Top 10 Best Acupuncture Billing Companies in California

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California has more licensed acupuncturists than any other state in the country. The California Acupuncture Board licenses over 10,000 practitioners, and new graduates enter the field every year. That density creates a competitive practice environment but it also means billing in California comes with payer policies and documentation requirements that are uniquely shaped by the state's size and regulatory culture.

Which makes it all the more surprising how many California acupuncture practices still struggle to collect what they are owed.

The problem is not a lack of billing companies. The problem is that most are not built for acupuncture specifically. Acupuncture claims go through their system the same way family medicine or urgent care does and the result is higher denial rates, slower follow-up, and lower collections than practices should be seeing.

This guide covers the ten best acupuncture billing companies serving California practices in 2026, based on coding expertise, California payer knowledge, denial management quality, software compatibility, and reporting transparency. No company paid to be included.

The core issue is that acupuncture CPT codes are time-based. Code 97810 covers the first 15 minutes without electrical stimulation, 97811 covers every additional 15-minute block, and 97813 and 97814 mirror that structure when electrical stimulation is used. Every unit must be supported by documented one-on-one provider time, not appointment time, not total clinic time. If your notes show 45 minutes but only 30 was direct one-on-one contact, you can bill two units, not three. A biller who does not understand that will underbill consistently or create audit exposure by overbilling.

Then there is the California payer side. Medi-Cal managed care billing requires knowing the specific plan covering each patient, their authorization requirements, and their claims protocols and those vary across California's many regional MCOs. Anthem Blue Cross of California and Blue Shield of California have acupuncture coverage rules that differ from what those carriers do in other states, partly because California law mandates certain acupuncture benefits under specific plan types. California workers' compensation uses the OMFS fee schedule, requires RFA authorization, and runs through a claims system completely separate from commercial billing.

Practices that switch to acupuncture-specific billing companies typically see denial rates fall 25 to 30 percent within a few billing cycles. For a practice doing $400,000 or more annually, that is $50,000 to $80,000 in previously lost revenue per year.

Every company was assessed on: California acupuncture coding expertise (time-unit billing, modifiers, LCD policies); California payer knowledge including Medi-Cal MCOs, workers' compensation under OMFS, and commercial carriers; denial prevention and appeals quality; software compatibility with California acupuncture platforms; monthly reporting depth; and HIPAA compliance.

Here are the top 10 acupuncture billing companies serving California practices in 2026.

Top 10 Acupuncture Billing Companies in California

1. Sirius Solutions Global

Sirius Solutions Global is the strongest option for California acupuncture practices in 2026, and the reason comes down to how they have built their operation. Most billing companies offer acupuncture billing as one of many specialties they handle. Sirius Solutions Global has structured their entire revenue cycle process around specialty practices including acupuncture  and that difference in approach shows up directly in results.

Their coding team understands time-based billing at a detailed level, CPT codes 97810 through 97814 billed based on documented one-on-one contact time, not appointment length. That distinction matters for both audit protection and correct revenue capture.

On the California payer side, they know how Anthem Blue Cross of California handles acupuncture differently than Blue Shield of California. They understand Medi-Cal managed care authorization requirements and how those vary across plans. They are experienced with California workers' compensation billing under the OMFS fee schedule and the RFA process. And they stay current on how California Medicare Advantage plans layer requirements on top of standard CMS coverage.

Their pre-submission scrubbing catches documentation gaps, missing modifiers, unit count errors, and payer-specific issues before a claim ever goes out. Clean claim rates above 95 percent are standard for practices working with them, which means less denial follow-up and faster payment cycles.

Monthly reporting shows denial rate by payer, days in A/R, collection rate, and payment trends, not just a total collections number, but a real picture of how the revenue cycle is performing.

They work with California practices of all sizes and integrate with AcuSimple, Practice Perfect, Jane App, and ClinicSource. Request a free revenue cycle consultation to find out where your current billing process has gaps.

2. AcupBilling

AcupBilling focuses almost exclusively on acupuncture billing, and that narrow focus gives them coding accuracy that general billing companies rarely match. They understand time-unit documentation requirements and onboard new practices without the learning curve generalists go through. Best suited for small to mid-size California clinics, solo practitioners and small groups will find them well matched, though very large practices may find their infrastructure limited.

3. Physicians Revenue Group, Inc.

Physicians Revenue Group brings multi-specialty billing experience with strength in denial appeals. When California commercial payers push back on acupuncture claims, which they do often, their appeals team is persistent and well-documented. For practices billing acupuncture alongside physical therapy, chiropractic, or integrative medicine, consolidating under one billing roof reduces coordination errors. Explore multi-specialty billing and what it could mean for your practice.

4. M&M Claims Care

M&M Claims Care is built around active claims follow-up, they monitor status continuously and follow up with payers before denials have time to age into write-offs. In California, where Medi-Cal managed care plans and certain commercial carriers are known for slow processing, that proactive posture makes a real difference. They have working knowledge of the California Medi-Cal environment, which is among the most complex Medicaid systems in the country.

