Medical Billing Companies & Consultants in Nashville, TN

A-One Billing Solutions is a small medical billing and revenue cycle firm based in Nashville, Tennessee. It positions itself as a practice management partner for physicians and other healthcare providers who would rather hand off the financial side of their practice than run it with in-house staff. The company's core focus is the receivable side of a medical office: getting claims out the door correctly, following the money owed by payers, and recording what comes back.

What the firm handles

Rather than selling software, A-One operates as a service provider. Its team sets up and then runs the accounts receivable function on behalf of each client practice, with the stated aim of making day-to-day office operations leaner and more organized. Work is carried out under HIPAA rules, and the company describes itself as HIPAA certified, which matters to buyers who must share protected patient data with an outside vendor. The tasks it lists include:

• Entry and upkeep of patient demographic information
• Checking patient insurance eligibility and coverage
• Preparing claims and submitting them to insurers
• Following up on and tracking payer reimbursements
• Posting payments received
• Recording account adjustments

Outside listings for the business also describe full revenue cycle management, consulting, and collections work, so prospective clients can expect a scope that runs from front-end registration data through to resolving outstanding balances.

Who it serves

The firm targets physicians and the wider healthcare community rather than one narrow niche. It says its staff has billing experience across most medical specialties, which makes it a candidate for independent practices of varying types, not only a single discipline. Because it combines business knowledge with healthcare know-how, the pitch is aimed at practice owners who want both careful claims work and a partner that understands how billing affects overall practice finances.

Background and setup

A-One Billing Solutions LLC was established as a company in 2018, but its principals bring a much longer track record; the website cites two decades of work with physicians, and its business listing refers to roughly 25 years in revenue cycle management and consulting.

The office is on Buena Vista Pike in Nashville, and third-party listings show weekday business hours, Monday through Friday. Directory data places it in the one-to-ten employee range, so clients are dealing with a compact team rather than a large outsourcing center.

For buyers comparing Tennessee billing vendors, A-One's appeal lies in personal attention from a local, experienced team, a clearly defined set of receivable-focused services, and a stated commitment to privacy compliance. Smaller and mid-sized offices seeking a hands-on Nashville partner for claims and collections are its evident audience.

HMI LLC, which also operates as HMI Corporation, is a consulting firm devoted to health information management and the financial side of healthcare. Founded in 1989, it reports having worked with more than 500 facilities across the country. Its clientele includes critical access hospitals, large health systems, physician groups and post-acute providers. The firm distinguishes itself from generalist consultancies by limiting its scope to coding, billing accuracy, compliance and HIM leadership.

Six Service Lines

HMI divides its work into six lines that trace a claim from the medical record to reimbursement:

• Revenue cycle consulting: charge capture reviews, claims analysis, bill audits, resolution of rejected claims and operational assessments, available on-site or remotely
• Medical coding: contract and remote coding for inpatient MS-DRG, outpatient, ambulatory surgery, GI and endoscopy, emergency department and interventional radiology
• Physician services: E/M claim validation, superbill review, documentation assessment and one-on-one provider education
• Chargemaster services: full reviews, updates limited to a single department or new service, and daily remote maintenance
• Compliance services: RAC pre-audit preparation, appeals, IRO reviews and clinical documentation improvement education
• HIM director services: interim or outsourced directors and managers

Specialized reviews fall under these headings, covering ED facility E/M leveling, ground ambulance trip records, home health and hospice claims, and SNF and IRF records. A coding and billing helpline, reached by email, is also offered. The firm says answers usually come within 72 hours and reflect current CMS guidance.

Settings Served

The firm works with acute care, teaching and critical access hospitals, long-term acute care, inpatient rehabilitation, skilled nursing, home health and hospice. It also supports ambulatory surgery centers, free-standing emergency departments, EMS and ambulance providers and physician practices. Reviews are tailored to each setting. Rural hospitals may need help with swing-bed care and cost-based reimbursement, skilled nursing facilities with PDPM, home health agencies with PDGM, and academic centers with CMS Teaching Physician documentation rules.

How Projects Run

Engagements typically move through four stages. Consultants begin by reviewing revenue data, usage data and clinical documentation. Next they pinpoint charges that were never captured, gaps in codes and modifiers, and areas of regulatory risk, then estimate the financial effect. Clients receive prioritized findings written in plain language, along with staff education. Continued helpline access and follow-up support help the improvements last. A client may commission one focused assessment or an ongoing relationship.

Remote coders work within the systems a client already uses. HMI lists a wide range of electronic health record and encoder platforms, including Epic, Cerner, Meditech, 3M and TruCode, among others. The company says this shortens onboarding and keeps disruption low.

Credentials and Client Relationships

HMI states that all of its specialists live and work in the United States and that it sends no coding offshore. Staff hold AHIMA or AAPC credentials such as RHIT, CCS, CPC and CHC. The firm describes lasting partnerships as central to how it operates, and says some clients have stayed with it for 10, 15 or more than 20 years.

Client testimonials echo that theme. A New Hampshire community hospital has worked with HMI since 2010, expanding from coding support into chargemaster and ED coding. A regional medical center in Tennessee has relied on it for chargemaster review since 2002.

A hospital center in Washington, D.C. began its relationship in 2012, and a Nashville physician group praised an easy transition from an earlier compliance vendor. For organizations seeking accurate billing, audit readiness and extra coding capacity from finance-focused specialists, HMI positions itself as a more specialized option than broad consulting firms.

