Specialty and ancillary care billing, from someone else's order to your paid claim.
Laboratories, imaging groups, infusion and oncology providers, behavioral health organizations, and other ancillary services share a hard truth: the claim begins with data someone else collected. Orders arrive incomplete, diagnoses fail necessity rules, coverage is stale, and the patient may never stand at your desk. We build billing that survives it: certified intake, coding, and A/R specialists, RevAmp automation for the volume, and governance that keeps payer and referrer relationships intact.
7 of top 20
U.S. health systems served
32M+
Coding charts processed annually
28M+
A/R claims managed annually
Order in, claim out, nothing lost in between.
Revenue cycle management for specialty and ancillary care runs on details other settings never see: diagnosis rules and frequency limits, drug units and waste, professional and technical splits, authorization for high-cost tests and treatment, and claim volumes where pennies of cost per claim decide the margin. We deliver front, mid, and back-office services using certified practitioners and the RevAmp AI platform, built to bill your specialty correctly at the volume it actually produces.
Orders made billable before work begins
Coders fluent in your specialty's code sets
Per-claim economics that survive high volume
From order intake to final payment, built around your specialty.
Front-office, mid-office, and back-office support for specialty and ancillary care flexes to how your operation is built. Take intake and eligibility for one service line, coding for your hardest code sets, or the follow-up your volume outgrew, with the technology underneath if you want it. Referring relationships, test menus, and systems stay exactly as they are.
Front-office
Turn every order and referral into a billable, covered account.
- Patient Access Management
- Referral Intake
- Prior Authorization
- Insurance Discovery and Coverage Discovery
- Eligibility and Benefits Verification
- Registration QA and Demographic Accuracy
- Patient Communication
Mid-office
Specialty code sets, units, and modifiers, billed as performed.
- Medical Coding
- Health Information Management Support
- Computer-Assisted and AI-Enabled Coding
- Coding Audits and Quality Assurance
- Charge Capture Optimization
- Revenue Integrity and Leakage Prevention
- Billing Compliance and Audit Defense
Back-office
Push claim volume to payment and keep every balance honest.
- Accounts Receivable Follow-Up
- Denials Management and Appeals
- Claims Editing and Clean-Claim Validation
- Underpayment Recovery and Payer Variance Resolution
- Payment Posting and Reconciliation
- Claim Submission and Clearinghouse Support
- Credit Balance Review
Technology
Throughput for claim volume no team could touch line by line.
- RevAmp
- EHR Integrations
Cleaner handoffs. Stronger claim readiness. Better visibility into results.
Stop losing claims at the order
Referrals and orders checked, completed, and coverage-verified at intake, so missing data stops becoming next month's denial file.
Bill the specialty the way its rules demand
J-codes and units, splits and modifiers, panels and per-diems coded by specialists and audited against documentation.
Keep referrers happy while you get paid
Order corrections and records requests handled with the tact referring practices expect, so revenue work never costs you a referral stream.
Make high volume affordable to work
RevAmp routes people to the claims worth human time and automates the rest, holding your cost per claim down as volume grows.
One operating model. Three pillars. Every engagement.
Expertise-led
Intake, coding, and follow-up teams built around ancillary claim flow.
- Coders certified for lab, imaging, infusion, behavioral, and more
- Intake specialists who complete orders and resolve what's missing
- One named lead who owns our numbers across your service lines
Technology-powered
RevAmp works the volume so specialists work the exceptions.
- Claims triaged by dollars, denial risk, and payer behavior
- Frequency, bundling, and units edits before release
- Reason-code analytics by payer, test, and referrer
Operationally-governed
Accountability with a cadence, a scorecard, and a name.
- One monthly review on KPIs we committed to in writing
- Accuracy sampled by code set and reported without edits
- Root-cause fixes pushed upstream to intake and coding
Our Vision
Open Accountability: Taking responsibility without taking control.
Volume billing has a reputation for turning into a black box. This engagement refuses to: your data stays yours, every metric stays visible, and the scope, one service line or everything, on your systems or through RevAmp, stays adjustable. We take written commitments on outcomes and report the misses as plainly as the wins.
Clean Order Rate
Orders arriving complete, coded, and billable
Necessity Denials
Claims denied on diagnosis or frequency rules
First-Pass Yield
Claims paid with no touch after submission
Order-to-Bill Lag
Days from service performed to claim released
Overturn Rate
Denied dollars recovered on appeal
Why Us
In high-volume billing, no error happens once.
A missed referral detail, authorization gap, documentation issue, coding error, late charge, or payer edit can reappear across many encounters. Our first-pass performance connects downstream findings to earlier workflow controls, while keeping accountability limited to the work we operate.
Rework-Powered Cleanup Machine
Our First-Pass Performance
Encounter Readiness
Coverage, referral, or authorization gaps surface after service.
Required checks occur at the agreed point before service.
Coding and Charges
Coding or charge issues trigger edits, rebills, and delays.
Specialty-aware review supports cleaner claim preparation.
Handoffs
Access, clinical, coding, and billing teams work separate queues.
Findings move to the workflow and owner able to act.
Denial Response
Appeals address balances without closing repeat causes.
Root-cause actions connect denials to upstream controls.
Accountability
Reports show activity without clear issue ownership.
Agreed measures, owners, and actions stay visible.
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.
Count how many of last quarter's denials began at the order.
Share a denial extract and a sample of held claims ahead of a 30-minute working read with our ancillary billing practice lead. We'll trace each pattern to intake, coding, or payer behavior, and sketch what fixing it at the source would take, sized to one service line first.
Frequently Asked Questions
Can you support only one specialty, location, payer, or revenue cycle function?
Which specialty code sets can your coders actually handle?
Our billing flows through LIS and RIS interfaces as well as the EHR. Does that work?
How do you keep medical-necessity and frequency denials under control?
What does onboarding look like when claim volume can't pause?
Patients often don't recognize our name on a bill. How do you collect without complaints?
How do you report performance across different service lines and payer rules?