American Medical Accounting & Consulting

What American Medical Accounting & Consulting does

American Medical Accounting & Consulting (AMAC) is a privately held, Georgia-incorporated professional services firm founded in 1983 by Linda Lively and headquartered in Marietta, Georgia. The company provides revenue cycle management, billing, consulting, and educational services exclusively to the U.S. radiation oncology market, serving a stated base of 1,000+ healthcare organizations including hospital-based departments, freestanding centers, physician practices, universities, medical groups, and third-party payers.

AMAC's core offerings comprise (1) full-service billing and RCM (now operated in partnership with Medusind), (2) consulting engagements covering EMR review (ARIA, Mosaiq, EPIC), charge capture, documentation, medical record review, audit support, and retainer relationships, and (3) a proprietary education and certification franchise anchored by the ROCC® (Radiation Oncology Certified Coder) program — the only dedicated coding certification for the specialty, established in 2005 and offered remotely via ProctorEXAM. Supporting products include live and recorded webinars, webinar compilation packages, Excel-based reimbursement projection spreadsheets ($2,000-$3,000), authorization coding spreadsheets ($1,500-$2,500), the ROCC Study Guide ($225), recertification ($295/2 years), and an annual Bulletin Board forum subscription ($400).

Revenue is generated through a mix of professional-services consulting fees, managed-services billing via Medusind, recurring certification/subscription revenue (ROCC recerts and Bulletin Board), and one-time digital product licenses. Distribution combines direct enterprise sales for consulting, a Shopify-powered e-commerce storefront for educational products, remote proctored exam delivery, and strategic channel partnerships (Medusind for RCM, Medsolve Dynamics for oncology capital advisory). Leadership consists of Founder/CEO Linda Lively (30+ years) and President James E. Hugh III (27+ years, 30+ publications); the firm holds no external funding and operates as a specialty consultancy rather than a scaled software platform.

Name

American Medical Accounting & Consulting

Legal name

AMERICAN MEDICAL ACCOUNTING AND CONSULTING, INC.

Website

https://amac-usa.com

Company type

Private

Founded year

1983

Operating status

Operating

Headcount range

11–50 employees

Short description

American Medical Accounting & Consulting (AMAC) is a privately held, 43-year-old U.S. firm providing revenue cycle management, billing, consulting, and the proprietary ROCC® coding certification exclusively to radiation oncology providers, serving 1,000+ healthcare organizations nationwide.

Ownership category

akta.pro rank

Product category

Radiation Oncology Billing & Reimbursement Consulting

NAICS

Other Scientific and Technical Consulting Services (54169)

SIC

Hospital & Medical Service Plans (6324), Services-Membership Organizations (8600)

akta.pro primary industry

Radiation Oncology (HLAKAFAC)

akta.pro secondary industries

Healthcare Clinical Professions (CME/CE for Nurses, Allied Health, Pharmacy) (EDAAALAC), Healthcare & Clinical Professional Development (CME/CE) (EDAGANAJ)

Keywords

• Radiation oncology billing
• Medical coding consulting
• Healthcare revenue cycle
• Medical reimbursement services
• Radiation oncology certification

Headquarters

HQ city

Marietta

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Consulting Services: Revenue cycle management consulting, training, and medical record review services for radiation oncology providers. Includes short-term consultations, long-term retainer relationships, and onsite/remote training engagements.
2. Billing Services: Full-service billing and claims processing through Medusind partnership, providing comprehensive revenue cycle management for radiation oncology practices and facilities.
3. ROCC Certification Program: Radiation Oncology Certified Coder (ROCC) certification and recertification services. Includes exam fees ($570), recertification fees ($295), and practice exam attempts ($50). Certification valid for two years with required CEU credits.
4. Webinars and Seminars: Live and recorded educational webinars on radiation oncology coding, billing, and compliance. Pricing ranges from $150-$249 for individual webinars, with discounted rates for ROCC members.
5. Reimbursement Spreadsheets: Standard and customized reimbursement projection spreadsheet products for various facility types (hospital, physician, freestanding, provider-based). Standard pricing $2,000, customized $3,000.
6. Authorization Coding Spreadsheets: Interactive authorization spreadsheet products for authorization departments covering various codes by modality. Standard $1,500, customized $2,500.
7. Bulletin Board Subscription: Annual subscription to AMAC Bulletin Board forum for specialty medical reimbursement discussions and peer networking. $400 per year.
8. ROCC Study Guide: Study guide product for ROCC certification exam preparation. Comprehensive guide covering CPT, HCPCS, ICD-10-CM/PCS codes, procedures, and practice tests. $225.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels8 records

Core offering

AMAC delivers specialized billing, consulting, training, and certification services exclusively for radiation oncology providers. Its core portfolio encompasses full-service revenue cycle management (operated through a Medusind partnership), consulting engagements covering EMR review, medical record review, and audit support, plus the proprietary ROCC (Radiation Oncology Certified Coder) certification program and supporting education products such as webinars and interactive reimbursement spreadsheets.

