Medical Billing Companies & Consultants in Cincinnati, OH
There are 6 medical billing companies listed in Cincinnati, Ohio. Each listing shows the firm's background, address, phone number and website so you can compare your local options before you reach out. You can also browse medical billing companies across Ohio or see medical billing companies nationwide.
Clean Claim MD
Overview
Clean Claim MD, often shortened to CCMD, is an independent revenue cycle firm in the Cincinnati area. It handles claims, credentialing and administrative support for medical practices. Its main goal is to make sure providers collect the reimbursement they have earned. It pays particular attention to claims that would otherwise be underpaid or never paid at all.
The company presents itself as a partner for independent practices that want to hand off billing work so their clinical staff can focus on patients.
The firm was founded by Kelly Stahl, who serves as President. Before starting CCMD, she worked in a large corporate billing environment. By her account, claims there were often submitted with little follow-through, and anything that failed to pay was allowed to slip away.
She was unwilling to accept that approach, so she left to build her own company around chasing every payable claim. That origin still shapes how the team describes its work. Staff are expected to push back against insurers and work through payer red tape for clients instead of accepting denials at face value.
Services
CCMD offers a broad set of services that go beyond claim submission. A practice can outsource as much or as little of its business office as it needs:
- Full-service medical billing
- Provider credentialing and payer contracting
- Medical coding
- Patient scheduling
- Front office staff training
- Practice management and consulting
- HIPAA training support
One distinctive feature is how the company handles billing questions from patients. Patients can be directed to the CCMD office, where staff answer for the practice in a way meant to feel like an extension of its own front desk. Practices that want to lighten the load further can also have CCMD manage appointment scheduling.
The company publishes a newsletter, The Clean Claim Connection, with tips for independent practices on claims, credentialing and running a practice. Its President has also spoken about the value of choosing capable practice software.
Specialties Served
The firm works with a varied client base. It lists experience across many specialties, including ambulance services, family practice, internal medicine, gastroenterology, hospitalist groups, obstetrics and gynecology, pain management, physical therapy, ophthalmology, urgent care and wound care. This mix could suit both primary care offices and specialty or facility-based providers whose coding and payer requirements are more complex.
What Sets It Apart
CCMD works from an office in eastern Cincinnati. The company says all of its work is done in-house, with none of its operations handed to outside vendors in the United States or overseas. Buyers who care about data handling, accountability or slow communication may find this fully local staffing model a useful point of comparison.
It also has a founder-led culture of persistent claim follow-up and will take on patient calls and scheduling. Together, these make CCMD a hands-on option for independent practices in southwest Ohio. It suits practices looking for a billing partner that treats unpaid claims as a problem to solve rather than a normal cost of doing business.
Doctors Revenue Management Services, LLC
Overview
Doctors Revenue Management Services, LLC is a billing and consulting firm based in Cincinnati. It works with physician practices and other healthcare providers that want help with claims, getting reimbursed and the business side of running an office. Its team has more than 25 years of billing experience, and it takes on practices in Ohio, Kentucky, Indiana, Tennessee and Virginia. A practice can hire the firm to take over its billing, to advise on how it bills now, or both.
The company calls its collection style courteous but persistent. It says it avoids the harsh tactics that can upset patients and strain their relationship with the provider. Instead, its staff follow up on balances and payer problems tactfully, and the firm credits this approach with keeping clients over the long term. For practices that care about how an outside biller treats their patients, this is a real difference from some competitors.
Billing and claims management
The firm submits claims as services are recorded rather than holding them for batches. It reviews denials and rejections every business day so problems get fixed quickly and cash keeps coming in. It will appeal denied claims and also handles personal injury cases. It accepts workers' compensation claims, which it says most billing companies do not.
Clients get access to modern practice software through an online client portal, where they can book appointments, register patients and run management reports. The company also tries to keep costs down by limiting start-up charges and monthly per-provider and per-user fees, so its pricing stays simple.
