RCM Discovery Assessment
Approach
1
Welcome
2
Practice
3
Volume
4
Billing
5
Process
6
Gap
7
Pricing
8
Close
Consultex
Healthcare Revenue Cycle Management
Your Revenue Cycle
Discovery Assessment
In the next few minutes we will analyze your billing performance, identify your revenue gap, and build a personalized proposal.
HIPAA · SOC 2 TYPE II · NVIDIA POWERED
Discovery · Step 1 of 4
Tell us about
your practice.
Every revenue cycle is different. Start with the basics.
✓
Medicare / Medicaid
Government payers
✓
Commercial
BCBS, Aetna, UHC
✓
Mixed
Multiple types
Why this matters
Specialty drives denial patterns
Radiology, behavioral health, and cardiology each have distinct denial codes. Robi is pre-configured for each.
Payer mix determines risk
Medicare denial rates average 12-15% higher than commercial. Knowing your mix lets us size your opportunity accurately.
Multi-site complexity is our advantage
The more facilities involved, the larger the automation opportunity.
Practice summary
Enter practice name
Select specialty above
Discovery · Step 2 of 4
What is your
monthly volume?
Claim volume determines your billing cost exposure and our per-claim fee.
10,866
500 30,000
10%
0% 50%
Standard claims
9,779
at $2.00 / claim
Complex claims
1,087
at $5.00 / claim
Volume in context
10,866
Claims / mo
130,392
Claims / yr
25-30% denied on first submission
At your volume that is 2,717-3,260 denials per month that need to be worked.
Estimated claims fee
$21,732
per month at $2 std / $5 complex
Discovery · Step 3 of 4
What are you
billing and collecting?
Your gross billing and collection rate reveal the size of your revenue opportunity.
$1.9M
$100K $5M
68%
40% 95%
Your numbers live
Collections / mo $1,292,000
Industry avg (80%) $1,520,000
Monthly gap $228,000+
Annual gap $2,736,000+
Revenue already being generated from patient services. Simply not being collected.
Discovery · Step 4 of 4
How are you
billing today?
Understanding your current process tells us where revenue is leaking and how quickly Robi can deploy.
✓
Manual / Paper
Batch submissions, mail
✓
In-House Staff
Internal billing team
✓
Clearinghouse
Third-party electronic
✓
Outsourced RCM
External billing company
✓
High denial rates
✓
Slow collections
✓
No revenue visibility
✓
Staff turnover
Robi replaces or augments
→ Manual claim generation
→ Denial rework and resubmission
→ ERA processing and posting
→ Monthly management reporting
Select billing method
We will show you specifically how Robi improves your current process.
Timeline to go-live
4-8 weeks
parallel to existing process
Value Proposition · The Number That Changes Everything
Your practice
is leaving an estimated
$228,000+
on the table every month.
$2,736,000+ per year
68%
Your rate
80%
Industry avg
88-96%
High performer
Top denial risks at your volume
Code Reason Freq Risk
CO-16 Missing required info 18% High
CO-4 Modifier inconsistency 11% High
PR-96 Non-covered charge 14% Med
CO-22 COB - other payer primary 7% Med
Value Proposition · Pricing
Two models.
One mission.
Both include the full Robi platform. Choose what fits your billing profile.
✓
Per Claim
$2 standard · $5 complex
Best for high-volume radiology
✓
5% of Net Collections
Only pay when you collect
Best for variable volume
$2.00
$2.00 $5.00
Finance Agent
$1,750
per month
Claims fee
$21,732
per month
Total monthly
$23,482
est. recurring
Market benchmark:$4-$10/claim or 5-10% of gross collections.
Consultex:$2-$5/claim or 5% of net - significantly below market.
What is included
✓
837 Claim Generation
CPT coded, ICD-10 validated, error scrubbed
✓
Real-Time Eligibility (270/271)
Verified before every submission
✓
Denial Management + Resubmission
CARC/RARC categorized - every denial worked
✓
ERA Processing + QuickBooks Posting
835 remittance parsed and posted automatically
✓
Monthly Robi Intelligence Briefing
Live, delivered to leadership, no dashboards
Implementation - one-time
$30,000
40% kickoff - 30% validation - 30% go-live
Timeline: 4-8 weeks
Close · Discovery Summary
Your Practice · RCM Assessment
Estimated monthly revenue gap
$228,000+
Revenue generated but not collected vs. industry average
Estimated annual opportunity
$2,736,000+
Total annual gap to 80% industry benchmark
Practice profile
-
-
Consultex
Live Quote
Finance Agent
Platform & Intelligence $1,750
Claims Billing Fee
per claim
Monthly recurring
estimated - billed on actual volume
Implementation - one-time
$30,000
40/30/30 - kickoff, validation, go-live
Year 1 total investment
12 months recurring + $30K implementation
Year 1 ROI
vs. total investment
Client authorization