Capability / Authorization Intelligence
Authorization intelligence that catches problems before services become unbillable.
When an authorization expires, runs out of units, or never matched the service in the first place, care that was delivered can become revenue that cannot be collected. RevIQ helps providers see authorization risk early, manage authorization-related denials, and understand how approvals are being used.
- 01Map active authorizations
- 02Monitor utilization and expiration
- 03Escalate before the gap
- 04Work authorization denials
The problem
Authorization loss happens quietly
Authorization problems rarely announce themselves. Units are used faster than expected, a reauthorization request is submitted late, or a service is scheduled under a code that was never approved.
By the time the denial arrives, the service has already been delivered. Prevention requires visibility before the claim is ever created.
Signals you may need this
- Staff discover expired authorizations only after denials post
- Nobody can easily answer how many units remain for a patient
- Reauthorization requests regularly go in late
- Authorization denials are mixed in with every other denial type
- Different payers require different portals and nobody owns the full picture
Method
How RevIQ does the work
- 01
Map active authorizations
Build a clear view of approved services, units, and date spans by payer.
- 02
Monitor utilization and expiration
Compare scheduled and delivered services against what remains approved.
- 03
Escalate before the gap
Flag reauthorizations and approaching limits while there is still time to act.
- 04
Work authorization denials
Resolve authorization-related denials and feed the cause back into scheduling.
What you receive
Outputs your team can act on
Authorization visibility
What is approved, used, and expiring.
Risk alerts
Patients and services approaching authorization limits.
Authorization denial analysis
Which payers and services generate authorization denials.
Workflow recommendations
Scheduling and intake checks that reduce repeat loss.
By specialty
Authorization Intelligence across the providers we serve
RevIQ works with the scheduling, EHR, and authorization tools you already use. The goal is visibility and prevention, not another system to log into.
What we will not claim
- RevIQ does not make clinical determinations or guarantee payer approval.
- Authorization requirements change; RevIQ tracks them from payer documentation.
Other capabilities
- Complex DenialsInvestigate why claims aren't paying, identify recurring denial patterns, prioritize recoverable revenue, and determine the right resolution strategy.
- Payer IntelligenceUnderstand and operationalize changing payer billing requirements instead of leaving staff to search manuals and portals.
- Revenue RecoveryIdentify denied, unpaid, underpaid, and aged claims that are still recoverable and work them with payer-specific knowledge.
Revenue Audit
See which authorizations are about to cost you revenue.
A RevIQ revenue audit looks at denied, unpaid, underpaid, and authorization-related claims, identifies what is still recoverable, and shows where the pattern starts. Prefer to talk first? Schedule a call.