Revenue Integrity for Ambulatory Practices

Recover $50K-$500K in unclaimed revenue with our Clinical Ledger-powered Revenue Integrity services. Zero upfront cost, contingency-based model for smaller practices.

Revenue Recovery Potential: $50,000 - $500,000 annually

Based on practice size and current revenue leakage patterns

Revenue Leakage Challenges for Smaller Practices

Ambulatory and physician practices lose significant revenue due to these common issues

Unclaimed Insurance Payments

Missing payments from insurance companies that were never followed up on, leading to thousands in lost revenue per month for smaller practices.

Average Loss: $10K-$50K annually
Underpayments from Payers

Insurance companies systematically underpaying claims based on contract terms that are difficult to track manually.

Average Loss: $25K-$150K annually
Compliance Penalties

Avoidable penalties from MIPS, MACRA, and other regulatory requirements that impact reimbursement rates.

Average Loss: $15K-$100K annually

Revenue Integrity Services Powered by Clinical Ledger

Three specialized services designed to recover lost revenue for ambulatory practices

Recovery: Finding Unclaimed Funds
Systematically identify and recover missing insurance payments

How It Works

  • Clinical Ledger scans historical claims data
  • Identifies unpaid or partially paid claims
  • Pursues collection from insurance companies
  • Delivers recovered funds to your practice

Recovery Results

  • Average $75,000 recovered per practice
  • 95% success rate on identified claims
  • Zero upfront cost to practices
  • Contingency-based payment model
Assurance: Catching Underpayments
Real-time monitoring to prevent future revenue leakage
Contract Analysis

Clinical Ledger analyzes payer contracts to identify proper reimbursement rates

Payment Monitoring

Automated alerts when payments don't match contracted rates

Underpayment Recovery

Immediate pursuit of underpayments to prevent accumulation

Compliance: Avoiding Penalties
Proactive compliance management to maintain optimal reimbursements
MIPS/MACRA Optimization

Clinical Ledger ensures quality measures are met to avoid Medicare payment penalties and maximize bonuses.

Regulatory Monitoring

Continuous monitoring of regulatory requirements to prevent compliance-related revenue losses.

Zero Upfront Cost, Contingency-Based Model

Perfect for smaller practices with limited budgets - you only pay when we recover revenue

No Upfront Investment

  • Zero implementation fees
  • No monthly software costs
  • No staffing requirements
  • Complete Clinical Ledger access included

Performance-Based Payment

  • Pay only on recovered revenue
  • Transparent fee structure
  • Aligned incentives for maximum recovery
  • Immediate positive cash flow impact

Revenue Recovery Results

Real results from ambulatory practices using our Clinical Ledger-powered Revenue Integrity services

$75K
Average Recovery
Per practice annually
95%
Recovery Success Rate
On identified claims
90 days
Average Recovery Time
From identification to payment
$0
Upfront Investment
Contingency-based model

Powered by Clinical Ledger Platform

Our proprietary Clinical Ledger platform analyzes millions of healthcare transactions to identify revenue opportunities specific to ambulatory and physician practices.

Historical Analysis

Scans 5+ years of claims data

Real-time Monitoring

Continuous payment verification

Predictive Intelligence

Prevents future revenue leakage

Get Started Today
Join thousands of healthcare organizations improving their revenue integrity with our platform.