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Epitychia
Practice · Healthcare

Healthcare &
revenue-cycle payments.

Epic runs your billing. It does not run your payments. We optimize the processing layer behind MyChart Bill Pay, bundle financing at the moment of the bill, and recover the net collection that leaks upstream — without touching the EHR, and framed as enterprise value, not a rate quote.

Patient billing complaints are the visible edge of a revenue-cycle problem, and the dollars leak upstream of the complaint. We are a payments firm. We own the patient-payment processing behind the bill, bundle financing and treasury around it, and instrument the rest so the leakage becomes visible and recoverable.

The problem

Patient responsibility has climbed for a decade, and the patient is a slower, more default-prone payer than the payer was. Collectible balances age into bad debt, denials get written off instead of worked, underpayments go uncaught, and the patient-pay experience suppresses payment it should be converting. None of it shows on the surface until the complaints arrive, and by then the dollars are already leaking.

The layer you can change without touching Epic

Epic Resolute runs the billing and MyChart presents the bill, but the card processor behind MyChart Bill Pay is a separate, swappable vendor contract. That layer sets the rate, the patient-pay conversion, and where the volume settles. You do not touch the EHR to change it. We favor a processor-agnostic, Epic-certified gateway so the volume can settle to the right acquirer at the right rate, instead of a closed bundle that keeps the entire margin.

The four levers

  • Patient-payment experience. Clearer statements, card-on-file, digital wallets, text-to-pay. Convert collectible balances before they age.
  • Financing at the moment of the bill. A partner pays the provider upfront, non-recourse, and collects from the patient over time. Collection up, bad debt down, no discounting and no collections agency.
  • Processing economics. Interchange qualification, debit routing, and the effective rate on patient card volume, re-bid on rails we operate.
  • Instrumentation. Surface where denials, underpayments, and coverage gaps leak so the right revenue-cycle partner can work them. The full leak map takes an RCM partner alongside the payments work; we are honest about that line.

The EBITDA case

Every dollar of processing cost removed and every point of net collection recovered drops to EBITDA, and at a sponsor-backed group EBITDA carries a multiple. Recovered margin is worth its run-rate times the multiple in enterprise value, captured before any transaction and on your own clock. We bring a quantified case, not a rate quote, because for a finance leader the point is not cheaper processing, it is value created and defensible in diligence.

Who we serve

Multispecialty medical groups, health systems, and sponsor-backed provider organizations on Epic or comparable EHRs. We own the patient-payment processing, bundle financing and treasury around it, and partner with revenue-cycle specialists where the full picture calls for it.

Healthcare FAQ

Direct answers for finance and revenue-cycle leaders.

Do we have to replace Epic?
No. Epic runs the billing experience; it does not process the payment. The card processor behind MyChart Bill Pay is a separate, swappable vendor contract. We optimize or replace that processing layer without touching the EHR. No rip-out, no disruption to clinical or registration workflows.
How do you actually lift net collection?
Four levers, in order of impact: a cleaner patient-payment experience (clearer statements, card-on-file, digital wallets, text-to-pay) that converts collectible balances before they age; financing offered at the moment of the bill so patients who cannot pay in full still pay over time; tighter processing economics; and instrumentation that surfaces where denials, underpayments, and coverage gaps are leaking so the right partner can work them.
Where does the financing come from, and do patients take on debt to a collector?
We bundle a patient-financing partner that pays the provider upfront, often non-recourse, and collects from the patient on an affordable plan. The provider gets cash now, the balance comes off the books, and the patient relationship stays intact because nobody is sent to collections. We work with Epic-integratable partners so the plan can be offered natively at the bill.
What is the EBITDA case?
Every dollar of processing cost removed and every point of net collection recovered drops to EBITDA, and at a sponsor-backed group EBITDA carries a multiple. Recovered margin is worth its run-rate times the multiple in enterprise value, captured before any transaction. We bring a quantified EBITDA and enterprise-value case, not a rate quote.
Is this just about lowering our processing rate?
Rate is the floor, not the pitch. The larger value is net-collection recovery, financing-driven collection lift, and a cleaner, more defensible revenue-cycle story. We also assess treasury levers such as faster funding and AP virtual-card rebates as expansion once the core patient-payment relationship is in place.
Who do you work with?
Multispecialty groups, health systems, and sponsor-backed provider organizations on Epic or comparable EHRs. We are a payments firm: we own the patient-payment processing and bundle financing and treasury around it, and we partner with revenue-cycle specialists where the full leak map calls for it.
Engagement · Healthcare

Tell us where it leaks.

A short pre-screening — your group, your EHR, your patient-pay setup, your numbers. We map the five leaks and the EBITDA case in about 15 minutes.

Start the pre-screening Or book a strategy call
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