Platform Preview Schedule Demo for Full Access

Executive Revenue Intelligence — A Guided Look.

Preview the Cash Forecast and Executive Intelligence headline rendered on a scrubbed sample data set. Revenue Leakage, Denial Drag, AR Risk Intelligence, and the full Intelligence Executive Brief are unlocked during your scheduled executive demo.

See Pricing

Zero-PHI Architecture·HIPAA-conscious

PHI-Free Architecture

Upload scrubbed operational data only. Do not upload patient names, DOBs, SSNs, MRNs, member IDs, phone numbers, or addresses. Our PHI detection runs in your browser before any data leaves your machine, and the backend re-validates every upload.

Browser-side detection CSV · XLSXAuto-reject on PHI patterns

01 · Executive Cash Forecast Snapshot

Predicted Cash Flow Over the Next 90 Days

Forecasts derived from operational revenue cycle performance indicators across uploaded operational data. Designed to provide executive visibility into future cash collections and revenue cycle risk.

Confidence 95% softening

Forecasted 30-Day Cash Collections

$2.38M

Forecasted cash collections

-5.4%

Forecasted 60-Day Cash Collections

$3.49M

Forecast adjusted for denial risk

Forecasted 90-Day Cash Collections

$4.01M

Forecast adjusted for revenue leakage

Revenue Risk Score

46/100

Moderate risk · softening

050100

90-Day Cash Forecast

Actual vs. Forecasted Cash Collections

Actual Projected

02 · CFO KPI Scorecard

Executive Revenue Cycle Performance at a Glance

Core revenue cycle KPIs benchmarked against HFMA and MGMA industry standards with month-over-month trend analysis.

Net Collection Rate

● Below Target

90.4% 1.40pp

of allowable collected · Target ≥ 95%

Days in A/R

● Watch

45.8 2.10

DSO equivalent · Target ≤ 40 Days

Clean Claim Rate

● Off Target

88.4% 0.80pp

first-pass resolution · Target ≥ 95%

Bad Debt %

● Watch

3.10% 0.30pp

of gross revenue · Target ≤ 2%

Cost to Collect

● On Target

3.90% 0.20pp

of net collections · Target ≤ 4%

03 · Intelligence Executive Summary

Board-ready operational intelligence brief

Executive Headline · Sample

90-day cash forecast softening to $4,008,751 is primarily a timing problem driven by slower collections (DSO creep) and aging concentration in Optum and UMR, not by census (no uplift assumed).

03 · Revenue Leakage Intelligence

Suspected reimbursement variance & collectible opportunity

Pattern-based detection of underpayment and reimbursement inconsistencies across professional billing, hospital, and behavioral health service lines.

18 anomalies

Estimated Collectible Opportunity

$612.0K

Reimbursement variance identified across uploaded operational data.

Top variance pattern: contractual underpayment

Outpatient procedural & IOP/PHP highest exposure

Insight

Optum reimbursement trends indicate delayed payment velocity. Variance >10% flagged on 18 claim cohorts.

Top Payors by Leakage Risk

Top Service Lines by Opportunity

Inpatient Surgical (Hospital)$184.0K

E&M Office Visits 99214 (Professional)$142.0K

Outpatient Imaging (Hospital)$96.0K

Intensive Outpatient Program (Behavioral Health)$88.0K

Partial Hospitalization (Behavioral Health)$62.0K

Cardiology Procedures (Professional)$40.0K

Available with Professional access

Revenue Leakage Intelligence

Top payors by leakage, service-line opportunity, anomaly indicators

Unlock with Demo

Available with Professional access

Denial Drag Summary

Single-number cash drag from denials, with cross-sell to our companion Denial Intelligence product

Unlock with Demo

06 · AR Risk Intelligence

Aging deterioration, collectability & payor risk

Payor aging heatmap with collectability scoring and reimbursement slowdown indicators.

Aging risk 48.2

Total AR Under Watch

$8.42M

0-30 days$3.12M · 37%

31-60 days$1.86M · 22%

61-90 days$1.29M · 15%

91-120 days$880.0K · 10%

120+ days$1.27M · 15%

Slowdown Signal

Projected collectable balance: $5.16M (61% of AR).

Payor Aging Heatmap

Brighter cells = larger dollar exposure in that aging bucket.

Low

High

Payor	0-30d	31-60d	61-90d	91-120d	120+d	Risk
Optum	$410.0K	$360.0K	$480.0K	$330.0K	$520.0K	68.4
UMR	$380.0K	$290.0K	$310.0K	$220.0K	$410.0K	63.1
Aetna BH	$520.0K	$380.0K	$220.0K	$160.0K	$180.0K	41.7
Cigna Behavioral	$460.0K	$310.0K	$140.0K	$110.0K	$90.0K	35.2
BCBS	$720.0K	$290.0K	$80.0K	$40.0K	$50.0K	22.3

Available with Professional access

AR Risk Intelligence

Payor aging heatmap, collectability scoring, slowdown alerts

Unlock with Demo

10 · Intelligence Executive Summary

Board-Ready Executive Brief

Authored in seconds, written like a VP Revenue Cycle prepared it.

