Stage 1: Find The Money
Revenue Leakage Diagnostic
A precise, data-driven audit of your financial exceptions designed to uncover revenue your routine billing systems may be missing.
Who Needs This?
The Diagnostic is built for specialty healthcare organizations that suspect they are leaving earned revenue on the table. It is ideal for practices experiencing:
- ✓ Unexplained or rising aged accounts receivable
- ✓ Persistent or recurring high-value claim denials
- ✓ Suspicions of commercial underpayments
- ✓ Lack of clear executive visibility into revenue leakage
- ✓ Staff continually touching claims without resolution
Required Inputs
We begin with standard financial reports and establish the appropriate data-sharing process during engagement scoping:
- Detailed AR Aging ReportBy payer, financial class, and service location.
- Denial & 835 Remittance DataHistorical adjustment codes to identify trending rejections.
- Write-off & Adjustment ReportsTo analyze avoidable contractual adjustment patterns.
- Relevant Fee SchedulesFor variance analysis on suspected underpayments.
Work Performed
We don't just summarize your AR. We interrogate it. Our analysts comb through your data looking for behavioral trends and financial exceptions:
Reimbursement Variance
Comparing actual paid amounts against expected contracted rates to uncover systemic underpayments hidden in volume.
Denial Root-Cause Identification
Categorizing denials not just by code, but by operational source, such as authorization workflows, documentation gaps, and coding-related claim patterns.
AR Prioritization Strategy
Isolating the specific accounts with the highest probability of recovery before timely filing deadlines expire.
Deliverables
A comprehensive executive Revenue Leakage Report identifying total exposure, actionable recovery opportunities, and root-cause corrective actions.
Expected Timing
Timing is confirmed during scoping and depends on the size, format, and completeness of the agreed data set.
Next Steps
Upon delivery of the findings, organizations can utilize their own teams to address the leakage, or engage RevIQ for a focused Revenue Recovery Sprint.
How We Work With You
No EHR migration. No disruption.
We act as a secondary set of eyes. Your internal billing team or current vendor continues to handle daily submissions while we focus purely on the audit.
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