Consulting services
Its consulting work centers on revenue cycle management. Consultants review a practice's accounts receivable and aging reports on unpaid claims to find billing mistakes, and they help make incoming payments more predictable. Other services include:
- CPT and ICD-10 coding, including modifiers
- Custom encounter forms updated with current-year codes
- Insurance audits
- CAQH credentialing
- Review of insurance contracts and fee schedules
- Setup of electronic remittance advice, electronic funds transfer and payer IDs
- Guidance on daily office operations
- Back-office help with recruitment, HR, accounts payable and growing the practice
Training and support
Training comes up throughout the firm's offering. It teaches new employees how to use the practice software, with HIPAA instruction included. It also provides hands-on coaching so office staff become comfortable with routine tasks and the practice runs efficiently. Practices can ask for a free phone consultation to talk through their billing problems before signing on, which makes it easier to compare the firm with other options.
2nd floor
Cincinnati, OH 45206
Medicaid Billing Solutions, Inc.
Medicaid Billing Solutions, Inc. (MBS) is a billing firm based in the Cincinnati area. It works in one narrow and complex part of Medicaid: Ohio's developmental disabilities system. It does not handle general physician or hospital claims. Instead it serves two client groups. The first is county boards of developmental disabilities. The second is the agencies and independent practitioners who provide waiver-funded supports to people with intellectual and developmental disabilities.
Who they serve
For county boards, MBS works on Targeted Case Management (TCM). It helps boards collect the revenue they are owed while keeping case notes compliant, and it supports both Service and Support Administration (SSA) teams and business offices. For providers, the firm submits claims for Home and Community Based Services (HCBS) waivers run by the Ohio Department of Developmental Disabilities (DODD).
It also reviews the service records that back up those claims. The testimonials on its site come from agency, residential and independent providers.
Services
- Outsourced HCBS waiver billing for agency, residential and independent providers
- TCM billing and revenue support for county boards
- Review of case notes and service documentation for compliance
- Catching up on overdue billing and cleaning up receivables
- DODD-mandated documentation and billing training
- Hiring, training and mentoring of business office staff
- Billing process evaluations and business consulting
- Preparing cost reports and supporting audits
- Utilization review and PAWS, CPT and MRC work
- An SSA Bootcamp training program
How they work
MBS designs a service package around each organization's billing needs. It bills as a team, so collections keep going even when one staff member is out. Its staff know several software platforms used in the DD sector, including Advisor, Brittco, Gatekeeper and Infallible. The company works closely with county boards, DODD, the Ohio Department of Medicaid and software vendors.
Staff follow rule and code changes by attending state and association conferences. They share updates through separate newsletters for agency providers, independent providers and county boards.
Background and team
Sandy Landers, MPA, founded the company and serves as its CEO. She has more than twenty years of experience in the Ohio DD field, covering Medicaid management, business operations, training and consulting. She started MBS after her consulting clients began asking her to handle their billing.
Shari Weber, Director of Provider Services, joined in the firm's early days and has a background in accounting and insurance. Whitney Davidson, Director of County Board Services, joined in late 2022 with eight years of experience in healthcare billing and administration. About fifteen more billing specialists are split between a county board team and a provider team.
Team members have also served on state committees and presented at industry trainings and conferences.
For buyers, the main difference is focus. MBS specializes in DODD waiver and TCM rules rather than general medical billing. It combines claim submission with documentation review, staff training and consulting. Organizations in this field can hire it as an outside billing partner. They can also use its training so their own staff can bill in-house.
Cincinnati, OH 45255
Medical Reimbursement Inc. (MRI, a Coronis Health company)
Medical Reimbursement Inc., known as MRI, is a revenue cycle management provider in the Cincinnati area that now operates under Coronis Health. Its original web address now sends visitors to the Coronis Health site.
Coronis lists a U.S. office on Lake Forest Drive in Blue Ash, Ohio, so practices in Greater Cincinnati can work with a local team that is backed by a national organization. The company focuses on billing and reimbursement for specialty medicine, not on generic billing for every type of practice.
