Medical Billing & RCM Services for Specialty Practices
Medical Billing & RCM Services Built for Specialty Practices
Revenant Care delivers specialty-aware medical billing, coding, revenue cycle management, transcription, credentialing, and BPO services for behavioral health, ABA, substance use disorder, mental health, optometry, dermatology, and physician group practices. We act as your back-office RCM team — embedded with your EHR, your payers, and your workflows, billing under your tax ID with full HIPAA-compliant operations.
Practices choose Revenant when generic offshore billing has failed them — when claims are aging out at 60+ days, when denials pile up unworked, when no one in-house has time to chase rejections, when the EHR hands off claims to clearinghouses with no visibility into what happens next. We replace those gaps with a senior-led, HIPAA-trained, US-aware billing team that owns NCR (net collection rate) as a number we move every month.
The Nine Service Lines
Medical Billing Services
Charge entry, claim scrubbing, electronic and paper submission to commercial and government payers, ERA/EOB posting, secondary submission, denial follow-up, patient statements, and collections. Built around your EHR and your practice management system.
Medical Coding (ICD-10, CPT, HCPCS)
Certified coders working ICD-10-CM, CPT, HCPCS Level II, and modifier assignment for E/M, surgery, behavioral health, ABA, ophthalmology, and specialty-specific code sets. Audit support for RAC, OIG, and payer requests.
Revenue Cycle Management
End-to-end RCM from eligibility verification and prior authorization through charge capture, billing, denial management, AR follow-up, and patient collections. Monthly KPI reporting with NCR, days in AR, denial rate, first-pass rate, and write-off trends.
Medical Transcription
HIPAA-compliant clinical documentation transcription with 24-48 hour turnaround for SOAP notes, H&P, operative reports, discharge summaries, and consultation reports. Direct EHR integration via HL7 or templated upload.
Provider Enrollment & Credentialing
CAQH attestation, NPI registration, payer enrollment with Medicare, Medicaid, BCBS, UHC, Aetna, Cigna, Humana, and regional plans. Re-credentialing tracking and expirable management for individual providers and group entities.
Practice Management
Front-office support including appointment scheduling, patient intake coordination, insurance verification, copay collection workflows, no-show management, and reporting on practice efficiency metrics.
Healthcare BPO Services
Specialized back-office support: prior authorization processing, refund processing, payment posting, charge audit, document scanning and indexing, patient call center support, and AR clean-up projects.
ABA Billing Services
Specialized ABA therapy billing including 0362T, 0373T, 97151-97158, 97155, 97156. Tracking of authorization units, supervision modifiers, parent training claims, and Medicaid waiver program complexities.
Mental Health Billing
Behavioral health and mental health billing covering therapy CPTs (90791, 90834, 90837, 90847, 90853), psychiatric medical management (99205, 99214, 99215 + 90833/90836/90838 add-ons), TMS, ECT, and IOP/PHP per diem programs.
Why Revenant Care
- Specialty-aware: we know the codes, modifiers, payer quirks, and authorization rules of behavioral health, ABA, SUD, mental health, and physician group billing — not just generic CPT lookup.
- Tied to outcomes: our fee is a percentage of what we collect, not what we bill. We have skin in the game on every claim.
- HIPAA-compliant + SOC 2 ready: BAA-backed engagement, encrypted data flow, role-based access, audit trails on every claim touch.
- 15+ years of leadership experience: founded by an operator who built and ran a 200-person RCM operation, not a sales team that outsources delivery to a vendor pool.
- 50-state footprint: familiar with payer rules, Medicaid programs, and state-specific compliance requirements across all US markets.
- 24-48 hour SLA: on charge entry, eligibility checks, denial response triage, and most operational tasks.
Ready to fix your billing?
Get a free 30-minute audit of your current AR. We’ll show you what’s recoverable, what’s at risk, and where you’re leaking revenue.