clients may see when searching for the firm or reviewing paperwork.

Who They Serve

The company focuses on physicians in solo practice and on physician groups. This suggests it is oriented toward practices that lack the scale for a full internal billing department, or that would rather not maintain one.

For an independent doctor, handing billing to an outside firm can free time for patient care and reduce the burden of hiring and training staff. For a group, an external partner can bring consistency to billing across several providers.

Practices in the Birmingham metropolitan area may value having the firm nearby, although the listings do not say whether it limits its work to a particular region.

Services

Published listings point to two main lines of work:

• Medical billing for independent physicians and group practices, managing the revenue side of the practice on the client's behalf
• Consulting on billing operations and the broader management of a medical practice

Offering consulting alongside billing means the firm presents itself as more than a claims processor. It can look at how a practice operates as well as at the claims it submits. The listings state a twofold goal for both services: increasing the cash flowing into a practice and lowering the administrative cost of running it.

These two aims are among the most common reasons practices seek outside billing support, and they are central to how the firm describes the value it offers.

What to Confirm Before Engaging

Public information about the company is limited, so practices evaluating it should get specifics directly. Useful questions include:

• Which medical specialties the firm has billing experience with
• How claims are prepared, submitted and followed up when they are denied
• How outstanding accounts receivable are tracked and collected
• What reports clients receive and how often
• What a typical consulting engagement covers and how it is scoped
• Which practice management or billing software the firm uses or supports

Asking for references from current physician or group clients can help a practice judge whether the firm is a good fit. Published sources do not confirm the firm's founding date, staff size or professional credentials, so a practice should raise these points in an early conversation as well.

Overview

Medical Business Management, commonly known as MBM, is a Birmingham, Alabama firm that concentrates its billing, coding and practice support work on a single specialty: anesthesia. Rather than spreading itself across every type of medical practice, the company has built its operation around the particular demands of anesthesia reimbursement, and it reports over three decades of experience in that niche. Its clients fall into three groups: hospitals and surgery centers, physician anesthesiology groups, and CRNA groups, including independent nurse anesthetists.

Anesthesia claims differ from typical professional claims because charges are built from ASA base units, time units and modifying units, multiplied by a conversion factor that varies by carrier and location.

MBM's staff manage these variables along with physical status units, concurrency checks on medically directed cases and correct application of "Q" modifiers, an area where the firm says CRNA work is frequently under-billed. The company also coaches providers on documentation, since each case needs an anesthesia record, on paper or electronic, to support payment and compliance.

Services

MBM positions itself as an extension of a client's own business office, taking on work from credentialing through final collection. Core offerings include:

• Anesthesia billing and claims filing
• Revenue cycle development and management
• Provider credentialing and re-credentialing with Medicare, Tricare, Medicaid, Blue Cross and commercial payers
• Medical coding (CPT and ICD-10) and charge entry
• Payment posting, follow-up on unpaid or slow claims, and collections
• Patient billing statements, electronic statement delivery and patient inquiry handling
• Financial, production and month-end reporting
• MACRA and CMS quality measure compliance
• Anesthesia EMR services offered with Graphium ONE
• Consulting, cash flow projections, and stipend and facility contract negotiation

For hospitals, MBM focuses on CRNA professional (Part B) billing, a relatively small revenue line that facilities often find burdensome. The company uses several methods to keep anesthesia revenue distinct from hospital income and reconciles deposits against postings with the business office through a payment log.

It accepts patient data downloads from hospital systems to speed claim processing and offers a tool to find insurance coverage for patients listed as self-pay. Payments can move by EFT, claims by EDI, and patients can pay by credit card.

For anesthesiology groups, MBM builds out the revenue cycle, handles payer credentialing, sets productivity standards, and also covers pain management billing, hospital contracting, and records storage and scanning. For CRNAs starting their own practice, the firm goes further, securing a tax ID, drafting a business development plan, forecasting cash flow, and credentialing both group and individual numbers.

It keeps electronic copies of payments, EOBs and remittances, and sets up processes intended to ensure no charge, whether captured in an EMR or on a paper ticket, goes unbilled.

What Sets MBM Apart

Buyers comparing billing vendors will notice that MBM's differentiator is depth in one specialty rather than breadth. The company relies on billing software designed for anesthesia, trains facility anesthesia staff on improving collections, and reviews year-to-date results with clients. Prospective clients can request a free consultation, use an online revenue calculator, or download guides on facility revenue and on launching an anesthesia practice. Existing clients have access to a secure client portal.

