Find Out Exactly How Much Revenue You’re Missing.
Get A Free Revenue Integrity Brief showing underpayments, denial trends, and collectible dollars hidden in your 835 files.
✅ Total Charges vs. Collected vs. Lost Revenue
✅ Denials & Adjustments — with top reasons
✅ Recovery Opportunity ($) — real dollars
✅ CPT codes & Modifiers causing avoidable losses
✅ Flagged compliance risks
✅ Payer-level breakdown
✴️ All of this from just 835 files.
Real-World Scenarios We Help With
Use Cases
Denial & Underpayment Report
Hidden Revenue Loss
Find CPTs and modifiers with high denial rates.
Chronic Underpayments
Identify which payers do consistently pay below industry benchmarks.
Payer Behavior Patterning
Spot patterns of rejections based on procedure types, modifiers, or specific plans.
Physician Benchmarking Report
Hidden Revenue Loss
Compare potential hires to peers based on CPT volume, RVUs, and reimbursement.
Provider Retention & Incentives
Highlight underperforming providers and where they lag vs internal or external benchmarks..
M&A Due Diligence
Validate provider value during clinic acquisition or group mergers.
Market Demand & Location
Clinic Expansion Strategy
Choose new zip codes with high procedure volume but low provider density.
De Novo Practice Planning
Help new providers pick a city/area or neighborhood with unmet demand.
Service Line Expansion
Find areas where specific procedures are trending upward.
Procedure Optimization Report
Missed Profitable CPTs
Show which high-reimbursement procedures are being underused.
Revenue Per Visit Increase
Identify where small CPT mix changes could improve overall revenue.
Peer-Based CPT Opportunity
Reveal what peers in the region are billing more — and why
Payer Mix Strategy(low-paying) Report
Payer Profitability Analysis
Rank payers by revenue contribution vs workload.
Low-Value Volume Exposure
Spot where high visit volume doesn’t translate to profit (e.g., too much Medicaid).
Contract Optimization Support
Guide which plans to renegotiate, reduce, or prioritize
Our services
📊 Denial & Underpayment Report
Find where you’re losing revenue — by CPT, payer, or modifier.
Includes:
• Top denial codes
• Modifier rejection trends
• Underpaid CPTs
• 12-month revenue impact
👨⚕️ Physician Benchmarking Report
Compare doctors on productivity, reimbursement, and coding efficiency.
Includes:
• CPT mix vs. peers
• RVU volume
• Average reimbursement
• Billing gaps
📍 Market Demand & Location Report
Identify areas with rising demand and low provider competition.
Includes:
• Diagnosis volume by zip
• Competitor footprint
• Growth trend maps
• Suitability scores
🔄 Referral Opportunity Report
See who’s referring, who’s not — and where new referrals could come from.
Includes:
• Referral volume by zip/specialty
• Missing referral zones
• Suggested partners
• Heatmaps
💰 Procedure Optimization Report
Discover profitable CPTs your clinic is underbilling.
Includes:
• Payer reimbursement data
• CPT gaps vs. peers
• Legal optimization targets
• Missed revenue estimate
📉 Payer Mix Strategy Report
Analyze how each payer contributes to your revenue — and your stress.
Includes:
• Revenue per payer
• CPT-profitability matrix
• Red/yellow/green plan flags
• Mix improvement recommendations
Unsure which report is right for you?
Let us recommend one based on your goals.
Testimonials
“We recovered over $36,000 after just one denial analysis — it paid for itself instantly.”
Dr. Emily Carter, Clinic Operations Manager
Atlanta, GA
“We used their location report to pick our second clinic — and opened in 90 days with confidence.”
— Dr. Ayesha Khan, Pain Specialist
New York, NY
“The insights were sharp, simple, and immediately usable — no login, no dashboards.”
Jason Lee, Healthcare Strategy Consultant
Springfield, IL
“MedClarityIQ’s benchmarking report gave us clarity during a critical hire — saved us from a costly mismatch.”
Sarah Lewis, Group Practice Director
Denver, CO
Let’s Turn Your Data Into Smarter Decisions
We’ll show you exactly what’s working, what’s underperforming, and where you can grow — all without logging into any EMR system.
MedClarityIQ
Helping do better through data.
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