NexRev is the financial intelligence layer that sits on top of your existing billing workflow — inside your own Microsoft 365 environment — and shows you exactly where your revenue is leaking, what you can still recover, and what hits next month.
Billing software is a transaction log. It records claims. It doesn't calculate your real denial rate by payer, flag which writeoffs were actually recoverable, or show you that a particular payer has been slow-rolling your AR for six months. That intelligence gap is costing your practice money every single day.
Payers underpay claim by claim. A $480 underpayment gets marked closed. Nobody catches it. It becomes a writeoff. Multiply that across 3,000 claims a year.
20–30% of writeoffs are recoverable through appeal or rebilling. Your practice assumes they're contractual. They're not. No system flags the difference.
A payer carrying AR since October looks like a single line in an aging report. Not like a 6-month pattern that demands escalation today. The pattern is invisible — until it isn't.
Revenue forecasting is guesswork. Staffing, equipment, lease renewals — all decided without a single data-backed projection. The July dip surprises every clinic. Every year.
Your data never touches a third-party server. Your patient records stay where they belong — inside your own Microsoft tenant. We deploy the intelligence layer on top of the infrastructure you already own and already pay for.
A Python bot logs into your existing EHR — regardless of platform — and pulls raw billing data automatically on a schedule. No API partnership. No EHR vendor involvement.
Raw data lands in SharePoint inside your clinic's own Microsoft 365 tenant. Your cloud. Your IT security posture. Nothing passes through an external server.
A Power Query ETL pipeline runs directly on the SharePoint data — removing all Protected Health Information instantly. Only financial data moves forward: claim amounts, payer codes, denial flags.
Power BI connects directly to SharePoint as its data source and renders eight intelligence modules with 11 real-time filter dimensions. Your denial rate by payer. Your AR heatmap. Your recovery opportunities — ranked in dollars.
Power Automate watches your data 24/7. Denial spike? AR threshold breach? Underpayment cluster? The right person gets alerted on Teams and email — before it becomes a crisis.
Business Associate Agreement signed before anything is touched. $500 deposit received. You export your claim-level data directly from your PM / EHR and upload it to SharePoint — inside your own Microsoft 365 tenant. Your data never leaves your environment.
Our ETL pipeline runs immediately — stripping all Protected Health Information before it enters the analytics layer. Clean financial data only: claim amounts, payer codes, CPT groups, denial flags. You own the data. We own nothing.
Practice Overview dashboard goes live. You see your collection rate, denial rate, and AR balance — broken down WTD, MTD, QTD, and YTD — often for the first time at a glance. You watch it being built in real time.
Python bot deployed remotely to your EHR environment. Auto-downloads and overwrites the SharePoint data file on your chosen schedule. From this point forward, your dashboards update automatically — no manual exports needed.
Revenue waterfall reviewed. Top leakage payer identified. Recovery Simulator walkthrough — recoverable revenue calculated in dollars, opportunities ranked 1 to 4.
Power Automate thresholds set per clinic. Teams and email integration tested. Your billing team confirms alert preferences.
Complete training for owner and billing team. All 8 modules walkthrough complete. $2,000 balance invoiced. $500/month managed service begins.
Every module was designed to replace a specific manual process your billing team currently does in Excel, in email, or not at all.
Collection rate, denial rate, AR balance, days-to-submit — live with sparkline trends per payer. The Monday morning Excel spreadsheet your manager builds by hand, automated and always current.
All period comparisons vs. prior period with % change — automatic, no calculation required. Replaces weekly billing summary emails assembled by hand.
Gross billed → contractual → writeoff → AR → collected in one visual. One conversation. The 4-tab quarterly Excel model your team builds manually, every quarter.
Every payer's AR by month. Hot spots visible instantly. 6-month persistence flagged automatically. No more manually sorting aging reports into 60/90/120+ day buckets.
17-month collection rate trend with auto-written plain-English action steps per metric. The Friday narrative your billing manager writes every week — written automatically.
Forward projection built from your actual seasonal data — updates live as new data arrives. Not industry benchmarks. Not guesswork. Your numbers, projected forward.
Four interactive levers showing dollar recovery ranked by opportunity — by payer. Move a slider and see how much revenue is still recoverable. One demo. One number. One decision.
Every claim gets a denial probability score. Your team sees Total Claims, Total Denials, High Risk Claims, and overall Denial Probability — then drills into a claim-level table showing each payer, CPT code, visit type, modifier, probability %, risk level (HIGH / LOW), and predicted outcome (DENIED / APPROVED). Denial Risk by Payer ranked. Denial Risk by CPT group charted. Your billers know exactly where to focus before the claim leaves the building.
That is my Friday report. I write that every Friday.
I moved a slider and found $9,000. That's sitting in this practice right now. Why did nobody show you this before?
No per-user fees. No per-provider fees. No module add-ons. One number covers the full intelligence layer, the automation, and the ongoing managed service.
Large enough to have real billing complexity. Small enough to have been ignored by every enterprise RCM vendor for 30 years.
At least 60% of revenue flows through payer claims — not cash pay or self-pay. You live or die by payer performance.
Family medicine, behavioral health, dentistry, physical therapy, chiropractic, urgent care, pediatrics, OB-GYN — if you bill insurance, we fit.
Book a 30-minute call. We'll show you the system live, walk through what we'd find in your data, and sign the BAA on the same call if it makes sense to move forward.