Specialties Served
Coronis builds its services around clinical specialties where billing mistakes cost a lot and the coding rules are complex. The specialties it lists include:
- Anesthesia
- Behavioral health
- Emergency medical services and emergency medicine
- Federally qualified health centers (FQHCs)
- Hospitals and health systems
- Pathology and radiology
- Physician and multi-specialty groups
- Surgical specialties
Because it covers this range, the firm can serve a single-specialty group, a multi-department hospital-based practice or a larger health system.
Technology and Products
Besides outsourced billing work, Coronis offers its own technology. Its Intelligent Revenue Platform supports decisions across the full reimbursement cycle, and it has a separate set of in-house tools built for anesthesia billing. In October 2025, the company announced a partnership with Sigma to bring cloud-based analytics into its reporting. The aim is to replace static reports with live data that clients can explore, so providers see their financial performance sooner.
How Engagements Work
New clients go through a three-stage process. First, the practice describes its organization, its specialty and what it wants to improve. Next, Coronis reviews how the revenue cycle currently runs and identifies areas to improve. Finally, the two sides put changes in place together, with the goal of better performance from the start. The company says it tries to spot problems early and bring recommendations to clients before they ask, rather than waiting for revenue to be affected.
Scale, Security and Background
Coronis says it has more than 10,000 team members and over 40 years of experience in revenue cycle work, with operations around the world. In September 2025, it renewed its global ISO 27001:2022 certification for information security management. Its website also has a trust center covering data security and regulatory compliance.
In May 2026, the company announced new growth initiatives and named Pranil Vadgama CEO and President. Its stated values are excellence, commitment, partnership, integrity and innovation. For buyers comparing Medical Billing firms in Cincinnati, MRI offers a nearby office combined with the specialty knowledge, technology and staffing of a large national RCM company.
Suite 198
Cincinnati, OH 45242
Medicount Management, Inc.
Company Overview
Headquartered in Cincinnati, Medicount Management, Inc. focuses exclusively on revenue cycle work for emergency medical services. Rather than serving a broad mix of healthcare specialties, the firm has organized its entire operation around ambulance and EMS reimbursement. Its customers are mainly municipal entities, including cities, townships and comparable local government units that operate public or fire-department-based EMS programs. For public safety decision-makers, this singular specialization is the firm's defining characteristic.
History and Leadership
Medicount opened its doors in 1993 and remains a family-owned and family-operated business. Joseph D. Newcomb, who owns the company, spent his career as a Cincinnati firefighter before retiring, which gives the organization firsthand insight into how emergency crews operate.
According to Medicount, its expansion over the years reflects a consistent dedication to protecting the fiscal well-being of the communities it partners with. Its client base currently spans five states: West Virginia, Michigan, Indiana, Kentucky and Ohio.
The company has also signaled an interest in reaching additional states across the Midwest, and the resources it offers patients include referrals to assistance programs located in Pennsylvania and Illinois.
Core Services
For municipal EMS agencies, Medicount functions as an external reimbursement and collections department. Its aim is to maximize the money departments recover for services rendered while placing minimal demands on agency personnel. Staff at Medicount stay current on shifting payer requirements, sparing client departments from dedicating their own employees to regulatory tracking. Key offerings include:
- Comprehensive claims handling for emergency ambulance trips
- Reimbursement support for treatment delivered without transporting the patient
- Claim preparation and submission to government and commercial insurers
- Oversight of collections to strengthen overall recovery
- Ongoing tracking of reimbursement regulations to keep agencies in compliance
- A protected online portal that agency personnel can access
Serving Patients on Behalf of Clients
Beyond agency-facing work, Medicount manages patient interactions for the municipalities it represents. Individuals who received care, along with their relatives, can settle outstanding amounts with a credit or debit card through the company's website and submit demographic and coverage information using an online form.
Forms for HIPAA authorization and financial hardship consideration can be completed electronically or printed and returned by mail or fax. The company points patients with limited income toward government-funded coverage options in multiple states, maintains a dedicated route for legal professionals seeking records, and provides website content in Spanish.
