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10 tips to maximize cash flow for your medical billing business

Access 10 proven strategies to optimize cash flow for your billing company — from smarter pricing to automation solutions.

Last updated on 05/19/2025
Manager smiles after learning strategies to maximize medical billing company cash flow

At a Glance

  • Optimize pricing, payment terms, and client selection to establish a strong cash flow foundation.
  • Build financial safeguards through expense control, cash reserves, and accurate forecasting.
  • Boost revenue with setup fees, value-added services, and automation technology.

Cash flow management can be tricky for any business, and medical billing companies are no exception. Yet knowing how to maximize cash flow is one of the most critical elements of a successful business. 

Following are 10 tips on how to maintain cash flow so you can continue to deliver high-value services to clients. These tips can help you identify solutions to cash flow problems with ease.

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1. Select the right pricing model 

Sometimes, cash flow problems occur because medical billing company owners haven’t fully thought through the process of how they’ll charge for medical billing services — specifically, whether they’ll charge a percentage of collections, per claim, or hourly. Each option comes with its own unique challenges in terms of how to maintain cash flow. 

When thinking about how to maximize cash flow, it’s important to understand that you can always switch pricing models if one isn’t working for you. However, you’ll need a clear strategy for how to do it without losing clients. 

With that said, you shouldn’t change your pricing model frequently, because it can confuse clients and erode trust. Something else to keep in mind: If your value justifies it, you may want to consider a small price bump to improve margins.

You shouldn’t change your pricing model frequently, because it can confuse clients and erode trust.

2. Set shorter payment terms

Negotiating shorter terms can be one of many successful solutions to cash flow problems. This prevents payment delays and ensures you have access to cash when you need it.

3. Focus on higher-value clients 

Prioritizing high-volume providers who also value quality clinical documentation and regulatory compliance means there are ample opportunities for you to get paid efficiently and maintain cash flow.

Learn how Tebra can help improve the cash flow of your business — and that of your clients as well.

4. Consider a business line of credit, when needed

Sometimes, even despite your best efforts, solutions to cash flow problems may not work. This is when a business line of credit may be necessary to keep the business afloat. 

A business line of credit is a form of revolving credit on which you can draw up to a pre-determined limit. You only pay interest on the cash you draw from the credit line. However, remember that a line of credit is an emergency tool — not something you should rely on frequently.

5. Control expenses

One of the most effective solutions to cash flow problems is to cut or reduce expenses, when possible. One of the biggest ones to target? Turnover-related expenses. 

Focusing on employee retention is paramount. However, there are plenty of other medical billing company expenses to consider, such as office space and utility costs, equipment maintenance and upgrading, and more. 

Focusing on employee retention is paramount.

When thinking about how to maximize cash flow, there may be opportunities to renegotiate or consider a new approach in the spirit of cash flow improvements. 

6. Build a cash reserve

Even a small buffer fund can reduce stress during slower periods. Setting money aside on a weekly or monthly basis to maintain cash flow can help. 

You can put the money into a variety of account types, including: 

  • Checking
  • Savings or money market accounts 
  • Money market funds
  • Treasury bills
  • Certificates of deposit

7. Focus on creating a seamless process for onboarding 

Sometimes, cash flow problems occur when medical billing companies don’t have a solid process in place to collect requisite and essential practice information from new clients. This can cause a cascading effect of payment delays and other avoidable problems. 

Regularly assessing your onboarding process is a simple way to improve the cash flow of your business. You may even want to consider a one-time setup fee to help offset new patient onboarding and customization costs. 

Regularly assessing your onboarding process is a simple way to improve cash flow.

8. Forecast cash flow regularly

Being able to project revenue 3 to 6 months in advance can help you spot and address potential cash flow problems early. Here are some free tools that can help.

9. Increase revenue 

Increasing revenue doesn’t automatically improve cash flow, but it does help. Beneficial strategies include: 

  • Implementing setup fees and minimum monthly charges to protect against inconsistent billing volume
  • Expanding into ancillary services 
  • Providing add-on and consultative services (e.g., chart audits, marketing consulting, provider training, and payer contract negotiating)

10. Leverage robotic process automation (RPA)

RPA can help you scale revenue and maintain cash flow without increasing workload. RPA reduces manual tasks such as data entry and invoicing using intelligent, rules-based automation to streamline workflow. 

How to beat medical billing challenges
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Looking ahead

As medical billing company owners learning more about how to maximize cash flow, there are many options to consider. Ideally, you would leverage all of them; however, even one small change can have a significant impact. 

Learn more: Discover the top 10 revenue-boosting strategies for your billing company.

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Lisa Eramo, freelance healthcare writer

Lisa A. Eramo, BA, MA is a freelance writer specializing in health information management, medical coding, and regulatory topics. She began her healthcare career as a referral specialist for a well-known cancer center. Lisa went on to work for several years at a healthcare publishing company. She regularly contributes to healthcare publications, websites, and blogs, including the AHIMA Journal. Her focus areas are medical coding, and ICD-10 in particular, clinical documentation improvement, and healthcare quality/efficiency.

Reviewed by

Terri Joy

Terri Joy, BSHCA, MBA, CPC-1, is an expert with over 25 years of experience in physician coding, billing compliance, and revenue cycle management (RCM). She is currently a consultant providing a variety of physician coding, compliance, and RCM services. Terri Joy is also a technical editor at AAPC. Over her career, she has worked with 4 major university faculty practices and is the author of E&M Coding Clear and Simple (F.A. David, 2013).

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