Product overview

American Medical Accounting & Consulting (AMAC) is a 43-year-old radiation oncology-focused billing, consulting, and education services company headquartered in Marietta, Georgia. Its offering is a multi-module service portfolio rather than a single unified software product. The core comprises full-service billing and revenue cycle management (now operated through a Medusind partnership) and consulting services (EMR review, chart reviews, audit support, training, and medical record review). The education and certification arm is anchored by the proprietary ROCC (Radiation Oncology Certified Coder) certification program—including a study guide, practice exam, certification exam, and recertification—all delivered remotely via ProctorEXAM. Supporting the core services is an array of digital products: recorded and live webinars, webinar compilation packages, reimbursement projection spreadsheets (for hospitals, physicians, freestanding centers, and provider-based departments), and authorization coding spreadsheets. A subscription Bulletin Board provides an ongoing forum for reimbursement discussions. The company also extends its reach via strategic partnerships: Medusind for enhanced RCM/billing and Medsolve for oncology capital strategy advisory.

Differentiator

Problem solved

Functional benefit

Brands

• ROCC® (Radiation Oncology Certified Coder): Certification program for radiation oncology professionals assessing coding proficiency, established in 2005 and offered exclusively by AMAC.

Products and services

• Full Service Billing & Revenue Cycle Management End-to-end revenue cycle management for radiation oncology practices, hospitals, freestanding centers, and provider-based departments, including claims processing, payor negotiation, and full-service billing operations distributed through the Medusind partnership.
• Consulting Services Short-term and long-term consulting engagements covering chart reviews, reimbursement and documentation assistance, audit support, EMR review (ARIA, Mosaiq, EPIC), and retainer-based support for radiation oncology facilities.
• Training Services On-site or remote training seminars for clinical departments, finance staff, and coders covering charge capture, documentation, coding, and fee schedules for radiation oncology.
• Medical Record Review Documentation examination and charge capture review services to identify weaknesses in coding practices, ensure appropriate procedure coding, and prevent revenue loss due to missed charges, including EMR review for ARIA, Mosaiq, and EPIC systems.
• ROCC Certification Program Proprietary ROCC certification program covering CPT, HCPCS, ICD-10-CM/PCS, all radiation oncology modalities, evaluation and management coding, compliance, and Medicare policies, administered via a 150-question remote proctored exam through ProctorEXAM.
• ROCC Study Guide Comprehensive study guide for the Radiation Oncology Certified Coder (ROCC) certification covering CPT, HCPCS, ICD-10-CM/PCS codes, exam strategies, and practice tests; 2026 version 20.1 priced at $225.
• ROCC Practice Exam Remote proctored practice exam of 150 multiple-choice questions for ROCC candidates, available for unlimited attempts at $50 per attempt with no prior authorization required.
• ROCC Certification Exam Remote proctored certification exam of 150 multiple-choice questions covering all radiation oncology modalities, E&M coding, compliance, and Medicare policies, priced at $570 and administered through ProctorEXAM.
• ROCC Recertification Two-year ROCC recertification requiring 12 CEUs (6 from ROCC and 6 from approved organizations such as AAPC, ASRT, AHIMA), priced at $295 nonrefundable.
• ROCC Exam Retake Retake option for ROCC candidates who have not passed within one year of their first exam date, priced at $75 (increasing to $85 as of September 1, 2026) nonrefundable.
• AMAC Bulletin Board Annual Subscription Annual subscription to an online forum for posting questions and discussions on specialty medical reimbursement issues of national and state importance, priced at $400 per year and complimentary with ROCC membership.
• Live Webinars Live webinar events hosted year-round covering radiation oncology documentation, billing, and coding with interactive Q&A sessions, priced at $175-$249 per session (e.g., IMRT and Guidance, Simulations, Unique Procedures, Guidelines Updates).
• Recorded Webinars Recorded versions of AMAC webinars available for download within two weeks of live broadcast, covering radiation oncology coding, treatment and delivery, E&M, brachytherapy, and stereotactic radiosurgery; priced at $150-$229 per recording.
• Recorded Webinar Compilation Packages Curated compilation packages of related recorded webinars at discounted bundle pricing, including Core Competency in Radiation Oncology Coding (101, 102, 103) at $615 and High Dose/Low Dose Brachytherapy at $318.
• Reimbursement Projection Spreadsheets Interactive Excel spreadsheet templates for hospital, physician, freestanding, and provider-based reimbursement projections; standard templates priced at $2,000 and customized options at $3,000.
• Authorization Coding Spreadsheets Interactive authorization spreadsheets for radiation oncology authorization departments listing codes used per modality; standard templates priced at $1,500 and customized options at $2,500.
• Oncology Strategy & Capital Advisory Capital and vendor strategy alignment, financial modeling, proforma validation, and revenue and service line growth advisory for oncology service line leaders, CFOs, and COOs, delivered through the Medsolve Dynamics partnership.

