Analytics & Reports

Revenue cycle analytics, coding patterns, and optimization opportunities.

Monthly Encounters

$38,200

Monthly Revenue

$434

Avg $/Encounter

4.2%

Denial Rate

68%

Appeal Win Rate

94.3%

Compliance Avg

Revenue Trend

Last 6 months

$42.8k

Sep98 enc

$48.2k

Oct112 enc

$51.4k

Nov119 enc

$44.1k

Dec95 enc

$55.8k

Jan128 enc

$38.2k

Feb88 enc

Denial Rate Trend

Denial rate decreased from 9.2% to 4.2% since adopting MedveriCodex

-54% reduction

9.2%

Sep

7.8%

Oct

6.5%

Nov

5.9%

Dec

4.7%

Jan

4.2%

Feb

E/M Code Distribution

This month

14 encounters may support higher E/M level — $4,200 potential recovery.

99211 — Minimal4 (4.5%)

99212 — Straightforward8 (9.1%)

99213 — Low26 (29.5%)

99214 — Moderate34 (38.6%)

99215 — High12 (13.6%)

99205 — New, High4 (4.5%)

Payer Denial Comparison

Last 90 days

Denial rate and average days to payment by insurer.

Medicare Part B

4.8% denial rate

42 claims2 deniedAvg 18d to pay

Blue Cross Blue Shield

7.1% denial rate

28 claims2 deniedAvg 24d to pay

Aetna

9.1% denial rate

22 claims2 deniedAvg 31d to pay

UnitedHealthcare

11.1% denial rate

18 claims2 deniedAvg 28d to pay

Revenue Optimization

Monthly report

E/M undercoding analysis, modifier optimization, and add-on recovery.

Undercoding Opportunities

Encounters that may support higher E/M levels

encounters

Potential Revenue Recovery

Estimated value of undercoding corrections

$4,200

estimated

HCC Gap Analysis

Monthly report

Medicare Advantage risk adjustment gaps and RAF weight recapture.

Open Gaps

0.897

Potential RAF

Karen Taylor — HCC 40

Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

Open

Thomas Brown — HCC 72

Polyneuropathy

Open

Dorothy Wilson — HCC 59

Major Depressive, Bipolar, and Paranoid Disorders

Queried

Robert Johnson — HCC 40

Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

Recaptured

Top Denial Reasons

Monthly report

Root cause analysis of denied claims by category.

Bundling (CO-97)2 (25%)

Modifier Missing (CO-4)2 (25%)

Medical Necessity (CO-50)2 (25%)

Coding Error (CO-11)1 (12.5%)

Timely Filing (CO-29)1 (12.5%)

Predictive Revenue Forecast

Weekly report

90-day forecasting with what-if scenarios and anomaly detection.

Mar 2026

Confidence: High

$58,200

Apr 2026

Confidence: Medium

$61,400

May 2026

Confidence: Low

$63,100