Turn repeat billing holds into a verified review queue linked directly to source files.
Illustrative workflow: held queue → dated source → owner review. No hospital results shown.
Already decided? Start the $2,500 pilot · See audit pricing
Public path Work email only. No patient details, files, or payment on this page.
RevenueFloor connects source capture, local reimbursement variance analysis, and inpatient claim review. Each stage gives the next one a clearer record to examine.
Capture pipeline / SSMC-internal
The coding hour your billers get back.
Reads printed HCPCS superbills, CMS-1500 forms, and tick sheets; submission-ready rows in ~1.5s.
Deterministic preprocess + two-model consensus + CMS HCPCS crosswalk validator.
Reimbursement analysis / in validation
Prices every procedure in a case workbook under outpatient, day case, and inpatient, against the current DoH Mandatory Tariff (24,230 codes) and measured payer-plan factors. On one real hospital file, the procedure template listed only 78 of the 206 procedures actually performed.
For 16 procedures the day-case DRG tariff exceeds the inpatient DRG (one pair: AED 15,966 vs 8,103). Plan factors from 500,000 paid lines put Thiqa at 3.0x tariff, plain plans at 1.0x. No case data leaves the machine.
Compliance recovery / live
The three to eight percent a compliance audit will never find.
Reads every inpatient claim, checks full severity capture. Typical gap 3-8% of gross revenue across a 50,000-claim year.
Shadow Leakage Audit, EMV Dispatch, HTLOS Outlier Monitor, Portfolio Exposure Scanner. All run in-browser, no backend.
External RCM tools / read alongside
RevenueFloor reviews run on top of the RCM stack you already run. It ingests output from the major clearinghouse, scrubber, and analytics platforms and adds a setting-level variance and severity-capture read they do not produce:
If your stack is not listed, the review still runs: it needs claim and remit exports, not a vendor integration.
Start with the evidence shape. The figures below are linked to a source file so every assumption can be checked.
Beds only scale the display. They do not predict loss.
| Ledger row | Label | Value | Source |
|---|---|---|---|
| Staffed beds | Assumption | 100 | RF77-SYN-001 |
| Bill value released | Assumption | SAR 30,000 | RF77-SYN-001 |
| Currency | Assumption | SAR | RF77-SYN-001 |
| Cash with review | Assumption | SAR 24,000 | RF77-SYN-001 |
| Assumed cash without review | Assumption | SAR 14,000 | RF77-SYN-001 |
| Total review cost | Assumption | SAR 8,000 | RF77-SYN-001 |
| Extra cash under these assumptions | Calculation | SAR 10,000 | RF77-SYN-001 |
| Net gain after costs | Calculation | SAR 2,000 | RF77-SYN-001 |
| Net gain per 100 staffed beds per month | Calculation | SAR 2,000 | RF77-SYN-001 |
Observation period: 1 month. This is an assumed additional collections example, not a payment-timing claim.
This is not a forecast. Your result could be negative. If we cannot support a baseline, we report cash received and leave added gain blank.
This example assumes the cash difference is added collections, not a payment moved from a later month. If only payment timing changes, report that separately.
A bill appears on a dated hold report. The owner checks the current billing system. In this invented case, a required attachment is missing. The team adds it and confirms bill release. Cash stays unverified until a remittance is matched.
SAR 1,000 bill value
Cash not yet verified
Incremental gain not yet verified
No real data upload fields. No patient details requested.
AED 5,000 · fixed fee, one time
One clinic, one de-identified claim-line export, one readout call.
See clinic scopeAED 20,000 · fixed fee, one time
One hospital, up to three de-identified exports, two readout calls.
See hospital scopeTell us which repeat billing holds your team needs to review. We agree the source, owner and scope before any work starts.
This is a scope discussion. No price, checkout, turnaround or outcome is promised here.
Figures describe the reviewed queue only. Bed scaling does not estimate the whole hospital’s losses.
This form records your work email only. Do not send patient details or files.
This public intake records only your work email and the bounded-review request source.
We reply to the work email you provide. A scope discussion does not start paid work.