Ambient-AI-native EMR + integrated RCM

The note is done before you leave the room.

One platform for independent primary care — EHR, scheduling, and revenue cycle in one login.

Become a design partner Explore the platform

FHIR-native · TEFCA-connected · Structure-first ambient scribe · Turn-key RCM

app.rev.health — your practice, one screen
rev.health application — Dr. M's practice dashboard

The state of independent primary care

Your EHR takes your evenings and leaks your revenue.

Squeezed from both sides — documentation burden grows, billing tools let earned revenue slip away.

2–3 hrs
nightly “pajama time” charting
5–10%
revenue lost to fragmented billing
30–60 days
in A/R on legacy stacks

Where the day and the dollars go

Three leaks, every week.

Pajama time

Notes that should have been finished in the room get finished at the kitchen table — 2–3 hours a night, per clinician.

Revenue leakage

Missed charges, coding errors, unworked denials, and statements that never get paid drain 5–10% of earned revenue.

Accounts receivable

On legacy stacks, billing staff spend 70% of their time on rework instead of prevention — and money sits in A/R for 30–60 days.

Two promises

Everything in the platform serves one of two outcomes.

The note is done before you leave the room

Talk to your patient. The scribe fills coded fields — median charting after the visit: under 90 seconds.

Paid correctly the first time

Eligibility, coding, scrubbing, posting, appeals — one pipeline. Target: ≥98% first-pass clean.

Clinical documentation

The note is done before you leave the room.

Tap once when you walk in. Talk to your patient. Tap again when you walk out. The structure-first ambient scribe fills bounded, coded fields — problem list, A/P, orders — with every line traced back to the audio that justifies it.

Median charting time after the visit: under 90 seconds.

See Clinical Documentation →

Revenue cycle

Paid correctly the first time.

Eligibility verified three times before the visit. Codes suggested with evidence while you document. Claims scrubbed against a 10,000+ payer-specific rule library before submission. Remittances auto-posted, denials triaged by AI, appeals generated with citations.

Target: ≥98% first-pass clean claims.

See Revenue Cycle →

One visit, end to end

A day that runs on time.

Patient self-schedules at 9 pm

Resource-feasible openings, eligibility checked, cost estimate at booking.

Coverage verified before arrival

270/271 at booking, T-24h, and check-in — not as a denial weeks later.

The clinician talks; the form fills

A structured draft note within 60 seconds of “End encounter.”

Sign once — the claim builds itself

Charges captured, claim scrubbed, 837P out the same day.

One visit, end to end

A day that actually runs on time.

Patient self-schedules at 9 pm

The portal shows resource-feasible openings; an eligibility check fires automatically and the patient sees their cost estimate at booking.

Coverage verified before arrival

270/271 runs at booking, again at T-24h, and once more at check-in. Coverage flips surface before the patient is at the desk — not as a denial weeks later.

The clinician talks; the form fills

Ambient capture turns the conversation into a structured draft note within 60 seconds of “End encounter,” with coding suggestions linked to the moment they were said.

Sign once — the claim builds itself

Charges auto-capture at encounter close, the scrubber clears the claim, and the 837P goes out the same day. ERA posts itself when the payer pays.
app.rev.health/clinical-doc — ambient note, signed
rev.health structured clinical note generated by the ambient scribe
app.rev.health/schedule — doctor day view
rev.health doctor dashboard with today's schedule in the light theme

The platform

Ten modules. One record. Zero bolt-ons.

One platform replaces the EHR, the PM suite, the clearinghouse glue, and the back-office RCM tooling.

MODULE 01

Clinical Documentation

Structure-first ambient scribe.

Note signed before you leave →
MODULE 02

Scheduling

Resource-graph, minute-level.

95th-percentile wait ≤12 min →
MODULE 03

Eligibility & Prior Auth

Real-time benefits, electronic PA.

Coverage facts before the visit →
MODULE 04

Coding & CDS

Evidence-linked codes, CDS Hooks 2.0.

Code while you document →
MODULE 05

eRx & EPCS

Surescripts, RTPB, PDMP, two-factor.

One screen replaces phone + fax →
MODULE 06

Referrals

Closed-loop, bidirectional.

Send with full records in <60s →
MODULE 07

Revenue Cycle

Scrub → 837P → 835 → appeal. Turn-key.

≥98% first-pass clean →
MODULE 08

Patient Portal

Patients are users, your brand.

Your brand, their record →
MODULE 09

Task Management

FHIR Task work queues, SLAs.

Nothing falls through →
MODULE 10

Payer Optimization

Compliant, opt-in analytics.

Compliant by construction →

One record underneath it all

Clinical data belongs to the patient. Operational data stays per-practice. Every read is audited.