Company Background

Founded in 2008 and headquartered in Birmingham, Alabama, MEREM Healthcare Solutions manages reimbursement for specialty medical practices and outpatient surgical centers. The business was previously known as Code Collect. Its founders were healthcare leaders who had faced persistent claim and documentation headaches inside their own organizations and set out to build a stronger alternative to existing outsourcing vendors. Matthew Lemak serves as CEO, Jordan Ingle holds the COO role, and Brittney Tidwell oversees day-to-day functions as VP of Operations.

MEREM takes responsibility for every stage of reimbursement, from the moment a visit is recorded to the final step of mailing balance notices to patients. Its core billing offerings include:

• Recording visit charges and screening each claim for mistakes prior to transmission
• Daily correction and refiling of claims that payers have bounced back or refused
• Analyzing why payers refuse claims and pursuing official appeals
• Applying remittances from insurance carriers and individuals on a daily basis
• Examining and preparing balance notices for patients
• A phone support line where patients can ask about amounts owed or arrange installments
• Tailored monthly financial summaries

Additional services extend past claims work to include procedure and diagnosis coding, documentation audits, payer enrollment for providers, early-stage patient balance outreach, operational advice for practices, and programs aimed at raising income. Every claim is checked against the underlying chart by coders who have earned the CPC credential.

That step guards against assigning codes too low, which forfeits earned revenue, and assigning them too high, which invites regulatory trouble. According to MEREM, this scrutiny also raises the share of claims paid without needing a second attempt.

Engagement Model

Compensation is tied to results: MEREM keeps a set share of collected revenue, meaning it gets paid only after its clients do. The firm characterizes this pricing as covering everything. Clients keep whatever scheduling, billing and charting software they already run, since MEREM adapts to existing tools and cites familiarity with over ten major systems.

For offices still relying on paper files, MEREM's technology specialists and advisors help build a protected, regulation-compliant method for transferring documents. Rather than relying on one individual, each account is served by a group of specialists, with a single designated liaison known as the Merem Concierge.

MEREM's number is printed on patient bills, so people with billing questions speak with representatives located in the United States. The team also monitors outstanding patient balances and advises when an account is ready for a third-party agency, while its standalone pre-collections program can be added separately.

Areas of Practice

The firm concentrates on specialty care across a wide range of fields:

• Surgical and procedural: orthopedics and sports medicine, plastic surgery, urology, ophthalmology, pain management, and surgery of a general nature
• Medical specialties: pulmonology, neurology, OB/GYN, internal medicine and hospitalist groups, heart care, digestive disease care, and treatment of blood disorders and cancer
• Other fields: skin medicine, ear, nose and throat care, and medical imaging including advanced imaging
• Facilities: hospitals and ambulatory surgery centers

Bone and joint care appears most frequently among the firm's references. Named clients include Lemak Sports Medicine & Orthopedics, Tropeano Orthopaedics and Sports Medicine, OrthoExpress of Chelsea, Alabama, and a sports medicine group located in Las Vegas, Nevada. MEREM also counts a spine and pain practice among the organizations it serves.

Practices weighing outsourcing partners may find several distinguishing traits: more than fifteen years of operation in Birmingham, a dedicated group of specialists paired with one point person, credentialed coders checking each claim, and no requirement to switch software. Interested organizations can request a complimentary assessment of their reimbursement process together with an introductory meeting.

National Billing Associates, which also operates under the name Renal Billing, is a Birmingham, Alabama company that handles medical billing for one narrow field: kidney dialysis. Most billing firms take on many specialties. This one works only on dialysis claims, so it suits clinics, nephrology groups and other kidney care providers who want a billing partner that knows the reimbursement rules specific to renal treatment.

Focus and Clients

Business listings describe the company as working exclusively in dialysis billing, and the Better Business Bureau lists its offering as billing services for kidney dialysis medical practices. Its clients are organizations that provide dialysis care, ranging from independent units to physician practices that treat patients with kidney disease.

Dialysis billing has its own payer requirements, recurring treatment schedules and coverage questions for patients with end-stage renal disease. Buyers whose revenue depends on these claims may find a dialysis-only vendor easier to work with than a general billing service.

