The Assessment Doesn't End. It Becomes Your Operating System.
After the 4-week assessment, the platform activates. Live data. Auto-updating recommendations. Progress tracking. ROI reporting. Governance built in. The work doesn't stop when the consultants leave — because there are no consultants.
One Continuum, Not Two Engagements
Legacy tools show you data. Consulting firms give you a report. DenialsDX gives you both — and then keeps going. The platform is the assessment, running live.
Assessment Output
Structured findings, prioritized roadmap, policies & procedures, project charter, executive deck — delivered at week 4.
Platform Activation
At handoff, the platform goes live. Data starts flowing. Recommendations stay current. Execution is tracked from day one.
Sustained Recovery
As your team executes, the platform surfaces what's working, what's slipping, and what to prioritize next — every week, automatically.
Live FHIR Data Ingestion
No more manual exports, stale spreadsheets, or waiting for someone to pull a report. The platform ingests data directly from Epic via FHIR, keeping your denial picture current at all times.
- Direct Epic FHIR integration — no middleware required
- Automated ingestion on configurable cadence
- 835/837 claim and remittance processing
- Data quality monitoring with anomaly alerts
- Historical baseline preserved for trend analysis
Auto-Updating Recommendations Engine
The recommendations generated in the assessment don't sit static on a shelf. As your performance changes, the engine reprioritizes. Completed items are archived. Emerging issues are elevated. The roadmap stays alive.
- Recommendations tied to live data, not a point-in-time snapshot
- Priority scoring updates as denial trends shift
- New payer behavior patterns surface automatically
- Each recommendation includes owner, timeline, and success criteria
- Closed-loop tracking — mark complete, link to outcome data
Implementation & Progress Tracking
The most expensive part of any consulting engagement is accountability. Who owns this? Where does it stand? When does it close? The platform answers those questions continuously — without another meeting.
- Initiative-level status tracking with owner assignment
- Milestone and deadline management
- Weekly automated progress digests to stakeholders
- Escalation flags when items fall behind
- Audit trail for governance and compliance reporting
Reporting & ROI Tracking
Your CFO needs numbers, not narrative. The platform surfaces the financial impact of your denial improvement work in a format designed for leadership — auto-generated weekly, with drill-down for operations.
- Weekly automated reporting — delivered to your inbox, no manual pull
- ROI tracking tied to completed roadmap items
- Denial rate trend vs. baseline and industry benchmark
- Recovery by payer, service line, and denial category
- Executive summary vs. operational detail views
Governance Toolkit
Denial improvement programs fail when accountability fades. The governance toolkit structures oversight so the work compounds over time — not just for the first quarter after the assessment.
- Denial committee agenda and meeting templates
- Policy library with versioning and approval workflows
- Performance scorecard by department and payer
- Exception reporting and escalation workflows
- Board-ready summary reporting package
Training Material Generator
Most denial problems have a training component. The platform auto-generates role-specific training materials based on your actual denial patterns — so education is targeted, not generic.
- Denial-specific training modules by role (coder, biller, clinical)
- Auto-generated based on your top denial categories
- Payer-specific authorization and billing guides
- New hire onboarding materials for RCM staff
- Refreshable as payer rules and denial patterns shift