Medical Billing Companies & Consultants in Boston, MA

Alico Healthcare, LLC is a revenue cycle management firm that has worked only on healthcare revenue operations since 2011. It is based in Boston. The company handles the money side of patient care, from checking coverage before a visit to collecting the final payment. Clients can hand Alico their whole revenue cycle or bring it in to fix one weak spot. Its staff is located in the United States and works with clients in both English and Spanish.

Services

Alico offers a broad managed service and several narrower ones. The managed option puts front-end tasks, billing, follow-up, receivables and reporting under one contract. Alico then takes responsibility for every function inside the agreed scope. Organizations that only need help in one area can choose from these services:

• Managed revenue operations covering the full cycle
• Patient access and financial clearance, including coverage checks and authorization requirements
• Provider enrollment and credentialing for individual clinicians and practice locations
• Claims submission, payment posting and accounts receivable follow-up
• Revenue recovery for aging balances, denied or unpaid claims and payment shortfalls
• Startup support for new practices, additional sites, newly hired providers or system launches

Who They Serve

Alico's clients range from large organizations to small practices. Hospitals and health systems can hire the firm for specific functions across departments or sites, or to clear backlogs during high-volume periods. Medical groups use it to manage enrollment, front-end tasks and collections as they add providers. Independent practices can outsource a single function or a larger share of the work without hiring staff for each role. Specialty organizations get billing built around the payer rules and reimbursement patterns of their field. The firm lists experience with behavioral health, applied behavior analysis, physical therapy, home health, medical transportation and radiology. Each of these areas has its own rules, such as session caps, unit-based billing, mileage documentation and split professional and technical components.

How They Work

Alico makes clear who owns each next step so that no account sits untouched. The team bases its work on the relevant payer policies, CMS guidance and provider manuals. It treats problems at registration and eligibility as an early cause of later denials, so it fixes them before claims go out. Alico uses automation to cut down on routine tasks and flag denial risks sooner. People on its staff still handle accounts that need judgment.

Track Record

Alico reports a 96.8 percent net collection rate from payers and a 98 percent first-pass acceptance rate at the clearinghouse. It says it submitted more than half a million claims in 2025 and that its leadership has over twenty years of revenue cycle experience. Testimonials on its site come from a pediatric practice offering mental health, speech and occupational therapy, which has worked with Alico for more than seven years, and from an outpatient wellness center. Both clients describe the team as responsive and reliable about following through.

Medheave Healthcare Services LLC, which markets itself as MedHeave, is a Boston-based revenue cycle firm that takes over the billing function for established medical practices across the United States. Rather than positioning itself as a claims-submission vendor, the company describes its model as an embedded revenue operations team that plugs into a practice's existing workflow, so physicians keep oversight of their finances while handing off the day-to-day administrative load. Its operations are HIPAA-compliant and its headquarters is in downtown Boston.

Services

MedHeave covers the full span of the revenue cycle, from the moment a charge is entered through to final collection of accounts receivable. Its service menu includes:

• End-to-end revenue cycle management
• Medical billing, including charge entry and AR follow-up
• Coding with ICD-10, CPT and HCPCS by AAPC-certified coders
• Payer credentialing, enrollment and ongoing maintenance
• Prior authorization with live tracking and renewals
• Denial management, with a stated turnaround of 72 hours
• Workers' compensation and no-fault injury claim billing
• Patient statements and the patient collection cycle
• In-network billing support for enrollment, payer fee schedules and contract rate reconciliation

Prospective clients can request a free billing audit, which the firm uses to judge whether a practice's problem claims need minor correction or a deeper investigation.

Specialties served

The company lists experience across more than fifty clinical areas. Its featured specialties include behavioral and mental health (with attention to eligibility, authorization caps and telehealth), podiatry (modifier use, global surgical periods and coordination with DME), urgent care, orthopedics (implant coding and approvals for surgery), cardiology, durable medical equipment (order handling, rental caps and refill requirements), pediatrics (preventive visits, vaccines and Vaccines for Children eligibility), anesthesia (anesthesia time, base unit calculation and medically directed cases) and neurology. Other areas named on its site range from ABA therapy, chiropractic and physical therapy to laboratory, hospital, ASC, hospice, home health, oncology, radiology, wound care and personal injury billing.

