Denials & Revenue Cycle Analytics
We land your claims, remits, and EHR data in one warehouse, classify every denial by root cause and payer behavior, then push a ranked worklist to your billers so the highest-recovery claims get worked first.
Scope of the build
Fixed scope, fixed timeline, 100% U.S.-based senior engineers on Eastern-time hours.
- 837/835 ingestion and normalization
- Denial taxonomy and root-cause classification
- Payer scorecards and trend detection
- Recoverable-dollar prioritized worklist
- A/R aging and cash-forecast dashboards
- Write-off and adjustment audit views
What you get
Cash pulled forward
Billers work the recoverable claims first.
Root causes fixed
Front-end errors traced back to the source department.
Payer leverage
Documented behavior for contract negotiations.
Where this fits
- → Hospital RCM
- → Multi-site practice groups
- → Billing companies
- → Payer contract renegotiation
From signature to production
The same delivery rhythm on every engagement. You always know what shipped last week and what ships next.
- Week 0
Scope lock
Two working sessions with your team. We write the spec, the acceptance criteria, and the integration list, then fix the price against it.
- Weeks 1-2
Spine first
Data model, auth, environments, CI, and the riskiest integration go in before any screen is polished. You see it running in staging.
- Mid-build
Weekly demo
Working software every Friday, on your staging environment. Scope changes get priced in the same call, never discovered at the end.
- Go-live
Handover that holds
Runbooks, monitoring, test suite, and a recorded walkthrough for your engineers. You own the repo and the accounts from day one.
Before you book a call
Straight answers on price, timeline, ownership, and who writes the code. If your question is not here, ask it on the call — we answer it the same way.
Scope denials & revenue cycle analytics →What does denials & revenue cycle analytics cost?
From $45,000. The price is fixed against a written scope after a two-session discovery, so the number you approve is the number you pay. Typical delivery runs 6–8 weeks.
How long does it take to go live?
6–8 weeks from scope lock to production for the scope listed on this page. You see working software in your staging environment every week, starting in week two.
What does it integrate with?
Out of the box we wire Snowflake, dbt, Waystar, Epic and Power BI. Anything with an API or a file drop can be added during scope lock.
Who actually builds it?
Senior U.S.-based engineers on Eastern-time hours. No offshore handoff, no rotating junior bench. The people on your kickoff call are the people writing the code.
Do we own the code?
Yes. Your repo, your cloud accounts, your data — from the first commit. We hand over runbooks, tests, monitoring, and a recorded walkthrough so your team can take it forward without us.
Can this start smaller than the full scope?
Usually. We can carve a first slice that proves the hardest part of denials & revenue cycle analytics in a few weeks, then sequence the rest once it is running in production.
Related case studies
- Starhealth Data Case Study Case Study Case StudyStarHealth.io is a leading healthcare analytics platform built to empower patients, providers, and researchers with timely and actionable insights. The.
- Scalable APIs for StarHealth with CMS Open Paymen Case StudyStarHealth is a leading healthcare data and analytics platform, serving providers, administrators, and researchers with real-time insights. Its ecosystem.
- Relimed Case Study Case StudySee how NextGen Coding solves real software, AI, cloud, automation, data, and integration challenges with senior US engineering teams.
More Healthcare solutions
Start your project request
Tell us what you're building — engineering capacity, AI, QA, cloud, or a fixed-scope software engagement. Our NYC team responds within one business day.
- Response within 1 business day
- 30-minute discovery conversation
- Recommended engagement model & pricing
- NYC-focused — in-person available
Inbound sales only. All form information is encrypted in transit.