We sign an NDA before you share client names or numbers.
Your clients hear about it from you and us together, after signing. Never before.
Every term, including how and when you're paid, is written out in plain English before you sign.
Your clients' fees don't go up for at least 12 months after the handover.
If you're selling only your anesthesia accounts, we won't approach your other clients. We'll put that in writing.
If we're not the right buyer, we'll tell you quickly and point you somewhere better if we can.

Options

Three ways to work with us

Sell your client book

We buy your client relationships, paid over time, with more as your clients stay with us. You help with a careful handover.

Stay and lead

Keep doing the work you are good at as a billing lead, with a salary, an ownership stake, and none of the admin, sales or tech headaches.

Step back gradually

Reduce your hours over a year or two while we take on more of the work, then retire on your timeline.

Who we're looking for

Anesthesia billers with loyal clients

We focus on anesthesia, so your clients stay with specialists who understand their work.

You bill for independent CRNA or anesthesia groups
You have a handful to a few dozen long-standing clients
You care what happens to them after you step back

Every conversation is confidential. Request a confidential valuation or email partners@titraterevenue.com.

Guides for owners

Everything you want to know before you sell

For billing owners

How to Sell a Medical Billing Company

How to sell a medical billing company, step by step: preparing your numbers, finding a buyer, valuation, deal terms, client handover and what happens after.

For billing owners

What Is My Medical Billing Company Worth?

How medical billing companies are valued: revenue and profit multiples, client retention, contracts, specialty focus, and how earnouts change the real price.

For billing owners

Selling an Anesthesia Billing Business

Selling an anesthesia billing business: why a specialist buyer matters, what anesthesia clients worry about, and how to protect your relationships in a sale.

For billing owners

Earnouts for Billing Company Sales

Earnouts in medical billing company sales explained: how they work, typical structures, what to negotiate, and how to protect yourself as the seller.

For billing owners

Retiring from Your Medical Billing Business

Retiring from your medical billing business: your options, from selling outright to stepping back gradually, and how to look after clients and staff.

For billing owners

Getting Your Billing Company Ready to Sell

Checklist to prepare a medical billing company for sale: client contracts, revenue by client, BAAs, processes, systems access and a handover plan.

For billing owners

Telling Your Billing Clients You Sold

How to tell medical billing clients you've sold your business: timing, what to say, who should be there, and the questions clients will ask.

For billing owners

Who Buys Medical Billing Companies?

Who buys medical billing companies: larger billing firms, private equity-backed groups, specialist buyers and employees, and what each means for you and your clients.

For billing owners

Finding a Buyer for Your Billing Company

How to find a buyer for a medical billing company: peers, specialist buyers, larger firms, brokers and employees, and how to approach them confidentially.

For billing owners

Seller Financing in Billing Company Sales

Seller financing in medical billing company sales: how it works, how it differs from an earnout, and the terms that protect the seller.

For billing owners

Your Staff When You Sell Your Billing Company

What happens to billing company employees in a sale: keeping staff on, telling them at the right time, and protecting their roles and pay.

For billing owners

Broker or Direct Sale for a Billing Company?

Using a business broker vs selling a medical billing company directly: what brokers do, what they cost, and when a direct sale makes more sense.

For billing owners

Sell Your Anesthesia Billing Accounts

Billing companies: sell just your anesthesia accounts and keep the rest of your business.

For billing owners

Why Anesthesia Accounts Are Hard for General Billers

Why anesthesia billing is hard for multi-specialty billing companies: units, modifiers, medical direction rules, staff risk and thin margins on complex work.

For billing owners

Selling Part of Your Billing Book

How to sell part of a medical billing book: carving out one specialty, what buyers need, contracts, client consent and how partial sales are paid.

For billing owners

How an Anesthesia Account Transfer Works

Step-by-step process for transferring anesthesia billing accounts to a buyer: NDA, offer, signing, client introductions, data transfer, parallel run and final payments.

For billing owners

How Anesthesia Billing Accounts Are Valued

How individual anesthesia billing accounts are valued: annual fee revenue, client tenure, contract terms, concentration, account health and retention-based payments.

For billing owners

Telling Clients About an Account Transfer

How to tell anesthesia billing clients their account is moving to a specialist: what to say, who should be on the call, and the questions clients ask.

For billing owners

Selling Anesthesia Accounts Without Losing Other Clients

How billing companies can sell anesthesia accounts without risking their other clients: specialist buyers, non-solicit terms and confidential timing.

For billing owners

When Your Anesthesia Biller Leaves

What a billing company can do when its anesthesia biller retires or leaves: hire, train, subcontract the work, or sell the anesthesia accounts.

For billing owners

Signs Anesthesia Accounts Are Costing Your Billing Company

Signs anesthesia accounts are hurting a billing company's margins: high denial rework, long hours per account, late records, key-person risk and client friction.

For billing owners

White-Label Anesthesia Billing for Billing Companies

White-label anesthesia billing for medical billing companies: keep your client relationship while a specialist handles anesthesia coding, claims and denials.

For billing owners

A/R When Transferring Billing Accounts

How accounts receivable is handled when billing accounts transfer: who works pre-transfer claims, how fees on those collections are paid, and cut-off dates.

For billing owners

Assigning Billing Client Contracts

Assigning medical billing client contracts in a sale: assignment clauses, client consent, business associate agreements and what to do with handshake deals.

For billing owners

Payment Terms for Billing Account Sales

Payment terms for selling medical billing accounts: cash at closing, retention-based payments, revenue sharing and how to protect yourself as the seller.

For billing owners

Solo Billers Selling Anesthesia Clients

For solo medical billers with anesthesia clients: sell your client relationships, join a specialist team, or step back gradually while your clients are looked after.

For billing owners

Selling Your Billing Company: FAQ

FAQ for billing company owners thinking of selling: how you're paid, timing, staff, telling clients, software, confidentiality and what if a client leaves.

For billing owners

Patient Data When Selling Billing Accounts

How patient data moves when billing accounts are sold: business associate agreements, secure transfer, what to keep, what to delete, and records retention.

Free checklist

Billing Company Sale Readiness Checklist

For billing company owners: what to get in order before you talk to buyers.

Download free

Thinking about selling? Let's talk, confidentially.

Get a confidential valuation

Thinking of selling your billing company or anesthesia accounts?Get a confidential valuation