5. CloudRCM Solutions

CloudRCM Solutions leads the list on technology. Their cloud-based platform gives live access to claim status, payment data, and financial analytics from any device. EHR integrations are strong and real-time reporting is among the best available. The trade-off is that the technology-forward model can mean less personal service, practices that want a billing partner who feels like an extension of their team may find a better fit elsewhere.

6. I-Med Claims

I-Med Claims offers medical billing services at competitive price points, making them accessible for solo practitioners or small clinics operating with limited administrative budgets. They handle claims submission, standard follow-up, and patient billing competently at a lower cost than most specialty billing companies.

They are not deep specialists in California acupuncture billing. For practices with simple payer mixes and moderate claim volumes, they provide adequate support. For practices with significant Medi-Cal billing, California workers' compensation accounts, or complex commercial payer situations, the lack of specialty depth will likely show up in denial rates over time.

7. Med Xpert Services 

Med Xpert has solid connections with practice management software vendors and handles outpatient billing across multiple specialties including alternative medicine. If your California practice runs on a specific EHR and seamless integration is the priority, they are worth evaluating. Denial management is competent for standard claims, though practices with aggressive California payers or high denial volumes will likely need a more dedicated appeals process.

8. RCM Experts

RCM Experts build billing workflows around each individual practice rather than applying a standard template. For California acupuncture clinics with non-standard payer mixes, 

multiple locations across different regions, or specific reporting needs, that customization has genuine value. A/R management is thorough, onboarding takes longer than average, but the result is a billing setup built around how the practice actually operates.

9. Zee Medical Billing

Zee Medical Billing prioritizes personal client relationships over technology features. If you want someone who picks up the phone, knows your practice, and gives direct answers rather than pointing you to a portal, Zee delivers that reliably. Their billing is solid for standard acupuncture work, though practices with significant Medi-Cal or workers' comp billing may need more specialized depth.

10. 24/7 Medical Billing Services

24/7 Medical Billing Services operates continuously, claims are submitted and followed up around the clock, reducing days in A/R for high-volume practices. Well suited for large California clinics or multi-location practices seeing hundreds of patients weekly. The volume-focused model means less individualized attention for smaller clients, who are unlikely to be a priority account.

Quick Comparison

Most California acupuncture practices do not lose money in dramatic ways. It leaks out slowly, claim by claim.

• Incorrect units. Acupuncture is time-based. Overbilling risks audits. Underbilling leaves revenue uncollected. Both happen when billers do not understand time-unit codes.

• Missing modifiers. One missing modifier can flip a payable claim into a denial.

• Medi-Cal authorization errors. California Medi-Cal MCOs require prior authorization for acupuncture. Submitting without it is one of the most common and most avoidable denial causes in the state.

• California workers' comp mistakes. OMFS rates, RFA authorization, and DWC billing rules are entirely separate from commercial billing. If your biller does not know California workers' comp, those claims get delayed or denied.

• Writing off denials too fast. A denied $95 claim does not feel significant. Across hundreds per year, it becomes a very significant number.

Most California acupuncture practices hesitate to outsource because the fee looks like a new expense. Running the actual numbers usually changes that view.

A practice seeing 70 patients per week at $120 average claim value has roughly $435,000 in annual billing potential. At a 15 percent denial rate, about $65,000 of that is lost each year. A specialized billing company at 7 percent of collections, managing the same revenue at a 4 percent denial rate, costs about $30,000 annually but recovers over $45,000 in lost revenue. Net gain: more than $15,000 per year plus staff time freed inside the practice.

The fee is not the cost. The cost is what you are not collecting. A free conversation with Sirius Solutions Global is a quick way to find out what that number is for your practice.

FAQs

Does Medi-Cal cover acupuncture in California? 

Yes. Medi-Cal expanded its acupuncture benefit in recent years. Coverage and authorization requirements vary by managed care plan and region, correct billing requires knowing the specific MCO covering the patient, their prior authorization process, and their claims submission protocols.

What CPT codes are used? 

The four main codes are 97810, 97811, 97813, and 97814, all time-based, billed in 15-minute units of one-on-one provider contact. Electrical stimulation determines which pair you use.

How does California workers' comp billing work for acupuncture? 

It uses the OMFS fee schedule, requires an RFA for treatment plans, and follows California DWC administrative rules, completely separate from commercial and Medi-Cal billing.

How much do billing companies charge in California? 

Most specialty companies charge 5 to 9 percent of monthly collections. Confirm what is included in the base fee, patient statements, credentialing, and workers' comp billing are sometimes priced separately.

Final Thoughts

Acupuncture billing in California is not something you want handled by a company that treats your practice the same as every other medical account. The coding is specific, the payer environment is genuinely complex, Medi-Cal managed care, California workers' comp, commercial carriers with California-specific rules, and the revenue stakes are high enough that the difference between getting it right and getting it wrong shows up in your collections every month.

Every company on this list handles acupuncture billing competently. But for a California practice that wants specialty-focused RCM, transparent reporting, and a team that understands how Anthem Blue Cross of California and Blue Shield of California handle acupuncture differently, Sirius Solutions Global is the clearest starting point.

See how Sirius Solutions Global approaches acupuncture billing and what working with a billing partner who actually knows California looks like for a practice like yours.

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