Founded 2006 · New Jersey HQ
850+ U.S. providers & clients served
HIPAA · SOC 2 · ISO 27001 · HITRUST
Specialties supported
Revenue collected for clients
Of RCM expertise
Employees globally
API connections
Expertise in underserved &
critical-access care
Recurring billing, proof-of-delivery discipline and audit-ready documentation grounded in unmatched DME reimbursement experience
Modifier-accurate,
time-unit billing and deep payer nuance strengthened by Merrick and PPM Partners’ anesthesia expertise.
Diverse services, fragmented workflows and cross-setting reimbursement; grounded in hospital, ambulatory and office-based care.
Knack combines specialty intelligence, AI-native revenue orchestration and disciplined execution to unlock reimbursement, protect margin and strengthen the delivery of care in the segments generic RCM models can’t serve.
DME, anesthesia, eye care, rural and underserved providers where documentation burden and audit exposure break one-size-fits-all vendors.
Not process handoffs in silos; every part of the revenue cycle tied directly to financial outcomes.
Superior outcomes fund deeper specialty expertise and the cycle compounds.
A complex DME billing operation needed to move fast without losing reimbursement integrity. Knack stood up the workflow on its own platform and put specialty-trained teams on follow-up.
Our right to win is concentrated in segments where reimbursement complexity,
documentation burden and financial risk are too high for generic RCM models.
Onshore leadership with the scale and responsiveness of a global delivery engine that actually executes.
Time-based units, modifier accuracy and payer nuance handled by teams that know the workflow from day one.
One of the most regulated, denial-prone environments — recurring billing complexity, proof-of-delivery discipline and long reimbursement cycles.
High-volume practices where the real nuance is payer routing — knowing whether a claim belongs to a vision plan or a medical plan, and billing each cleanly to protect the margin.
Deep platform integration with market-leading EHRs and PMs across DME, mid-sized physician groups, urgent care and more; pairing ISV partner integration with our specialty depth.
Reimbursement certainty for community providers and critical-access hospitals serving rural and underserved markets; protecting the revenue that keeps care within reach where margins are thinnest and the stakes are highest
Full-continuum RCM capability with specialty intelligence layered across
every stage — enabling stronger reimbursement outcomes in high-risk operating environments.
Live estimate
Updates live as you describe your organization to TrueRev — or fine-tune the inputs below.
Illustrative model. Assumes ~45% of denied dollars are recoverable and ~55% of first-pass-yield gains convert to retained revenue. TrueRev infers inputs from your description; actual outcomes depend on payer mix, specialty and baseline performance.
What stood out from the start was how clearly Knack connected every part of the revenue cycle to financial outcomes — not just process handoffs.
Specialty physician group
Community-based health system
Security and compliance are built into execution, not bolted on — a robust control environment spanning HIPAA, ISO 27001, ISO 9001, SOC 2 and HITRUST-related disciplines.
Schedule a working session with Knack to map the recovery opportunity in your revenue cycle — and meeting the team that can empower revenue and elevate care.