According to the Center for Health Information and Analysis, Massachusetts spends far more per capita on healthcare than most states. Also, it features a complex mix of insurance companies, such as Medicare Advantage, commercial plans, and state programs. Consequently, practices lose revenue when internal staff juggle coding, authorizations, and payer rules.
Reliable medical billing companies in Massachusetts can cut denials, shorten AR days, and recover write-offs. As a result of this, clinics can focus on patients instead of solving unpaid claims. If you are looking for a dependable billing partner, simply explore our vetted list below:
Ranked: Top 10 Medical Billing Companies in Massachusetts
Here is the complete list of the top companies that provide medical billing services in Massachusetts:
- Transcure
- Medheave
- Medical Healthcare Solutions
- Comprehensive Practice Management
- Alico Healthcare
- Medisys Data Solutions
- Boston Billing Solutions
- Analytix Healthcare Solutions
- Bradford Medical Associates
- Precision Practice Management
You can choose your desired billing partner by going through their detailed profiles below:
1. Transcure
Starting the list with the best medical billing company in Massachusetts, Transcure ranks at the top with specialty coding teams and RPA-driven claim scrubbing. They prioritize front-end checks, including eligibility and pre-authorization, and automated claim submission for quick reimbursements. Since Transcure ensures up to a 98% first-pass clean claim rate, Massachusetts practices don’t have to worry about denials and resubmissions.
Their platform shows real-time KPI dashboards and supports integrations with 30+ EMRs used in the state. If you are new, you can take advantage of their complementary credentialing to kick-start your practice. Similarly, their denial analysis can help stop repeat claim rejections. With these premium services, the company has been able to process bills worth $500 million for its clients.
Why You Should Choose Transcure
- An average of 5% to 10% revenue increase
- Support for 40+ specialties across 50 states
- RPA-enabled claim scrubbing
- 30% reduction in A/R days
2. Medheave
Medheave is a billing firm that positions itself on denial reduction and eligibility verification services. They provide onshore staff for pre-authorization handling and specialty fee schedule optimization for local practices. This local approach suits smaller clinics that need expert support. Plus, you can expect a 50% reduction in overhead costs while taking Medheave’s billing services.
Apart from billing for 25+ specialties, including mental health and nephrology billing, their platform includes 24/7 virtual assistant support and HIPAA-compliant workflows. Medheave also delivers rich analytics dashboards and credentialing with local payers. While working with this medical billing company, Massachusetts practices can enjoy a 90% reduction in claim denials.
Key Highlights
- 24/7 VMA and patient support desk
- Prior authorization turnaround time of 24 to 48h
- HIPAA/ISO-compliant workflows
- Analytics to spot AR trends and denial patterns
3. Medical Healthcare Solutions
Medical Healthcare Solutions (MHS) has supported Massachusetts providers since the early 1990s, when it was initially a billing services division. Based in Andover, their end-to-end RCM now includes medical billing, provider credentialing, and practice management. For clinics in the state, that means a one-stop partner capable of solving complex insurance rules while boosting financial performance.
They offer their billing services to 25+ specialties, which also include general surgery and internal medicine. While working with them, hospitals and practices benefit from streamlined billing, fewer denials, and insights that support better decision-making. To ensure the data privacy of the patients, all of their billing services operate under a HIPAA-compliant infrastructure.
Key Highlights
- Patient information registration
- Collection follow-ups every 14 days
- “Application Service Provider Model”
- Online insurance verification via iVerify
4. Comprehensive Practice Management
Independent Physicians and hospitals working in Framingham can outsource their hectic billing work to CPM, a local company with on-site staff. Since the 1980s, it has been providing full revenue cycle and billing services for independent physicians and group practices across Massachusetts. Apart from medical billing, their services span claims processing, receivables management, and collections.
What makes CPM unique is its CPA-led structure. Practices gain direct access to senior billing experts, including the owner, for personalized support and financial oversight. This senior-level involvement not only builds trust but also ensures timely reimbursements and accurate collections. Also, CPM positions itself as “the doctor’s business doctor,” due to its billing processes tailored to each practice’s needs.
Key Highlights
- Specializes in independent and group practices
- Defined RCM workflows
- Provides all the software and security
- Pricing plans according to practice size
5. Alico Healthcare
Alico Healthcare streamlines patient access with eligibility checks and pre-authorization workflows, then optimizes billing through clean claims and denial resolution. More than 300 practices from the Boston vicinity have already availed their HIPAA-compliant medical billing and credentialing services.
The company avoids regulatory issues by ensuring a professional CAQH profile. Alico also supports working with multiple EHRs, including Epic, inSync, and webPT. Furthermore, practices can take advantage of their strategic approach, which combines financial insights and detailed audits.
Key Highlights
- Tech-driven clean-claim workflows
- Utilization revenue and management
- Co-pay and self-pay collections
- Application management for payer enrollment
6. Medisys Data Solutions
Medisys Data Solutions offers HIPAA-compliant medical billing and coding services with strong coverage in Massachusetts. Like all competitors, they manage the full revenue cycle, from eligibility verification and charge entry to denial follow-up and AR recovery. Practices benefit from a scalable solution that adapts to the changes in MA payer guidelines.
Also, it supports 35+ specialties, including cardiology and pediatrics, which makes this company a good choice for hospitals providing different medical procedures. Their team includes coding and billing experts who stay current with evolving regulations and payer rules. Medisys also supports data conversion between billing systems, which gives clinics flexibility during EHR transitions.
