Get every patient financially ready before care begins.
Your teams carry the first financial decisions in every encounter: identity, coverage, authorization, estimates, assistance, and patient communication. We help you make that work accurate, timely, and visible so care can move forward and downstream teams inherit fewer defects.
7 of top 20
U.S. health systems served
32M+
Coding charts processed annually
28M+
A/R claims managed annually
The front end has to protect access, revenue, and patient trust at the same time.
Patient access and financial clearance leaders manage work that is both operationally urgent and financially consequential. Scheduling windows tighten, payer rules change, authorization needs vary by service, and patients expect clear answers about coverage and cost. When eligibility, demographics, referrals, authorizations, estimates, or assistance pathways remain incomplete, care can stall and downstream teams inherit denials, rework, and avoidable patient confusion.
Clearance worked days ahead of the schedule
Auth queues cleared in date-of-service order
Denial attribution your team can stand behind
Support built around the work you own and the handoffs you influence.
Front-office, mid-office, and back-office revenue cycle support, weighted to where you live: the schedule, the desk, and the pre-service center. Hand us a payer's auth volume, a site's verification queue, or the whole clearance function. Your staffing model, scripts, and systems stay yours.
Front-office
Pre-service validation and clearance - fewer delays, preventable denials, and unresolved patient questions.
- Patient Access Management
- Eligibility and Benefits Verification
- Prior Authorization
- Registration QA and Demographic Accuracy
- Financial Clearance and Counseling
- Price Transparency and Patient Estimates
- Scheduling and Registration
Mid-office
Clinical and financial feedback - earlier visibility into documentation, charge, and compliance gaps linked to access.
- Medical Coding
- Clinical Documentation Integrity (CDI)
- Charge Capture Optimization
- Revenue Integrity and Leakage Prevention
- Coding Audits and Quality Assurance
- Risk Adjustment and HCC Coding
- Computer-Assisted and AI-Enabled Coding
Back-office
Downstream learning and resolution - denial causes, patient balances, and claim defects returned to the front end.
- Claims Editing and Clean-Claim Validation
- Denials Management and Appeals
- Accounts Receivable Follow-Up
- Self-Pay, Charity Care and Medicaid Screening
- Underpayment Recovery and Payer Variance Resolution
- Payment Posting and Reconciliation
- Extended Business Office and Co-Managed Operations
Four outcomes shaped before the patient arrives.
Pre-service clearance
Eligibility and Benefits Verification · Prior Authorization · Financial Clearance and Counseling - so scheduled patients arrive verified, authorized, and financially ready days before service.
Point-of-service cash
Price Transparency and Patient Estimates · Self-Pay, Charity Care and Medicaid Screening · Payment Posting and Reconciliation - so estimates hold up, asking for payment feels fair to patients, and the uninsured get screened into coverage.
Registration quality
Scheduling and Registration · Patient Access Management · Registration QA and Demographic Accuracy - so errors get caught the same day and registrars get coaching backed by data, before habits set in.
Front-end denial share
Denials Management and Appeals · Claims Editing and Clean-Claim Validation - so every denial gets traced to true root cause and fed back to the desk that can prevent the next one.
One operating model. Three pillars. Every engagement.
Expertise-led
Patient access and clearance specialists work inside the queues, payer pathways, and patient touchpoints they support.
- Eligibility, authorization, and clearance specialists by payer and service line
- A named lead who reports clearance and quality numbers on your cadence
- Surge coverage for volume peaks, vacancies, and new site openings
Technology-powered
Technology-enabled revenue cycle services make pre-service work more consistent, visible, and auditable.
- Worklists ranked by service date, auth risk, and dollar exposure
- Real-time eligibility and estimate checks before the patient arrives
- Clearance-rate dashboards by site, service line, and registrar
Operationally-governed
Governance connects access performance to ownership, escalation, and corrective action.
- Monthly reviews on clearance, accuracy, and POS cash KPIs
- Registration QA findings turned into coaching, tracked to closure
- Denial attribution that separates front-end causes from the rest
Our Vision
Open Accountability: Taking responsibility without taking control.
You keep your systems, policies, payer relationships, patient communication standards, and decision rights. We take responsibility for the queues and outcomes we agree to own, whether the scope is modular, co-managed, or broader. Performance stays visible through shared measures, named owners, exception tracking, and corrective action. Renewal is earned through results, not dependence.
Pre-service clearance
Share of scheduled visits fully cleared before arrival
Registration accuracy
Error-free registrations as scored by QA sampling
Auth turnaround
Time from order to authorization decision, by payer
POS collections
Cash collected at or before the point of service
Front-end denial rate
Denials attributed to eligibility, auth, or registration
Why Us
The front end runs on minutes. Its mistakes run on months.
When access teams are measured only on activity, incomplete work can move forward and become someone else's denial, correction, or patient call. First-Pass Performance focuses the operating model on complete encounters, early exceptions, reliable handoffs, and visible accountability before service.
Rework-Powered Cleanup Machine
Our First-Pass Performance
Work completion
Work is counted when touched, even if coverage, authorization, or financial requirements remain unresolved.
Work is complete only when the agreed clearance requirements are met or the exception has a visible owner.
Authorization control
Missing information and payer follow-up surface close to the service date, leaving little time to act.
Requirements, due dates, status, and escalation are visible early enough to protect the appointment and claim.
Registration quality
Demographic and insurance defects are corrected after claim edits, denials, or patient complaints.
Quality checks catch incomplete or inaccurate access data before the encounter moves downstream.
Patient communication
Patients receive fragmented updates on coverage, estimates, assistance, and payment expectations.
Communication connects the patient to a clear status, expected responsibility, and next step before service.
Accountability
Queues, clinical offices, payers, and vendors each report activity while exceptions move between owners.
Agreed work has a named owner, shared measures, escalation rules, and visible corrective action.
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.
Bring your clearance rate and your denial file to the same table.
Schedule a 30-minute working session with our patient access leadership. Bring last month's front-end denial detail and your pre-service clearance numbers. We will separate what coaching can fix from what needs capacity, and show where we would start.
Frequently Asked Questions
Who talks to my patients, and how do you protect that experience?
Can you take prior authorization end to end, including the payer follow-up?
How do you help reduce authorization-related delays and denials?
Denials get blamed on my department. Can you prove where they really start?
Can you cover our call center and desks during peaks and vacancies?
What systems do you work in for eligibility, estimates, and auth?
How fast can support be in place ahead of a busy season?
What will you commit to on clearance, accuracy, and collections?