Medical Billing Companies & Consultants in Saint Louis, MO

Precision Practice Management, known as PPM, is a healthcare business services company with its main office in St. Louis, Missouri, and a second site in Belleville, Illinois. It provides billing and revenue cycle support to hospitals and physician groups nationwide, and its website lists a service area page for Texas along with many other states.

Business records place its founding in 1993. In September 2025 the company was acquired by Vee Healthtek, based in Plano, Texas, and it now goes by Precision Practice Management, A Vee Healthtek Company.

Clients and Specialties

The firm positions itself as a fit for nearly any healthcare organization, from a physician launching a single-provider practice to some of the largest private hospitals in the country. It handles both Part B billing for professional services and Part A billing for facilities, so independent practices, hospitals and independent physician associations all fall within its scope. Its coding group covers 47 medical specialties, among them:

• Anesthesiology, critical care, emergency medicine and hospitalist services
• Cardiology, vascular surgery and interventional radiology
• Medical oncology, hematology and radiation oncology
• Behavioral health, mental health, psychiatry and pediatrics
• Orthopedics, physical therapy, pain management and podiatry
• Rural health, urgent care and telehealth

Services

At the center of the offering is outsourced revenue cycle work, including coding, accounts receivable and denial management, and financial reporting. The company adds contracting and credentialing services intended to keep clients aligned with payer requirements, plus medical coding audits. Its scope is wider than that of a typical billing vendor.

It also implements electronic health record systems and supplies IT and network services, wireless computing, security risk assessments, accounting and human resources support. Technical support is staffed twenty-four hours a day, seven days a week.

Software and Automation

PPM works across a long list of clinical and practice management systems, including Epic, Cerner, NextGen, eClinicalWorks, Greenway, Allscripts, GE Healthcare, Modernizing Medicine, Optimis PT, PracticeAdmin and e-MDs, and it notes that many more are supported. EHR and practice management vendors are building AI into their products, for example automated eligibility verification, live coding guidance, denial prediction and underpayment detection.

The company argues that such tools only pay off when they are configured and monitored around a client's payer mix, specialties and workflows, and its staff concentrate on that tuning.

PPM is also developing its own AI and robotic process automation tools that run across platforms. Software robots can sign in to payer websites, look up the status of claims, pass information from one system to another and start work queues without a person stepping in. Combined with analytics, the tools can rank the most valuable tasks and reduce repetitive, error-prone effort.

Philosophy and Leadership

Leadership describes a focus on structure and transparency: organized workflows, clear expectations and thorough reporting that show both the activity on an account and the outcomes. The firm also helps clients customize workflows, bring in new technology and manage the resulting change. The team includes chief executive Mike Barnell, founder and president Renae S.

Eichholz, chief operating officer Angela Willis, and senior vice presidents Alan Pulliam and Shelly Lucido. Executives credit a well-trained staff, with redundant capability in each critical discipline, as the company's main differentiator. For organizations wanting a single partner for billing, credentialing, software optimization and IT, PPM presents itself as a complete option.