Services

The firm takes on billing work on behalf of its dialysis clients. Based on the published information, its work covers the following:

• Outsourced claims billing for dialysis providers
• Billing and revenue support for nephrology and kidney care practices
• Reimbursement handling specific to renal treatment
• Billing and financial management support for medical practices

One business directory reports that the company includes a tool called MIQS with its service for every client. The listing does not explain what MIQS does, so buyers should ask the company directly how it fits into their billing workflow and reporting.

Background and Team

The company is headquartered in Birmingham, Alabama. The Better Business Bureau credits it with more than two decades in business. Business data providers estimate its staff at roughly 11 to 50 people, which makes it a specialized, mid-sized operation rather than a large national outsourcer.

Tommy Carter is identified as co-founder, chairman and chief executive, and the team also has an IT director and medical billing specialists. The legal name of the business is National Billing Associates, Inc., and the Renal Billing name and web address reflect its specialty.

Considerations for Buyers

Two things set the company apart: it has stayed with dialysis for a long time, and it has kept that single specialty. Organizations comparing medical billing vendors in the Birmingham area should look at it if renal care is their core business. Practices that need billing across many unrelated specialties would likely be better served by a generalist.

Because the company's own website could not be reviewed in detail, prospective clients should confirm the current scope of services, the technology involved and onboarding steps with the company before signing.

Primrose Health is a medical billing and practice support company headquartered in Homewood, Alabama, in the Birmingham area. It works mainly with independent physicians and newly opened clinics. Its offerings are built around the needs of practices that are just starting out, combining revenue cycle work with payer enrollment, coding, staffing support and its own software platform.

The company says Primrose was created with surgeons and interventionists in mind, and its site highlights work with cardiology practices as well as several other specialties.

Billing and revenue cycle services

The full-service billing offering covers each claim from charge entry through collection. Specialists who round at hospitals, rehabilitation facilities and skilled nursing facilities can record charges through a mobile charge capture app. The company also connects to major EMR systems to bring charges and financial data into its billing platform.

Before submission, a staff member reviews each claim and it is run through a scrubber. The firm reports that most claims go out electronically and reach payers within a day. Primrose also uses its own rules to decide when a claim should be filed, aiming to raise reimbursement rather than simply filing as fast as possible.

Paper EOBs go to a lockbox and electronic remittances are posted by the team, while paper checks are deposited remotely. A dedicated receivables team refiles or appeals unpaid claims until they are resolved.

Beyond core billing, the company offers:

• Credentialing, including NPI registration, Medicare and Medicaid enrollment, CAQH profile setup and upkeep, IPA coordination and commercial payer contracting
• Coding for procedures and surgeries, plus prior authorization handling for tests and procedures
• Virtual assistants who cover front desk duties until a practice hires its own staff
• A practice management platform with scheduling, billing and a patient portal
• Basic marketing setup, including a website, local search optimization, directory listings, review management and half a year of social media promotion

AI tools

Primrose has added a group of AI-driven products. These include an AI-assisted practice management platform, a virtual front desk agent that handles appointments and patient questions around the clock, and a virtual receptionist for routing calls. The group also covers fax handling, waitlist tools, mobile CPT and ICD-10 coding support, automated prior authorization and real-time checks of patient eligibility and benefits. Rollout happens in phases, moving from discovery and configuration through a pilot, then full deployment and ongoing tuning.

Onboarding and background

New clients go through a three-step transition: an assessment of where the practice stands, an onboarding plan tailored to scope and timelines, and weekly check-ins with the onboarding team. During credentialing, the team works with billing staff on when to hold or file claims so that services are not processed out of network.

Each client gets a dedicated team member, and moving existing data is part of onboarding. The company traces its roots to Iris-Health, which began in 2003 as a transcription business. Iris-Health developed PM and EMR software in 2007, moved into billing services in 2008, earned Meaningful Use EMR certification in 2010 and became a MIPS Qualified Registry in 2017.

Primrose itself was launched in 2021. The organization cites about 20 years of experience, more than 250 employees and four locations.

Overview

The Valletta Group is a Birmingham, Alabama firm that does only physician billing and revenue cycle management. It was started in 2004 by several former members of the internal billing department at a large American practice who decided to go out on their own.

From that small founding group, the company has grown into a provider that supports clinicians in many specialties nationwide. Its leaders stress that billing is the company's only line of business. They contrast this with larger competitors whose parent companies mainly sell software.

