Healthcare practices in Boston, Massachusetts, work in a uniquely complex environment when it comes to medical billing. The federal No Surprises Act and the state Patients First law have increased protection for patients, but have added more administrative work for clinics. This burden becomes worse due to the shortage of an expert labour force in Boston.
All these causes combined mean hospitals and physician practices face up to $1.75 billion annually in unnecessary administrative costs, according to official reports. They are also the key reason for the initial claim denial rate of 15.7% in Massachusetts. The rise in admin costs and denials has prompted most practices to outsource their medical billing.
A right billing company can help Boston practices reduce denials and stay compliant with Massachusetts’ strict billing regulations. So, we have rounded up the 10 best medical billing companies in Boston, MA. These firms that understand the local landscape can help practices overcome these challenges to keep revenue flowing.
The Top 10 Medical Billing Companies in Boston: All You Need to Know
Let’s explore the 10 top-rated medical billing companies in Boston that stand out for their expertise and reliability.
- Transcure
- Medheave Medical Billing
- Alico Healthcare
- South Shore Billing Services
- Comprehensive Billing Services, Inc.
- Medical Healthcare Solutions, Inc.
- Bradford Medical Associates
- Comprehensive Practice Management
- Successful Billing Inc.
- Streamline Health Care Solutions
Now that you’ve seen the top contenders, let’s take a closer look at each medical billing company and see what they have to offer:
1. Transcure
Transcure provides end-to-end medical billing services in Boston, helping practices shorten payment cycles and reduce claim denials. With over 1,100 certified billers and coders, we ensure every detail in a claim is accurate and verified to avoid rejections. This improves revenue flow and minimizes administrative stress for medical staff in a practice.
What makes us a preferred choice for Boston practices is our use of AI and RPAs in claim scrubbing and error verification. This ability, combined with human oversight, let us achieve a 98% first-pass claim rate. Moreover, Transcure integrates with 30+ EHR platforms, including Epic, Athenahealth, and eClinicalWorks.
This flexibility allows practices to keep their preferred systems while gaining billing efficiency. Transcure highlights its results-driven approach, with a reported 15% increase in a practice’s revenue. By reducing A/R days to under 40, practices see faster reimbursements, putting Transcure in the spotlight in the list of medical billing companies in Boston.
Key Services We Offer
- Accounts receivable recovery and old A/R remediation
- Credentialing and payer enrollment
- Patient eligibility and benefits verification
- Medical billing audits and compliance reviews
- MIPS consulting and value-based program support
- Real-time dashboards and financial analytics
Why It Stands Out
Transcure is known in Boston for using AI automation along with teams trained in more than 40 specialties like podiatry, pain management, family practice, and oncology. Its ISO 27001 and SOC 2 certifications show strong compliance. Moreover, client testimonials point to quick support and steady revenue growth.
2. Medheave Medical Billing
MedHeave supports over 300 providers across 20 states, including a growing base in Boston. The company reports a 98% first-pass claim rate, which helps local practices reduce denials and receive payments faster. This efficiency strengthens cash flow and frees staff from reworking claims.
With more than 150 certified billing experts, the company serves 25 specialties. This lets MedHeave bring coding accuracy to diverse practices, from cardiology to behavioral health. Reported results include 30% higher collections and up to 25% lower costs, giving providers financial stability, making it one of the best medical billing companies in Boston.
Key Services They Offer
- Prior authorization support within 48 hours
- Virtual medical assistant services with a 24/7 helpdesk
- Chronic care and remote patient monitoring billing
- Workers’ compensation and personal injury billing
- Hospice, pharmacy, and DME billing workflows
Why It Stands Out
MedHeave stands out in Boston with bold performance claims, including a denial reduction of up to 70% in some specialties. Its 24/7 support and specialty-focused teams give practices confidence in smooth operations and reliable reimbursements.
3. Alico Healthcare
Based in downtown Boston, Alico Healthcare manages over $15 million in annual revenue for medical billing for healthcare providers. The company reports a 98% clean claims submission rate, allowing local practices to cut costly denials. As a result, they receive reimbursements more quickly, reducing financial strain.