Quantifiable outcome

• Hundred of physician practices, clinics, centers, universities and hospitals served nationwide
• +3 more outcomes

Named customers6 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Three partnerships are on record, tiered core and minor.

• MedusindcoreStrategic or Co-development PartnerAMAC's billing division has partnered with Medusind, a national leader in revenue cycle management for physicians. The partnership provides enhanced RCM capabilities and technologies to help accelerate practice growth. AMAC billing services are now part of Medusind, combining trusted expertise with expanded resources.
• Medsolve DynamicscoreStrategic or Co-development PartnerAMAC has partnered with Medsolve Dynamics for oncology strategy and capital advisory services. Medsolve protects program economics and complements AMAC's reimbursement integrity expertise. The partnership addresses capital planning, proforma validation, and service line growth challenges for radiation oncology programs.
• ASTRO/ACRminorOthersAMAC references ASTRO/ACR Guide to Radiation Oncology Coding as an approved reference for ROCC exam candidates. ASTRO (American Society for Therapeutic Radiology and Oncology) and ACR (American College of Radiology) provide coding guidelines used in the industry.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• AHIMA (American Health Information Management Association): Health information management certification body offering CCS, RHIA, and CDIP credentials. AHIMA competes in the same professional coding certification space as AMAC's ROCC and offers CEU content for recertification, overlapping with AMAC's educational product portfolio.
• TrustHCS: Medical coding, auditing, and RCM services company serving hospitals and physician practices. TrustHCS offers similar outsourced coding review and compliance services to AMAC's medical record review and consulting offerings.
• LexiCode: Medical coding services and HIM staffing company providing inpatient and outpatient coding, auditing, and CDI services. LexiCode competes with AMAC's coding consulting and medical record review services for hospital-based and physician practice clients.
• GeBBS Healthcare Solutions (iCode Solutions / Aviacode): Large outsourced medical coding and RCM services company offering specialty coding including oncology/hematology. GeBBS competes with AMAC's medical record review, coding consulting, and billing services for healthcare providers seeking outsourced revenue cycle expertise.
• AMBS (American Medical Billing Services): Medical billing and RCM company serving specialty physician practices including radiology and oncology. AMBS overlaps with AMAC's billing services, especially for radiation oncology and freestanding center customers.
• M-Scribe Systems: Medical billing, coding, and RCM services company focused on specialty practices. M-Scribe directly competes with AMAC for physician practice billing and coding engagements, particularly in specialty segments where coding complexity matters.
• AdvantEdge Healthcare Solutions: Medical billing and RCM company serving specialty physician practices including oncology. AdvantEdge competes with AMAC's billing and revenue cycle management services, particularly for specialty provider groups needing coding expertise.
• Medusind: National RCM leader that has integrated AMAC's billing division. Medusind offers physician billing services with a dedicated radiation oncology specialty practice, directly comparable to AMAC's core billing and RCM services. The partnership makes them both a channel and a competitor.
• AAPC (American Academy of Professional Coders): Largest US medical coding certification body offering CPC, COC, and specialty credentials. AAPC's specialty coding certifications, continuing education, and practice exams directly overlap with AMAC's ROCC certification, webinars, and study guide products in serving the same healthcare coder persona.

Emerging players

• eHealth Specialists: Specialty RCM and billing company focused on oncology, radiation oncology, and infusion practices. Direct overlap with AMAC's billing services for radiation oncology providers, though smaller scale and less established brand than AMAC's 43-year presence.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance1 record

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 American Medical Accounting & Consulting