Midnite Systems

Healthcare marketing agency: websites and SEO that answer what patients check before they book

We build and run websites and SEO for healthcare practices, where federal rules reach the page: the notice that self-pay patients can get a good faith estimate must be searchable online. It starts with a 15-minute call.

What does a healthcare marketing agency do?

A healthcare marketing agency works on two moments: the search that turns up a practice, and the visit to its website that decides whether a patient books. In healthcare, both sit under rules such as notices the website has to carry and state limits on what an ad may claim, on top of the federal rule on consumer reviews and testimonials that applies to any business selling products or services. Two parts of that work are ours, and one is not:

  • The website: we plan the pages, write and design them and build the site, with forms that ask only who the person is, how to reach them and when, never symptoms or other health details. More on our Web Design service and on web design for healthcare.
  • SEO: service and location pages, structured data, every Google Business Profile we take on set up under Google’s rules for practices and practitioners, an article each month and monthly tracking of whether AI answers bring up the practice. Our SEO service covers the method, and SEO for healthcare its healthcare version.
  • Paid ads: we don’t run Google Ads, Local Services Ads or paid social campaigns. A practice that buys ads keeps them with its own staff or an ads agency.

What follows is the work we would do for a practice and the rule behind each part of it. Specialties from chiropractors to plastic surgeons have pages of their own, and our Industries page lists the other sectors we write for.

Which federal rules put notices on a practice website?

Several federal rules can reach a practice’s website, and four of them are set out here. Which of them apply turns on how the practice is paid and where it treats patients, so settle the list with your own counsel; the site then carries what applies.

The first reaches whichever provider or facility schedules care for a patient paying their own way:

Under 45 CFR 149.610, the information that uninsured or self-pay patients can get a good faith estimate of expected charges must be written in a clear and understandable manner, prominently displayed on the provider’s website, in the office and where scheduling happens, and easily searchable from a public search engine.

The other three:

  • Balance billing protections (45 CFR 149.430). A provider or facility posts a statement of the federal patient protections against balance billing on a searchable homepage, or links to it there, along with a sign at its location and a one-page notice for patients with health coverage. A provider with no website is exempt from the web posting, and a provider that furnishes no care at, or in connection with visits to, a health care facility doesn’t have to make these disclosures at all.
  • Language assistance (45 CFR 92.11). A covered entity, which the rule defines to include any recipient of federal financial assistance, posts a notice, in English and translated into at least the state’s 15 most common languages among people with limited English proficiency, that it offers free language assistance and auxiliary aids. It goes at a conspicuous place on the website, in clear and prominent places at the practice, and on intake forms and good faith estimates.
  • Web accessibility (45 CFR 84.84). Under section 504 of the Rehabilitation Act, recipients of federal financial assistance from HHS must make their web content and mobile apps meet WCAG 2.1 Levels A and AA, unless the rule’s fundamental-alteration or undue-burden exception applies: from May 11, 2027 for those with 15 or more employees, and from May 10, 2028 for those with fewer.

We would build these as plain pages and short notices linked from the footer of every page, written in your practice’s words and approved by you before launch. Accessible builds have their own page: accessible web design.

What do California’s advertising rules mean for healthcare marketing?

In California, section 651 of the Business and Professions Code covers anyone who holds a license under the code’s healing arts division, or under an initiative act that division refers to. It makes it unlawful to put out a public communication with a false, fraudulent, misleading or deceptive statement, claim or image meant or likely to bring in patients, and it names the Internet as one such channel. For healthcare marketing, the parts that touch a website include these:

  • Results: nothing likely to create false or unjustified expectations of favorable results. Before-and-after galleries have further rules, which our plastic surgeons page sets out.
  • Fees: an ad about fees must fully and specifically disclose all variables and other material factors, unless the fee is a standard consultation fee or a fee range for specific types of services. A price ad has to be exact, without phrases like “as low as” or “and up”, with the price of each service clearly identifiable. A comparison of services or costs needs verifiable data behind it, and price ads may not mislead, including through bait, discount, premium or gift offers.
  • Claims of superiority: a claim to be better, or to perform a service better, must be relevant to that service and backed by objective scientific evidence. A scientific claim needs reliable, peer-reviewed, published studies.
  • Testimonials: none that mislead by leaving out material facts.
  • “Board certified”: for physicians and surgeons under the Medical Board of California, the phrase is limited to certain certifying boards, also covered on the plastic surgeons page.

