Fi-Med

What Fi-Med does

Fi-Med Management, Inc. is a privately held healthcare support and management company founded in 1993 by Adrian Velasquez (President and CEO) and Christine Krause (VP/COO) in Wauwatosa, Wisconsin, now headquartered in Sedona, Arizona with 100+ employees. The company serves hospitals, health systems, ACOs, physician practices, and healthcare consulting firms across the United States through three integrated offerings: the revealMD SaaS analytics platform, the RCM Plus managed revenue cycle service, and the Well Living Initiative patient engagement suite, with a self-reported 98.2% customer retention rate and over $1 billion in cumulative revenue and audit risk identified for hospital clients.

Fi-Med's technical core is revealMD, a cloud-based, HIPAA-compliant subscription analytics platform that mirrors CMS auditor methodology, scoring each provider against 20+ risk indicators and national benchmarks to identify fee-for-service coding outliers (revealMD Compliance) and HCC/RAF gaps in value-based-care arrangements (revealMD RAF). RCM Plus layers AI and Natural Language Processing onto revenue cycle workflows to extract diagnosis and procedure codes from clinical notes and assign payer modifiers, with disclosed outcomes of up to 30% denial reduction and 10% revenue lift; the Well Living Initiative extends into patient-facing services — Annual Wellness Visits, Chronic Care Management, Transitional Care Management, Remote Patient Monitoring, and Nurse Triage — delivered by Fi-Med staff on behalf of practices.

Commercially, Fi-Med runs a consultative, sales-led direct motion with no channel partners and quote-based engagement; the firm self-funds operations with no disclosed institutional funding and reports $0 raised. Revenue is generated through revealMD subscriptions (monthly contracts with no long-term commitments), RCM Plus as a managed-service percentage of recovered revenue, and Well Living Initiative billings tied to Medicare CPT codes plus performance-based revenue shares. The company holds SBA Small Business Persons of the Year (2007), BBB Ethics & Integrity recognition, five consecutive Inc. 5000 placements (2006-2010), a Congressional recognition, and a 2022 exclusive endorsement from the Montana Hospital Association as its preferred revenue and risk provider.

Name

Fi-Med

Legal name

Fi-Med Management, Inc.

Website

https://fimed.com

Company type

Private

Founded year

1993

Operating status

Operating

Headcount range

101–250 employees

Short description

Fi-Med Management is a privately held healthcare technology and services firm, founded 1993 and headquartered in Sedona, AZ, that serves U.S. hospitals, health systems, ACOs and physician practices via its revealMD SaaS analytics platform, RCM Plus managed revenue cycle service, and Well Living Initiative patient engagement programs.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

All Other Outpatient Care Centers (621498), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Patient Billing, Statements & Payment Processing (HLACACAG)

akta.pro secondary industries

Patient Relationship Management (PRM) & CRM for Provider Growth (Marketing/Outreach) (HLACAEAO), Nurse Triage & Clinical Call-Center Teletriage Platforms (HLALAJAC), Virtual Nursing, Telemonitoring & Command Center Platforms (HLACAFAH)

Keywords

• Revenue cycle management
• Medical billing services
• Healthcare analytics software
• Value-based care solutions
• HCC coding compliance

Headquarters

HQ city

Brookfield

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. revealMD SaaS Subscription: revealMD is described as a cloud-based subscription analytics service (SaaS). The platform is accessed via subscription, with clients subscribing to access the analytics tools. Implementation takes under 2 hours with no IT resources required. Pricing is subscription-based though specific tiers are not publicly disclosed.
2. RCM Plus - Revenue Cycle Management Services: Fi-Med's award-winning Revenue Cycle Management service RCM Plus manages all back-end operations including coding, billing, claims appeals, payment, reporting, lockbox services, credentialing, document storage, and debt assistance. Revenue derived from a percentage of recovered/managed revenue, as evidenced by clients paying for managed services vs. one-time fees. Denials reduced up to 30% leading to a 10% revenue boost.
3. Assessment Services (RVA, ARA, MVA): One-time or retainer-based assessment services including Revenue Value Assessment (RVA), Audit Risk Assessment (ARA), and Mergers & Acquisitions Value Assessment (MVA). Analysis delivered comprehensively with recommendations and ongoing retainer proposals. Used as a gateway to ongoing SaaS and RCM services.
4. Well Living Initiative - Patient Engagement Services: Managed services including Annual Wellness Visits, Chronic Care Management, Transitional Care Management, Remote Patient Monitoring, and Nurse Triage. Fi-Med handles all administration and patient-facing work. Generates revenue through Medicare billing codes (CPT codes) for TCM, AWV, CCM, RPM services plus value-based care performance improvements. Fi-Med shares in the financial benefit realized by the practice.
5. RX Discount Card (Well Living Initiative): Prescription drug discount card offered through the Well Living Initiative. Provides potential savings of up to 80% off prescriptions and is accepted at over 68,000 pharmacies. Revenue likely derived from pharmacy benefit manager (PBM) network participation fees.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels9 records

