Revenue Cycle
Overview

Bespoke revenue cycle intelligence for your unique needs

Apply machine learning to payer behavior and denial trends to prioritize the right accounts, highlight next best actions, accelerate reimbursement, reduce screen fatigue, and drive performance.

Measured impact, rooted in revenue cycle realities

95%
Reduction in
worklist complexity
Fragmented workflows reduce staff output
20-30%
Reduction in
cost-to-collect
Unpredictable reimbursement & cash flow
40%
Reduction in avoidable write-offs
Time wasted on denials and follow-ups
4+
Days of A/R accelerated
in 60 days
Limited visibility into high-risk accounts
Results
How it Works
Layers of digital technology and financial transaction icons, with a large dollar sign encircled and a clicking mouse cursor on top.

How it works

We organize backlogged accounts, uncover denial patterns, and surface high-value accounts that must be addressed quickly to be paid, delivered directly into your existing tools.

  • Compatible with existing RCM platforms
  • No change management required
  • Operates in the background or within existing workflows
  • Drives faster payment without adding operational burden

RevRadar Account Prioritization

Score and rank accounts by predicted reimbursement and payment speed using machine learning trained on historical payer adjudication behavior.

  • Predicts likelihood of denial, expected reimbursement amount, and days to payment
  • Generates a dynamic score to prioritize high-yield, low-effort accounts
  • Reduces time spent manually sorting or guessing account value
RevRadar Account Prioritization

Denial Resolution Insights

Take the guesswork out of denial code interpretation with retrieval-augmented generation (RAG) that surfaces the next best action.

  • Outlines claim details to understand why it was rejected
  • Provides concise steps to resolve denials efficiently & recover revenue faster
  • Pulls forward claims with similar patterns for minimal context switching
  • Enables user editing to ensure the claim is handled the way the team needs
Denial Resolution Insights

Comment Classification

Evaluate user actions with natural language processing to identify worklist bottlenecks, reveal user routing errors, and measure quality of follow-up activity against standards of work.

  • Analyzes free-text notes to benchmark actions against expected workflows
  • Surfaces routing errors and inconsistencies in user handling of accounts
  • Improves oversight and accountability across revenue cycle staff
Comment Classification

A/R Acceleration

Reduce your billed A/R and DNFB days by organizing backlogs, grouping similar issues, and surfacing high-risk accounts before they stall payment.

  • Identifies and clusters hard-to-find, high-impact accounts
  • Reduces aging by streamlining backlog review and sorting
  • Supports faster reimbursement without increasing staff workload
A/R Acceleration
Capabilities

Case Study

Quick Wins in Discharged Not Final Billed

4.0

DNFB day reduction in first 60 days

$21M

Cash acceleration in first 60 days

113+

Staff benefiting from improved workflow

Full Case Study
Case Study

See how physician-built AI can work for your team.