Top Medical Billing Companies in the USA (2026)

Choosing a medical billing company affects how fast you get paid, how many claims are denied and how much time your staff spends on billing. This page compares seven well-known U.S. billing and revenue cycle companies, including MedicureMD, so you can decide which type of partner fits your practice.

MedicureMD publishes this page and is one of the companies listed. Companies are in alphabetical order. This is not a ranking. Facts come from each company’s own website or from public sources, and they were last checked in October 2026. Always confirm current details with the company before you decide.

We looked at the same points for each company:

• Who it mainly serves (small practices, groups, hospitals)
• Whether it offers billing services, software, or both
• Where it is based and how long it has operated
• What it says about its services on its own website

We did not rate service quality, because we cannot verify other companies’ results.

AdvancedMD was founded in 1999 and is headquartered in South Jordan, Utah. It offers EHR, practice management, telemedicine, patient engagement and revenue cycle management, including an outsourced billing option. Its website says it serves independent practices, larger groups and billing companies.

Source: AdvancedMD company page

athenahealth was founded in 1997 and is based in Boston. Its athenaOne suite combines revenue cycle (athenaCollector), EHR (athenaClinicals) and patient engagement tools for ambulatory practices. It has been privately held since 2019.

Source: Wikipedia: Athenahealth

CareCloud began in 1999 as Medical Transcription Billing Corporation (MTBC) in New Jersey and took the CareCloud name in 2021. It offers a cloud platform that includes revenue cycle management, practice management and EHR tools, and it is listed on Nasdaq under CCLD.

Source: Wikipedia: CareCloud

MedicureMD provides outsourced medical billing, revenue cycle management and credentialing for practices across 30+ specialties. Its billing team is U.S.-based, and practices receive weekly reporting. MedicureMD works with 500+ physicians (as of 2026) and prices its services by custom quote, based on specialty, claim volume and the services you need.

Unlike most companies on this list, MedicureMD offers a free medical billing audit. We review your claims, denials, accounts receivable and coding, and send you a written report within 24 to 48 hours. Request your free medical billing audit.

Medusind describes itself as a company with more than 20 years of experience. Its website lists end-to-end revenue cycle management, billing, coding and credentialing for physician groups, community health centers, behavioral health providers and dental practices.

Source: Medusind website

R1 RCM was founded in 2003 as Accretive Health and renamed in 2017. It focuses on revenue cycle management for hospitals, health systems and physician groups. It became privately owned in November 2024 after it was acquired by TowerBrook Capital Partners and Clayton, Dubilier & Rice.

Source: Wikipedia: R1 RCM

Tebra was formed in 2021 through the merger of Kareo and PatientPop. It combines EHR, practice management, billing and patient marketing tools, mainly for small to mid-sized independent practices.

Source: Wikipedia: Tebra

These companies fall into two groups.

• Software-led companies (for example athenahealth, AdvancedMD, CareCloud and Tebra) give you a platform. Some also offer billing services on top of it.
• Service-led companies (for example MedicureMD and Medusind) run billing for you, usually inside the EHR or practice management system you already use.

If you are happy with your current EHR and want to hand off the billing work, a service-led company is usually the simpler move. If you want to change your whole system, a software-led platform may fit better.

Thinking about handing off your billing completely? Read how outsourced medical billing services work and what they cost.

1. What is your denial rate and average days in A/R for practices like mine?
2. Who does the work, and where are they based?
3. How often will I get reports, and what do they show?
4. Can you work inside my current EHR or practice management system?
5. How is pricing set, and what is included?
6. What are the contract terms if I want to leave?
7. How do you handle HIPAA and access to my data?

Before you compare companies, find out where your own practice is losing revenue. Request a free medical billing audit and get a written report in 24 to 48 hours.

A medical billing company submits claims to insurers for a practice, follows up on unpaid and denied claims, and reports on payments. Many also handle coding and credentialing.

Compare who they serve, what is included, how they report, how pricing works and what the contract says about leaving. Ask each company for numbers on denials and days in A/R for practices like yours.

If you want to keep your current EHR and hand off the billing work, an outsourced team is often simpler. If you want to replace your whole system, a software platform may fit better.

Yes. MedicureMD offers a free medical billing audit that reviews claims, denials, accounts receivable and coding, with a written report in 24 to 48 hours.