Core offering

Fi-Med provides managed Revenue Cycle Management services (RCM Plus) backed by its proprietary cloud-based SaaS analytics platform revealMD, which identifies provider coding outliers, audit risk, and revenue gaps. The company also delivers patient engagement services (Well Living Initiative) including Annual Wellness Visits, Chronic Care Management, Transitional Care Management, Remote Patient Monitoring, and Nurse Triage, serving hospitals, physician practices, ACOs, and health systems across the United States.

Product overview

Fi-Med Management is a healthcare support and management company founded in 1993, operating a platform-plus-modules architecture built around its proprietary revealMD SaaS analytics engine. The core portfolio consists of: (1) revealMD — a cloud-based subscription analytics platform with two modules — revealMD Compliance (identifies provider coding outliers and audit risk in 4 clicks) and revealMD RAF (identifies HCC/RAF gaps in Value-Based Care in 4 clicks); (2) three assessment services (Revenue Value Assessment, Audit Risk Assessment, and Mergers & Acquisitions Value Assessment) that deliver targeted analyses using revealMD data; (3) RCM Plus — a full-service Revenue Cycle Management offering combining AI/NLP-powered coding automation, denial management, lockbox, and credentialing; and (4) the Well Living Initiative sub-brand — a suite of patient engagement services including Annual Wellness Visits, Chronic Care Management, Remote Patient Monitoring, Transitional Care Management, Nurse Triage & Admin Support, and RX Discount. Fi-Med serves physician practices, hospitals, ACOs, and health systems nationwide.

Differentiator

Problem solved

Functional benefit

Brands

• revealMD: Cloud-based SaaS analytics platform that identifies statistical physician outliers to reduce audit risk and recover lost revenue for healthcare organizations.
• Well Living Initiative
• RCM Plus

Products and services

• revealMD Fi-Med's flagship cloud-based subscription analytics service that identifies statistical physician outliers fueling lost revenue or audit risk, using the same benchmarking standards as CMS. Implements in under 2 hours with no installation required.
• revealMD Compliance A sub-tool of revealMD that identifies statistical outliers in procedure codes and modifiers most likely to be audited, comparing providers against CMS and national peer benchmarks in 4 clicks.
• revealMD RAF A sub-tool of revealMD for Value-Based Care organizations that identifies HCC coding gaps, RAF scoring opportunities, and missed reimbursement in Medicare Advantage and Risk-Based contracts.
• RCM Plus (Billing & Revenue Cycle Management) Full-service Revenue Cycle Management that manages all back-end billing operations including AI-powered coding, claim appeals, denial management, lockbox services, provider credentialing, and profitability analysis.
• Revenue Value Assessment (RVA) Assessment service using revealMD to identify revenue lost through provider under-coding (Fee for Service) or HCC/RAF gaps in care (Value-Based Care), with prioritized analysis at organization, specialty, and provider level.
• Audit Risk Assessment (ARA) Assessment service using revealMD to identify provider over-coding creating compliance and audit risk, benchmarking against CMS data and national peers across Fee for Service and Value-Based Care models.
• Mergers & Acquisitions Value Assessment (MVA) Assessment service for due diligence in hiring, acquiring, or merging healthcare organizations—analyzing revenue potential and compliance/audit risk of target provider populations using revealMD.
• New Provider Hire Assessment Assessment using revealMD to evaluate a provider candidate's coding history, compliance risk, HCC/RAF performance, and financial impact before hiring.
• Well Living Initiative Suite of patient engagement and care coordination services including Annual Wellness Visits, Chronic Care Management, Remote Patient Monitoring, Transitional Care Management, Nurse Triage & Admin Support, and RX Discount.
• Annual Wellness Visit Service that increases Medicare Annual Wellness Visit participation rates by managing pre-visit planning, patient outreach, scheduling, and data collection to reduce care gaps.
• Chronic Care Management Monthly between-appointment support for Medicare patients with multiple chronic conditions, including care coordination, social determinant assistance, and monthly check-ins.
• Remote Patient Monitoring Service that collects patient-generated health data from connected devices to monitor chronic conditions remotely, reduce hospital readmissions, and improve clinical outcomes.
• Transitional Care Management
• Nurse Triage & Admin Support Telephonic nurse triage and administrative support to clinics and hospitals, handling incoming patient calls and appointments to address staffing shortages and reduce in-house staff workload.
• RX Discount Prescription drug discount card offered through the Well Living Initiative, providing potential savings of up to 80% off and accepted at over 68,000 pharmacies.

