CareCloud Moves into Audiology: What the RevNu Acquisition Reveals About Niche RCM Growth

In a strategic move that expands its specialty care footprint, CareCloud announced the acquisition of RevNu Medical Management, an audiology-focused revenue cycle management (RCM) firm based in Westminster, California. The deal marks CareCloud’s second acquisition in as many months, following its purchase of MesaBilling, and reflects the company’s intention to dominate underserved verticals in healthcare billing and technology.

CareCloud, which provides a full suite of healthcare IT solutions—RCM, EHR, practice management, and AI-driven automation—sees audiology as an overlooked market ripe for digital transformation. With more than 24,000 audiologists and hearing aid specialists practicing in the U.S. and over $5 billion spent annually on hearing aids, the sector has long operated with limited infrastructure and minimal penetration by large-scale practice management vendors.

Why Audiology?

The audiology market is highly fragmented, with most practices operating independently or as small regional groups. Despite its size, it has lacked a dominant RCM player. RevNu, while relatively small, had built a reputation for niche expertise and high client retention—two qualities attractive to a consolidator like CareCloud seeking growth in verticals that aren’t saturated by competitors like Optum or athenahealth.

RevNu’s founder, Clay Gililland, who also owns more than 30 hearing clinics across Southern California, emphasized that the partnership gives RevNu clients access to CareCloud’s technology scale, automation capabilities, and back-office infrastructure—all of which are increasingly important as audiology groups face rising payer complexity and declining reimbursements (CareCloud Press Release, 2025).

Strategic Alignment with RCM Automation

CareCloud has been vocal about its investment in AI-powered RCM tools designed to reduce manual claims processing, improve denial management, and speed up reimbursement cycles. With the average cost of a failed claim ranging from $25–$118 depending on the payer (RevCycle Intelligence, 2024), deploying intelligent automation in specialty practices could yield immediate returns for both providers and the parent company.

RevNu President Daniel Davis will now lead CareCloud’s newly created hearing healthcare division. According to the company, this new business unit will focus on both organic growth and potential roll-ups of other regional audiology billing firms—a classic consolidation strategy often favored in RCM and practice management sectors.

Financial and Operational Impact

While the exact terms of the RevNu deal were not disclosed, CareCloud noted that it expects the acquisition to be accretive within 90 days, with quarterly consideration paid based on retained revenue. That structure implies a strong focus on post-deal client retention and integration, rather than paying upfront premiums.

This mirrors the structure of the MesaBilling acquisition and signals a broader M&A strategy built around performance-based payouts—a more conservative financial approach that reflects current investor pressure for sustainable, profitable growth across health IT.

Implications for Specialty RCM Vendors

The RevNu acquisition comes at a time when RCM vendors are navigating a turbulent macroenvironment marked by rising labor costs, payer complexity, and shifting reimbursement rules. Specialty practices—from audiology to dermatology to GI—are increasingly outsourcing RCM to technology-enabled vendors that can offer predictive analytics, real-time claim scrubbing, and transparent reporting.

CareCloud’s verticalization strategy mirrors moves by other vendors targeting niche markets. Companies like ModMed, Tebra, and Nextech have built momentum by focusing on dermatology, women’s health, and plastic surgery, respectively. CareCloud appears poised to execute a similar playbook in audiology and potentially other under-digitized specialties.

A Template for Tech-Enabled Specialty Growth

As large segments of healthcare consolidate, smaller specialties are increasingly in the crosshairs of well-capitalized, tech-forward vendors. The RevNu acquisition illustrates how targeted M&A, paired with scalable automation and specialty expertise, can serve as a growth lever for RCM platforms looking to expand without competing head-on in overcrowded primary care or hospital markets.

For audiology groups and other specialty practices, the message is clear: operational complexity and reimbursement pressure are creating strong incentives to consolidate around technology partners who offer both depth and efficiency. CareCloud’s latest move suggests it intends to be one of them.