How it works with clients

MedHeave works directly inside each client's own system and reports familiarity with more than 40 EHR platforms. It states that it does not pass patient information through outside third-party tools, a point that may matter to practices concerned about data security. The firm says it handles over 100,000 claims each month and publishes performance figures it claims to deliver across its client base: a first-pass acceptance rate above 90 percent, a net collection rate above 97 percent, a denial rate below 10 percent, and accounts receivable held under 40 days. It also cites monthly revenue gains of 15 to 25 percent or more for practices it supports.

Background and reach

Although based in Massachusetts, MedHeave serves providers nationwide, with dedicated location pages for Boston, New York, Los Angeles and a long list of states including Vermont, Maine, Connecticut, Rhode Island, New Hampshire, Michigan, Texas, Florida and California. For buyers comparing vendors, its main differentiators are the integrated department approach, specialty-specific coding knowledge and its published metrics on claims performance.

Headquartered in Boston, Streamline Health Care Solutions handles billing and administrative support for providers who focus solely on behavioral and mental health care. The firm serves individual therapists working on their own, group practices with several clinicians, and sizable organizations that treat thousands of people and submit claims to many different payers, each operating with distinct fee schedules, platforms and processing timeframes. Rather than marketing itself as a general medical billing company, Streamline pitches its niche expertise to Lynn and greater Boston practices considering whether to hand off their billing to an outside partner.

Services

Streamline organizes what it does into three core categories: managing the revenue cycle, enrolling providers with insurers, and advising on operations. On the billing front, the team oversees each claim's entire lifecycle, beginning when a practice accepts someone new and ending once reimbursement arrives. Among its main services are:

• Submission and collection of behavioral health claims
• Confirming coverage and benefits for incoming patients
• Requesting first-time authorizations
• Monitoring authorization status and deductible balances
• Producing and sending patient bills
• Working rejected claims and chasing overdue payments
• Billing for virtual sessions in line with Massachusetts insurer requirements
• Enrollment with insurers, periodic renewal of that enrollment, and updates when provider details change
• Advisory services on running and managing a practice

For enrollment, Streamline assists clinicians in joining the networks of leading insurers, a process that smaller offices frequently cannot manage due to limited time or unfamiliarity with the requirements. The company highlights its practice of reviewing applications multiple times for errors and points to long-standing relationships with insurer representatives as a way to speed approvals and clear up problems. Its advisory engagements proceed in three stages: evaluating the practice, mapping out improvements, and carrying them out. Staff study how the office currently operates, who its patients are and what services it delivers, then propose adjustments, frequently beginning with how new patients are brought in, so that financial details are addressed throughout every encounter.

How they work with clients

The firm frames outsourcing to Streamline as a substitute for employing a dedicated, benefits-eligible biller on site, and it notes that because a team handles each account, work continues uninterrupted when someone takes time off. Streamline characterizes its collection efforts as tenacious, pursuing unpaid balances until no avenues remain, and its fees depend on whether clients actually receive their money. The company places weight on developing strong rapport with practice staff, patients and insurers alike, and it says each client's workflow and staffing allocation is tailored to that particular office. When the COVID-19 pandemic arrived, Streamline developed procedures for billing and collecting on virtual visits that aligned with the policies Massachusetts payers put in place.

Background and team

David Wisholek established and incorporated the company in 2007. He brings over thirty years of experience running businesses, and he studied at Canisius College, completing a bachelor's program that concentrated on the field of management. Prior to starting Streamline, Wisholek oversaw day-to-day operations for The Family Center, a state-licensed behavioral health provider based in Somerville. He also headed the reimbursement function for New England Home Therapies in Southborough, a company supplying at-home intravenous treatment services along with durable medical equipment. Today the staff includes senior account managers Christopher Bradley and Chad Rousseau, along with account managers Erika Lesofsky and Alex Chipman. According to company leadership, the group collectively holds over thirty years of experience billing for mental health services. Streamline describes its organization as having few layers of hierarchy. A testimonial from The Danielsen Institute, made public by the firm, credits Streamline with overhauling the institute's billing operation and with improving both its administrative procedures and its personnel.