Implementation Portfolio
What we build, and the proof behind it.
Five implementation areas, one operating platform, and public engineering you can inspect. Every demonstration runs on licensed synthetic data — no real patient information, ever.
Compliance-Aware RCM Operations
Collections and statements run inside the guardrails: FCA-safe payment-plan tiers, a nine-step documented collections ladder honoring the FDCPA/FCBA/ECOA/TILA family of federal acts, and a patient-dismissal workflow with anti-abandonment safeguards.
Provider and Payer Revenue Analytics
Industry-standard KPIs computed with the published formulas — Days in A/R, clean claim rate, net collection rate with 3/6/9/12-month rolling windows, dollar-weighted A/R over 90 days, denial rate, point-of-service collection rate, payer processing days — and fixture-tested. Definitions and benchmarks.
Claims-To-Payment Operations
837P claim build, scrub, clearinghouse submission, 999/277CA acknowledgment tracking, and 835 remittance posting — the full loop, demonstrated end to end on synthetic claims through a real clearinghouse test lane.
Revenue Risk Analytics
Denial root-cause chains (the edit that predicted it, the rejection, the denial, the cause), aging exposure, and payer behavior surfaced as prioritized work — not as a report nobody opens.
Secure Data Infrastructure
Tenant isolation, role-based access control, append-only audit trails, and HIPAA administrative, physical, and technical safeguards. Cloud optional — the platform runs on your hardware. Security statement.
Open repositories
Claims-pipeline and synthetic-data engineering, in the open: github.com/RevCycleMGMT/revcyclemgmt-claims-pipeline. Synthetic patient data comes from our own PatientDatasets.com.
See it live
Two minutes inside the platform.
A guided tour on synthetic data, then the live demo portal on your own agenda. Straight answers, zero patient data.