Recover
Recover underpayments
Find claim lines that paid below contract, quantify the gap, and rank them by recoverable dollars.
Claim-level evidence
Contract and payment review for provider organizations
Recover what you were underpaid.
A 3% payment gap can erase a meaningful share of your margin. RhenusMD reviews your contracts, remittances, and service mix to find missed revenue and show where to act first.
Start with published rate data. We arrange secure transfer before reviewing private records.
RhenusMD revenue review
Recovery opportunities
Prioritized from contracts and remittances
$41,020
Potential underpayments
95
Claims to validate
3
Payer patterns found
| Payer and finding | Claims | Opportunity | Next step |
|---|---|---|---|
Cigna Rate mismatch on 97110 | 42 | $18,420 | Validate terms |
Aetna Unit reduction pattern | 31 | $12,860 | Review remits |
UnitedHealthcare Repeated contractual adjustment | 22 | $9,740 | Evidence ready |
What improves
More revenue from the care you already delivered.
See the dollars at risk, the claims behind them, and the changes that can prevent the same loss next month.
Improve
Improve billing performance
See which denial, modifier, unit, and coding patterns repeatedly reduce reimbursement.
Recurring patterns
Negotiate
Strengthen contract terms
Compare negotiated rates with relevant benchmarks and focus renewal discussions on high-impact CPTs.
Revenue-weighted priorities
Tailored analysis
Built around your contracts and patients.
A benchmark can reveal an outlier. Your own practice data shows what the gap is worth and whether it can be recovered.
Your contract terms
Rates, modifiers, carve-outs, fee schedules, and payer-specific rules.
Your patient and service mix
CPT volume and revenue weight, so a small rate gap is measured at the right scale.
Your actual payments
ERA/835 remittances, denials, adjustments, and paid claim lines.
The resultA prioritized recovery list tied to dollars, claims, and supporting evidence.
First assessment
See where your rates stand.
Contract Intelligence combines published Cigna rates with 2024 Medicare utilization to show where a rate may be weak and what improving a CPT could mean for revenue.
Get your first assessmentCurrent outpatient PT benchmark sample
33,806
distinct contracted rates
6,841
payer-facing organizations
11.6M
Medicare PT services modeled
Prototype coverage is intentionally limited. Results should be treated as directional until the relevant payer, network, specialty, and geography are loaded.