Revenue Cycle & Collections Optimizer
Analyze denial rates, A/R days, payer mix, and collection efficiency to maximize net patient revenue and cash acceleration.
Payer Breakdown
Collection Enhancement Levers
Quarterly Collections & A/R Trend
Methodology
Net Revenue = Gross Charges × (1 − Contractual Adjustment). Denial Cost = Net Revenue × Denial Rate; Recovered = Denial Cost × Appeal Success. Collected Revenue = Net − Denials + Recovered. Cash Collection Rate = Collected ÷ Gross Charges. A/R Balance = Collected Revenue × (A/R Days ÷ 365). Cost to Collect = Billing FTEs × $65K + Encounters × Cost/Claim. Peer benchmarks: denial rate 5–8%, A/R days 35–45, cash collection 94–97%.