Visionary RCM
Visionary RCM is a Carlyle-owned, India-headquartered healthcare RCM and risk adjustment outsourcer serving 250+ US health plans and providers with ICD-10/HCC coding, HEDIS abstraction, RADV audits, and end-to-end revenue cycle services delivered via a hybrid onshore/offshore model.
- Company typePrivate
- Founded2006
- HeadquartersChennai, India
- Headcount1,001–5,000
- GTM typeB2B
- OfferingServices
What Visionary RCM does
Visionary RCM (legal entity: Visionary RCM Infotech (India) Pvt Ltd) is a HIPAA- and SOC 2 Type II-compliant healthcare revenue cycle management and risk adjustment outsourcing firm founded in 2006 and headquartered in Chennai, India. The company delivers chart review, ICD-10 coding, HCC coding, RADV audit, HEDIS abstraction, payment accuracy (DRG/APC validation), clinical documentation improvement, and integrated RCM services for US health plans, hospitals, physician groups, ACOs, and ambulatory surgery centers. A hybrid delivery model pairs 100%-owned US subsidiaries (Minnesota, Florida, California, Texas) for client-facing work with five delivery centers in India (two in Chennai plus Coimbatore and Hyderabad) running 1,500+ HIPAA-compliant seats and a workforce of 3,000–4,000+ coders, nurse practitioners, and operations staff.
The core technology stack combines an ICD-10 coding platform with AHIMA-approved trainers, dual-coding workflows (one ICD-9 / one ICD-10 reviewer per record), HEDIS abstraction engines aligned to NCQA technical specifications, and RADV audit platforms with detailed cross-checks. Certification footprint (ISO 27001:2013, SSAE16 SOC2 Type II verified by TUV RHEINLAND, HIPAA) and accuracy guarantees of 95%+ underpin the value proposition. Revenue mechanics are predominantly unit-priced professional services (per-chart pricing for facility coding reviews, FTE-based managed services for RCM, project pricing for chart/HEDIS/RADV engagements) sold via direct enterprise sales with dedicated client liaisons and weekly audit deliverables; the company reports 95% repeat business and 160% recurring revenue expansion from existing accounts. In 2020 the firm combined four organizations under the CorroHealth brand, broadening US-based infrastructure and naming John Wallace (ex-Change Healthcare, ACO Partner) as Group CEO. The Carlyle Group is the ultimate parent, providing capital and board oversight for continued inorganic expansion across the reimbursement cycle.
Visionary RCM firmographics
Firmographics- Name
- Visionary RCM
- Legal name
- Visionary RCM Infotech (India) Pvt Ltd
- Website
- https://visionaryrcm.com
- Company type
- Private
- Founded year
- 2006
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- Visionary RCM is a Carlyle-owned, India-headquartered healthcare RCM and risk adjustment outsourcer serving 250+ US health plans and providers with ICD-10/HCC coding, HEDIS abstraction, RADV audits, and end-to-end revenue cycle services delivered via a hybrid onshore/offshore model.
- Ownership category
- akta.pro rank
Visionary RCM industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Computer Systems Design and Related Services (5415), Custom Computer Programming Services (541511)
- SIC
- Services-Computer Processing & Data Preparation (7374), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- RCM Outsourcing & Managed Billing Services (HLACACAN)
- akta.pro secondary industries
- Patient Billing, Statements & Payment Processing (HLACACAG), RCM Analytics, Benchmarking & Underpayment Detection (HLACACAL), Patient Access, Registration & Intake (Front-End RCM) (HLACACAE)
Keywords
Where Visionary RCM is headquartered
LocationHeadquarters
- HQ city
- Chennai
- HQ country
- India
- HQ region
- Asia
Offices8 records
Markets served
Visionary RCM business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Others
Revenue model
- Risk Adjustment Solutions: Provides Health Plans with integrated end-to-end services including retrospective/prospective chart review, HCC coding, RADV audits to improve risk score accuracy and maximize risk-adjusted revenues
- Revenue Cycle Management Services: Comprehensive RCM services from Patient Access to Revenue Realization including Provider Credentialing, Scheduling, Registration, Billing, Pre-Authorization, Denial Management, Insurance follow-up, AR Analysis, Cash posting & Credit Balance, Remittance Management
- Quality Measure Reporting: HEDIS abstraction and ACO GPRO reporting services for health plans to measure and report clinical quality measures
- Payment Accuracy Services: Hospital Bill/Chart Audits, DRG & DRG Short Stay reviews, APC Validation services ensuring clients control costs associated with incorrect billing and overpaid facility claims
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Unit Pricing | Pay-as-you-go | Per chart pricing model for facility coding review and audit services |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels6 records
Visionary RCM product offering
Product offeringCore offering
Visionary RCM provides outsourced healthcare revenue cycle management and risk adjustment services, including medical coding (ICD-10 and HCC), retrospective and prospective chart review, HEDIS abstraction, RADV audit support, clinical documentation improvement (CDI), physician and facility coding, and payment accuracy reviews. The services are delivered by certified coders and clinical staff to US health plans, hospitals, and physician groups via a hybrid onshore/offshore model supported by proprietary RCM and coding technology.
Product overview
Visionary RCM offers a unified platform of integrated healthcare revenue cycle management and risk adjustment solutions for payers and providers. The core product portfolio includes Chart Review, Quality Measure Reporting (HEDIS), Payment Accuracy Services, Revenue Cycle Management, Clinical Documentation Improvement, ICD-10 Coding Services, Physician Coding Services, Facility Coding Review & Audit, HCC Coding Services, and RADV Audit Services. These offerings work together as an end-to-end integrated suite—enabling health plans to manage risk adjustment, coding compliance, and quality measures while empowering providers to optimize their revenue cycles through medical coding, auditing, and documentation improvement services.
