MedCycle Management

What MedCycle Management does

MedCycle Management, LLC is a privately held healthcare revenue cycle management (RCM) services firm founded in 2012 in Brentwood, Tennessee. It delivers outsourced revenue cycle services to hospitals, health systems, and physician groups across four integrated service modules: Early Out/Self-Pay (compassionate patient balance recovery), Third-Party Billing & Follow-Up (insurance optimization, appeals, and denial management across self-pay, commercial, and government payers), Staffing Solutions (hybrid in-house/remote interim staffing and CBO support), and Legacy System Conversions (90/60/30 phasing strategy for EMR migrations using Artiva or host-system account work).

Underlying the services stack is an automation layer built around robotic process automation (RPA) for claims and data entry, natural language processing (NLP) for clinical-note extraction, machine learning–based predictive analytics, and anomaly detection for identifying payer-specific denial patterns. The Artiva system integration allows legacy accounts to be worked inside the host EMR or in a stand-alone system depending on the conversion process. Customer-facing technology surfaces include a website and Leadership Forum content channel; go-to-market is a sales-led, consultative enterprise motion targeting hospital CFOs, VPs of Revenue Cycle, and hospital leadership.

The revenue model is managed services sold on quote-based, customized contracts to healthcare organizations; pricing is not publicly disclosed. MedCycle Management is founder/management-owned (no external PE/VC in the record), with leadership including CEO Jim Fitzsimmons (previously founder/CEO of Ingram & Associates, sold to United Healthcare), Partner Charlie Frederick, CFO Scott Ingram, COO Laurie Berger, and Chief Growth Officer Eric Bergeon. The firm reports 101-250 employees and holds an A+ Better Business Bureau accreditation; named reference customers include Sarasota Memorial, Wellstar, Williamson Health, Maury Regional Health, UTMB, Driscoll, Lima Memorial, UT Southwestern, and Palo Pinto.

Name

MedCycle Management

Legal name

MedCycle Management, LLC

Website

https://mc-mgmt.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

51–100 employees

Short description

MedCycle Management is a Brentwood, Tennessee-based healthcare revenue cycle management services firm that delivers early-out self-pay, third-party billing and follow-up, staffing, and legacy system conversion services to hospitals, health systems, and physician groups nationwide.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management Services

SIC

Services-Health Services (8000)

akta.pro industry

PRIMARYHLACACAN

RCM Outsourcing & Managed Billing Services

Healthcare & Life Sciences/Digital Health & Health IT/Revenue Cycle Management (RCM) & Billing Software

Keywords

• Revenue cycle management
• Medical billing services
• Self-pay collections
• Insurance follow-up
• Healthcare staffing solutions

Headquarters

HQ city

Brentwood

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Revenue Cycle Management Services: Provides customized revenue cycle solutions to hospitals and physician groups including early-out self-pay services, third-party billing and follow-up, staffing solutions, and legacy system conversions. Revenue appears to be generated through service contracts with healthcare organizations.

Go-to-market motion2 records

Distribution channels1 record

Marketing channels3 records

Core offering

MedCycle Management provides outsourced healthcare revenue cycle management services to hospitals and physician groups across four core modules: Early Out/Self-Pay patient account recovery, Third-Party Billing & Follow-Up (insurance optimization, appeals, and denial management), Staffing Solutions (interim staffing and CBO workforce extension), and Legacy System Conversions (cash conversion and uninterrupted EMR integrations). Engagements are customized per client using integrated automation, Artiva system integration, and AI-enabled analytics, with delivery supported by in-house and remote staff.

Product overview

MedCycle Management offers a unified revenue cycle management platform comprising four integrated service modules: Early Out/Self-Pay for patient account recovery and compassionate collections; Third-Party Billing & Follow-Up for insurance optimization, appeals, and denial management across commercial and government payers; Staffing Solutions providing scalable workforce augmentation including interim staffing and CBO support; and Legacy System Conversions ensuring seamless transitions during system migrations and EMR integrations. The platform is powered by RPA automation and AI tools (NLP, ML, predictive analytics) to streamline early out self-pay, insurance follow-up, system conversion, and staffing operations.

Differentiator

Problem solved

Functional benefit

Products and services

• Early Out / Self-Pay Patient account customer service managing self-pay account recovery, problem-solving, and patient experience using compassionate, top-tier collection approaches. Targeted at hospitals and physician groups seeking to optimize self-pay collections beyond in-house capabilities.
• Third-Party Billing & Follow-Up Insurance optimization workflow spanning self-pay, commercial, and government payers, including appeals and denial management for hospital-based and physician-based billing. Uses advanced technology and strategic insights to amplify reimbursements for healthcare clients.
• Staffing Solutions Scalable, cost-efficient workforce solutions delivering interim staffing exclusions and comprehensive CBO support, functioning as a seamless extension of the client's workforce. Designed for hospitals and physician groups needing flexible RCM staffing.
• Legacy System Conversions System conversion services specializing in cash conversion and system sunsetting, implementing a 90/60/30 account phasing strategy to ensure uninterrupted financial operations during EMR integrations and complex system migrations.

Quantifiable outcome

• 20-40% increase in monthly cash flow for clients through insurance follow-up and claims management
• +2 more outcomes

Named customers9 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability6 records

Feature5 records

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Ensemble Health Partners: Large-scale RCM outsourced services provider to hospitals and health systems, offering end-to-end revenue cycle functions including patient access, coding, billing, and A/R follow-up — directly comparable business model and customer base to MedCycle.
• Conifer Health Solutions: Tenet Healthcare subsidiary providing revenue cycle management, patient access, and value-based care services to hospitals and physician groups; nearly identical service portfolio and customer segment to MedCycle.
• R1 RCM: Publicly traded RCM outsourcing firm (now part of TowerBrook/CD&R portfolio) serving hospitals, health systems, and physician groups with end-to-end revenue cycle services including self-pay, insurance follow-up, and CBO support — direct competitor with overlapping offerings.
• Aspirion: Specialized RCM vendor focused on complex claims, denial management, and insurance follow-up for hospitals — directly competes with MedCycle's Third-Party Billing & Follow-Up module on the same hospital buyer segment.
• CIOX Health: Health information management and RCM services company providing release-of-information, coding, and clinical data exchange to providers — comparable services-and-technology model targeting hospital revenue cycle operations.
• AGS Health: Specialized RCM and medical coding services firm providing coding, A/R management, and denial resolution to hospitals and physician groups — directly comparable mid-size outsourcing model with technology-enabled delivery.

Broad incumbents

• Optum (UnitedHealth Group): Health services arm of UnitedHealth Group; Optum360 specifically provides RCM outsourcing at scale, and notably acquired MedCycle CEO's prior firm (Ingram & Associates), making Optum both a broad incumbent and the most strategically relevant large competitor.
• Parallon (HCA Healthcare): HCA Healthcare's shared services arm offering RCM, workforce management, and supply chain to hospitals — large incumbent that competes for outsourced RCM contracts across the same hospital CFO buyer base.

Emerging players

• Waystar: Cloud-based healthcare payments and RCM software platform serving hospitals and physicians with claims management, denial management, and patient payment workflows — competes in adjacent RCM technology that hospitals increasingly prefer over pure-services models.
• Advantasure: Healthcare technology and services company providing RCM, analytics, and population health solutions to provider and payer clients — comparable mid-size competitor with overlapping hospital RCM offerings.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/wine-vision-llc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 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 MedCycle Management