Section 651 also has each healing arts board adopt regulations to enforce it. The Board of Chiropractic Examiners, for one, sets advertising, title and referral rules for chiropractors, which our chiropractors page walks through. The rules are the practice’s to follow, and you sign off on every page in a private preview before it goes live, so each claim on the site is one you have checked.

What should a practice website show patients?

We would organize a practice site around four questions: who will treat me, does the practice take my coverage or what does paying my own way involve, where is it, and how do I book?

  • A page for each practitioner with their name, title or degree and what they treat, matching their Business Profile where Google shows one.
  • Service pages that explain a visit or treatment in plain words, written with your clinicians and checked by them.
  • A costs and coverage page with the plans the practice accepts, the good faith estimate notice and, where it applies, the balance billing statement, linked from the homepage.
  • Language help: the notice where the rule applies, and a version of the site in each language your staff serve patients in, in wording your practice approves.
  • Contact and booking forms with three fields: name, phone or email, and preferred time. Symptoms, conditions and insurance details wait for the visit.
  • Pages built to WCAG 2.1 Levels A and AA, the standard the HHS accessibility rule above sets for the practices it covers.

How does SEO for a healthcare practice work?

SEO for a healthcare practice starts with its Google profiles and its own site, then adds pages:

  • Profiles that match how the practice is set up. Google’s guidelines treat doctors and dentists as individual practitioners. One who is public-facing and reachable at the practice’s location can have a profile of their own, titled with their name alone when several practitioners share the location, while the practice keeps a separate profile for that location. When a practitioner is the only public-facing one at a location and represents a branded practice, Google says it’s best for them to share one profile with it, named brand first, then practitioner. Under the same guidelines, a public-facing hospital department that operates as its own entity should be listed separately, under a name unlike the hospital’s.
  • The site fixed first: titles, descriptions and structured data on service and practitioner pages, overlapping posts merged, and re-index requests once pages change.
  • New pages where they earn a place: one per service, and one per location where demand and local proof back it.
  • A monthly article answering a question your patients raise.
  • AI answers: structure and markup that leave every page easier for AI answers to find, read and cite. A monthly check then shows whether AI answers mention the practice. Google’s Search generative AI control in Search Console decides whether a site’s content can appear in AI Overviews, AI Mode and generative AI features in Discover: include lets it appear, exclude prevents it. Google says that as of August 31, 2026, it had rolled the control out to all websites worldwide, and that include is the default control for all properties. A practice that wants to appear in those features keeps it. More on our GEO work.
  • Reporting: a weekly check of the site, links checked every month, a one-page report each month that puts leads first, and a quarterly review.

Rankings aren’t ours to promise. As Google’s guide to hiring an SEO puts it, “No one can guarantee a #1 ranking on Google.”

How may a practice ask patients for reviews?

The FTC rule on consumer reviews and testimonials, 16 CFR part 465, defines a business as any individual, partnership, corporation or other commercial entity that sells products or services, which takes in a practice. Under that rule a business may not, among other things:

  • write, create or sell a review or testimonial that materially misrepresents whether the reviewer exists, whether they had the experience or what the experience was, or buy a review or put out a testimonial it knew or should have known did that;
  • offer payment or another incentive for a review that has to say something positive, or something negative;
  • have an officer or manager write a review or testimonial about the business without a clear and conspicuous disclosure of their material relationship to it, unless, for a testimonial, the relationship is otherwise clear to the audience;
  • materially misrepresent a website it controls, owns or runs as an independent source of reviews or opinions;
  • use intimidation, a physical threat, an unfounded legal threat or a public accusation made knowing it was false, or with reckless disregard for whether it was, to stop a review being written or get it removed, or, on a site it runs, hide reviews for their rating or negative sentiment while presenting the rest as most or all of them.

