Detailed Solution Overview: Our Revenue Optimization solutions combine the power of business
intelligence, analytic technology with expert consulting services will expose trends, uncover hidden
problems and create indexed work lists, which result in much higher reimbursement, elimination of
select denials and adjustments while increasing productivity.
By analyzing the ANSI 835 file our technology will uncover and highlight trends that are impacting
denials disproportionately so that process improvements can be made; additionally, the 835 file is
processed daily to ensure the most current view of all denials and associated work efforts can be
We provide organizations a NO RISK method of increasing cash flow and profits while
ensuring this new revenue is sustainable going forward.
The RMG business intelligence platform offers custom dashboards to meet your requirements, as well as
ad hoc reports. The pre-built and ad hoc reporting feature reveals powerful analytics as well as
actionable information, based on denial trends, that when implemented, can result in significant
Most hospitals typically focus on denial codes on their RAs which may be as much as 5-7% of revenue.
Through our proprietary technology and processes, we are able to enhance the interpretation of these
files to include the adjustment codes and can typically add an additional 6-10% of recovery. We
interrogate the payers codes to the most comprehensive level available in the market.