RevDNA™
Our proprietary Diagnostic Needs Assessment for the revenue cycle. A paid engagement, and the basis for everything that follows.
It establishes where revenue is leaking, quantifies what recovering it is worth, and hands you an Economic Case you can take to your board — whether or not you ever engage us again.
The Snapshot tells you where to look. RevDNA tells you what it is worth.
Most revenue cycle leaders can name the symptoms: denials that keep coming back, balances that age past the point anyone works them, contracts that pay less than they say, statements patients do not understand. What they rarely have is one number across all of it — what the leakage costs, what recovering it is worth, and which fix pays for the next one.
RevDNA produces that number from your remittance data, your payer contracts and your workflow, not from an industry average. It is paid because it is the product: a proprietary diagnostic whose output is yours to keep, and to act on with anyone you choose. The ecosystem that follows is a separate decision with a separate price, and the diagnostic exists so that you can make that decision well.
Every seam in the cycle, from first claim to final dollar.
Front-end accuracy
Eligibility, authorization and registration: the claims that fail before anyone works them.
Denials and appeals
Initial and final denial rates by cause and by payer, and the gap between the two.
Underpayments and contract variance
Expected against actual reimbursement, by payer and by contract term.
Legacy and aged balances
What a system conversion stranded, and what is timing out unworked.
Coding, documentation and revenue integrity
Charge capture, clinical documentation and credentialing — getting paid what the contract actually says.
Cost to collect and the patient experience
What each dollar costs to bring in, and why the statement goes unpaid.
Who this is built for
Which one you are changes the economics, not the architecture.
Healthcare Providers
Hospitals, health systems, physician and specialty groups. Both ecosystems apply, and the diagnostic usually finds more on the revenue side first.
Read moreFQHCs & Community Health
PPS/APM and wrap-around reconciliation, encounter integrity, Medicaid managed care, and grant reporting.
Read morePayviders & Risk-Bearing Providers
You bill the claim, and you carry the risk for it. Both diagnostics run together rather than in sequence.
Read moreTwo stages of the Nero Method, on your numbers.
Dissect. We take the operation apart: a data pull and a line-by-line review of how a claim moves from scheduling to zero balance — not how the org chart says it moves. What you provide: remittance and claims data, your payer contracts, and access to the reporting you already have. What you get: a factual map of the current state, seam by seam.
Discover. We surface the gaps and size them — against your contracts and your payer mix, not an industry average. What you get: the five deliverables below.
Who takes part. The revenue cycle leader, finance, and whoever owns the data. Your billing staff and your billing system stay in place.
We don’t begin by replacing what already works.
Not your broker of record. Not your EHR or your practice management system. Not your billing staff. Not your TPA, your payroll platform, or the benefits administration system you spent two years implementing.
Sometimes the diagnostic finds that one of those is the problem. When it does, we say so, and we show the math. But we don’t start there, because starting there is how advisory relationships turn into procurement fights — and because most of the money we find is not in the systems you’ve already scrutinized. It’s in the space between them, which nobody owns.
Five deliverables. The Economic Case is the one you will use most.
- Opportunity MapWhere the money is, ranked.
- Priority ActionsWhat to do first, and why that one.
- Solution ArchitectureWhich capabilities close which gaps.
- Economic CaseWhat it's worth, with the assumptions written down where you can argue with them.
- Implementation RoadmapSequence, dependencies, and who does what.
The Economic Case is the baseline. Every result that follows is measured against it, on Trust the Data, so that what the ecosystem produces can be audited rather than asserted. It is written for a board, in your numbers, and it is yours whatever you decide next.
Validated opportunities become selected RevECO capabilities.
The Solution Architecture names which leaks are worth closing and which capabilities close them. RevECO supplies those capabilities à la carte, from vetted partners, built into the systems you already run — never the full stack by default. Each of the areas above maps to a RevECO outcome lever:
Get Paid Right the First Time
Scheduling and pre-arrival check-in · eligibility and prior auth · cost estimation · registration integrity
Get Paid Right the First TimeScale Without Headcount
Agentic AI · payer follow-up · autonomous A/R and appeals · payment posting
Scale Without HeadcountPrevent Revenue Loss
Denial recovery · extended business office · legacy A/R · self-pay · write-off defense
Prevent Revenue LossRecover Missed Revenue
Underpayment recovery · contract variance · third-party liability
Recover Missed RevenueProtect Revenue Integrity
Charge capture · clinical documentation · coding compliance · credentialing · payer contracting
Protect Revenue IntegrityImprove the Payment Experience
Patient financial engagement · propensity-to-pay · omni-channel payments
Improve the Payment ExperienceWhen you own the premium and the claim, a revenue decision is a workforce decision.
An organization that delivers care and bears risk runs BenDNA as well, with provider and plan stakeholders both at the table. There is no third combined diagnostic. BenDNA · How a Payvider engagement works
- H.E.R.O. Revenue Cycle Snapshotno costShows where your revenue cycle is most exposed.
- RevDNApaidOur proprietary Diagnostic Needs Assessment. Surfaces the specific gaps in your operations and produces the Economic Case our ecosystems are built against.
- RevECOpaidThe selected capabilities, delivered and measured as a scoped engagement — with terms set for each component.
Start small, or start here.
If you would rather begin with something small, the H.E.R.O. Revenue Cycle Snapshot takes about fifteen minutes and costs nothing. It shows where your revenue cycle is most exposed, and it means our first conversation starts from something real.
If you already know you need the diagnostic, skip it. Tell us about your organization and we will scope RevDNA directly.