Intelligence-generated · live

Executive Headline

90-day cash forecast softening to $4,008,751 is primarily a timing problem driven by slower collections (DSO creep) and aging concentration in Optum and UMR, not by census (no uplift assumed).

Cash is trending the wrong direction: collections have fallen 5.4% while the model confidence is high (95%), so the downside is more operational than statistical. The forecast assumes no census uplift and still shows a weaker near-term conversion of AR to cash; that makes execution in billing follow-up and payment posting the controlling variable over the next several weeks. The drivers are measurable. Days in AR expanded to 45.8, turning working capital into a multi-week delay on cash conversion. Net collection performance also slipped; the NCR haircut embedded in the forecast is 4.8%, which is effectively a built-in allowable giveback before any denial or leakage effects. Denials are a known drag of $781,242 over the horizon, and the leakage model adds further pressure through underpayments/variance. For the next 90 days, this means the board-level question is liquidity timing, not revenue potential: AR is ample, but too much of it sits in older buckets and in two payors with elevated aging risk. If we do nothing, the organization will continue to finance payors through extended float, with incremental cash arriving weeks later than planned and at a lower realized yield.

Key Findings

The next 30 days are set up for a cash dip: projected 30-day receipts of $2,380,716 are only ~59% of the 90-day horizon, implying a back-weighted cash curve that increases short-term liquidity pressure unless AR velocity improves this month.

Operational yield is eroding: realization is 87.6% against expectation, which is about $229,000 of missed cash per month at the current expected run-rate; if not corrected, that is roughly $0.7M of cash not arriving over a quarter.

AR is not the constraint; collectability and concentration are: $8.42M total AR with only $5.16M projected collectable implies ~$3.26M effectively stranded, and Optum plus UMR alone represent $3.71M of exposure where aging risk is highest and follow-up must be payor-specific.

Reimbursement variance is a real cash source: estimated leakage of $612,000 is concentrated in Optum ($168,000), UMR ($132,000), and BCBS ($118,000), with the biggest service-line opportunities in Inpatient Surgical ($184,000) and E&M 99214 ($142,000) that can convert to cash inside 30-60 days if corrected and reworked.

Future Cash Concerns

If days in AR continues to expand at the recent pace (+2.1 days month-over-month), expect an additional 1-2 weeks of cash delay on a meaningful portion of receipts, forcing reliance on reserves or lines even though AR is high.

If the clean claim rate keeps sliding (now 88.4%), first-pass payment will deteriorate and push more dollars into the 61+ day buckets; on the current AR base, even a 1-point drop risks tens of thousands of dollars shifting into slower cycles each month.

If leakage remains unaddressed, the $612,000 underpayment/variance estimate becomes permanent margin loss rather than timing; that is cash that will not show up later unless corrected and appealed/rebilled.

Reimbursement Observations

Optum is the largest dual problem: it is both the highest aging-risk payor (68.4) and the top leakage contributor ($168,000), so fixing Optum follow-up and underpayment recovery has the highest near-term cash yield and should show movement inside the next 4-6 weeks.

Behavioral Health services show identifiable underpayment patterns: BCBS has a 14.6% variance flagged on Intensive Outpatient Program, and the BH service opportunities (IOP $88,000; PHP $62,000) are small enough to fully work within 30 days, making them a fast-cycle recovery target.

Recommended Leadership Actions

Convene a payor-specific AR war room led by the Director of Patient Financial Services with Optum and UMR owners by Friday; deliver a 10-business-day plan that targets the 91+ balances first and produces a dated cash forecast delta for each payor owner.

Triage the aging backlog: the AR follow-up team lead must work the $2.15M sitting in 91-120 and 120+ buckets with a daily inventory and escalation path starting Monday; goal is to move at least $300,000 from 91+ to paid/committed status within 21 days.

Reconcile and recover underpayments: the Reimbursement Manager and Contracting must open and work the top 18 anomalies within 5 business days, starting with Optum Inpatient Surgical (16.4% variance) and UMR E&M 99214 (12.8% variance), and submit corrected claims/appeals no later than day 15 to pull in up to $612,000 over 30-60 days.

Accelerate front-end claim quality: the Revenue Cycle Ops Director must implement a pre-bill edit sprint focused on the defects driving the sub-90% clean claim rate, with daily defect counts and a target of restoring at least 1.5 points within 30 days to prevent additional cash from aging into 61+ day cycles.

Available with Professional access

Full Intelligence Executive Brief

Narrative, key findings, cash concerns, denial commentary, recommended actions

Unlock with Demo

See the full platform

Unlock the complete executive intelligence experience.

Schedule a live executive demo to see Revenue Forecast IQ on your own operational data with the full Intelligence brief, leakage analysis, and AR risk heatmaps.

Compare Plans