Medicount reports that it safeguards personal information through restricted-access systems and encrypted connections protected by SSL.
Distinguishing Qualities
Local governments evaluating potential partners are likely to focus on a few points: Medicount's exclusive attention to EMS reimbursement, an owner with a fire service background, and a track record stretching back more than three decades. Testimonials featured by the company highlight precision, cost-effectiveness and an easy working relationship.
A number of clients describe Medicount's staff as an extension of their own department, freeing fire chiefs and administrators to concentrate on public safety rather than on insurance paperwork and payment follow-up.
Cincinnati, OH 45215
Unlimited Systems
Headquartered in Cincinnati, Unlimited Systems develops software for specialty medical groups, with a focus on practice management and revenue cycle operations. Its main product, Unlimited Financials, targets practices where reimbursement depends on expensive medications, intricate procedures and demanding insurer requirements. Prospective clients should understand that the firm does not supply outsourced billing personnel. It is a technology provider whose platform drives the billing process, and it maintains its own support staff to assist users.
Platform and Products
Unlimited Financials ties every phase of the revenue cycle into a single system built around five steps: appointment booking and patient onboarding, financial clearance, charge capture, claim transmission and payment posting, and continuous performance review. Before a patient arrives, the software confirms coverage, secures prior authorizations and produces cost estimates.
Charges are screened against specialty-specific and insurer-specific edits before claims are generated. Incoming remittances are reconciled without manual effort, and anything that does not match is routed to the right employee. Information about rejected claims flows back to earlier stages, so practices can fix the root cause of repeat mistakes.
Companion products include Unlimited Market Intelligence, which provides analytics; Unlimited Integration, which exchanges data with third-party systems using HL7 as well as current API standards; and Unlimited AI, which resolves routine tasks automatically so staff only need to examine claims it has marked for attention.
- Revenue cycle and medical billing tools spanning the process from entering a charge to collecting the last payment
- Charge review, denial resolution and receivables queues prioritized by the dollar amount that can be recovered
- Tools for patient registration, onboarding, appointment booking and outreach
- Patient statements, installment arrangements, saved card payments and a web-based payment site
- Reports, visual dashboards and monitoring of value-based care programs
- Adjustable automation that office staff can set up themselves without submitting requests to IT
Specialties Served
Rather than serving general primary care, the company concentrates on specialty medicine. Oncology is central to its business, and Unlimited Systems reports that over half of community oncology practices use its products.
It also provides specialty-specific setups for cardiology, for nephrology and dialysis providers, and for infusion centers outside oncology that treat patients in rheumatology, immunology, multiple sclerosis and Crohn's disease.
Among its specialized capabilities are automatic application of JW and JZ modifiers for discarded drug amounts, scheduling built around infusion chair usage, reminders when biologic authorizations are due for renewal, documentation verification for ESA and iron treatments, and support for ESRD bundled payment billing.
Scale, Compliance and Support
The company states that its customer base includes over 6,500 specialty clinicians at more than 4,500 sites, that it handles in excess of $70 billion in charges each year, and that it supports upward of 150 separate API integrations. Its infrastructure has undergone an independent SOC 2 examination, and its data protections are designed to meet HIPAA requirements.
The system records each adjustment, override and automated rule outcome along with the responsible user, the rule involved and a timestamp. As a result, compliance staff can answer insurer or internal reviews simply by exporting records the system has already kept.
Its approach to customer service sets the company apart. Support personnel work from the Cincinnati head office in the United States, answer phone calls directly instead of through automated menus, staff a 24-hour line for time-sensitive billing issues, and designate account contacts who know each client's practice. Support tickets are tracked inside the application itself.
Customer testimonials published by the company report fewer days in accounts receivable, charges submitted by the following day and quicker reimbursement after adopting the platform. These factors make Unlimited Systems a reasonable option for specialty groups looking for a unified billing platform paired with domestic support.
Suite 200
Cincinnati, OH 45242