Specialist revenue cycle depth for enterprise health systems and IDNs.
At enterprise scale, revenue cycle performance depends on having the right expertise across facilities, specialties, EHRs, and payer environments. We bring certified specialists across the front, mid, and back-office, supported by RevAmp intelligence and connected governance. Deploy that depth in one function, across selected facilities, or throughout the system - working alongside your teams to strengthen performance without replacing what already works.
7 of top 20
U.S. health systems served
32M+
Coding charts processed annually
28M+
A/R claims managed annually
Depth, scale, and consistency, wherever you engage us.
Enterprise revenue cycle management supports multi-hospital health systems and integrated delivery networks that need specialist depth and consistent quality across many facilities, EHR instances, and business offices. We deliver front, mid, and back-office services using certified practitioners and the RevAmp AI platform, deployed where teams need them most, driving consistent coding quality, faster cash conversion, and enterprise-wide performance visibility.
Specialist depth, beyond added headcount
Proven at the scale of the largest systems
Consistent quality and one clear view of results
Revenue cycle depth for enterprise health systems, ready wherever you need it.
At your scale, the question is not which piece to hand off. It is whether a partner has real depth across every part of the revenue cycle, and can bring it where your teams need it most. We do, from the front office through the back office and the technology underneath. The areas marked as priorities are where most large systems feel the strain first.
Front-office
Make every patient account billable before downstream friction begins.
- Patient Access Management
- Eligibility and Benefits Verification
- Prior Authorization
- Financial Clearance and Counseling
- Price Transparency and Patient Estimates
- Insurance Discovery and Coverage Discovery
- Scheduling and Registration
Mid-office
Turn clinical and specialty complexity into accurate, compliant reimbursement.
- Medical Coding
- Clinical Documentation Integrity (CDI)
- 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
Move claims and cash while addressing the causes of denials and payment variance.
- 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
- Extended Business Office and Co-Managed Operations
Technology
Connect priorities, workflows, and performance across your revenue cycle.
- RevAmp
- EHR Integrations
Depth where enterprise health systems and IDNs need it. Consistency where we engage. Visibility across every result.
Add specialist depth where your teams are stretched
Certified capacity across coding, patient access, and A/R, placed in the functions or regions that need it most, so no one specialty is left thin.
Hold every function we run to one quality bar
One documented standard, one quality bar, and one escalation path across the work you hand us, so quality does not depend on which site a claim came from.
Work inside the systems you already run
Teams operate directly in Epic, Oracle Health, Meditech, and more, so the work runs in your systems rather than around them.
Give you one clear view of the work
Consolidated reporting and a regular review that show how every site and function we support is performing, and where to focus next.
One operating model. Three pillars. Every engagement.
Expertise-led
Teams that run enterprise revenue cycle daily, not a pooled shared service.
- Certified coders, A/R specialists, and access teams aligned to your facilities
- A named engagement lead accountable for outcomes across the enterprise
- Dedicated pods by site or function, held to one quality standard system-wide
Technology-powered
AI that prioritizes, validates, and surfaces, so teams work the highest-value queue first.
- Work prioritization across facilities based on recovery value and risk
- Rules engine that prevents denials before claims leave the system
- Consolidated dashboards showing performance by site, payer, and function
Operationally-governed
Not just reporting. Accountability with a name attached to it.
- Monthly governance reviews aligning KPIs across every facility
- Quality audits that hold each site to the same documented standard
- Closed-loop CAPA, so an issue solved at one hospital is solved at all of them
Our Vision
Open Accountability: Taking responsibility without taking control.
Enterprise revenue cycle should not require giving up control for accountability. You keep full visibility into agreed metrics and the flexibility to engage our team modularly or end-to-end, on your systems or through RevAmp. We own the outcomes we commit to, and earn renewal through performance, not dependence.
Performance Variance
Spread between the best- and worst-performing site on shared KPIs
Cost to Collect
Cost per dollar collected, held to one standard enterprise-wide
Days in A/R
Cash-conversion speed, measured the same way at every facility
Coding Accuracy
Documentation and coding quality, to one bar across all sites
Clean Claim Rate
First-pass claim acceptance across the consolidated operation
Why Us
What sets our approach to enterprise health systems and IDNs apart.
When each facility fixes its own eligibility errors, coding gaps, and denials, the system pays for the same work many times over. Our first-pass performance turns that rework into resilience.
Rework-Powered Cleanup Machine
Our First-Pass Performance
Quality Consistency
Quality swings by facility and by vendor.
One quality bar across every function we run.
Specialist Coverage
Teams run thin on hard-to-staff specialties.
Certified depth ready across the revenue cycle.
Handoffs
Point vendors leave gaps between functions.
The work we run connects with no handoff gaps.
Performance Visibility
Site reporting rolls up late, in mixed formats.
One clear view of the sites and work we support.
Accountability
Escalations route through committees, not owners.
A named lead owns the outcomes we commit to.
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 how your revenue cycle is really moving across your enterprise health system or IDN.
Schedule a 30-minute working session with our enterprise practice lead. Bring performance data from two facilities. We'll show you where the variance is coming from, how we would standardize across sites, and what the first 90 days would look like.
Frequently Asked Questions
Can you standardize operations without forcing every facility onto the same workflow?

Yes. Standardization applies to the quality bar, the escalation path, and the way performance is measured, not to every local process. Facilities differ in payer mix, case mix, and EHR configuration, and a model that ignores that fails in month two. We hold every site to the same documented standard and the same KPI definitions, while allowing workflow variation where the local context genuinely requires it.
How do you handle multiple EHR instances across the system?

Our teams work inside your systems rather than exporting work into ours. We operate across Epic, Oracle Health (Cerner), Meditech, and other platforms, including systems running several instances after acquisitions. Where reconciliation across instances is unavoidable, RevAmp normalizes the data so performance can be compared site to site on a single definition.
Do we have to outsource the entire revenue cycle, or can we start with one function?

Either. Many enterprise engagements begin with a single function, such as A/R follow-up, coding, or prior authorization, or with a single region, and expand once performance is proven. Others start end-to-end where leadership wants one accountable partner from day one. The engagement model flexes; the quality standard and governance cadence do not change with scope.
How do you report performance across facilities that measure things differently?

We align KPI definitions at kickoff before any reporting begins, because most enterprise reporting disputes are definitional rather than operational. Once definitions are agreed, consolidated dashboards show each site against the same measures, and the monthly governance review works from one performance picture.
What does the transition look like for a multi-hospital system?

Transitions are phased by facility or by function rather than switched over at once, so there is never a moment where the enterprise depends on an untested process. A typical enterprise onboarding covers data validation and EHR integration first, then workflow configuration and calibration, then a pilot site or function that proves the model before it scales.
How do you reduce denials without simply adding more appeal capacity?

We work denials and appeals, but the larger goal is prevention. RevAmp and our operating teams analyze denial patterns by payer, site, authorization pathway, coding issue, billing edit, and root cause. Those findings are fed back into access, documentation, coding, charging, and billing workflows so the same denial does not keep reappearing downstream.
How do you prevent a large delivery model from becoming a black box?

This is what Open Accountability is built to prevent. You keep full visibility into the agreed metrics, full access to your data, and a named lead who owns the outcomes rather than reporting activity. Governance reviews work from your numbers, not a curated summary, and we commit to the KPIs at kickoff and report against them whether the trend is good or bad.