FinThrive Launches Cutting-Edge Denials and Underpayments Analyzer
In a game-changing move for healthcare revenue management, FinThrive, Inc. has unveiled their Denials and Underpayments Analyzer at the HFMA Annual Conference on June 22, 2025. This next-generation analytics tool aims to provide health systems with critical insights into two of the most financially damaging issues in the sector: payer denials and underpayments.
In the current landscape, it's reported that more than 10% of all claims submitted by providers face denial, with the situation worsening as write-offs related to these denials have seen a threefold increase since 2018. Moreover, underpayments remain largely unnoticed, costing hospitals around 1% to 3% of their net patient revenue annually. A recent analysis by FinThrive of 117 providers revealed that over 32% of medical claims were underpaid, amounting to a staggering $5 billion in lost reimbursements.
The Denials and Underpayments Analyzer promises to enhance revenue recovery rates, boasting up to a 20% improvement compared to traditional methods. Particular areas, such as appeals where documentation exists but hasn't been submitted, can see recoveries soar as high as 40% for specific denials, translating into millions of dollars recovered for healthcare systems.
Unified Approach to Complex Problems
John Yount, Chief Innovation Officer at FinThrive, emphasizes that denials and underpayments are amongst the most crippling challenges within revenue cycle management. He points out that many available tools tackle these issues separately or provide static reports after the fact. FinThrive is revolutionizing this process by combining these pain points into a single, actionable interface that affords timely insights, intelligence, and smooth integration into existing workflows. Yount declares, "This isn't just another dashboard; it is a smart analyzer tailored to help healthcare systems identify risks, prioritize actions, and safeguard revenue before it’s too late."
The Analyzer, a significant component of the FinThrive Analyze solution suite, provides real-time insights, identifies root causes, and fits effortlessly into established organizational workflows. While its design primarily supports the strategic decision-making of C-suite leaders, it also adds tangible day-to-day value to operational teams by delivering clear insights that expedite issue resolution and enhance workflow efficiency.
Nicole Clawson, VP of Finance and Revenue Cycle at Pennsylvania Mountains Healthcare Alliance, notes that denials and underpayments continue to be a major source of revenue loss, even among well-run health systems. Having a centralized solution that consolidates information and offers actionable, real-time insights can create much-needed transparency in a typically convoluted process.
Driving Immediate Action and Long-Term Success
What sets the Denials and Underpayments Analyzer apart is its capability to go beyond mere identification of challenges. It empowers organizations to act decisively with a clear understanding of the issues at hand. By consolidating fragmented data into a single, actionable view, it transforms uncertainty into strategic clarity, thereby eradicating guesswork. It features a user-friendly interface designed to foster both immediate action and sustainable financial performance.
The Analyzer offers several critical features:
- - Line-Level Detail: Access to precise root causes for denial and underpayment trends, utilizing recently updated data.
- - Accurate Expected Reimbursement: Consistent calculations based on payer contracts for reliable forecasting.
- - Configurable Denials Classification: Intelligent categorization of denial rules tailored to diverse plans.
- - Workflow Options: Compatibility with existing workflows or complete integration options with FinThrive's denial management suite.
- - Impact: Actionable insights to effectively address emerging risks such as downgrades or slow payments, hence maximizing revenue.
Unlike conventional static reports, the Analyzer is designed for seamless integration into existing systems, thereby negating the need for changes in workflow. Its adaptable nature enables organizations of varying sizes to efficiently uncover hidden revenue gaps.
Yount concludes with a call to action, stating that hospitals and health systems require simple methods to swiftly connect disparate information, take informed action, and recover more revenue with minimized manual effort. "We are dedicated to enabling our clients to utilize data efficiently, delivering essential insights exactly when they will be most beneficial."
FinThrive’s Denials and Underpayments Analyzer will be demonstrated live at booth #631 during the HFMA Annual Conference, where attendees can witness its capabilities firsthand. With FinThrive assisting healthcare organizations in increasing revenue, lowering costs, and maintaining compliance across the revenue cycle, it is clear why three out of five hospitals in the U.S. currently leverage FinThrive solutions. For further details, visit
finthrive.com.