The data model

One record underneath it all.

Clinical data belongs to the patient and is global across every practice they visit. Operational data stays isolated per practice. Every chart read is audited and visible to the patient.

Every module reads and writes the same patient record — no exports, no reconciliation, no bolt-ons.

See Security & compliance →

Why rev.health is different

Built for the 2026–2027 regulatory window.

FHIR-native, AI-native, and TEFCA-connected from day one — not retrofitted.

Structure-first ambient scribe

Bounded, coded fields — not free-text guesswork.

Resource-graph scheduling

A constraint solver re-optimizes the day in real time.

Turn-key RCM, no hidden hires

Charge capture through appeals, run by the platform.

Patients are users

The same signed note, carried across practices.

FHIR-native, TEFCA-connected

US Core FHIR is the native surface, not an export.

Every read is auditable

Read-access audit on every chart view, shown to the patient.

Why rev.health is different

Built for the 2026–2027 regulatory window — not retrofitted to it.

USCDI v3, HTI-1 decision-support transparency, CMS-0057-F payer APIs, TEFCA at national scale, and the first AI-augmented CPT codes all land now. rev.health is FHIR-native, AI-native, and TEFCA-connected from day one.

Structure-first ambient scribe

AI is imperfect — so we add structure. The scribe fills bounded, coded fields with bidirectional write-back to the problem list, A/P, and orders. No copy-paste reconciliation; forms improve with every visit.

Resource-graph scheduling

The practice is a graph of clinicians, rooms, MAs, equipment, and telehealth bridges. A constraint solver places visits at minute resolution and re-optimizes in real time.

Turn-key RCM

Charge capture through appeal letters in one pipeline, run by the platform — no billing coordinator hired just to make a vendor work.

Patients are users

The Patient and User entities share a primary key. Patients read the same signed note their clinician sees, carry their record across practices, and see an audit entry for every chart read.

FHIR-native, TEFCA-connected

US Core FHIR resources are the native data surface, not an export. TEFCA connectivity via QHIN partnership brings outside records into the pre-visit briefing, not a PDF dump.

Every read is auditable

Read-access audit and authorization-chain tracing on every chart view — surfaced to the patient. Trust is a feature, not a policy document.

Designed to be lived in

One platform. Every workflow. All day long.

The same practice, from the morning schedule to the signed note to the clean claim.

app.rev.health/dashboard
rev.health clinician dashboard
app.rev.health/schedule
rev.health daily schedule and status board
app.rev.health/clinical-doc
rev.health structured clinical note from the ambient scribe
app.rev.health/rcm
rev.health claims and revenue cycle workspace

Why practices switch

The incumbents have outgrown you — or never grew up.

Cloud suites price like enterprise software and staff their gaps with your hires. Small-practice tools never built billing.

We scored every major EMR across twelve weighted criteria. Here's the top of the table.

  1. 1rev.health9.8
  2. 2athenahealth9.30
  3. 3Medplum8.71
  4. 4Healthie7.59
  5. 5Canvas Medical7.29

See every major EMR scored, sortable →

VendorPricing realityThe catch
athenahealth 4–7% of collections + ~$140/provider/mo RCM not turn-key; needs a billing-coordinator hire.
eClinicalWorks $449–599/provider/mo + 2.9% RCM $155M DOJ settlement over certification & audit logs.
NextGen $150–500/provider/mo; quote-based 2023 breach hit ~1.05M; $19.375M class action.
Elation Loved EHR, billing sold separately No integrated RCM — a second vendor contract.
rev.health $399/MD-DO · $299/PA-NP + 3.5% RCM. Published. EMR + PM + turn-key RCM, everything included.

Read the full comparison → See every major EMR scored →

What the public record shows

The catch, in full.

athenahealth

4–7% of collections + ~$140/provider/mo minimum; no public rate card. RCM is not turn-key — practices report needing an in-house billing coordinator for denial follow-up, a hidden hire the pricing page never mentions.

eClinicalWorks

$449–599/provider/mo + 2.9% RCM. $155M DOJ False Claims Act settlement (2017) over misrepresented certification and audit logs; ongoing OIG corporate integrity agreement.

NextGen

$150–500/provider/mo signal; quote-based. 2023 ransomware breach exposed records of ~1.05M individuals; $19.375M class action settled October 2025.

Elation

Clinician-loved EHR, billing sold separately. No integrated RCM — the revenue cycle is your problem, your biller, and your second vendor contract.

rev.health

$399/MD-DO/mo · $299/PA-NP/mo + 3.5% of collections for integrated RCM. Published. Period. EMR + PM + turn-key RCM in one platform, with the scribe, eligibility, eRx, and the patient portal included — not priced as add-ons.

