Forensic Auditing of Medical Billing and Claims - Recurring Rev

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Medical Billing Forensic Auditing Company (Behavioral Health) w/ Recur
Asking Price:

Gross Revenue:
Cash Flow:
 Not Disclosed
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Business Description

Located in Southern California, the business performs detailed forensic audits of health insurance claims for the behavioral health industry. The audits are on-going and recurring as outlined in their contracts. The company owns custom proprietary software that assists the team in finding high target claims to work. This software has direct access to over 4,000 insurance companies / claims data.

There are a total of 16 employees and contractors. The company has low overhead and low expenses with profit margins of 65% to 70%. There is a strong management team already in place. The sales team has a VP of sales along with 3 other sales agents that are fully trained. The current owners are relocating and are motivated to sell.

Use the contact form to the right to contact the broker for a full buyer prospectus, financial spreadsheet, and to setup a conversation.

About the Business

Year Established:
Number of Employees:
Real Estate:
Building Sq. Ft.:
$1,750.00 Per Month
Mostly data-driven, basic furnishing, and the employee computers. The lease is month to month and relocatable so there are very few "physical" assets involved in this acquisition.
Market Outlook/
Although there is not a lot of direct competition who offer all the services we do, there are competitors in the hospital space that offer software that finds incorrect denial of claims, incorrectly coded claims, and low paid claims. Our method utilizes software on the front end and verbal reprocessing of claims on the back-end.
Growth & Expansion:
Despite how things may change in the healthcare industry, we can say for certainty that insurance companies will always be looking for new reasons to pay less then agreed, and lets face it, its a profitable business model for them. Many times this can cause clinics & healthcare professionals serious financial issues, and, when the cost of delivering healthcare solutions to their patients supersedes their revenue problems arise. This method of low payouts has no sign of getting any better regardless of what changes congress makes in healthcare laws.
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About the Sale

Reason For Selling:
New Investment Requires Capital
A 30-60 day transitional period is included with the sale, additional options for ongoing consultations are offered at a fee.

Listing Info

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Business Listed by
Niel Kelley

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U.S. Community Survey Data for Orange County, CA


Source: American Community Survey (2010-2014), United States Census Bureau.

This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

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