Several of the rule’s provisions don’t apply to generalized solicitations to purchasers to post reviews or testimonials about their experiences. Whether a given request to patients is one is for your counsel to say.

How does home health marketing work?

Two groups are involved in which home health agency a patient uses. Medicare covers home health care when a patient is homebound and needs part-time or intermittent skilled care, and only after a doctor or other provider, such as a nurse practitioner, has seen the patient in person and ordered it. A Medicare-certified home health agency must provide the care. The provider should give the patient a list of agencies serving the area and say whether their organization has a financial interest in any of them. That puts two readers in front of an agency’s website: patients checking the names on the list, and the providers who write the orders.

Home health website design follows from that:

  • a page for each county or city the agency serves, where demand and local proof back it;
  • plain pages on who qualifies for Medicare home health and what it pays for, linked to Medicare’s own pages;
  • a page for referring offices that says how to send an order and who answers, with a contact form that asks only for the office’s details, never a patient’s;
  • the agency’s Business Profile and listings kept identical to the site.

Medicare doesn’t pay for homemaker services, such as shopping and cleaning, that are unrelated to the care plan, or for custodial or personal care when that is the only care a person needs. Agencies that offer non-medical care at home answer a different search, which our senior living page covers.

What does pharmacy SEO involve?

The FDA’s BeSafeRx guide tells consumers what separates a safe online pharmacy from an unsafe one, and those signs double as the checklist for a pharmacy’s search work:

  • the site and every listing show the same physical address and US phone number;
  • the pharmacy’s license from its state board of pharmacy is easy to find on the site;
  • the site says plainly that a prescription is required where one is;
  • patients can reach a pharmacist with questions, and the site says how;
  • the privacy policy is written in plain words, since the FDA counts unclear protection of personal and financial information as a warning sign.

Beyond that, the work is the same as for any practice: a page for each service the pharmacy offers, a page per location where demand and local proof back it, and a Business Profile kept current.

What changes the cost of healthcare marketing?

The things that move any website or SEO price apply here, plus four that healthcare brings:

  • Practitioners and locations: each practitioner page and Business Profile, and each location page, is its own piece of work.
  • Notices and languages: each federal notice that applies, and each language version of the site, is more to write, translate and approve.
  • Clinical review: service pages and articles would need sign-off from a clinician before they publish.
  • Accessibility: building and testing to WCAG 2.1 Levels A and AA, for practices the HHS rule covers, is work of its own.

How website and SEO prices work in general is on our website design cost and SEO cost pages. A practice’s own price comes in its scoped proposal.

How do I choose a healthcare marketing agency?

Google’s page for people hiring an SEO is a sound place to start. Its questions for a candidate cover examples of past work and success stories; the results to expect, the timeframe and how success is measured; experience in your industry and your city; and whether you’ll be told about each change they make to your site, with the reasons for it. It says to give an SEO doing an audit read access to Search Console rather than write access, to find someone else if they promise your site first place in search results, and to remember that you are responsible for what the companies you hire do.

Healthcare adds questions of its own:

  1. Which advertising rules apply to my profession in my state, and who reviews every page against them before launch?
  2. Will any form on the site ask patients about their health?
  3. How will the federal notices that apply to us appear on the site, and in which languages?
  4. Do you work for another practice competing for the same patients near us?

How does working with us start?

Booking a 15-minute call is how it begins. You talk with Nicolas Perez or Noah Alvarez, our co-founders. Say which patients you want more of and what gets in the way of bookings; if neither a new website nor SEO would help, we say so on the call. You approve a scoped proposal before any work starts.

Midnite Systems was formed in 2023. We work remotely with businesses across the US, and visitors are welcome at our office in Valencia, California, during office hours.