Security & compliance

Compliance is the product floor, not the marketing ceiling.

Engineered against the full 2026–2027 regulatory stack — with an honest line between certified, in progress, and roadmap.

HIPAA SOC 2 Type II — in progress ONC §170.315 (HTI-1) — certification in progress EPCS / DEA 21 CFR 1311 TEFCA via QHIN partner CMS-0057-F ready 42 CFR Part 2 consent gating WCAG 2.2 AA

See the full security & compliance posture →

Read-access audit trail visible to the patient A who-viewed-this-chart access-audit panel listing four reads of a patient chart, each with the viewer, their authority, the timestamp, and the scope of data accessed — including one flagged outside-organization access via an authorization chain. WHO VIEWED THIS CHART read-access audit · patient-visible · tamper-resistant Dr. Rivera — treating clinician care relationship · today 9:14 am scope: full chart Tasha O. — MA, rooming care relationship · today 9:02 am scope: vitals + medications ? Dr. Chen — Bay Cardiology (outside org) authorization chain: active referral · Apr 12 scope: problems + labs Sam P. — billing operational scope · Apr 14 · claim 84412 scope: demographics + coverage only Same audit that protects the chart is the one the patient can read. Trust is a feature, not a policy doc.

Pricing

One price. On the website. Like software should be.

No quote theater, no percentage that “varies,” no surprise hires to make the billing work.

Physician
$399 / MD or DO / month
+ 3.5% of collections for integrated RCM

Everything is included — scribe, scheduling, eligibility, coding, eRx, referrals, portal, tasks. RCM is the only usage-based line.

  • Ambient scribe included — not a $125/mo add-on
  • Unlimited front-desk, MA, and billing staff seats
  • Self-serve data egress — your data leaves when you do

Get early access

Pricing, in full

$399/MD-DO · $299/PA-NP, plus 3.5% RCM.

Part-time clinicians, billed fairly. Part-time physicians and PAs are pro-rated by scheduled clinical FTE — a provider working two days a week pays two-fifths of a seat, not a full one.

RCM is the only usage-based line, and about 80% of practices attach it; the rest run the EMR alone at the per-clinician rate.

Everything included

  • Ambient scribe included — not a $125/provider/mo add-on
  • Turn-key RCM at 3.5% of collections: scrubbing, submission, posting, denials, appeals, statements
  • Whitelabeled patient portal under your practice's brand
  • Unlimited front-desk, MA, and billing staff seats
  • Data egress is self-serve — your data leaves when you do
  • No implementation ransom, no per-interface fees

How that compares

At $1M in annual collections for a two-clinician practice, typical incumbent stacks run:

StackApprox. annual cost
athenahealth bundled (4–7% of collections)$40K–70K + a billing-coordinator hire
eClinicalWorks + 2.9% RCM~$34K + DOJ-settlement vendor risk
Lightweight EHR + ambient scribe add-on + outsourced biller3 contracts, 3 logins, 3 ways to drop a claim
rev.health, all-in2 MD/DO: $9.6K SaaS + $35K RCM = ~$44.6K, everything included

The difference isn't only the sticker. It's the ~1.5 clinician-hours returned per day, the denials that never happen, and the biller you don't have to hire to babysit your billing vendor.

Leadership

Built by people who've lived the problem.

An investor-operator, a product-and-engineering founder, and a practicing physician — aligned on giving independent practices their time and their margin back.

Patrick FeeneyPF
Patrick Feeney
Co-founder & CEO
Investor, founder, and advisor based in Dallas. Leads strategy, fundraising, and go-to-market.
Jeff HughesJH
Jeff Hughes
Co-founder & CTO
Technical founder and architect of the rev.health platform — from the data model to the ambient-AI workflows.
Daniel Dow, M.D.DD
Daniel Dow, M.D.
Co-founder & Subject-Matter Expert
Physician, venture partner, and founder championing autonomy and ownership in medicine. Empower Health; Columbia Business School.

Advisory board in formation: an RCM operator, a health-IT regulatory expert, and practicing primary-care physicians.

Design partner program

We're onboarding a small cohort of independent practices.

Design partners get white-glove migration, direct access to the product team, locked-in founding pricing, and a real say in what ships next. We're looking for owner-operated primary care practices of 1–5 clinicians who are done with their current stack.

  • Founding-cohort pricing, locked for 3 years
  • Dedicated migration engineer — charts, schedules, balances
  • Weekly office hours with the product team
  • Cancel anytime; your data exports itself

Join the waitlist

Tell us about your practice. We'll reach out within two business days.

We'll only use this to contact you about rev.health. No spam, no list sales.