The revenue is already in your panel. ClinRev finds it.
analysis, delivered in minutes.
Upload a patient panel and ClinRev surfaces every missed Medicare revenue opportunity — with a complete operating plan to capture it.
Different roles. One problem. One platform.
The revenue gap shows up differently depending on where you sit in the organization. ClinRev speaks to all of them.
You suspect the practice is leaving $200K+ on the table annually — but without a patient-level breakdown, you can't put a number on it, and you can't make the case for action to the physician or leadership.
ClinRev gives you the number — patient by patient, program by program, at your state's actual Medicare rates. Specific, defensible, and ready to present.
Your CCM enrollment rate is in the single digits. You know the eligible population is much larger, but finding them requires manual chart review across hundreds of patients — and that work never gets prioritized.
ClinRev runs the audit in seconds. Every eligible patient surfaces with their ICD-10 codes, their gap detail, and a ranked action priority. The manual work disappears.
You're considering hiring a care coordinator, launching an RPM program, or contracting with a CCM vendor — but you're making that decision without a financial model showing what it actually costs and what it actually returns.
ClinRev builds the Pro Forma before you commit. Staffing cost at your local wage rates, enrollment ramp by month, contribution margin, 12-month P&L. The decision becomes clear.
Each site has a different level of program participation, a different enrollment rate, and a different revenue gap — but there's no standardized way to see that across the group or decide where to focus first.
ClinRev runs the same audit methodology across every site. Same output structure, same program mapping, same financial model. You see the full picture and can prioritize where the opportunity is largest.
What changes when the gap is visible.
Hours of manual chart review to identify program candidates
Upload a CSV. Every eligible patient surfaces in seconds, ranked by opportunity.
No systematic view of HCC documentation gaps
Specificity upgrades and missing codes flagged for every patient, every payer.
Program investment decisions made without a financial model
Staffing cost, margin analysis, and 12-month P&L built per program, per your state.
Implementation planning left to whoever has the most bandwidth
A phased operating plan — ownership, sequencing, checklists, and Gantt — ready to hand off.
From panel to operating plan in one workflow.
Upload a CSV. ClinRev handles the audit, the analysis, the prioritization, and the implementation planning — in one pass.
Find the opportunity
Upload a de-identified patient panel CSV. ClinRev maps every patient against the full Medicare revenue landscape — care management programs, HCC documentation, procedure indications, and payer benchmarks.
Understand what matters
Every finding is ranked by financial impact and operational feasibility. See total opportunity, patient-level detail, program ROI by state, and payer context — not just a list of gaps.
Get the operating plan
ClinRev builds the implementation layer your team needs to actually act — not just a report. Best next action per patient, phased implementation checklist with ownership, and a board-ready financial model.
Most tools stop at the gap report.
Knowing what's missing is necessary but not sufficient. The hard part is knowing what to do about it — in what order, with what staff, at what cost, with what financial return. ClinRev generates the operating plan your team needs to act. Not a slide deck. The work product.
Best next action
For every patient with a gap, ClinRev recommends the highest-value next step — whether that's a program enrollment, a documentation flag, or a procedure conversation.
Phased implementation checklist
A prioritized, ownership-assigned checklist for each program — readiness, outreach, billing activation, and optimization — in the sequence that maximizes early revenue.
Build vs. buy analysis
For each program, a structured comparison of in-house, hybrid, and vendor approaches — with a recommendation based on your panel size and labor market.
The gap looks different depending on your specialty.
Programs, procedures, benchmarks, and action plans are all configured to your practice type. ClinRev understands the operational reality of each track.
Primary Care
Most care panels have 60–75% of patients eligible for at least one care management program. Fewer than 10% are enrolled. The gap isn't clinical — it's operational.
Specialist
Specialist practices often focus on procedure revenue and underutilize care management programs their Medicare patients qualify for. Payer rate variation on top CPT codes is frequently 20–40% below market.
Behavioral Health
CoCM is the highest-value BH billing program available — and is used by fewer than 5% of eligible practices. The barrier isn't eligibility; it's setup complexity and the psychiatric consultant requirement.
MSOs & Multi-Site
Revenue gap visibility degrades at scale. Each site runs its own billing, its own program enrollment, its own documentation practices — without a standardized view of what's being left behind.
PHI never leaves your device.
Patient identifiers are removed directly in your browser before any data is processed. No PHI is ever transmitted to any server. BAA available upon request.
Start free. Expand when the opportunity is clear.
Run a full panel audit and see the opportunity before committing to anything.
- Panel engagement profile
- Aggregate program gaps
- HCC opportunity preview
- Payer Preview
Unlock patient-level findings, action planning, and the full revenue intelligence stack.
- Full patient-level analysis
- Program Decision Dashboard
- ROI analysis by program
- Action Plan generator
Payer View, Practice Pro Forma, and Provider Analysis for deeper intelligence.
- Payer View (via PayorLens)
- Practice Pro Forma (PDF)
- Provider Analysis
- Multi-NPI comparison
See what's in your panel.
Upload a CSV from any EHR. Get your full practice revenue analysis in under 60 seconds.