U.S. Medical Billing Service Market - Industry Outlook & Forecast 2021-2026

U.S. Medical Billing Service Market - Industry Outlook & Forecast 2021-2026

In-depth Analysis and Data-driven Insights on the Impact of COVID-19 Included in this US Medical Billing Services Market Report

The US medical billing services market was valued at USD 4.64 billion in 2020 and is expected to reach USD 8 billion by 2026, growing at a CAGR of 9.52% by 2026.

The following factors are going to contribute to the growth of the U.S. medical billing services market.

  • Introduction of Cloud-Based Medical Billing
  • Encouraging Automation in Medical Billing
  • Introduction of Telemedicine Billing
  • Increased Outsourcing of Medical Billing
  • Increasing Healthcare Consolidation
  • Shift Towards Value-based Medical Billing
MARKET OVERVIEW

The medical billing services are used to process, submit, and follow up on health insurance claims to save the staff time. The medical practices were introduced with the new pandemic realities in 2020, in which they had to adjust to the new billing and payment tracking updates. At the same time, the practices were forced to provide the treatments due to the country's shortage of resources as the number of COVID-19 cases surged in the industry. This caused the surge in demand in the medical billing market in the U.S.Medical billing company serves more than 65 EMS agencies with varied call volumes across New York and PA. For instance, MedEx established itself as a leader in Emergency Medical Service (EMS) billing.

KEY HIGHLIGHTS
  • Cloud-based solutions are revolutionizing the US medical billing industry.
  • There are many benefits of cloud-based billing services or medical billing software, such as improves efficiency, cost amortization, and easy access.
  • The evolving needs of the end-users in the industry are driving the demand for medical billing services.
  • The shift towards value-based solutions in the industry is driving healthcare companies to shift towards the latest medical billing techniques.
The study considers a detailed scenario of the present medical billing services market in the US and its market dynamics for the period 2021−2026. It covers a detailed overview of several market growth enablers, restraints, and trends. The report offers both the demand and supply aspects of the market. It profiles and examines leading companies and other prominent ones operating in the market.

U.S. MEDICAL BILLING SERVICES MARKET SEGMENTATION

This research report includes a detailed segmentation by
  • Service Type
  • End User
  • System Type
U.S. MEDICAL BILLING SERVICE MARKET SEGMENTS
  • In 2020, the light service medical billing segment accounted for 65.56% of the US medical billing service market. The light service companies majorly perform the work of reviewing rather than maintaining the entire process first-hand. They have skilled professionals in place to handle the billing process.
  • The open system is largely preferred, as they are accessible by the healthcare providers and can be shared with other third-party companies to process the cases file for claims. Many physician groups, many hospitals prefer using this as they usually outsource their medical billing process as it is more user-friendly.
  • Hospitals and healthcare systems are the biggest end users in the medical billing service market in the US. The evolving needs of the hospitals and health systems drive the constant demand.
Segmentation by Service Type
  • Light Service
  • Full Service
  • Boutique Service
Segmentation By System Type
  • Open
  • Closed
  • Isolated
Segmentation By End User
  • Hospital & Health Systems
  • Physician Groups
  • Home Healthcare Providers
  • Telemedicine Providers
  • Hospice Providers
VENDOR ANALYSIS
  • The key companies in the industry are Kareo, Athenahealth, Practice Fusion, CareCloud, and eClinicalWorks
  • Vendors are coming up with an integrated technology platform, a high-quality provider network, and sophisticated consumer engagement strategies.
  • The shift towards value-based solutions in the medical billing outsourcing market is driving healthcare companies to shift towards the latest medical billing techniques.
  • MedEx established itself as a leader in Emergency Medical Service billing (EMS billing).
KEY VENDORS
  • Kareo
  • Athenahealth
  • Practice Fusion
  • CareCloud
  • eClinicalWorks
OTHER PROMINENT VENDORS
  • 3D Solutions
  • 3Gen Consulting
  • 4D Global
  • 24/7 Medical Billing Services
  • ACP Billing Services
  • AdvancedMD
  • Alaska Billing Services
  • AdvantEdge Healthcare Solutions
  • Allegro Billing
  • AllMeds
  • A-Stat Medical Billing Management
  • Assist Practice Management Services
  • Bay Medical Billing Services
  • California Medical Billing Services
  • ChartLogic
  • Cigna
  • Creosen DBA Medclaims Billing Services
  • Cloud 9 Medical Solutions
  • Coronis Health
  • CureMD
  • DNA Billing
  • DrChrono
  • EHealthSource
  • GE Healthcare
  • Golden West Medical Billing
  • HealthQuist
  • HSCPPA
  • Index Billing
  • MBCT
  • Medmecs Billing Services
  • Medical Billers and Coders
  • MedEx
  • McKesson
  • NXGN Management
  • OMS Partners
  • Park Medical Billing
  • Physicians Management Network (PMN) Inc
  • Procure billing solutions
  • Physicians’ Professional Management Corporation
  • Preferred Billing Solutions
  • Promantra
  • PUREDI
  • Resolutions Billing & Consulting
  • Right Medical Billing
  • Superior Medical Management
  • Twin Peaks Medical Billing
  • TriMed Billing Services
  • Valletta Group
  • Vitruvian Medpro
  • Waystar
KEY QUESTIONS ANSWERED:

