We help healthcare organizations optimize their revenue potential by turning complex claims data into actionable insights.

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Healthcare organizations often struggle with hidden inefficiencies in their revenue cycle, buried in complex claims datasets. With constant changes in reimbursement rules, managing billing data and maximizing revenue can be a daunting task. Leaders need a way to simplify this complexity and make data-driven decisions that lead to financial success.

At Coker, we empower healthcare organizations by uncovering valuable insights from their claims data to drive revenue optimization. Our team of experts, with deep knowledge of healthcare coding and reimbursement rules, turns complicated billing data into clear, actionable information. From calculating allowable balances and processing modifier adjustments to analyzing variances and outliers, we make the complicated simple.

We don’t just hand you raw data; we deliver easy-to-understand visualizations and strategic recommendations. These insights allow healthcare leaders to make informed decisions and improve financial performance.

Fee Schedule Rate Impact (“Black Box”) Analyses

  • Calculate reimbursement under different/new payor fee schedules
  • Antitrust compliant
  • Critical for transaction due diligence
  • Quantify payor mix and service mix insights for pro forma planning
  • Calculate percent of Medicare reimbursement by payor

Provider Analytics

  • Independently calculate wRVUs and productivity statistics
  • Provider benchmarking
  • Allocate collections between professional and technical fees
  • E/M code bell curve analysis
  • CPT profiles allow for comparison to Medicare claims data
  • Custom analyses and “leave behind” models

Revenue Reliability

  • Assess net collections ratio
  • Categorize avoidable adjustments
  • Quantify payor contractual payments in relation to negotiated allowable amounts
  • Evaluate remark codes and denials explanations to identify preventable denials
  • Measure provider/ specialty downstream revenue impacts for the organization

Revenue is the lifeblood of any healthcare organization, and small inefficiencies can have a big impact. We help you unlock the full potential of your revenue streams, providing clarity in a sea of complexity. With our Revenue Analytics service, you’ll have the confidence and insight needed to strategically drive your organization’s financial success.

Ready to take control of your revenue cycle and optimize your financial performance? Let our experts guide you with data-driven insights that make a difference.

Contact us today to learn more about how our Revenue Analytics services can transform your organization’s financial health and set you up for long-term success.

Related Industry Insights & Resources

Positive outcomes are possible for you and your patients.

We approach every engagement with a results-driven mindset, leveraging our deep industry expertise and data-driven insights to develop strategies that drive meaningful, measurable improvements in performance.
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Solutions We Offer
We partner with clients to navigate the dynamic challenges of managing a high-performing physician enterprise.

Performance Transformation

Transaction Advisory

Compliance Services