CFO Brief
The Recovery Pool Sits Inside The Arbitration Clause.
NYC Health + Hospitals recovered $40.1M from UnitedHealthcare on the clause that's already in your contract. Most CFOs have never sized the pool. This brief frames the decision; the workbook runs the numbers.
- Recovery pool calculator
- The four contract clauses
- Pool-sizing decision tree
What's inside
The Brief frames the decision. The Workbook runs the numbers.
Six numbered tools for when a payer dispute moves out of the appeal queue and into the contract.
Recovery Pool Calculator
Live formula. Enter trailing denied dollars by category and the calculator returns gross recovery, net recoverable pool, and pool-to-cost ratio. Pursue at 5x.
The Four Contract Clauses
Arbitration trigger, lookback period, jurisdiction, and fee allocation. The four to check before sizing the pool, with a per-payer audit scorecard.
Denial Recovery Map
Eight denial categories with recovery-probability percentages. Medical necessity, prior auth, and DRG downgrade lead the table at 55 to 70 percent.
Pool-Sizing Decision Tree
Five weighted criteria scored out of seven. Six or seven pursues; zero or one routes back to the internal appeal queue.
Three CFO Questions Before You File
Contract still in force, pool justifies the work, and sign-off triad in place. Do and don't framing on each.
Quarterly Readiness Scorecard
Twelve questions scored 1 to 5. A live panel maps the total to one of five readiness levels, from no infrastructure to mature.
Why RapidClaims
Built for the hardest coding challenges in healthcare.
While other vendors chase high-volume, low-complexity work, RapidClaims is built for the coding that actually moves your net collection.
>98%
Coding accuracy
Across 25+ specialties, including the complex ones competitors avoid.
40%
Fewer denials
Documentation gaps caught at the point of code, before submission.
170%
Coder productivity
More charts per coder — without adding a single FTE.
25+
Specialties supported
Depth in the hardest specialties, not just the easy volume.
82.5%
Charts auto-coded
Autonomous at an enterprise-grade accuracy threshold.
11k+
Organizations of signal
Operational data behind every coding recommendation.
Results
The numbers speak for themselves.
Trusted by Leading Healthcare Organizations
Connectivity
Works with your existing systems
RapidClaims integrates with all major EHRs. No rip-and-replace. No disruption.
Integration Capabilities
Security
Built for Healthcare. Secured for Enterprise.
SOC 2 Type II
Independently audited security controls
HIPAA
Full adherence to healthcare's most rigorous framework
HITRUST Ready
Aligned with healthcare's most rigorous framework
256-bit Encryption
Data encrypted at rest and in transit