Understand. Diagnose. Treat.
See exactly where your revenue goes with Rivet's collections waterfall—a visual heat map of revenue risk that tracks every dollar from claim submission through final payment. Identify bottlenecks in real time and catch underpayments before they slip through the cracks. While other platforms tell you what happened last month, Rivet shows you what's happening right now.
- Collections workflow visualization with heat mapping for risk identification
- Track revenue flow through adjudication, payment, and collection stages
- Month-by-month cash flow forecasting with percentage views
- Customizable dashboards built in seconds with AI assistance
90% of denials are avoidable—and Rivet's AI identifies exactly why they're happening before your next batch goes out. Get actionable insights on diagnosis pointer errors, billing edit suggestions, and claim-specific fixes that maximize your clean claim rate from the start.
- Automatic root cause analysis for every avoidable denial
- Denial trend analysis across providers, payers, and procedure codes
- Worklist automation prioritizes your highest-dollar recovery opportunities
- Billing edits catch errors before claims leave your system
The average Rivet customer sees a 20% year-over-year denial reduction.
Not all underpayments are obvious. Rivet's advanced expected-amount calculations (historical, hybrid, and likelihood to pay metrics) detect payment variances that traditional contracted-rate comparisons miss—including missed escalators, modifier issues, and incorrect rendering credentials.
- Payment variance detection with automated project suggestions
- Compare actual vs. expected reimbursement using multiple calculation methods
- Drill down by payer, location, provider, and procedure code
- Track payer speed-to-pay and adjudication cycle performance
Dynamic revenue forecasting combines your historical performance and contracted rates with real-time claim data; so your projections update constantly as new information comes in. Build custom models, group metrics your way, and generate downloadable reports for leadership in seconds.
- Customizable real-time net revenue projection using linear regression
- Revenue analysis by Date of Service and Date of Payment
- Payment time-horizon expectations with confidence intervals
- Recurring email reports scheduled automatically to stakeholders
“You have to go to the insurance companies’ portals to figure out what’s happening with Every. Single. Claim. Whereas with Rivet, I can click on the claim and it tells me everything I need for rework. After a claim is submitted in our EHR, it takes anywhere from two-to-three weeks before I know about a claim being denied. But in Rivet, I know if a claim is denied within seven to ten days.”
Theresa Mayfield
Revenue Cycle Manager
“We’re so on top of our denials,” she said, “we’re getting claims off of our reports before they can even hit our reports. We’re no longer seeing denied claims become 180+ days old.”
Shantelle Knight
Insurance Processor Services Trainer
“Before Rivet we’d work about 30 appeals a month. I essentially worked about 300 in about 4 days.”
Data Analytics/Informatics Manager
Indiana neurology practice
“Everything I need to work a claim is in Rivet. I can analyze an individual claim without jumping through hoops and going through the payer’s website. It’s all there for me. I can customize my worklist and my team can customize theirs. I work entire lists of denials in Rivet and resubmit claims to payers in bulk. I don’t have to worry about keeping my list up-to-date because Rivet does all the heavy lifting. We’ve saved so much time and energy when it comes to reworking claims. With Rivet, we’re working smarter, not harder.”
Angela Phillips
Medical Billing Specialist
Healthcare Revenue Cycle Management (RCM) software simplifies and streamlines the billing and financial process for healthcare providers. It automates key steps like denial management, patient billing, error reduction and efficiency improvement. Rivet is a healthcare RCM software that leverages AI technology to offer denials prevention, payer contract comparison and management, reimbursement key performance indicator (KPI) reports and analytics, underpayment detection and workflows, patient cost estimates with insurance eligibility verification, and pre-collections management.
Healthcare practices need software additional to their Practice Management (PM) system or Electronic Medical Records (EMR) platform to effectively manage revenue cycle operations because cost margins are slim and overhead cost is high. Healthcare Revenue Cycle Management solutions ensure accurate billing, efficient claim management, and proper reimbursement from patients and payers. Efficient RCM solutions should also provide revenue integrity (such as denials management and prevention), optimize contractual reimbursement from insurance payers, and enable practices to focus on patient care.
Advanced revenue cycle management software (Rivet) provides dashboard visuals and analytics to dive into your Key Performance Indicators (KPIs) which focus on key areas like revenue cycle management and profitability. Each KPI can be looked at for a set amount of time such as a month, quarter, and year.
Financial health is measured through KPI criteria such as the following:
Process large volumes of financial and operational metrics with Rivet healthcare revenue analytics and revenue cycle management software. Revenue managers easily execute financial strategic initiatives by first auditing and analyzing complex historical, real-time, and projected revenue in Rivet. Then managers review and pivot as needed in seconds with empowered, HIPAA compliant, AI-driven technology. Use automation for charts and tables to get both a bird's eye view of operations as a whole, with the capability to focus data all the way down to specific claims to uncover trends with denials, underpayments, claim volume, payer mix, etc.