On-demand RCM support.
Capacity for the work you know. Clarity on the revenue you're missing.
RevIQ provides on-demand revenue-cycle support and revenue recovery for healthcare organizations and RCM companies that need help with backlogs, workqueues, denials and special projects.
Paid does not always mean paid correctly.
A healthcare organization can have a billing department, an outsourced billing vendor, advanced RCM software, automation, and experienced staff... and still lose substantial revenue.
Most billing operations are designed to process claims efficiently. RevIQ focuses on the financial exceptions traditional billing operations may leave unresolved.
Where Revenue Hides
- Claims paid below expected reimbursement
- Denials repeatedly touched but never resolved
- High-dollar accounts stuck in AR
- Avoidable write-offs accepted as normal
- Payer-specific payment patterns hiding in volume
- Recurring denial root causes never addressed
We work inside your existing systems
EHRs & Clearinghouses We Manage
RevIQ works within the platforms already in place. System access and support scope are confirmed for each engagement.
EHR & Practice Management Platforms
- Epic
- athenahealth
- eClinicalWorks
- ORACLE Health
- NextGen Healthcare
Clearinghouses & Billing Portals
- availity
- WAYSTAR
- Change Healthcare
- Office Ally
- State Medicaid Portals
Our Solutions
We provide capacity for known problems, and analysis for unknown ones.
Offer 1
RCM Project Support
For organizations that already know the work that needs to be done. We handle AR backlogs, coding volume, and special projects with scoped, FTE-equivalent capacity.
Offer 2
Revenue Recovery Review
For organizations experiencing poor financial performance but lacking clear visibility into the root causes. We diagnose the problems and design the recovery project.
See What a Recovery Review Uncovers
We translate raw billing data into executive financial intelligence. Here is an illustrative look at what a RevIQ Review uncovers.
Revenue Recovery Review
Executive Findings
Total Revenue Analyzed
$4.2M
Financial Exceptions Identified
$486K
Potentially Recoverable
$214K
High-Priority AR
$169K
Suspected Underpayments
$121K
Avoidable Denial Exposure
$96K
Payer Variance
Commercial Payer A — reimbursement averaging 11.8% below modeled expectation.
Denial Concentration
Modifier/authorization issues account for 38% of high-value unresolved claims.
AR Opportunity
$72,400 in 91–180-day claims prioritized for immediate recovery action.
Illustrative example. Results vary by organization.
Built for complex specialty revenue cycles
High-complexity specialties require more than generic claim follow-up. We organize, analyze, and recover revenue across 10 distinct clinical domains.
Pain Management
Revenue recovery and denial management for pain management practices. We organize complex AR, analyze underpayments, and support specialized claim resolution.
Orthopedics & Spine
Revenue recovery for orthopedics and spine practices. We analyze high-dollar surgical claims, global period denials, and complex AR to manage revenue leakage.
Neurology & Neurosurgery
Revenue recovery for neurology and neurosurgery. We analyze complex E&M downcoding, organize prolonged surgical AR, and support diagnostic claim resolution.
Cardiology
Revenue recovery for cardiology practices. We organize complex vascular billing disputes, analyze imaging denials, and manage interventional AR leakage.
Gastroenterology
Revenue recovery for gastroenterology practices. We organize complex endoscopy billing disputes, analyze screening conversions, and manage biologic AR.
General Surgery
Revenue recovery for general surgery practices. We analyze global period disputes, organize unbundling denials, and manage multi-system trauma AR.
Anesthesia
Revenue recovery for anesthesia groups. We analyze time-unit errors, organize concurrency modifier disputes, and manage invasive monitoring denials.
Endocrinology
Revenue recovery for endocrinology practices. We analyze complex E&M downcoding, organize CGM and diagnostic disputes, and manage chronic care AR.
Urgent Care
Revenue recovery for urgent care centers. We analyze high-volume low-dollar AR, organize S-code disputes, and manage ancillary service denials.
Outpatient & Multispecialty
Revenue recovery for multispecialty practices and outpatient centers. We organize complex cross-departmental billing disputes and manage fragmented AR.
Who We Help
We provide tailored solutions for different segments of the healthcare ecosystem.
Medical Groups
Your billing operation may be working. That doesn't mean you're collecting everything you earned.
Learn MoreHealthcare Organizations
Experienced RCM capacity when your internal team needs help. Scalable solutions for MSOs, ASCs, and imaging centers.
Learn MoreRCM Companies
Backlogs shouldn't cost you clients. Practical capacity to handle coding overflow, AR projects, and denial queues.
Learn MoreWe are not replacing your billing operation.
We are auditing what it leaves behind.
Most billing companies are paid to process claims. RevIQ is focused on finding financial leakage, difficult exceptions, payer problems, and unresolved revenue.
Works alongside existing systems
No EHR conversion required. We analyze data from your current platform.
Financially focused
Prioritize claims and workflows based on actual revenue impact, not just volume.
Root-cause driven
Do not only work the claim. Identify why the problem continues occurring.
Executive visibility
Translate RCM problems into understandable financial intelligence for leadership.
RevIQ may be a good fit if…
- ✓ Your practice already has a billing team or billing vendor.
- ✓ You have significant aged AR.
- ✓ Denials continue increasing.
- ✓ You suspect claims are being underpaid.
- ✓ Leadership lacks visibility into why revenue is leaking.
- ✓ High-dollar claims remain unresolved.
- ✓ Staff are repeatedly touching the same accounts.
- ✓ You have unexplained contractual adjustments or write-offs.
RevIQ may NOT be the right fit if…
- ✕ You are looking only for inexpensive claim submission.
- ✕ You need a complete EHR replacement.
- ✕ You are looking for basic front-desk outsourcing.
- ✕ Your organization has extremely low claim volume.