Sources

14 cited

What patients can check before they choose a practice

  • eCFR, 45 CFR 149.610

    Self-pay patients can ask what care will cost

    A practice must tell uninsured or self-pay patients that they can get a good faith estimate of expected charges, when they schedule care or ask about its cost. The federal rule wants that information displayed prominently on the practice's website, easy to find through a public search engine, posted in the office and said aloud when care is scheduled.

  • Google, Guidelines for representing your business on Google

    Doctors can have Google profiles of their own

    Google treats doctors and dentists as individual practitioners, and a practitioner's Business Profile may include a title or degree, Dr. or MD for example. Under Google's guidelines, a practitioner should create a dedicated profile when they hold a public-facing role and patients can contact them directly at the verified location during the stated hours. Support staff should not have one, and a practitioner shouldn't have several to cover their specializations.

  • Medicare.gov, Home health services

    Home health patients are given a list of agencies

    When a provider decides a Medicare patient needs home health care, Medicare says the provider should give the patient a list of agencies that serve the area, and must say whether their organization has a financial interest in any agency on it. The care has to come from a Medicare-certified home health agency.

  • U.S. Food and Drug Administration, Considering an Online Pharmacy?

    Online pharmacy shoppers are told what to look for

    The FDA tells consumers an online pharmacy is likely safe if it always requires a doctor's prescription, gives a physical address and phone number in the United States, has a pharmacist with a license on staff to answer questions and holds a license from a state board of pharmacy. Deep discounts and prices that seem too good to be true are on its list of warning signs.

  • eCFR, 45 CFR 92.11

    Patients can ask for help in their own language

    A covered entity under the federal health nondiscrimination rule must post a notice that it offers free language assistance and auxiliary aids, in English and in at least the 15 languages that people with limited English proficiency in its state speak most. The notice goes at a conspicuous place on its website and on its intake forms.

The work behind it

  • Midnite Systems

    Formed in 2023.

  • Valencia, CA

    Our office in Valencia, CA, open Monday to Friday, 8am to 4pm.

  • The team

    Nicolas Perez, Co-Founder and CEO, and Noah Alvarez, Co-Founder and CCO.

By specialty

Questions

Frequently asked questions

What is a healthcare marketing agency?

A healthcare marketing agency works on how patients find a practice and decide to book there: the website, the practice's place in Google Search and Maps, practitioner profiles, reviews and the path to booking. We build the website and run the SEO. We don't manage paid ads, and the forms we build for a practice never ask patients about their health.

How do I choose a healthcare marketing agency?

Google's own hiring questions make a good base: what results to expect and by when, how the agency measures success, and whether you'll see each change it makes and why. Then add questions of your own: who checks pages against your licensing board's ad rules, whether any form asks for health details, and whether the agency works for a nearby competitor.

What is home health marketing?

It is the work of reaching the two groups involved in choosing a home health agency: patients, and the doctors and other providers, such as nurse practitioners, who order the care. Medicare says the ordering provider should give the patient a list of agencies serving the area, so an agency's website would be written for both readers.

Which federal notices does a practice website carry?

Two come from 45 CFR part 149. A provider or facility puts its notice of patient protections against balance billing on a searchable homepage, or links to it from there, unless it has no website or furnishes no care at or in connection with a health care facility. And self-pay patients must be able to find, from a search engine, that good faith estimates are available.

When do the HHS web accessibility dates apply?

A year later than HHS first set them. Its 2024 section 504 rule gave recipients of its funding until May 11, 2026 to bring their web content and apps to WCAG 2.1 Levels A and AA, or until May 10, 2027 with fewer than 15 employees. An interim final rule published May 11, 2026 moved each date back a year, to May 11, 2027 and May 10, 2028.

What is pharmacy SEO?

It is search work for a pharmacy's website, Business Profile and listings, built around what the FDA tells people to check before they use a pharmacy online: a prescription requirement, a physical address and phone number in the United States, a pharmacist on staff to answer questions and a license from a state board of pharmacy.

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