Differentiator
Problem solved
Functional benefit
Products and services
- Medical Coding Services
Quantifiable outcome
- 95%+ coding accuracy guaranteed across all services
- +8 more outcomes
Companies that use Visionary RCM
Customer profileNamed customers11 records
Segments4 records
Ideal customer profiles1 record
Visionary RCM technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Visionary RCM partnerships and signals
Strategic signalScale indicators18 records
Recent moves6 records
Expansion highlights5 records
Visionary RCM competitors and assessment
Company assessmentDirect peers
- AGS Health: AGS Health is a pure-play healthcare revenue cycle and risk adjustment services firm with India delivery centers and US operations serving payers and providers. Direct overlap with Visionary RCM on chart review, HCC coding, and payer-facing risk adjustment services.
- Omega Healthcare: Omega Healthcare is the most direct competitor — an India-based healthcare BPO specializing in medical coding, RCM, and accounts receivable management for US providers. Highly comparable hybrid onshore/offshore delivery model and customer overlap in hospitals and physician groups.
- GeBBS Healthcare Solutions: GeBBS provides outsourced medical coding, RCM, and risk adjustment services to hospitals and health plans, with India-based delivery and US client-facing operations. Highly comparable service portfolio including HCC coding, HEDIS abstraction, and CDI services.
- himagine solutions: himagine is a US-headquartered HIM and coding services firm (Oak Grove Capital-backed) specializing in acute care coding, CDI, and quality reporting. Directly comparable to Visionary RCM on the coding/CDI/HEDIS service line with overlap in US hospital clients.
- MiraMed Global Services: MiraMed is a healthcare BPO with US-Philippines-India delivery providing RCM, coding, and AR services to hospitals and physician practices. Comparable hybrid model and customer base focused on US providers.
Broad incumbents
- R1 RCM: R1 RCM is a large, PE-backed (TowerBrook) healthcare RCM technology and services platform serving hospitals and physician groups across the US. Overlapping end-to-end RCM capabilities including coding, billing, and patient access, but at much larger scale with technology-centric delivery.
- Optum (UnitedHealth Group): Optum is the dominant US healthcare services and analytics arm of UnitedHealth Group with extensive risk adjustment, coding, and RCM operations serving major payers. Operates at vastly greater scale than Visionary RCM and is both a competitor and a potential customer/partner for outsourced coding capacity.
- Parallon (HCA Healthcare): Parallon provides end-to-end RCM services including coding, billing, and accounts receivable to hospitals and physician practices, primarily within and outside the HCA network. Comparable service depth in hospital billing and coding with deeper US-onshore delivery footprint.
- Experian Health: Experian Health provides technology-led RCM, identity management, and patient access solutions to US hospitals, health systems, and payers. Broad incumbent with overlapping patient access and eligibility/registration capabilities relevant to Visionary RCM's front-end RCM services.
Emerging players
- Waystar: Waystar is a healthcare payments and RCM software platform (NASDAQ-listed via sponsor-backed take-private deal history) serving hospitals and physicians with cloud-based billing, claims, and denial management. Adjacent competitor in the RCM technology layer where Visionary RCM could expand or partner.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks7 records
Key highlights7 records
Customer concentration
Visionary RCM social profiles
Digital presenceVisionary RCM compliance and trust
Trust signalCompliance3 records
Visionary RCM financial estimates
Financial estimateRevenue estimate
Valuation estimate
Visionary RCM leadership team
Management profileNumber of profiles
Visionary RCM subsidiaries and ownership
Company hierarchySubsidiaries3 records
Visionary RCM funding detail
Funding detailFunding overview
Funding rounds1 record
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Visionary RCM M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Visionary RCM
What does Visionary RCM do?
Visionary RCM provides outsourced healthcare revenue cycle management and risk adjustment services, including medical coding (ICD-10 and HCC), retrospective and prospective chart review, HEDIS abstraction, RADV audit support, clinical documentation improvement (CDI), physician and facility coding, and payment accuracy reviews. The services are delivered by certified coders and clinical staff to US health plans, hospitals, and physician groups via a hybrid onshore/offshore model supported by proprietary RCM and coding technology.
Is Visionary RCM a public or private company?
Visionary RCM is a private company. It is classified as private equity controlled and is currently operating.
When was Visionary RCM founded?
Visionary RCM was founded in 2006. It employs 1,001 to 5,000 people.
Where is Visionary RCM based?
Visionary RCM is headquartered in Chennai, India, in the Asia region.
How does Visionary RCM make money?
Four revenue lines are on record. Risk Adjustment Solutions are the primary driver. The others are revenue Cycle Management Services, quality Measure Reporting and payment Accuracy Services.
Who are Visionary RCM's main competitors?
Direct peers on record are AGS Health, Omega Healthcare, GeBBS Healthcare Solutions, himagine solutions and MiraMed Global Services. Broad incumbents are R1 RCM, Optum (UnitedHealth Group), Parallon (HCA Healthcare) and Experian Health. Waystar is listed as an emerging player.
Does Visionary RCM have an API?
No public API is recorded for Visionary RCM.
What industry is Visionary RCM in?
Visionary RCM's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACACAN, RCM Outsourcing & Managed Billing Services, with a secondary code of HLACACAG, Patient Billing, Statements & Payment Processing. Its NAICS code is 5415 and its SIC code is 7374.