Complete on the charge. Correct on the claim. Calm in the audit.
Charge capture answers to you, and so does every audit finding. We work for revenue integrity and billing compliance leaders on both sides of that mandate: charges recovered with documentation attached, the CDM and edits kept current, refunds moved inside their deadlines, and audits answered with evidence rather than adrenaline.
7 of top 20
U.S. health systems served
32M+
Coding charts processed annually
28M+
A/R claims managed annually
Revenue leakage and compliance exposure rarely begin in one department.
Revenue Integrity and Billing Compliance leaders govern the handoffs between clinical departments, documentation, coding, charging, billing, contracts, and payment. A missed charge, unsupported code, stale rule, failed reconciliation, or inconsistent billing practice can reduce reimbursement or create audit risk. When defects are found only after a denial, underpayment, audit, or late account review, your teams inherit rework instead of a controllable process.
Find and prevent leakage upstream
Standardize defensible controls
Turn findings into corrective action
Coverage for the rules, the charges, and the claims they meet.
Front-office, mid-office, and back-office revenue cycle support, anchored in revenue integrity: hand us charge reviews for a department, edit governance, audit response, or the whole discipline. Your policies set the line; our work documents that everything billed stays on the right side of it.
Front-office
Coverage and orders checked before service - necessity problems caught early.
- Patient Access Management
- Eligibility and Benefits Verification
- Prior Authorization
- Registration QA and Demographic Accuracy
- Insurance Discovery and Coverage Discovery
- Financial Clearance and Counseling
- Price Transparency and Patient Estimates
Mid-office
Charge-to-claim review under one standard - complete billing you can defend.
- Medical Coding
- Billing Compliance and Audit Defense
- 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
Denials and variances traced to the rule - fixes that hold up in writing.
- Claims Editing and Clean-Claim Validation
- Denials Management and Appeals
- Credit Balance Review
- Complex AR Recovery
- Underpayment Recovery and Payer Variance Resolution
- Payment Posting and Reconciliation
- Extended Business Office and Co-Managed Operations
Four outcomes your revenue integrity program must move together.
Charge completeness
Revenue Integrity and Leakage Prevention · Charge Capture Optimization - so departments bill everything the record supports, and lost charges get recovered with documentation.
Claim correctness
Claims Editing and Clean-Claim Validation · Medical Coding - so edits stop real defects before submission and coding holds to the rules payers audit against.
Refund discipline
Underpayment Recovery and Payer Variance Resolution · Credit Balance Review - so identified overpayments move inside their deadlines and the sources stop refilling the queue.
Audit performance
Coding Audits and Quality Assurance · Risk Adjustment and HCC Coding · Billing Compliance and Audit Defense - so records requests, rebuttals, and deadlines run as a process, and error rates fall audit over audit.
One operating model. Three pillars. Every engagement.
Expertise-led
Analysts and auditors fluent in charge, code, and billing rules.
- Charge review specialists who work department by department
- Compliance-trained coders and auditors on your standards
- A named lead accountable for findings, fixes, and deadlines
Technology-powered
RevAmp watches charge and claim patterns for the outliers worth a look.
- Variance flags by department, code, and revenue center
- Edit performance measured: catches, false positives, gaps
- Audit trackers with deadlines, owners, and outcomes
Operationally-governed
Findings that arrive with fixes and follow-through attached.
- Monthly reviews on capture, edits, refunds, and audits
- Every recovery and correction documented to its source
- Education tracked to whether the error actually stops
Our Vision
Open Accountability: Taking responsibility without taking control.
Chasing revenue without regard for defensibility creates work only you inherit. Here the mandate stays whole: your policies, your data, your audit rights, and scope you adjust in governance, on your systems or through RevAmp. What we commit to gets documented, reported monthly, and owned by name.
Charge capture yield
Charges billed against services documented, by department
Late charge rate
Charges posted after the bill, by department and cause
Audit error rate
Findings per audited claim, internal and payer
Refund timeliness
Identified overpayments returned inside the sixty days
Edit effectiveness
Claims stopped for real defects, and only for those
Why Us
Replace retrospective cleanup with First-Pass Performance.
When integrity work begins after a denial, underpayment, audit, or missed-revenue review, teams recover part of the loss while the control gap keeps producing new defects. First-Pass Performance focuses the operating model on supported inputs, pre-bill validation, reliable reconciliation, and corrective action that prevents recurrence.
Rework-Powered Cleanup Machine
Our First-Pass Performance
Leakage detection
Missed revenue surfaces through denials, payment variance, late audits, or retrospective recovery projects.
Controls and reconciliation expose gaps earlier, while the account and workflow can still be corrected.
Billing compliance
Audit preparation starts after a request, with evidence rebuilt across systems and departments.
Policies, validation, and evidence are connected to the billed decision as work is completed.
Root-cause control
Findings are corrected account by account while the same defect continues across sites or service lines.
Recurring findings feed named corrective actions, validation, and monitoring at the point of failure.
Technology value
Rules and alerts accumulate without clear ownership, tuning, evidence, or outcome measurement.
Technology supports defined controls, users, exceptions, evidence, remediation, and measurable results.
Accountability
Departments and vendors report activity while finding ownership and corrective action remain fragmented.
Agreed work has a named owner, shared measures, governance cadence, and visible closure.
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 one integrity or compliance pressure point. Leave with a clearer control path.
Use a 30-minute working session to examine one issue such as missed charges, coding variance, reconciliation gaps, billing edits, audit findings, preventable denials, underpayments, or inconsistent controls across sites. Bring the finding, queue, workflow, audit view, or KPI that concerns you. We will map where the defect enters, what support could own, and how remediation should be governed.
Frequently Asked Questions
How can revenue integrity and billing compliance support fit into your existing operation?
Which revenue integrity and billing compliance functions can you support?
How do you identify revenue leakage across hospitals and health systems?
How do you strengthen billing compliance without slowing claim release?
How do you turn audit and recovery findings into prevention?
How do you use automation and AI in revenue integrity workflows?
Which revenue integrity and billing compliance KPIs can we govern together?
What should you bring to an initial working session?