Alico offers to manage complete RCM services for clinics or parts of the process needed by a practice. This means they can hire the company for medical coding, claim scrubbing, or even just A/R follow-up. This expertise helps Boston providers recover lost revenue without having to give up complete control of the process.
Key Services They Offer
- Full credentialing and CAQH profile management
- On-site staffing and flexible workforce support
- Patient scheduling, registration, and financial counseling
- Secure client portal with cloud-based reporting
- AI-powered insights for denial prediction and prevention
Why It Stands Out
What sets Alico apart among medical billing companies in Boston is its offering of U.S.-based support and on-site integration in over 20 specialties. Its automation tools predict denials early, and its clients also report an average 15% increase in net patient revenue.
4. South Shore Billing Services
South Shore Billing Services is a company based in Braintree, known for its personalized approach to revenue cycle management. Led by certified professional biller Sheyla Aponte, this Boston medical billing firm focuses heavily on OBGYN billing. This gives women’s health practices in the area reliable expertise and smoother reimbursement processes.
For OBGYN clinics, the company offers complete end-to-end billing and coding operations. Accredited with an A+ rating from the Better Business Bureau, the company highlights faster payments and cloud-based access to billing data. These features enable local practices to enhance their cash flow and get transparent reporting.
Key Services They Offer
- Accounts receivable management and claim follow-ups
- Patient billing and direct support
- Insurance verification and authorization
- Revenue cycle consulting for financial improvement
- Expertise in Epic, Athenahealth, and eClinicalWorks software
Why It Stands Out
South Shore Billing Services stands out for its niche OBGYN expertise and personalized service. Unlike larger firms, it offers direct support from a certified professional biller, ensuring practices feel supported while benefiting from transparent pricing.
5. Comprehensive Billing Services, Inc.
Comprehensive Billing Services supports Boston-area practices with both medical and dental billing. The company promotes maximum reimbursements and uses licensed MedOffice software for claim management. By combining billing with compliance tools, local providers gain efficiency while protecting themselves from costly errors and audit risks.
The firm also highlights a 97% payment success rate for its Patient Assessment tool. This helps behavioral health and mental health practices generate billable revenue. With services ranging from coding to audit preparation, providers receive both financial support and regulatory compliance from this Boston medical billing service.
Key Services They Offer
- CodeMAXX coding support with certified coders
- MD Audit Shield for RAC audit protection
- HIPAA compliance assistance and training programs
- MedOffice software setup with EMR/HL7 connectivity
- Financial reporting with monthly and annual analysis
Why It Stands Out
Comprehensive Billing Services is distinctive for offering free MedOffice software with its billing services. By combining technology, coding expertise, and audit readiness, the company gives smaller Boston practices tools usually reserved for larger organizations.
6. Medical Healthcare Solutions, Inc.
Medical Healthcare Solutions, Inc. (MHS) works with more than 3,000 physicians nationwide. The company claims a 98% clean claim rate, helping practices cut denials and accelerate payments. This efficiency improves revenue flow and reduces staff stress over claim backlogs, making them one of the best medical billing companies in Boston.
The company offers end-to-end medical billing services with a focus on accurate coding and HIPAA compliance. MHS reports strong results from client cases, such as a 22% collection increase for an orthopedic group and $150,000 recovered for an ambulatory surgery center. These improvements allow Boston-area providers to strengthen financial stability.
Key Services They Offer
- ASC-focused billing and revenue cycle support
- Provider credentialing, payer enrollment, and revalidation
- Specialty coding with certified coders
- iVerify for fast insurance verification
- iRemind automated appointment reminders
Why It Stands Out
MHS distinguishes itself with proven ASC expertise and hands-on support teams. By combining credentialing, coding, and advanced analytics in one package, the company helps Boston providers reduce denials and recover lost revenue.
7. Bradford Medical Associates
Bradford Medical Associates, also known as Bradford Billing, is a small billing firm serving practices across New England. The company boasts over 25 years of experience in medical billing and practice management support. Their cross-trained specialists work closely with providers to improve claim turnaround and revenue flow.
Unlike larger national players, Bradford markets itself as a responsive and local partner. The firm stresses its commitment to filing claims within 48 hours of receipt and following up by phone every day until payment is resolved. This approach aims to reduce denied claims and provide small practices with greater financial predictability.
