AI Enabled RCM Services for ATHENAHEALTH PRACTICES

Find the revenue your practice is losing.
‍Let us do the work
to recover it.

Find the revenue your practice is losing. Let us do the work to recover it.

We run prior auth, medical coding, claims, and denials resolution across every specialty you bill, and own the outcome, not just the recommendation.
REQUEST A DIAGNOSTIC
REQUEST A DIAGNOSTIC
DOWNLOAD A SAMPLE REPORT
DOWNLOAD A SAMPLE REPORT
20–200+
PROVIDER GROUPS
12+
SPECIALTIES SUPPORTED
25+
STATES CREDENTIALED
Where denials actually hurt

A cardiology denial and an oncology 
denial are not the same fight.

Pick a specialty to see the fight where revenue leakage typically occurs.
Cardiology
Orthopedics
Oncology
Nephrology
Primary care & IPAs
Multi-specialty & MSOs
Cardiology
Five-figure drug denials worked with the clinical evidence already built.
TYPICAL DENIAL RATE
13%
Benchmark 9%
$2.1M
in high-dollar device claims kept moving
Orthopedics
High-dollar surgical claims that clear on the first pass, not the third.
TYPICAL DENIAL RATE
14%
Benchmark 9%
1st
pass clearance, not the third
Oncology
Five-figure drug denials worked with the clinical evidence already built.
TYPICAL DENIAL RATE
15%
Benchmark 9%
5-figure
drug denials worked with evidence
Nephrology
Recurring dialysis billing with coordination of benefits kept clean.
TYPICAL DENIAL RATE
16%
Benchmark 9%
COB
kept clean on recurring dialysis
Primary care & IPAs
High claim volume absorbed, so a lean team covers far more providers.
TYPICAL DENIAL RATE
11%
Benchmark 9%
High
volume absorbed by a lean team
Multi-specialty & MSOs
One standard of revenue cycle performance across every site and specialty.
TYPICAL DENIAL RATE
13%
Benchmark 9%
1
standard across every site and specialty
Cardiology
Cardiology
Five-figure drug denials worked with the clinical evidence already built.
TYPICAL DENIAL RATE
13%
Benchmark 9%
$2.1M
in high-dollar device claims kept moving
Orthopedics
Orthopedics
High-dollar surgical claims that clear on the first pass, not the third.
TYPICAL DENIAL RATE
14%
Benchmark 9%
1st
pass clearance, not the third
Oncology
Oncology
Five-figure drug denials worked with the clinical evidence already built.
TYPICAL DENIAL RATE
15%
Benchmark 9%
5-figure
drug denials worked with evidence
Nephrology
Nephrology
Recurring dialysis billing with coordination of benefits kept clean.
TYPICAL DENIAL RATE
16%
Benchmark 9%
COB
kept clean on recurring dialysis
Primary care & IPAs
Primary care & IPAs
High claim volume absorbed, so a lean team covers far more providers.
TYPICAL DENIAL RATE
11%
Benchmark 9%
High
volume absorbed by a lean team
Multi-specialty & MSOs
Multi-specialty & MSOs
One standard of revenue cycle performance across every site and specialty.
TYPICAL DENIAL RATE
13%
Benchmark 9%
1
standard across every site and specialty

A proprietary model to benchmark against what the practice should collect

90%
of revenue is collected in the first 60 days.
01
Collection Rate
Velocity of cash in the first 60 days, measured against the fully adjudicated GCR baseline.
02
Claims Resolution Rate
Resolution of workable AR in the same 60-day window relative to total charges.
03
The 60-Day Window
The critical first billing cycle where operational decisions have the highest impact on yield.
Opportunity calculator

The gap between your numbers and the benchmark has a dollar value.

Set the sliders to your group. We will show the recovery hiding in your denial rate, your A/R days, and your first-pass rate, benchmarked against MGMA and HFMA. No form to fill in.
Adjust the sliders to match your group. We've pre-filled typical values for your specialty.
Specialty mix
Providers in the group
30
Annual billed charges
$33.0M
Current denial rate
13%
Current days in A/R
55
ESTIMATED ANNUALIZED RECOVERY
$619K
/ yr
Likely range $526K – $773K per year
Denial rate reduction
$396K
Yield & first-pass capture
$223K
ONE-TIME CASH RELEASED FROM A/R
$814K
as days in A/R move toward 35
Download sample report
Download sample report
Get your own diagnostic
Get your own diagnostic
Estimates are illustrative and based on MGMA DataDive and HFMA MAP Keys benchmarks applied to the inputs above.
They do not account for every circumstance and are not a guarantee of results. Your diagnostic uses your actual claim, remit, and denial data.
Your diagnostic readout

This is the report we build for your group, and walk you through together.

We run your claim, remit, and denial data through the same analysis, then sit down and take you through every finding, each scored against industry benchmarks and proprietary model, each tied to a specific recovery action.
Overview
AR operations
Denials
Overview
AR operations
Denials
Your diagnostic
Your data. Your report. No cost.
We run the same diagnostic on your actual claim data, find the root causes, and hand you the recovery roadmap. Walk away with the report whether or not you work with us.
Request your diagnostic
Request your diagnostic
Download a sample report
Download a sample report
01
Intro call
Walk through your current revenue cycle priorities. No commitment.
02
Diagnostic
Read-only access to your claim and remit data. We build your benchmark report against industry standards.
03
Review & decide
We walk through the findings together. Move forward if it fits. You keep the report regardless.