Revenue Optimization

Capture Every Dollar — From Clean Claims to Complex Reimbursement Paths

Capture, Clean and Collect Every Revenue Opportunity

We don't just manage your processes; we optimize them—from billing and collections to denial management and government reimbursement—so you capture what others miss. Fusion’s built-to-scale AI and intelligent automation integrate data seamlessly across the revenue cycle, delivering the accuracy and efficiency required to stabilize your bottom line.

Benefit from our full suite of revenue optimization solutions

Achieve Pristine Billing Accuracy for Faster Payments

Clean claims are the bedrock of financial stability. Why accept delays when you can prevent them? Powered by Fusion’s real-time data validation, our claims management solution delivers an industry-leading 98.7% payer claims acceptance rate.

We stand alone as the only revenue management partner offering embedded edits within Epic, Oracle Health and Allscripts patient accounting systems. This deep integration helps you catch errors before they leave your system, drastically reducing rejections and ensuring claims result in full reimbursement.

Turn Contract Negotiations from Guesswork into Strategy

Data transforms contract negotiations from guesswork into strategy. Fusion’s unified analytics spotlight the exact reimbursement owed from all payer sources—commercial and government—inside our modern contract management solution. This insight helps you proactively manage contract performance and negotiate future agreements with confidence, ensuring every contract supports your financial goals.

Accelerate A/R to Create Predictable Cash Flow

Accelerating A/R starts with eliminating bottlenecks. Optimize denials, underpayments and balances with our Fusion-powered A/R technology solution. Whether you manage A/R internally or leverage our expert services, you’ll maximize reimbursements, streamline reconciliation and improve cash flow—turning slow payments into predictable revenue.

Leverage the Industry’s Best Insurance Discovery Solution

Finding missed coverage is the fastest way to impact your bottom line. Our Best in KLAS insurance discovery solution uses proprietary algorithms and patented technology to leverage hundreds of query permutations of patient data to search for billable insurance coverage across all self-pay and non-self-pay accounts, including Medicaid Secondary and COB reporting to secure revenue that others miss.

Our solution integrates seamlessly with your existing framework, offering flexible delivery options that complement your processes without disrupting them. It’s not just about finding coverage; it’s about ensuring you get paid for the care you provide.

Maximize Government Reimbursements and Compliance

Navigating government regulations requires precision. We help you realize the full potential of your government reimbursements through automated Medicare Cost Reporting and optimized Transfer DRG and Shadow Billing claims.

Our flexible technology and deep expertise untangle complex regulations, ensuring you maintain compliance while capturing every legitimate dollar available to your organization.

Solution Stats

2%

Achieve a claim rejection rate of less than 2%, compared to 15% with other solutions

98%

Achieve up to 98% pricing accuracy to ensure every payer contract delivers the revenue you expect

↑31%

Recover up to 31% more from A/R, turning slow payments into predictable revenue

99%

Achieve a 99%+ payment success rate for Transfer DRGs and IME/GME reimbursement

↑40%

Consistently improve your existing insurance coverage discovery rate by more than 40%

↑97%

Achieve a 97%+ audit success rate for Medicare Bad Debt and Medicare DSH

We have found a solid partnership in FinThrive. Their team has been collaborative, and we feel as though they are looking out for the best interests of our healthcare system and our patients. They have really helped our organization optimize our processes, which has resulted in improved performance.

Executive Director, Patient Financial Services, Southeastern Health Network

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Explore expert-led webinars and actionable guides that help you master denial management, payer negotiations and Medicare compliance

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Why FinThrive for Revenue Optimization?

We help optimize your revenue by uniting advanced automation, AI-driven insights and deep reimbursement expertise to maximize collections across every patient and payer interaction. With industry-leading recognition—including Best in KLAS and HFMA Peer Review—FinThrive is trusted by leading healthcare systems to deliver measurable financial results. Our integrated approach helps healthcare organizations recover more, reduce friction and future-proof their revenue cycle.