Reports

Breakdown of denied claims by payer, denial code, and CPT. Includes CARC/RARC analysis and recommended actions.

Win/loss rates by strategy, payer, and time period. Bayesian model accuracy vs. actual outcomes.

Total revenue recovered vs. at-risk. Tracks recovered amounts by claim type, payer, and billing period.

Z-score benchmarks and payment variance per payer. Identifies systematic under-reimbursement patterns.

Medicare Advantage RADV audit risk by HCC code and MA plan. Includes 5-level appeal readiness score.

Pre-billing clinical documentation improvement outcomes — DRG upgrades, CC/MCC capture rate, coder accuracy.