REVWARE
Who We Work With

Not a one-size-fits-all shop. Built for the messy parts.

Different provider types have different revenue cycle problems — and we've built specific solutions for each. Pick the closest match to see how we deploy.

  1. Hospitals & Health Systems

    You're running tens of thousands of claims per month across a complicated payer mix, with a billing team that's always understaffed and a CFO who needs numbers yesterday. We get it.

    For hospitals, we typically deploy IQ RCM Analytics for enterprise-wide visibility, Intelligent Work Queue Prioritization to maximize billing team output, and the AI Claims Scrubber to keep clean claim rates high across volume that would bury a manual review process. Denial Prediction runs on every outbound claim, and the Auto-Appeal Agent handles the ones that come back.

  2. Multi-Specialty Groups

    Cardiology doesn't bill like orthopedics. OB/GYN doesn't bill like neurology. When you've got five specialties under one roof, you need coders and tools that understand the differences.

    Our coding team is specialty-trained, and our AI products apply specialty-specific rule sets. The Claims Scrubber knows that a modifier that's fine in one specialty will trigger a denial in another. IQ Analytics lets you benchmark performance across specialties so you can spot which ones are underperforming and why.

  3. Independent Practices

    You probably don't have a dedicated billing department. Maybe it's one person. Maybe it's you. Either way, you need someone who treats your revenue cycle like it matters — because it does, and because a small practice can't absorb the hit of a bad collections month.

    We offer full outsourced RCM with the same AI-powered tools we use for our largest clients. The Denial Management Assistant gives your office instant answers to billing questions. The Patient Billing Assistant reduces call volume so your staff can focus on patients instead of phone queues.

  4. Emergency & Out-of-Network Providers

    NSA disputes are complicated, high-stakes, and extremely time-consuming to manage manually. If you're filing IDR cases regularly, you need a system built for it — not a spreadsheet and a prayer.

    The IDR Analytics Dashboard was built specifically for this problem. Full case lifecycle tracking. Automated document generation. Settlement analytics by payer. And because our ERA parsing is already integrated, you'll know immediately if the payment matches the determination.

  5. Behavioral Health & Substance Abuse

    Long treatment episodes. Frequent authorization requirements. Payers that deny first and ask questions later. Behavioral health billing is brutal, and the margin for error is thin.

    We pair dedicated authorization management with our Denial Prediction engine to catch authorization-related denials before they happen. The AI AR Follow-Up Agent is particularly valuable here, because behavioral health claims tend to have longer resolution cycles — and the longer they sit, the harder they are to collect.

  6. Ambulatory Surgery Centers

    Complex implant billing, multi-procedure modifier rules, bundled-vs-itemized payer policies — ASC billing has more places to lose money per claim than almost any other setting.

    We pair certified ASC coders with the AI Claims Scrubber's specialty rule sets, and use Denial Prediction to flag the procedure-modifier combinations a specific payer has been pushing back on. The result is fewer underpayments and dramatically less rework on edge cases.

Don't See Yours?

Most of what we do isn't about specialty — it's about complexity.

If your billing is more complicated than the software you're using, we should talk. We've probably seen it.

Tired of watching revenue leak out the back door?

Let us audit your revenue cycle. Free. No strings.