Buyers will find that the firm works with a range of provider types, including:

• Hospitalist groups
• Independent private practices
• Physician groups employed by hospitals
• Urgent care centers
• Other healthcare organizations across multiple specialties

Services

Valletta covers the full revenue cycle, from capturing charges and submitting claims through to accounts receivable follow-up. Its offerings include:

• Claim submission and insurance follow-up
• Fixing and resubmitting denied or underpaid claims
• Coding by certified staff, plus coding consultants for specific problems
• Credentialing and re-credentialing of providers
• Help with patient collections through phone reminders to patients and online bill payment
• Help with payor contracting
• Guidance on MIPS, MACRA, alternative payment models and value-based care
• Support with HIPAA and HITECH requirements
• Analytics reports that clients can customize, delivered weekly or monthly

How They Work With Clients

All billing staff work in-house at one Birmingham office, where operations staff and managers meet every day. Several team members handle each client account and multiple supervisors oversee it, so someone who knows the practice is usually available when questions come up. Customer support is not offshored.

When a client or patient calls, the question goes to the biller who worked the claim. The receivables team looks for recurring mistakes by practice staff and explains what needs to change to stop repeat denials. The company also coaches clients on front-desk workflows so that fewer errors reach the back end.

Valletta says it works with the software a practice already uses instead of requiring a switch. It shares reports on whatever schedule the client prefers, and staff review the data for trends rather than just forwarding automated output.

Background and Differentiators

The leadership team includes founder and CEO Robbin Grayson, Chief Operating Officer Gilbert Johnston and business development chief Cal LaGroue. Johnston and LaGroue both hold the CHBME credential. Other executives oversee strategic development, HR and provider enrollment, and revenue operations and software development. A wider staff of account coordinators, billing specialists, and credentialing and enrollment staff handles day-to-day client work.

The company says its clients' net collections average 97 percent, and its site shows HBMA accreditation for compliance. Clients get email alerts about regulatory and procedural changes. The firm also publishes a blog, articles on industry trends and a free tool that estimates outsourced billing rates.

Valletta presents itself as a long-term partner for practices that prefer a US-based specialist billing team to a software-led vendor.

Vaytiv Payment Solutions is a Birmingham, Alabama company that focuses on the patient side of the medical revenue cycle. It does not position itself as a full claims-management firm. Instead, it works with physician practices and other medical offices to turn patient balances into collected revenue.

It handles the statements that tell patients what they owe and supplies the payment tools patients use to settle those balances. The company was known for more than two decades as Innovative Billing Solutions, Inc. and adopted the Vaytiv name in 2023 to make its specialty in patient payment services clearer. It reports serving medical practices since 1998.

Patient Statements and Billing

One of Vaytiv's two core offerings is outsourced patient statement production. A practice sends its raw patient data, and Vaytiv formats it into statements. Patients can get these on paper or electronically, depending on what they prefer.

Each statement shows how insurance handled the charges and includes a secure link for online payment, so patients have fewer questions and can pay sooner. Its text and email billing option sends a personalized message with the full eStatement attached. The system time-stamps each delivery, which gives the practice a record if a patient later says no bill arrived.

Patients can opt in or out of digital delivery on their own.

Front-Desk Collections

The other core offering is the Vaytiv Point-of-Sale system, known as VPOS. It is payment software built for healthcare and links the card terminal to the practice's EHR. At check-in, staff can see the patient's balance and take payment before the visit. That payment then posts to the correct account without manual entry. Supported options include:

• Contactless tap payments, Apple Pay and Google Pay
• Chip card and traditional swipe transactions
• Surcharging on eligible payments where state rules allow it
• Merchant processing rates set up for medical practices
• Same-day reports on front-desk collections

Automation and Security

Vaytiv's Auto-Posting feature records payments from every channel in the practice management software, including the front desk, the online portal, and text or email. Each day, the practice gets a batch report with transaction details.

The online bill pay portal lets patients pay from any device using credentials printed on their statement, so they don't need to set up a full account. Vaytiv says patient data sits on cloud servers that meet HIPAA requirements and are monitored around the clock. It also says card processing meets PCI standards.

New clients start with a consultation that looks at how the practice currently collects from patients. Vaytiv then sets up payment channels, reporting, and staff workflows to fit. It manages integration, training, and go-live support, and most practices are running within a few weeks of approval. During onboarding, it also reviews the practice's current merchant agreement at no charge.

Buyers who mainly need help with patient balances, not insurance claims, may find Vaytiv's combination of statements, front-desk payments, and automated posting a good fit.