Key Services They Offer
- Electronic claim submission and active phone follow-up
- Accounts receivable tracking and denial management
- HCFA-1500, CPT, ICD, and HCPCS coding expertise
- Detailed financial reporting and practice analysis
- Complimentary revenue review for new clients
Why It Stands Out
Bradford’s fee model ensures they are paid as a percentage of collections, aligning incentives with practice revenue. Long-term client testimonials and consistent follow-up make the firm a reliable partner in the list of medical billing companies in Boston for small practices.
8. Comprehensive Practice Management
Comprehensive Practice Management (CPM) has supported independent physicians and small groups since 1984. The firm highlights its CPA ownership as a key advantage, bringing financial oversight to medical billing and collections. For practices, this means improved accuracy, compliance, and long-term financial stability.
CPM serves all medical specialties, with client stories ranging from infectious disease to neurology and psychiatry. Testimonials stress fast claim submission, better accounts receivable control, and reliable reporting. Many clients have remained with the company for 20+ years, showing trust and making it one of the best medical billing companies in Boston.
Key Services They Offer
- End-to-end billing, coding, and claims processing
- AR management and patient billing support
- CPA oversight for financial controls and compliance
- Payment reconciliation and detailed reporting
- Credentialing help and consulting for practice operations
Why It Stands Out
CPM’s “Doctor’s Business Doctor” approach means physicians get access to financial expertise alongside billing support. With a reputation for decades-long client relationships and an A+ BBB rating, they emphasize trust and accuracy.
9. Successful Billing Inc.
Successful Billing Inc., based in Hyde Park, Boston, has more than 15 years of experience in podiatry and orthopedic billing. By focusing on these specialties, they help practices reduce errors and accelerate reimbursements. This ensures doctors spend less time worrying about collections, especially at small practices.
The firm also supports durable medical equipment (DME) billing, a complex area many providers struggle with. Using web-based software for charge entry and claims, they streamline submission and follow-up. Their offer of fewer denials and improved cash flow puts them into the list of medical billing companies in Boston with specialized expertise.
Key Services They Offer
- End-to-end billing: charge entry, claim submission, denial follow-up
- A/R management and collections support
- Coding assistance and consultation
- Credentialing and payer enrollment
- Customized reports and analysis of practice profitability
Why It Stands Out
Unlike general billing firms, Successful Billing Inc. is built around podiatry, orthopedics, and DME billing. With claims often submitted within 48 hours and an error rate reported at less than 1%, they position themselves as a reliable partner for Boston practices.
10. Streamline Health Care Solutions
Streamline Health Care Solutions is a firm focused on mental and behavioral health billing. With over 30 years of leadership experience, they bring deep expertise in handling claims and reimbursements. This helps practices deliver care with less stress about payment delays or denials.
The company also developed strong telehealth billing knowledge during the COVID-19 era. By supporting providers who shifted to virtual care, they ensured practices kept steady revenue while adapting to new rules. Their organized credentialing support further reduces administrative strain for growing behavioral health practices.
Key Services They Offer
- End-to-end behavioral health billing
- Eligibility checks and prior authorizations
- Denial management with persistent follow-up
- Credentialing and re-credentialing support
- Operational consulting and workflow optimization
Why It Stands Out
Streamline sets itself apart with denial follow-up and helps increase practice revenue up to 15%. Clients highlight that the team “literally transformed our billing,” strengthening both collections and staff processes, making it one of the top-rated medical billing companies in Boston.
Final Thoughts
Boston is home to a variety of medical billing companies, from small niche operators to established regional players. Each firm brings its own advantages, whether it’s specialty-specific expertise or local hands-on support. But for practices that want both immediate results and long-term scalability, the choice often comes down to reliability and advanced technology.
That’s where Transcure stands out. Unlike smaller firms that may be limited in scope or technology, Transcure combines end-to-end RCM expertise and powerful automation. This is done with deep compliance safeguards to ensure faster reimbursements and reduced claim denials.
Its ability to integrate with major EHR platforms and adapt to regulatory changes makes it a desired partner for practices of all sizes. If your goal is to maximize revenue and cut administrative burden, Transcure offers the most trusted medical billing company in Boston.