1. How big is the U.S. medical billing service market?

2. How many medical billing vendors are there in the US?

3. Who are the key players in the U.S. medical billing service market?

4. What market segments are covered in the medical billing service research report?

5. What is the impact of COVID-19 on the US medical billing service market?

6. Who is the leading Vendor in Emergency Medical Services (EMS) Billing market in the U.S.?


1 Research Methodology
2 Research Objectives
3 Research Process
4 Scope & Coverage
4.1 Market Definition
4.01.01 Inclusions
4.01.02 Exclusions
4.01.03 Market Estimation Caveats
4.2 Base Year
4.3 Scope Of The Study
4.03.01 Market Segmentation By Service Type
4.03.02 Market Segmentation By System Type
4.03.03 Market Segmentation By End-User
5 Report Assumptions & Caveats
5.1 Key Caveats
5.2 Currency Conversion
5.3 Market Derivation
6 Market at a Glance
7 Introduction
7.1 Overview
7.01.01 Impact Of Covid-19 On Medical Billing
8 Market Opportunities & Trends
8.1 Introduction Of Cloud-Based Medical Billing
8.2 Encouraging Automation In Medical Billing
8.3 Introduction Of Telemedicine Billing
9 Market Growth Enablers
9.1 Increased Outsourcing Of Medical Billing
9.2 Increased Healthcare Consolidation
9.3 Shift To Value-Based Medical Billing
10 Market Restraints
10.1 Rising Prevalence Of Medical Billing Errors
10.2 Change In Government Compliance & Shift To Value-Based Reimbursement
10.3 Lack Of Medical Billing Transparency
11 Market Landscape
11.1 Market Overview
11.2 Market Size & Forecast
11.3 Five Forces Analysis
11.03.01 Threat Of New Entrants
11.03.02 Bargaining Power Of Suppliers
11.03.03 Bargaining Power Of Buyers
11.03.04 Threat Of Substitutes
11.03.05 Competitive Rivalry
12 Service
12.1 Market Snapshot & Growth Engine
12.2 Market Overview
12.3 Light Service
12.03.01 Market Overview
12.03.02 Market Size & Forecast
12.4 Full Service
12.04.01 Market Overview
12.04.02 Market Size & Forecast
12.5 Boutique Service
12.05.01 Market Overview
12.05.02 Market Size & Forecast
13 System
13.1 Market Snapshot & Growth Engine
13.2 Market Overview
13.3 Open System
13.03.01 Market Overview
13.03.02 Market Size & Forecast
13.4 Closed System
13.04.01 Market Overview
13.04.02 Market Size & Forecast
13.5 Isolated System
13.05.01 Market Overview
13.05.02 Market Size & Forecast
14 End-User
14.1 Market Snapshot & Growth Engine
14.2 Market Overview
14.3 Hospital & Health Systems
14.03.01 Market Overview
14.03.02 Market Size & Forecast
14.4 Physician Groups
14.04.01 Market Overview
14.04.02 Market Size & Forecast
14.5 Home Health Providers
14.05.01 Market Overview
14.05.02 Market Size & Forecast
14.6 Telemedicine Providers
