Analytics
Revenue Intelligence
Denial management, payer contract analysis, and underpayment recovery. Every adjustment traced to root cause.
What You Get
Denial Management
Track first-pass denial rates. Trace every denial to root cause by payer, CPT code, and adjustment code. Know what's driving your denials before they become write-offs.
Underpayment Recovery
Identify claims where allowed amount exceeds what was received. Flag underpayments by payer and contract. Recover revenue you're already owed.
Payer Contract Analysis
Measure actual reimbursement against contracted rates. Identify which payers are underperforming. Find leverage for renegotiation.
Adjustment Code Analysis
CO-45, PR-1, OA-23 breakdowns across your full claims volume. Know what's contractual, what's patient responsibility, and what's recoverable.
AR Performance
Days in AR by payer, clean claim rates, first-pass resolution rates. Track the metrics that drive your cash flow.
Board Reporting
Revenue cycle KPIs, trend analysis, multi-site visibility. Built for JVs, management companies, and academic medical center partnerships.
How the analysis works
From billed to banked, with nothing in between unexplained.
We trace every claim through the full reimbursement lifecycle so you can see exactly where revenue is slipping, and why.
Contracted
Expected reimbursement per managed care contracts
Modeled directly from your managed care contracts.
Collected
Net collections reconciled to the general ledger
Drawn from 835 remittance across every payer.
In-Network Gap
Recoverable in-network underpayment variance
Traced to payer, CPT, and adjustment code.
Before you commit to anything, we show you exactly where the gaps are and what's recoverable.
Every claim, traced to root cause
Billed vs. contracted vs. collected. We find the gap and tell you why.
Billed
$42,500
Total Knee Arthroplasty (CPT 27447)
Contracted
$10,500
Medicare FFS · ASC
Collected
$8,920
Per remittance (835)
Gap
$1,580
NCCI bundling edit
Payers we support
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See where your revenue is going.
We'll analyze your historical claims and show you exactly where the gaps are. Before you commit to anything.
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