The signal you already own
Every health system loses revenue to codes it never captured, loses members it never saw leaving, misses growth sitting in its own records, and absorbs emergency visits it could have prevented. These look like four problems. They are four readings of one signal — the behavior of the people you already serve.
FyndEm Clinical, RevCapture
Four questions your current systems cannot answer
Not because the information is missing. Because it arrives after the gap is unbillable, after the member has gone, after the visit has happened.
How do you know you are not missing codes entirely?
Coding audits check whether what you submitted was right. They cannot tell you about the condition that was never coded at all — documented in the chart, visible in the medication history, absent from the claim. A clean audit and a complete one are different things.
Which members left this quarter — and when did the first signal appear?
There is no disenrollment call. There is a lengthening gap between visits, a refill not collected, an outreach not returned. By the time a report shows the drop, the member has effectively already gone and re-acquisition costs a multiple of what keeping them would have.
Of the emergency visits you absorbed last month, how many were predictable sixty days out?
A patient whose behavior had been drifting — missed follow-ups, an unfilled prescription, a gap in contact — arrives in the ED for something earlier outreach could have headed off. The visit is absorbed as cost. The signal was in the same behavioral stream all along.
Which patients are you already positioned to help more — and haven’t yet?
Somewhere in your encounter history are patients who need continued care but haven’t received it. Surfacing them is first and foremost a way to close a care gap. It’s also the highest-yield growth opportunity you have, because you’ve already done the hard part: earning their trust.
Value from the signals you already own
- Greater revenue, from uncovering codes you administered but never billed
- Lower acquisition cost, through patient retention while intervention is still feasible
- Higher patient growth, through a Gold Standard similarity function run against your own records
- Improved margin and lower penalty exposure, through reduced ED utilization and readmissions
Every prediction is actionable
Every RevCapture prediction carries specific actions, a lead time, a confidence level and a dollar impact. The dollar impact is what lets your team prioritize — and it comes from your own cost configuration, not from industry estimates.