14.06.01 Market Overview
14.06.02 Market Size & Forecast
14.7 Hospice Providers
14.07.01 Market Overview
14.07.02 Market Size & Forecast
14.8 OTHERS
14.08.01 Market Overview
14.08.02 Market Size & Forecast
15 Competitive Landscape
15.1 Competition Overview
15.2 Market Share Analysis
15.02.01 Kareo
15.02.02 athenahealth
15.02.03 Practice Fusion
15.02.04 CareCloud
15.02.05 eClinicalWorks
16 Key Company Profiles
16.1 KAREO
16.01.01 Business Overview
16.01.02 Product Offerings
16.01.03 Key Strategies
16.01.04 Key Strengths
16.01.05 Key Opportunities
16.2 ATHENAHEALTH
16.02.01 Business Overview
16.02.02 Product Offerings
16.02.03 Key Strategies
16.02.04 Key Strengths
16.02.05 Key Opportunities
16.3 PRACTICE FUSION
16.03.01 Business Overview
16.03.02 Product Offerings
16.03.03 Key Strategies
16.03.04 Key Strengths
16.03.05 Key Opportunities
16.4 CARECLOUD
16.04.01 Business Overview
16.04.02 Product Offerings
16.04.03 Key Strategies
16.04.04 Key Strengths
16.04.05 Key Opportunities
16.5 ECLINICALWORKS
16.05.01 Business Overview
16.05.02 Product Offerings
16.05.03 Key Strategies
16.05.04 Key Strengths
16.05.05 Key Opportunities
17 OTHER PROMINENT VENDORS
17.1 3D SOLUTIONS
17.01.01 Business Overview
17.01.02 Product Offerings
17.2 3GEN CONSULTING
17.02.01 Business Overview
17.02.02 Product Offerings
17.3 4D GLOBAL
17.03.01 Business Overview
17.03.02 Product Offerings
17.4 24/7 MEDICAL BILLING SERVICES
17.04.01 Business Overview
17.04.02 Product Offerings
17.5 ACP BILLING SERVICES
17.05.01 Business Overview
17.05.02 Product Offerings
17.6 ADVANCEDMD
17.06.01 Business Overview
17.06.02 Product Offerings
17.7 ADVANTEDGE HEALTHCARE SOLUTIONS
17.07.01 Business Overview
17.07.02 Product Offerings
17.8 ALASKA BILLING SERVICES
17.08.01 Business Overview
17.08.02 Product Offerings
17.9 ALLEGRO BILLING
17.09.01 Business Overview
17.09.02 Product Offerings
17.10 ALLMEDS
17.10.01 Business Overview
17.10.02 Product Offerings
17.11 A-STAT MEDICAL BILLING MANAGEMENT
17.11.01 Business Overview
17.11.02 Product Offerings
17.12 ASSIST PRACTICE MANAGEMENT SERVICES
17.12.01 Business Overview
17.12.02 Product Offerings
17.13 BAY MEDICAL BILLING SERVICES
17.13.01 Business Overview
17.13.02 Product Offerings
17.14 CALIFORNIA MEDICAL BILLING
17.14.01 Business Overview
17.14.02 Product Offerings
17.15 CHARTLOGIC
17.15.01 Business Overview
17.15.02 Product Offerings
17.16 CIGNA
17.16.01 Business Overview
17.16.02 Product Offerings
17.17 CREOSEN DBA MEDCLAIMS BILLING SERVICES
17.17.01 Business Overview
17.17.02 Product Offerings
17.18 CLOUD 9 MEDICAL SOLUTIONS
17.18.01 Business Overview
17.18.02 Product Offerings
17.19 CORONIS HEALTH
17.19.01 Business Overview
17.19.02 Product Offerings
