Every encounter billed right: professional revenue cycle support for physician enterprises.
A physician enterprise earns its revenue one encounter at a time, thousands of times a day, across specialties, sites, and payer contracts that each follow different rules. Small errors multiply at that volume: a missed modifier, an unclosed encounter, an eligibility flag nobody worked. We put certified access, coding, and A/R specialists behind your central business office, with RevAmp intelligence prioritizing the volume, so the professional fees your clinicians generate get billed, defended, and collected.
7 of top 20
U.S. health systems served
32M+
Coding charts processed annually
28M+
A/R claims managed annually
Professional billing is one cycle across many practices, payers, and specialties.
Revenue cycle management for physician enterprises answers a hard equation: thin professional-fee margins, coding rules that shift by specialty, compensation tied to wRVUs, growing patient responsibility, and payer contracts that vary by plan and site. We deliver front, mid, and back-office services using certified practitioners and the RevAmp AI platform, tuned to encounter volume, so collections keep pace with productivity and the cost of getting paid stays in check.
Coding accuracy your compensation plan can trust
Denials prevented at volume, worked by exception
Visibility from encounter to final payment
Front desk to zero balance, for every specialty you employ.
Front-office, mid-office, and back-office support for physician enterprises can wrap around your central business office or sit inside one specialty's workflow. Route us a single denial category, one specialty's coding, or an entire function, technology included. Your PM system stays, your payer contracts stay, and your clinicians notice nothing except cleaner queues.
Front-office
Verified benefits, referrals, and authorizations before the visit starts.
- Patient Access Management
- Scheduling and Registration
- Eligibility and Benefits Verification
- Referral Intake
- Prior Authorization
- Price Transparency and Patient Estimates
- Financial Clearance and Counseling
Mid-office
Specialty-correct coding and complete charges for every closed encounter.
- Medical Coding
- Computer-Assisted and AI-Enabled Coding
- Revenue Integrity and Leakage Prevention
- Coding Audits and Quality Assurance
- Charge Capture Optimization
- Risk Adjustment and HCC Coding
- Billing Compliance and Audit Defense
Back-office
Resolve every claim and balance at the lowest cost per touch.
- Accounts Receivable Follow-Up
- Denials Management and Appeals
- Claims Editing and Clean-Claim Validation
- Underpayment Recovery and Payer Variance Resolution
- Payment Posting and Reconciliation
- Complex AR Recovery
- Credit Balance Review
Technology
Automation that decides which accounts deserve a human touch.
- RevAmp
- EHR Integrations
Accuracy at encounter volume. A falling cost to collect. Clear sight lines across every specialty.
Close the gap between wRVUs and collections
Charge capture, coding, and edits tuned by specialty keep billed revenue aligned with the work your physicians actually performed and documented.
Prevent the denials volume makes expensive
Eligibility, referral, authorization, and modifier errors caught before submission, because appealing thousands of small claims costs more than preventing them.
Collect patient balances without burning goodwill
Estimates before the visit, clear statements after, and respectful follow-up on the growing share of revenue that now comes from patients.
Give every stakeholder the same numbers
One reporting view by specialty, site, payer, and provider, so operations, finance, and physician leadership stop debating whose spreadsheet is right.
One operating model. Three pillars. Every engagement.
Expertise-led
Coders, billers, and access staff organized the way your group is: by specialty.
- Certified coding teams assigned by specialty, from E/M to procedures
- A/R and denial specialists who work payer rules at claim volume
- An engagement lead accountable to your CBO and physician leadership
Technology-powered
RevAmp sorts the day's volume so people only touch what needs them.
- Prioritization by dollar value, denial risk, and filing deadline
- Specialty-aware edits that stop modifier and bundling errors
- Provider-level views of charge lag, coding, and denials
Operationally-governed
Standards in writing, results in review, one name on both.
- Monthly reviews against KPIs fixed at kickoff
- Coding accuracy audited by specialty, results shared openly
- Corrective actions with owners, dates, and follow-through
Our Vision
Open Accountability: Taking responsibility without taking control.
Handing over professional-fee volume has too often meant losing sight of it. Here it works differently: you keep the metrics, the data, and an engagement you can size by specialty, by function, or end to end, on your systems or through RevAmp. We commit to outcomes in writing and report them the same way, up or down.
First-Pass Resolution
Claims paid from the first submission, by specialty
Open Encounters
Visits waiting on documentation or charge entry
Net Collection Rate
Collections against contractual expectation, by specialty
Patient Collection Rate
Share of patient responsibility that becomes payment
Cost per Encounter
What it costs to collect each visit you bill
Why Us
At encounter volume, rework stops being noise and becomes a budget line.
A reworked claim costs as much as a clean one and pays nothing extra. Multiplied across your encounter volume, rework becomes one of your largest unbudgeted vendors. Our First-Pass Performance exists to fire it.
Rework-Powered Cleanup Machine
Our First-Pass Performance
Practice Variation
Each location follows its own workarounds until the pattern reaches billing.
Scope allows local workflow where needed, with shared quality and escalation rules.
Specialty Coverage
Generalist teams absorb specialty work until quality or inventory slips.
Practitioners align to specialty, work type, payer rules, and queue risk.
Handoffs
Referral, authorization, coding, billing, and follow-up pass defects downstream.
Supported handoffs use named ownership, entry criteria, and closed-loop feedback.
Payer Response
Denials and underpayments are worked without a common root-cause view.
Payer, reason, practice, service, and workflow signals guide recovery and prevention.
Accountability
Reports describe activity while ownership moves between central and local teams.
A named lead owns the supported scope, escalations, and agreed outcomes.
Extend performance across connected outcomes.
Revenue cycle thinking for leaders who need fewer surprises.
Explore Vee Healthtek perspectives on the forces reshaping revenue cycle performance, healthcare operations, technology adoption, and financial resilience.
See where professional billing work is slowing down across your physician enterprise.
Bring one practice, specialty, payer, or work queue to a 30-minute working session. We will map the handoffs, review the measures you already use, and identify a practical starting scope that fits your operating model.
Frequently Asked Questions
Is this professional billing only, or can you cover facility claims too?