Key Highlights
- Staff trained on Massachusetts-specific payer policies
- Support for the facility billing and clinics
- CGSC-certified coders for general surgery
- No need to change software
7. Boston Billing Solutions
Serving the local practices for over 25 years now, Boston Billing Solutions offers full-service RCM and medical billing with flexible service plans. They offer either per-claim or percentage-based, so you only pay for what you need. Additionally, they don’t lock clients into long-term contracts, so practices are free to leave whenever they want. Various testimonials from their clients verify their claims of reduced denials and increased revenue.
The medical billing company is accredited by the Better Business Bureau, providing added trust and reliability. Their 30-year legacy highlights attention to detail while submitting claims and their ability to properly communicate the results. BBS also supports working with various EHRs and managing their documentation and Continuity of Core Protocols.
Key Highlights
- Online charge slips and codes
- Monthly report of all claims received
- Balance-bill patients for copay discrepancies
- Standard and Deluxe tier plans
8. Analytix Healthcare Solutions
Analytix Healthcare Solutions delivers tailored solutions for DME/HME suppliers, dental practices, and physician groups. Their comprehensive services include eligibility verification, claim submission, denial management, and AR follow-up, all wrapped in HIPAA- and SOC-2 compliant workflows. They support industry-specific billing needs, which ensures accuracy and timely reimbursements.
One standout offering is Appoint360, their white-labeled scheduling tool, complete with automated patient reminders and logistics features like Google Maps routing. With a 99.97% billing accuracy rate and 90 to 95% collection rate, Analytix combines tech innovation with dependable billing performance.
Key Highlights
- Multiple EHR support, including FasTrack and MedForce.
- 138+ activities handled for the clients
- 3M+ orders processed on behalf of clients
- Full RCM for DME/HME and dental billing
9. Bradford Medical Associates
Bradford Medical Associates brings over 25 years of experience managing medical billing and practice operations for specialties ranging from cardiology to physical therapy. Co-founders Judy Coleman and John Depew lead a small yet skilled team dedicated to improving reimbursements through automated workflows and strategic billing oversight.
The company covers 13+ specialties, including Internal Medicine, Mental Health, Neurology, etc., while the team submits electronic claims within 48 hours. Afterward, they maintain continuous follow-up until payment is secured. Their HIPAA-compliant systems track unpaid claims in real time, and they update codes, like ICD and CPT, as needed to prevent denials.
Key Highlights
- 25 years of experience serving Massachusetts
- Claims filed electronically within 48 hours
- Cross-disciplinary expertise in billing strategy
- Real-time tracking of unpaid claims
10. Precision Practice Management
Serving 8 counties and 6 different cities in Massachusetts, PPM is a reliable medical billing company for the local practices. In addition to billing, their offerings span coding audits, provider credentialing, and technical support. This is further complemented by their specialty knowledge in over 30 medical disciplines. They also assist with EHR implementation, financial reporting, and MACRA/MIPS compliance.
Beyond billing, Precision provides full-cycle support with daily AR and denial management, and 24/7 technical assistance. They optimize EHRs, such as Epic, Athena, eClinicalWorks, Cerner, and others, enhance patient statements, and recalibrate fee schedules. In short, they help clinics enhance profitability through smarter workflows.
Key Highlights
- All major MA counties and metro areas served
- Proactive contract-level optimization
- EHR implementation, training, and optimization
- Merit-based incentive payment system
Factors to Consider When Choosing a Medical Billing Company
Before you choose a medical billing company, you must ensure it fulfills some criteria. So, here are a few things that you must keep in mind while shortlisting your potential billing partners:
1. MassHealth Regulation Mastery (130 CMR 450.000)
Billing firms must know Massachusetts-specific rules, like those in 130 CMR 450.000, that determine claim submission and documentation standards. That’s because staying compliant helps avoid MassHealth denials and payment delays.
2. Accurate Use of State-Specific Modifiers & CPT Rules
Massachusetts payers may require certain modifiers, e.g., “AJ” for E/M in state Medicaid and proper handling of add-on codes. Mistakes here commonly lead to rejections or audit triggers.
3. Expert Credentialing with MassHealth and MCOs
A billing partner must be capable of enrolling providers in MassHealth through CAQH or PECOS and managing ongoing revalidation. Without this, claims from new or uncredentialed providers will be denied outright.
4. Front-End Eligibility & Preauthorization Checks
Billing companies should validate MassHealth or commercial insurance eligibility before appointments. Confirming prior authorization status prevents avoidable claim denials and cash flow setbacks.
5. Local Denial Insights & Dashboard Reporting
Practices benefit from reporting that highlights patterns in Massachusetts denials by payer, provider, or CPT code. This helps the team quickly adjust workflows and avoid repeat rejections.
Conclusion
Selecting a medical billing company in Massachusetts requires more than outsourcing claim submissions. It means partnering with a team that understands MassHealth policies, payer-specific rules, and the unique billing challenges local providers face.
Among the options reviewed, Transcure delivers an edge with RPA-powered claim scrubbing, a 98% clean claim rate, and compatibility with over 30 EMRs. Practices that want faster reimbursements, fewer denials, and better cash flow can rely on Transcure as a dependable billing partner.
