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Remit RCM  ·  Issue No. 1  ·  February 2026Revenue Recovery Intelligence

recovered for a 210-bed regional hospital in 11 months

$0USD recovered

Most revenue cycle companies sell software and leave the work to you. Remit is a back-office engine staffed by certified coders, denial analysts, and A/R specialists who work your accounts the way a collections attorney works a judgment — methodically, persistently, and with specific knowledge of what each payer will and won't pay.

$47M+

Total recovered, trailing 24 months

84%

Avg. denial appeal overturn rate

32 pts

Avg. reduction in 90-day A/R

11 days

Avg. onboarding to first recovery

Denial management specialist on phone call at desk with dual monitors showing claim data

Senior Denial Analyst

Patricia Nguyen

On a call with UnitedHealthcare disputing 47 denied claims — $218K in the queue.

Certified medical coder reviewing patient chart on dual monitors with coding manuals nearby

Certified Coding Auditor, CPC

Marcus Webb

Auditing orthopedic charge sheets. Found $34K in missed modifiers on this case alone.

Client success manager walking hospital corridor with CFO reviewing report on tablet

Client Success Director

Sandra Okafor

Quarterly review at St. Clair Medical. A/R over 90 days down 31 points since Q1.

The People Behind the Recovery

Every dollar recovered has a name attached to it.

Denial analyst woman at desk with three monitors showing insurance portal and claim status dashboard

Role 01

Denial Management Specialist

The Problem They Solve

Payers deny first.
Someone has to fight back.

The average mid-size health system receives 11.4% denial rate on initial claims. Most billing teams log the denial, wait 30 days, and repeat. Our denial analysts work payer portals, fax queues, and peer-to-peer lines simultaneously — because every day in denial status is a day closer to timely filing limits.

Patricia Nguyen averaged $340K recovered per month across her assigned accounts in 2024. She tracks denial codes the way traders track tickers.

73%

First-appeal overturn rate

18 days

Avg. denial resolution time

$1.2M

Avg. annual recovery per analyst

Role 02

The codes were right.
The modifiers were missing.

Undercoding isn't fraud — it's entropy. Coders under volume pressure default to the safest code, not the most accurate one. A missed -25 modifier on an E&M visit costs $140. Multiply that by 800 visits a month and you've lost $112K annually without a single denial ever being filed.

Marcus Webb audits charge sheets against operative notes, looking for complexity documented but not captured. His last orthopedic audit recovered $410K in 90 days from procedures that were coded — just coded wrong.

94%

Coding accuracy post-audit

4.2%

Avg. revenue lift from audit

60 days

Typical audit cycle time

Certified medical coder reviewing patient records and coding manuals at workstation with dual monitors

Role 02

Certified Coding Auditor, CPC

Data Exhibit — Denial Analysis

Where your money actually went,
and how much came back.

Composite data from 8 Remit client accounts, 12-month period. Denial codes ranked by total dollar volume denied. Recovery rates reflect appeals completed.

Code

Reason

Denied → Recovered

Rate

CO-4
Modifier required but missing
$412K
$387K
94%
CO-97
Procedure bundled into another
$318K
$271K
85%
CO-50
Not medically necessary
$289K
$198K
68%
PR-1
Deductible not met (patient liability)
$224K
$224K
100%
CO-22
Coordination of benefits — other payer primary
$187K
$143K
76%
CO-16
Claim lacks info required for adjudication
$156K
$151K
97%

Total

6 primary denial categories

$1.6M denied$1.4M recovered
84%

Gray bars = original denial amount  ·  Blue bars = recovered amount

Data Exhibit — Charge Audit

Six encounters. Three errors.
$75 in one day of one clinic.

Redacted charge sheet from a 4-physician internal medicine practice. Names and patient data removed. Issues identified during Remit coding audit, February 2026.

Date

CPT

Description

Mod.

Billed

02/14/26
99213
Office visit, established patient, moderate complexity
$185.00
02/14/26
93000
Electrocardiogram, routine ECG with 12 leads

Missing -25 modifier on E&M — bundled, denied

$95.00
02/14/26
36415
Collection of venous blood by venipuncture
$30.00
02/15/26
99214
Office visit, established patient, high complexity

Should be 99215 — documented 50-min visit, MDM high

$265.00
02/15/26
94640
Pressurized or nonpressurized inhalation treatment
$78.00
02/15/26
71046
Chest X-ray, 2 views

Separate interpreting physician not captured — missing -26

$210.00
Session total — 6 encounters
$863

Highlighted modifiers = issues identified during audit  ·  Toggle to see corrected version

Client — CFO, 340-bed Regional Medical Center, Ohio

“We'd been at 22% over 90 days for three years. I thought that was just the industry. Remit had us at 14% in eight months. That delta is worth $1.1 million annually in cash flow we can actually plan around.”
Thomas Brennan, CFO  ·  Lakeside Regional Medical Center

More from this engagement

22% → 14%

A/R over 90 days (8 months)

$1.1M

Annual cash flow improvement

4 FTE

Billing staff reallocated to patient access

Practice Manager — 7-physician Orthopedic Group, Texas

“Our denial rate was 14.3% when Remit started. Within 90 days it was 7.1%. The coding audit alone found $340K in undercoded procedures we'd been leaving on the table every quarter.”
Denise Reyes, Practice Manager  ·  Summit Orthopedics Group

14.3% → 7.1%

Denial rate in 90 days

$340K

Coding audit recovery, Q1

100%

Contract renewal rate with Remit

Request a Recovery Assessment

Tell us where it hurts.
We'll find the bleeding.

A senior Remit analyst will review your facility profile and return a preliminary A/R opportunity estimate — specific to your payer mix, claim volume, and denial history — within one business day.

No contract required for initial assessment
Benchmark report included with email submission
Analyst assigned to your account from day one
Under 500/mo500–2,000/mo2,000–5,000/mo5,000–15,000/mo15,000+/mo

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