Professional billing is the core of a physician enterprise engagement: 837P claims, specialty coding, patient balances, and the payer follow-up behind them. Where your group also bills facility components, such as ASC or hospital-based services, we align the split with your structure at kickoff so nothing is double-worked and nothing falls between the two.
How do you handle coding across very different specialties?

With assignment, and with audits. Coders are matched to specialties and stay there long enough to know the payer quirks, global periods, and modifier rules that trip generalists. Coding Audits and Quality Assurance runs on a sampling cadence by specialty, and findings feed education for our team and, where you want it, feedback for your providers.
Which practice management and EHR platforms do you work in?

The ones physician groups actually run: Epic, athenaOne, eClinicalWorks, NextGen Healthcare, Oracle Health (Cerner), and comparable systems, plus your clearinghouse. Work happens inside your environment under your access controls, and RevAmp layers prioritization and reporting on top, reconciled to your definitions.
Can you take just our patient A/R, or just one specialty's denials?

Yes, and narrow starts are common: a single specialty's coding, one payer's denials, patient balances after insurance, or a legacy A/R wind-down following a system conversion. The slice gets its own baseline, quality standard, and reporting, and it expands only when the results argue for it.
How do you keep coding support from slowing our physicians down?

By design. Queries are batched, specific, and sent only when documentation genuinely cannot support a code, and closed-loop tracking shows which queries changed anything so noise gets cut. Most work happens behind the encounter: coding, edits, and charge review after the note closes, without touching clinic hours.
Our compensation plan runs on wRVUs. How do you protect its integrity?

Coding accuracy is audited by specialty against documentation, which protects wRVU credit in both directions: work your physicians performed gets captured, and codes the documentation cannot support get corrected before they distort pay or compliance risk. Audit results are reported openly, so compensation committees rely on the same numbers finance sees.
What will governance actually look like for a group our size?

A monthly review built on the KPIs we set together at kickoff, reported from your numbers, favorable or not. Specialty and site cuts keep the conversation concrete, a named lead owns the outcomes and the corrective actions, and scope changes get decided there, in writing. Open Accountability is the operating habit, and the renewal case is the trend line.