Most organizations buy the revenue cycle in pieces — a clearinghouse here, a coding vendor there, denials nobody owns. RevenueIQ runs it as one motion: coverage and authorization before the visit, clean claims after it, every denial worked to a decision, payments reconciled to your contracts. Run it with your own team, or hand the operation to ours.
Inside RevenueIQ
Every capability below exists because a practice asked for it. Nothing here is a roadmap item.
Coverage cleared ahead
Real-time checks at the desk and the whole schedule verified overnight on standard 270/271 transactions. Terminated plans, wrong payer, and coordination-of-benefits conflicts are flagged with the correction needed.
Patient responsibility upfront
Copay, deductible remaining, and coinsurance estimated before the patient arrives, so the conversation happens at the desk and not in a statement.
Authorization to a decision
Requests submitted and pursued until the plan answers, with payer turnaround tracked so nothing sits waiting on a fax machine.
Clean claims
Scrubbed, payer-specific claims submitted daily. Rejections are corrected the same day, not the following week.
Every denial worked
Each denial is worked with the appeal drafted and recovered dollars tracked by reason code, so the same denial stops happening twice.
Posting and one monthly review
Remittances reconciled line by line against your contracted rates. A named analyst delivers a monthly review with peer benchmarks and recommendations sized in dollars — no dashboard to babysit.
Your organization, in one monthly review
Collections, denial rate, days in A/R, and no-show rate placed against de-identified peers in your specialty and region, with each recommendation priced. Figures shown here are an illustrative example.
| Patient | Payer / plan | Status | Patient owes | Action |
|---|---|---|---|---|
| M. Torres | UHC Choice Plus | Active | $40 copay | Collect at check-in |
| R. Chen | BCBS PPO | Deductible | $310 remaining | Discuss before visit |
| A. Gomez | Medicaid MCO | Terminated | — | New plan on file needed |
| D. Kapoor | Aetna · imaging | Auth open | — | Day four with the plan |
| P. Shah | Medicare + secondary | COB check | $0 est. | Confirm order of benefits |
| Metric | You | Peer median | Rank |
|---|---|---|---|
| Collections / visit | $142 | $118 | P82 |
| Denial rate | 3.6% | 5.1% | P74 |
| Days in A/R | 31.4 | 41.2 | P91 |
| No-show rate | 8.9% | 6.2% | P43 |
Illustrative example · not real patient data
From the schedule to the signed record
Assessment
We review your payer mix, fee schedules, denial history, and A/R before touching a claim.
Transition
Everything runs inside the systems you already use. No rip-and-replace, no migration project.
Operate
The full cycle runs daily: coverage, authorization, coding, claims, denials, posting.
Review and improve
Your analyst brings a monthly review with benchmarks and a prioritized list of fixes.
Facts, not promises.
These are properties of how RevenueIQ is built — not projected savings. Results in your practice depend on your payers, your panel, and your documentation.
Coverage, authorization, coding, claims, denials, and posting under one roof
A person who knows your organization, not a ticket queue
A signed monthly review with figures traceable to the claims behind them
Organizations that run on RevenueIQ
A good fit when…
- Organizations whose billing depends on one irreplaceable person
- Groups with rising denials and aging A/R nobody can explain
- Leaders who want the revenue cycle off their desk entirely
See RevenueIQ on your own workflow.
Tell us what your organization is fighting — open care gaps, documentation, denials, coverage — and we will walk you through the part of the platform that closes it.