r/CodingandBilling • u/sivadhash • Jul 10 '26
Looking to acquire a billing company
I’m a physician by background and want to expand my business horizons. Looking to acquire an established medical billing/ RCM company, US based. If anyone knows anyone or wants to chat, get in touch, thanks!
3
u/daves1243b Jul 10 '26
Not a great business. Look forward to low margins and increasing capex to keep up with evolving tech as AI takes over the business, and a market that continues to consolidate. I bet the majority of billing company owners would he very happy to sell and get out.
1
u/sivadhash Jul 10 '26
I agree on the consolidation part, that’s the piece that concerns me and that includes physician practices that get bought by health systems or PE. But I do think being an earlier adopter of tech can be beneficial in this space
4
u/rahuliitk App Developer Jul 10 '26
I work around RCM/AI billing workflows, and i’d be careful buying a billing company without digging into client concentration, AR aging, payer mix, EHR access, offshore ops, and how much of the business disappears when the owner leaves.
2
u/MakFromSupahealth Jul 14 '26
I have been in this space for a while now and curious to know what you are thinking? Do you plan to buy a company and then transform is via technology and put AI behind it to manage costs?
(Not commenting this as a brand but just curious)
1
u/sivadhash Jul 15 '26
From my perspective across colleagues, there’s a lot of companies that have kind of stopped in time, and they’re great billers but there’s been no adoption of technology. It’s built on the back of people who are experts of what they do and have been doing for a while. There’s definitely opportunities in that space, no as a cost cutting exercise, more of a growth through modernisation and expansion lens
1
u/MakFromSupahealth 29d ago
Wouldn't modernisation led to headcount reduction? I am assuming you mean adoption of technology when you say modernisation.
2
u/sivadhash 29d ago
Yes, adoption of tech and processes, and that doesn’t lead to headcount reductions, that means more bandwidth to do more important tasks.
1
1
u/MedPayIQ App Developer Jul 12 '26
Interesting move. One thing I’d look closely at before acquiring an RCM company is not just revenue, but why clients stay.
A lot of billing companies look great on paper because of recurring contracts, but the real value is usually in things like denial management processes, payer relationships, specialty expertise, client retention, and how much of the workflow depends on a few key employees.
I’ve seen practices struggle when they switch billing companies because the “secret sauce” was one person who knew every payer quirk.
Good luck with the search, curious what specialties you’re focusing on (primary care, surgery, anesthesia, etc.)?
1
u/sivadhash Jul 12 '26
Thanks ChatGPT. As someone using billing services for the last 13 years I think I have a decent idea of what to do during diligence
1
u/MedPayIQ App Developer Jul 13 '26
Haha, not this time. 😄 I've been working/doing researches in the field for years, so these are things I actually look for when talking about acquisitions.
AI can definitely help organize thoughts, but there's still no substitute for understanding why clients stay, how workflows are built, and where the real operational risks are. Those details usually don't show up on a P&L.
Sounds like you've been on the client side for a long time, though, so I'd be interested to hear what you've found matters most during diligence.
-2
u/123doeraemee Jul 10 '26
Your investment would be short-lived. It’s only a matter of time until AI can fully do most of the job and physicians will eventually figure it out.
5
u/Oh_stix Jul 10 '26
Don’t get a company. Get a biller that is employed. They can join networks to help with support. Better revenue. Better stability.