Quantifiable outcome

• 98.2% customer retention rate — clients trust Fi-Med year after year
• +12 more outcomes

Named customers17 records

Segments6 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability8 records

Feature9 records

Partnerships

One partnership is on record.

• Montana Hospital Association (MHA)coreStrategic or Co-development Partner · 1 January 2022Montana Hospital Association (MHA) formally endorsed Fi-Med as the preferred and only preferred revenue and risk provider for Montana hospitals. MHA VP Sean Becker stated: 'Fi-Med has over a decade of hospital experience and to date has identified over $1B in revenue and audit risk for hospitals.' This partnership positions Fi-Med as MHA's exclusive recommendation for addressing revenue recovery and compliance needs across its hospital membership in Montana. The endorsement was covered via AP News press release.

Scale indicators18 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Infinx Healthcare: Infinx provides AI-powered revenue cycle management services including coding, prior authorization, and patient access for hospitals and specialty practices — comparable to Fi-Med's RCM Plus + revealMD analytics bundle.
• Waystar: Waystar is a leading cloud-based revenue cycle management SaaS platform serving hospitals and physician practices with claims management, patient billing, and analytics — directly comparable to Fi-Med's RCM Plus and revealMD offerings.
• Experian Health: Experian Health provides RCM solutions including claims management, eligibility, patient access, and revenue cycle analytics to U.S. hospitals and providers, overlapping directly with Fi-Med's RCM Plus and patient collections stack.
• Availity: Availity operates a healthcare clearinghouse and revenue cycle platform for payers and providers, providing claims, eligibility, and analytics solutions comparable to Fi-Med's back-end RCM and revealMD analytics work.

Broad incumbents

• Change Healthcare (Optum): Change Healthcare, now part of Optum, is one of the largest U.S. healthcare data and RCM technology platforms covering claims, analytics, and patient engagement — overlapping broadly with Fi-Med's analytics and patient engagement offerings.
• NextGen Healthcare: NextGen offers an EHR with native practice management and revenue cycle management modules for ambulatory practices — a broader incumbent whose embedded RCM functionality competes with Fi-Med's standalone RCM and coding analytics.
• R1 RCM: R1 RCM is a large, PE-backed end-to-end revenue cycle management services and technology provider for hospitals and health systems — a larger, more diversified competitor in the same RCM services market as Fi-Med's RCM Plus.

Emerging players

• AKASA: AKASA applies AI to automate revenue cycle workflows for hospitals and health systems — an emerging AI-native competitor to Fi-Med's RCM Plus AI/NLP coding workbench.
• Definitive Healthcare: Definitive Healthcare is a healthcare commercial intelligence and analytics platform for provider, payer, and life sciences customers — comparable as a healthcare-data and benchmarking analytics peer to Fi-Med's revealMD analytics.
• Phreesia: Phreesia provides patient intake, registration, and patient engagement workflows for ambulatory and specialty practices — adjacent to Fi-Med's Well Living Initiative patient engagement programs (AWV, CCM, TCM).

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/fimedmanagement

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 Fi-Med