Payment integrity for health systems and hospitals.
Recover underpayments others never see.
Strengthen reimbursement performance.
Improve cash flow without disrupting operations.
RevHC partners with health systems and hospitals to uncover revenue left inside zero-balance claims—recovering contractual underpayments traditional AR workflows never touch and strengthening payment integrity across complex payer environments.
A partner that focuses on your concerns to solve your problems.
2%
Average NPR recovered through payment integrity programs
86%
Identified underpayments successfully recovered
92%
Average first pass collection rate on mature engagements
80%
Payment variances tied to contractual underpayments
How RevHC strengthens payment integrity.
Built around three consistent pillars—applied specifically to complex hospital reimbursement environments.
Revenue Risk Identification & Recovery
We identify and recover underpayments across zero-balance claims, payer contracts, and reimbursement logic—exposure that traditional AR workflows never review.
Using contract intelligence and root cause analytics, we surface systemic underpayment patterns that directly impact reimbursement performance.
Impact:
Recovered dollars and reduced reimbursement risk that would otherwise remain undetected.
Performance Stability During Transition
Hospitals undergoing system change, staffing shifts, or operational strain cannot afford disruption to day-to-day AR execution.
RevHC assumes defined payment integrity workstreams without interfering with clinical or revenue cycle operations.
Impact:
Revenue protection without operational lift.
Scalable Revenue Control
As payer behaviors shift and risk patterns emerge, our scope adapts.
We prioritize high-impact underpayment opportunities and scale review efforts using contract intelligence—not assumption.
Impact:
Scalable payment integrity aligned to evolving reimbursement risk.
$10M recovered from zero-balance underpayments
Health Systems & Hospitals | Payment Integrity Audit
Challenge
Zero-balance claims were closing without sufficient validation, masking material underpayment exposure across commercial and managed care contracts.
The internal AR team lacked bandwidth and specialized contract expertise to retrospectively review zero-balance claims. Systemic underpayment patterns remained largely invisible in standard reporting.
RevHC Engagement
- Conducted payment integrity audit focused on zero-balance claims
- Applied contract intelligence to validate reimbursement logic
- Identified recurring systemic underpayment patterns
- Pursued recovery directly with commercial and managed care payers
$4MM
recovered within the first 6 months
$6MM
Additional recovery from commercial and managed care plans
89%
Recovered dollars tied to contractual underpayments
10%
Attributed to coding, billing, or write-off errors
Why health systems and hospitals choose RevHC.
Not another AR vendor.
A payment integrity partner built for complex reimbursement environments.
- We surface underpayment risk others don’t see through contract intelligence
- We bring deep payment integrity expertise across commercial and managed care plans
- We pursue recovery directly with payers, minimizing operational burden
- We provide documented insight into systemic reimbursement risk
- We don’t just recover dollars — we strengthen the reimbursement system
Purpose-built to improve hospital payment integrity and long-term reimbursement performance.