17.20 CUREMD
17.20.01 Business Overview
17.20.02 Product Offerings
17.21 DNA BILLING
17.21.01 Business Overview
17.21.02 Product Offerings
17.22 DRCHRONO
17.22.01 Business Overview
17.22.02 Product Offerings
17.23 EHEALTHSOURCE
17.23.01 Business Overview
17.23.02 Product Offerings
17.24 GENERAL ELECTRIC
17.24.01 Business Overview
17.24.02 Product Offerings
17.25 GOLDEN WEST MEDICAL BILLING
17.25.01 Business Overview
17.25.02 Product Offerings
17.26 HEALTHQUIST
17.26.01 Business Overview
17.26.02 Product Offerings
17.27 HSCCPA
17.27.01 Business Overview
17.27.02 Product Offerings
17.28 INDEX BILLING
17.28.01 Business Overview
17.28.02 Product Offerings
17.29 MBCT
17.29.01 Business Overview
17.29.02 Product Offerings
17.30 MEDMECS BILLING SERVICES
17.30.01 Business Overview
17.30.02 Product Offerings
17.31 MEDICAL BILLERS AND CODERS
17.31.01 Business Overview
17.31.02 Product Offerings
17.32 MEDEX MEDICAL BILLING
17.32.01 Business Overview
17.32.02 Product Offerings
17.33 MCKESSON
17.33.01 Business Overview
17.33.02 Product Offerings
17.34 NXGN MANAGEMENT LLC
17.34.01 Business Overview
17.34.02 Product Offerings
17.35 OMS PARTNERS
17.35.01 Business Overview
17.35.02 Product Offerings
17.36 PARK MEDICAL BILLING
17.36.01 Business Overview
17.36.02 Product Offerings
17.37 PMN
17.37.01 Business Overview
17.37.02 Product Offerings
17.38 PROCURE BILLING SOLUTIONS
17.38.01 Business Overview
17.38.02 Product Offerings
17.39 PHYSICIANS’ PROFESSIONAL MANAGEMENT CORPORATION
17.39.01 Business Overview
17.39.02 Product Offerings
17.40 PREFERRED BILLING SOLUTIONS
17.40.01 Business Overview
17.40.02 Product Offerings
17.41 PROMANTRA
17.41.01 Business Overview
17.41.02 Product Offerings
17.42 PUREDI
17.42.01 Business Overview
17.42.02 Product Offerings
17.43 RESOLUTIONS BILLING & CONSULTING
17.43.01 Business Overview
17.43.02 Product Offerings
17.44 RIGHT MEDICAL BILLING
17.44.01 Business Overview
17.44.02 Product Offerings
17.45 SUPERIOR MEDICAL MANAGEMENT
17.45.01 Business Overview
17.45.02 Product Offerings
17.46 TWIN PEAKS MEDICAL BILLING
17.46.01 Business Overview
17.46.02 Product Offerings
17.47 TRIMED BILLING SERVICES
17.47.01 Business Overview
17.47.02 Product Offerings
17.48 VALLETTA GROUP
17.48.01 Business Overview
17.48.02 Product Offerings
17.49 VITRUVIAN MEDPRO
17.49.01 Business Overview
17.49.02 Product Offerings
17.50 WAYSTAR
17.50.01 Business Overview
17.50.02 Product Offerings
18 Report Summary
18.1 Key Takeaways
18.2 Strategic Recommendations
19 Quantitative Summary
19.1 Market By Service Type
19.2 Market By System Type
19.3 Market By End-User
20 Appendix
20.1 Abbreviations

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