Catalyst RCM

What Catalyst RCM does

Catalyst RCM is a privately held, US-based full-service Revenue Cycle Management (RCM) firm headquartered in Katy, Texas, founded in 2019 and operating with a staff of 11–50. The company delivers medical billing, medical coding, and business analytics to healthcare providers across five vertical segments: medical laboratories (its primary segment), ambulatory surgery centers, long-term acute care facilities, physician practices, and ancillary services. Its service stack spans payer enrollment, eligibility and authorization, charge capture, medical coding (including NCCI, MUE, and CPT-to-ICD-10 crosswalk compliance), claims submission across FFS, HMO, POS, and PPO plans, payment posting, accounts receivable management, and personalized client reporting.

The company's core technology is a cloud-based analytics platform that integrates with major electronic medical record systems to provide real-time KPI visibility — including average reimbursement per sample type and payer, actual versus expected reimbursement, net revenue per patient day, payer mix, and denial trends — supplemented by proprietary AR Work Queues that prioritize follow-up activity using data analysis. The firm operates on a quote-based managed-services model with a variable cost structure that scales with client growth and shares economies of scale, differentiating from percentage-of-collections competitors. Distribution is entirely direct enterprise field sales, with no channel partners, resellers, or marketplace presence; the customer base is concentrated in the United States.

The founding leadership team comprises CEO Jenniene Robertelli, CFO Corey O'Connor, and CTO Manjul Sabherwal. In November 2025, Catalyst RCM disclosed a breach of its secure file management system that exposed data on approximately 139,964 individuals through three laboratory clients (Vikor Scientific/Vanta Diagnostics, KorPath, and KorGene), with the Everest ransomware group claiming responsibility and prompting a law-firm investigation.

Name

Catalyst RCM

Legal name

Catalyst RCM

Website

https://catalystrcm.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

11–50 employees

Short description

Catalyst RCM is a privately held, Katy, Texas-based full-service Revenue Cycle Management firm that provides medical billing, coding, and EMR-integrated real-time analytics to US healthcare providers across laboratories, ambulatory surgery centers, long-term acute care, physician practices, and ancillary services.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Software Publishers (51321), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)

SIC

Services-Prepackaged Software (7372), Services-Computer Processing & Data Preparation (7374)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industries

RCM Analytics, Benchmarking & Underpayment Detection (HLACACAL), Patient Billing, Statements & Payment Processing (HLACACAG)

Keywords

• Medical billing services
• Revenue cycle management
• Medical coding services
• Healthcare claims processing
• Healthcare analytics platform

Headquarters

HQ city

Katy

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure, Others

Revenue model

1. Revenue Cycle Management Services: Catalyst RCM provides comprehensive RCM services including enrollment services, eligibility/authorizations, charge capture, medical coding, claims submission, payment posting, accounts receivable management, and analytics. The company operates on a variable cost structure model where costs scale with client business growth and economies of scale.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Catalyst RCM is a full-service Revenue Cycle Management (RCM) company that partners with healthcare providers across the United States to manage payer enrollment, eligibility and authorization verification, charge capture, medical coding, claims submission, payment posting, accounts receivable management, and analytics-driven client reporting. Its proprietary analytics platform integrates with major Electronic Medical Records (EMRs) to deliver real-time business intelligence and workflow automation across the revenue cycle.

Product overview

Catalyst RCM is a premier full-service Revenue Cycle Management (RCM) company offering a unified platform of software and services for healthcare providers across the United States. The core offering consists of an Analytics Platform (business intelligence and workflow tool integrating with major EMRs) supplemented by eight interconnected service modules: Enrollment Services, Eligibility/Authorizations, Charge Capture, Medical Coding, Claims Submission, Payment Posting, Accounts Receivable Management, and Client Reporting. The services span the entire revenue cycle from payer enrollment and eligibility verification through claims submission, payment posting, denial management, and analytics-driven performance reporting. The company operates on a variable cost structure model, positioning itself as a 'revenue growth partner' rather than a traditional billing vendor.

Differentiator

Problem solved

Functional benefit

Products and services

• Revenue Cycle Management Services End-to-end outsourced revenue cycle management for healthcare providers spanning the full claims lifecycle from payer enrollment and eligibility verification through coding, claims submission, payment posting, denial/AR follow-up, and personalized client reporting. Delivered on a variable cost structure that passes scale efficiencies to the client.
• Catalyst Analytics Platform Cloud-based analytics and workflow platform that integrates with major EMRs to deliver real-time KPIs, denial analytics, payer mix reporting, and proprietary data-driven AR Work Queues for proactive follow-up and cash-flow optimization across the revenue cycle.

Quantifiable outcome

• Reduced claim denials through proper coding guidelines including NCCI Edits, Medically Unlikely Edits (MUE), and CPT to ICD-10 crosswalk relationships
• +1 more outcomes

Named customers3 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature3 records

Scale indicators2 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• CorroHealth: CorroHealth provides outsourced RCM, coding, and clinical documentation services to hospitals, labs, and physician groups, overlapping Catalyst's end-to-end managed-services RCM offering with similar vertical breadth.
• Omega Healthcare: Omega Healthcare is a pure-play RCM BPO serving physician groups, labs, and ASCs with offshore delivery — directly comparable in scope and target customers, though at significantly larger scale than Catalyst.
• GeBBS Healthcare Solutions: GeBBS offers end-to-end RCM, coding, and analytics services to labs, ASCs, hospitals, and physician practices — closely mirroring Catalyst's vertical coverage and managed-services revenue model.
• Infinx: Infinx is a healthcare RCM outsourcing and patient access vendor serving labs, imaging, and specialty providers with end-to-end billing, coding, and AR management — directly comparable to Catalyst's full-service RCM model across the same customer segments.

Broad incumbents

• Athenahealth: Athenahealth is a major EHR-plus-RCM platform for physician practices and small hospitals, offering integrated billing and analytics that overlap with Catalyst's analytics platform and physician practice segment.
• Waystar: Waystar is a leading cloud-based RCM software platform covering claims, denials, and patient payments; it overlaps with Catalyst's analytics and workflow tooling but is a software-first incumbent rather than a managed-services vendor.
• R1 RCM: R1 RCM is a scaled, public outsourced RCM platform serving hospitals and large physician groups; it competes with Catalyst for any enterprise healthcare RCM contract but at vastly greater scale and with more capital.
• Availity: Availity is a healthcare information network offering eligibility, claims, and RCM workflow tools to providers and payers; it overlaps with Catalyst's enrollment, eligibility, and claims-submission services.
• Experian Health: Experian Health provides RCM, eligibility, claims management, and patient access solutions to providers and payers, competing with Catalyst across the front- and back-end revenue cycle.

Emerging players

• AKASA: AKASA applies AI/ML to RCM workflows for hospitals and health systems, including coding, claims, and AR follow-up; it represents an emerging AI-driven alternative that may eventually compete with Catalyst's analytics and AR Work Queue capabilities.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/catalyst-rcm

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Catalyst RCM