Unlock The Power Of Healthcare Claims Data Analytics

Get actionable intelligence into revenue cycle performance with our advanced predictive revenue insights analytics platform.

Schedule A Demo

Assess Financial Performance In Minutes

With the rise in A/R and denials combined with the constantly changing payer reimbursement requirements, it can be nearly impossible for healthcare finance executives to forecast reimbursement and champion an action plan for revenue cycle workflow improvements at their organization.

Save yourself from crunching numbers in spreadsheets and making sense of half-baked reports. Instead, utilize your valuable time championing the changes your revenue cycle workflow needs.

AI-Powered Revenue Insights

Transform your healthcare organization’s financial performance with our cloud-based, AI-powered solution. Our revenue insights solution centralizes revenue cycle data from your systems and performs a deep analysis of your data to identify reimbursement bottlenecks and revenue opportunities. With the right insights delivered to you on time, you can base your decisions on data and facts rather than guesswork.

AI & ML driven platform and analytics engine

Reduce time and effort spent analyzing data by 90%

Pre-built, customizable dashboards

Drill down multiple levels of data to find answers

Leverage System Integrations

360° view of your Revenue Cycle Performance

Benchmark your progress with comprehensive KPI monitoring, financial trending, collection and liquidation performance, A/R aging metrics and write-offs.

Discover collection opportunities from
your A/R

AI/ML-powered insights to tap the recovery potential of your A/R. Understand recoverability by payers, procedures, facilities, denials, aging buckets, and more.

Actionable insights to plug revenue leakage

Take a deep dive into reimbursement dynamics with shortfall detection and payment variance analysis. Put a stop to factors contributing to lost revenue.

Proactively detect and prevent denials from repeating

Track down denials with immediate detection of hotspots, anomalies, and rejection patterns. Perform cause analysis and prevent denials.

Learn how a Texas cardiology reverses massive collection shortfall and increases collections by over $59k monthly with revenue insights.

Learn More

A/R & DENIALS INTELLIGENCE

Plan work for maximum recovery

Our solution automatically examines claims and remit data and performs proprietary calculations based on Infinx’s extensive patient access and RCM knowledge and process database.

The results in our interactive dashboards assist revenue cycle teams determine which claims or denials to work on first by providing helpful insights like:

  • Payer balance vs. patient balance
  • How much of payer A/R was denied
  • Aging bucket segmentation with HFMA benchmarks
  • Segmentation by payers, denials, denial codes and procedures
  • Remittance denial rates
  • Denials by date further segmented by adjustment reason denial code, procedures, facilities and insurance carriers

Armed with this intelligence, revenue cycle teams can prioritize and route claims to appropriate team members with the right expertise to work the claim or denial.

Schedule A Demo

PAYMENTS TRANSPARENCY

Transform data to reimbursements

Get visibility into payer collections and take advantage of transformed data to tackle payment shortfalls, prevent revenue leakage, and locate new revenue opportunities. Our interactive dashboards display critical collection data like:

  • Collected amounts vs. contractual amounts by CPT/procedures
  • Collection performance by payer
  • Collection performance by facility

Revenue cycle managers can then implement quality and operational improvements to coding and billing workflows to increase reimbursements and prevent write-offs in affected areas.

Schedule A Demo

BILLING PLATFORM AGNOSTIC

Quick onboarding = quick results

Our solution is platform-agnostic, meaning it can pull from any billing system/EHR/EMR without complicated integrations. As a cloud-based solution with a monthly subscription, revenue cycle teams can quickly bring this tool into their reporting workflow.

Our team of specialists who have been helping clients with patient access and RCM activities for years are available to work alongside you to get the data you need to achieve the results you are looking for.

Schedule A Demo

INSTANT REVENUE CYCLE KPIS

Easy-To-Create Reports For C-Suite

Most senior executives rely on spreadsheets, legacy management tools, out-of-the-box BI tools and basic template reports to report on past revenue cycle performance for their monthly presentations.

