Executive Business Intelligence & Predictive RCM

Healthcare RCM Analytics
& Power BI Dashboards

Stop managing billing in the dark. We unify disparate EHR, PM, and clearinghouse datasets into intuitive, real-time Power BI command centers revealing hidden denial patterns, accelerating cash velocity, and empowering C-suite decision-makers.

100% HIPAA & BAA Covered
Pre-Built HFMA MAP Key Models
Sub-Second DAX Query Speeds
4x Daily
Automated Data Syncs
<30 Days
Average Days in A/R
75+
Pre-Configured DAX KPIs
100%
Automated Gateway Refreshes
Interactive System Demonstration

Experience the Executive Power BI Command Center

Click through our interactive preview below to see how clinical and financial metrics come together in real-time.

TrueCareCost_Enterprise_RCM_Analytics_v4.2.pbix
Live Gateway Connected Data Updated: 10 mins ago
Monthly Collections
$2.84M
+6.8% vs Target
Clean Claim Rate
98.6%
HFMA Best in Class
Days in A/R (Rolling)
29.2 Days
-8.4 Days QoQ
First-Pass Denial Rate
3.4%
-54% Reduction
Revenue Trajectory vs Contracted Thresholds Monthly Trend
Jan
Feb
Mar
Apr
May
Jun (Curr)
Aging Distribution (A/R Buckets)
0 - 30 Days 68.4%
31 - 60 Days 18.2%
61 - 90 Days 8.1%
90+ Days (At Risk) 5.3%
90+ Days kept strictly below 8% HFMA target.
Enterprise Intelligence Suites

Key Power BI Modules for Healthcare Leaders

Custom-built analytics tailored for CFOs, Revenue Cycle Directors, Billing Managers, and Clinic Administrators.

A/R Aging & Recovery Command

Drill into aged accounts receivable across 30, 60, 90, 120+ day buckets. Isolate collectible balances by financial class, individual payer, and billing provider to stop bad debt before timely filing expires.

  • Aged trial balance decomposition
  • High-dollar balance prioritization queue
  • Automated days in A/R trendlines

Denial Analytics & CARC Root-Cause

Transform 835 electronic remittance remark codes into visual Pareto charts. Identify which clinical departments or providers are generating preventable prior-auth, eligibility, or modifier rejections.

  • CARC & RARC categorical drill-downs
  • Appeals overturn rate tracker (85%+ SLA)
  • Preventable vs. unpreventable classification

Cash Velocity & Remittance Trends

Daily electronic funds transfer (EFT) tracking, deposit reconciliations, and cash collection rate comparisons against net revenue targets. Spot hidden collection dips weeks before month-end close.

  • Net collection ratio (target >95%)
  • Daily bank deposit vs. PM posting match
  • Predictive 30-day cash forecasting

Payer Scorecards & Underpayments

Benchmark commercial payers, Medicare Advantage, and Medicaid on average adjudication turnarounds, clean-pay speeds, and contracted fee schedule adherence.

  • Contracted vs. allowable fee variance
  • Payer payment lag time benchmarks
  • Contract negotiation leverage reports

Provider & Clinic Productivity (wRVUs)

Track provider Relative Value Units (wRVUs), encounter volumes, documentation completion lag, and E/M coding distributions against national specialty bell curves.

  • wRVU compensation & target tracking
  • E/M coding level bell-curve audit
  • Unsigned encounter & charge lag alerts

Lag Time & Front-End Leakage

Monitor every handover in your cycle from patient registration and encounter date to chart completion, charge entry, claim generation, and first clearinghouse pass.

  • Discharge-to-bill turnaround bottlenecks
  • Eligibility verification defect rate
  • Unbilled account balance monitoring
Enterprise Data Engineering

How We Build Your Healthcare Analytics Pipeline

Robust, scalable, and completely automated. No manual Excel exports or broken spreadsheets.

1

Automated Ingestion

Secure API, SFTP, and database read-replicas ingest billing data directly from Epic, Cerner, Athenahealth, eCW, and 835/837 EDI streams.

2

ETL & Data Normalization

Raw billing charges, remit adjustments, and payments are normalized, categorized into CARC/RARC hierarchies, and mapped to financial buckets.

3

Optimized Star Schema

Data is modeled into high-performance tabular star schemas with custom DAX calculations, delivering lightning-fast sub-second dashboard rendering.

4

Secure Cloud Delivery

Dashboards deployed through encrypted Microsoft Power BI Service workspaces with Row-Level Security, automated alerts, and Teams/Email reports.

Interoperability

Works With Every Major EHR & PM Platform

We pull clean financial snapshots without interfering with clinical workflows. Compatible with on-premise relational databases and modern cloud EHR APIs.

Epic Systems Cerner (Oracle) Athenahealth eClinicalWorks NextGen MEDITECH Waystar Availity TriZetto
Industry Standard Performance

HFMA MAP Keys Benchmark Matrix

How TrueCareCost analytics dashboards measure, track, and elevate your key revenue metrics against national standards.

HFMA MAP Key Metric Industry Average HFMA Top Quartile TrueCareCost Benchmark Analytics Impact
Net Days in A/R 45 - 55 Days <35 Days <30 Days Identifies aging bottlenecks 40 days sooner.
First-Pass Clean Claim Rate 84% - 88% >95% 98.5%+ Pre-bill clearinghouse scrub validation rules.
Initial Denial Rate 12% - 16% <6% <4% Root-cause CARC/RARC drill-down heatmaps.
Aged A/R Over 90 Days 18% - 24% <12% <7% Daily escalation workqueues for expiring timely filing.
Net Collection Ratio 88% - 92% >96% 98.2%+ Payer contract underpayment reconciliation.
Expert Answers

Frequently Asked Questions

Common questions regarding Power BI setup, data security, and customization.

We build automated data pipelines via direct database read-replicas, secure REST APIs, or automated nightly SFTP extracts of ANSI 835/837 and billing ledger files. Data is loaded into an isolated Azure SQL or Microsoft Fabric repository where star-schema models are refreshed automatically up to 8 times daily.

We support multiple licensing structures. If your organization already has Microsoft 365 E5 or Power BI Pro licenses, we publish directly into your existing tenant. Alternatively, we provide dedicated embedded portals or Power BI Premium capacity hosting where your team can access dashboards via secure web logins with no individual user licensing fees.

Yes, 100%. Whether you operate a multi-location orthopedics group, behavioral health network, dental clinic, or regional hospital system, we tailor DAX measures, provider groupings, procedure categories, and specialty modifier rules to match your exact business model.

All environments comply with HIPAA, HITECH, and SOC 2 Type II criteria. We execute comprehensive Business Associate Agreements (BAAs), enforce TLS 1.3 in transit and AES-256 at rest, and implement Row-Level Security (RLS) so physicians and clinic managers only access encounters relevant to their assigned scope.
Live System Walkthrough

Turn Your Billing Data Into Competitive Revenue Advantage

Schedule a 20-minute consultation with our healthcare data engineers. We'll show you an interactive walkthrough of our pre-built Power BI command center and evaluate your EHR data feeds.