Know your leak in ten business days — at no cost.
The Revenue Leak Assessment is a structured Revenue Cycle Assessment that reconciles what you were paid against what your contracts owe. You leave with a dollar figure, a ranked recovery list, and a clear read on what’s fixable. It’s tuned to how orthopedic and behavioral health practices actually lose money — not a generic billing sweep.
A board memo, not a data dump
The number
Total quantified leakage across the review window, broken down by payer, service line, and code — in dollars, not percentages.
The shortlist
Findings ranked by dollar value and recoverability, so the first claims your team touches are the ones worth the effort.
The read
A plain-language assessment of what’s driving the leak and whether it’s a recovery problem, a process problem, or both.
Four steps from data to decision
01 · Day 0, 30 minutes — Scoping call. We confirm your specialties, payer mix, and the review window. You send a standard remittance export and your fee schedules — no system access needed.
02 · Days 1–6 — Payment variance analysis. Our analysts reconcile every paid line against its contracted rate — running orthopedic checks (implant carve-outs, modifier logic, surgical bundling) and behavioral health checks (time-based downcoding, parity underpayments) on claims that already cleared.
03 · Days 7–9 — Findings assembled. We quantify the leak, rank it by recoverability, and translate the technical detail into a summary your physician-owners can read in one sitting.
04 · Day 10 — Executive readout. We walk your leadership through the figure, the sources, and the options — recover it in-house, hand it to us, or fix it upstream. You decide.
What we look for, by specialty
Orthopedics and behavioral health lose revenue in opposite places. The diagnostic runs a checklist built for each — not a generic sweep.
Orthopedics
Behavioral Health
What practices ask before they start
How much does the Revenue Leak Assessment cost?
Nothing. The diagnostic is complimentary and obligation-free. You receive a quantified leakage figure and a prioritized recovery list before deciding whether to engage us further.
What data do you need to run it?
A standard remittance and charge export from your practice management system, plus your payer fee schedules. We do not require direct access to your systems to begin the analysis.
Will this disrupt our billing team?
No. The assessment runs alongside your operations. Your team keeps working denials and posting payments while we analyze the variance in parallel.
Is the diagnostic tailored to orthopedics and behavioral health?
Yes. We run specialty-specific checks — implant carve-outs, modifier logic, and surgical bundling for orthopedics; time-based downcoding and mental-health parity for behavioral health — because the two specialties leak revenue in completely different places.
How is our patient data protected?
Work is performed under a business associate agreement with HIPAA-aligned handling. The analysis centers on financial and claim variance data, and access is limited to the analysts on your engagement.
What if the assessment finds very little?
Then you get documented confirmation that your revenue cycle is tight — a useful result for any board. You owe nothing either way, and you’ll know exactly where you stand.
Ten days from now, you could have the number.
Send us a short note about your practice and we’ll set up the scoping call. No cost, no obligation, no system access to get started.