They hit obstacles when trying to present a true picture of the clinical and financial data to report on the organization’s health, discover reimbursement trends and uncover operational insights to improve revenue cycle performance.

We prepare detailed financial packages that report retroactive platform-agnostic revenue cycle KPIs compared to HFMA industry benchmarks and a proactive strategic RCM optimization plan to make an impact for your next stakeholder’s meeting.

Our clients tell us these packages take days to build, and our reports bring immediate value. They now have time to focus on what they were hired to do.

Schedule A Demo

Leverage EHR and PMS Integrations

Our cloud-based AI/ML-powered A/R and Denial Management solution is a seamless extension of your billing system.

The Depth Of Our Experience

$11B+

Claims analyzed Annually

5M+

Remittances evaluated Monthly

$9M+

Denials scrutinized Daily

What Your Peers Say About Our A/R
and Denial Management Solution

“Post pandemic onset, I had to rush to my drawing boards to revaluate risks, discover revenue opportunities and find avenues to cut costs. With Revenue Insights, I get my answers out of the box.”
CFO, Online healthcare provider

“Revenue Insights helps in benchmarking performance, identifying revenue risks ahead of time and brings predictability to our financial outcomes.”
CFO, Cardiology group practice

“I feel right in the cockpit of my revenue cycle operations. I now have the all dials and levers I need to monitor and course-correct my revenue cycle operations to improve reimbursements.”
SVP, National Diagnostic Radiology Leader

Tune Into Our Podcast For The Latest Revenue
Cycle News And Best Practices

Every week, we talk to thought leaders in the healthcare space to get their best tips on optimizing revenue cycle workflows. If you are looking for an episode on a particular subject matter, feel free to reach out to us.

Leveraging Technology To Improve Revenue Cycle Efficiency

Listen Now

How Advanced Analytics Can Increase Payer Reimbursement

Listen Now

How Robotic Process Automation (RPA) Reduces Repetive Task

Listen Now

You Asked, We Answered

Curious if our revenue insights solution will meet your needs? Here are the most common questions your peers ask when evaluating our eligibility and benefits solution.

Our eligibility and benefits solution verifies if the patient has active insurance coverage. After verifying eligibility, we check to confirm the specific service is covered and give you the benefits at the plan level, including deductibles, stop loss, copays, and co-insurance.

We integrate with most EMR, EHR, and PMS’s through APIs or HL7. Schedule a demo here to learn if we integrate with the specific system your organization uses.

We currently support the following specialties – radiology, orthopedics, laboratory and pathology, cardiology, PT/OT, pain management, and oncology. We are also running pilots on niche specialties so please reach out to us here if you would like to learn more.

We connect to over 800 national and regional payers.

The list of services for which you’ll receive benefits information is listed below:

  • Medical Care
  • Surgical
  • Consultation
  • Diagnostic X-ray
  • Diagnostic Lab
  • MRI/CAT Scan
  • Pathology
  • Emergency Services
  • Urgent Care

Our solution helps you discover any other insurance a patient has and avoid unnecessary bills.

When you are logged in, click on a case and open the summary view. You will see a tab next to “Active Procedure” called “Insurance Discovery”. This tab will show you the new-found coverage along with all the available eligibility and benefits details. If you are integrating our solution with your EMR, the information is added to the patient’s chart.

We need the patient’s name, date of birth, date of service, payer name, patient subscriber ID, and the provider’s NPI to find coverage.

You can also add service type to obtain service level benefits.

Our solution gives you the ability to input your fee schedule to ensure accurate cost estimates via .xls or .csv files. We can also accommodate multiple facilities with different fee structures.

Learn How You To Achieve Similar Outcomes

2–5%

Improvement in net patient revenue

20%

Higher A/R & denials recovery

15%

Reduction in cost to collect

30%

Reduction in aging A/R

Are you ready to transform your revenue cycle? Schedule a demo to learn more.

Learn More