Overview

MBW RCM is the present-day name of the company once called Medical Billing Wholesalers. It supplies outsourced revenue cycle management and medical billing to healthcare providers. According to its website, it operates sales and delivery offices in both the United States and India. Its services follow a claim from the first patient contact through to final payment, so a client may hand over a single stage of the process or several of them.

The company aims its work at organizations with demanding billing requirements, and not only at small clinics. The audiences named on its site include:

• Independent practices and medical groups that want a full-service billing partner
• Hospitals and health systems, where the focus falls on regulatory compliance, documentation improvement programs and in-depth specialty coding at large volumes
• Management services organizations and multi-specialty groups that need billing run centrally across several sites, specialties and tax identification numbers
• Private equity aggregators and platform businesses
• Dental organizations, urgent care operators and suppliers of durable medical equipment
• Other billing companies seeking an offshore partner

Services across the revenue cycle

MBW RCM divides its offering into four families. Patient access comes first and covers scheduling, eligibility checks, prior authorization, registration and early-out self-pay work. The second family is mid-cycle, which joins coding with health information management. It takes in medical coding and audits, documentation integrity, denials with a clinical basis, charge entry, claim submission and HCC coding.

The third family is the back office, covering payment posting, accounts receivable follow-up, denials and appeals, credit balances, recovery of underpayments and patient statements. The fourth, called transformation services, groups provider credentialing, technology and automation, revenue cycle analytics, scribing and advisory support.

Specialty coverage

The company says it supports 29 specialties, and most have their own page on the website. The site sorts them into four clusters:

• Primary and outpatient: family practice, pediatrics, women's health, urgent care, skin care, allergy and immunology, physical therapy and chiropractic
• Surgical: general surgery, orthopedics, spine, ambulatory surgery centers, plastic and reconstructive work, bariatrics, podiatry and anesthesia
• Medical and diagnostic: heart care, cardiovascular surgery, brain and nervous system care, digestive health, kidney care, lung care and sleep medicine, radiology, oncology and radiation oncology
• Behavioral, emergency and more: behavioral and mental health, ABA therapy, emergency medicine, eye care, ENT, urology, pain management and neonatal care

Organizations whose field does not appear can still reach out. The company states that it will build a tailored plan for niche and multi-specialty practices.

Resources and getting started

Buyers who prefer to research before committing can use the site's thought leadership content, event listings, case studies and a blog titled The Revenue Cycle Blog. Further pages describe the firm's purpose and values, its leadership, its workplace culture and its open roles.

For those unsure of their first step, MBW RCM offers a free 30-minute RCM audit with no obligation attached. The session gives a prospective client a low-pressure way to see how its revenue cycle is performing and which services might fit.

PatientFocus is a Nashville, Tennessee company that works on the patient side of the revenue cycle. It handles balances patients still owe after insurance pays, as well as fully self-pay accounts. It does not submit claims to payers.

Instead it takes over statements, outreach, payment collection and patient phone support, which leaves in-house billing staff free to work on larger insurance claims and disputes. The company says it has worked in this area for more than fifteen years and serves healthcare organizations across the country.

Who they serve

The firm works with physician groups, specialty practices, hospitals and other providers. Its site lists these specialties as areas of focus:

• Diagnostics and pathology
• Hospitals and health systems
• Oncology
• Ophthalmology
• Orthopedics
• Radiology and imaging
• Surgery centers
• Urology

It has also published a case study on Federally Qualified Health Centers. Client testimonials come from cancer care and radiology organizations, including Regional Cancer Care Associates, Optimal Radiology and e+CancerCare.

Services and technology

Clients choose from three options. The Full-Service Suite includes everything. The Statements and Digital Engagement package provides the technology without staff. The standalone Call Center option supplies people to take patient calls. Pieces offered across these options include:

• Branded paper statements with scannable QR codes, same-day mailing and paperless options
• Text messages with click-to-pay links, coordinated emails and ringless voicemail reminders
• A configurable, white-labeled online portal that patients open with a simple identity check or a QR scan, with no app or account needed
• An IVR system that routes calls around the clock
• A bilingual, U.S.-based inbound call center and a technology-supported outbound calling team
• Payment plans set up around each practice's own policies

All of this is backed by analytics. A Propensity to Pay model predicts how each patient is likely to pay, so outreach can be adjusted account by account. An AI-driven Sentiment Analyzer reviews patient conversations to spot trends. Case management tools record every contact and keep insurance updates on the account, and reporting tools show practices how their patient payments are performing.

How they work with clients

PatientFocus says its services connect with a practice's current systems. Payments go straight into the provider's own accounts as they come in. The company bills its fees at the end of the month rather than taking them out of collections. Each client gets a Success Manager who checks in monthly. PatientFocus staff handle billing discrepancies and payment reconciliation, and the firm says it meets PCI DSS and HIPAA requirements.

Background and team

The company is led by Chief Executive Officer John Hunnicutt and Chief Operating Officer Derek Hoevel. Andy Brock is Director of Technology and Jason Holcomb is VP of Sales. The listed team also includes leaders for client success and onboarding, patient engagement, escalations, and operations and product, plus several supervisors who run patient engagement and research.

The firm reports a 40 percent rise in patient-pay revenue for Full-Service clients, savings of up to 35 percent on printing and mailing, and payment promises from about a third of call center contacts. These are the company's own figures and have not been independently checked.