Frequently Asked Questions

ROI is EHR-agnostic by design. It works on top of whatever system you already use. There is no migration, no IT project, and no compatibility requirement. You bring the denial data. ROI provides the intelligence framework to work it.

Payers are now using automated review to deny claims in seconds, and denial volume has climbed with it. Kodiak Solutions put the hospital initial denial rate at 11.81% in 2024, up from 10.2% in 2020. ROI gives your practice the intelligence framework to respond: decoded denial patterns, audit checkpoints, and appeal templates calibrated to current payer behavior. No enterprise contract. No implementation project. You can be working denials today.

Those platforms are billing systems. ROI is a denial intelligence and audit platform. It does not replace your billing software. It gives you the layer those systems have never provided: a structured framework to find denial patterns, audit your process, and fix what is causing the losses. Standalone architecture. Audit-first methodology. Founder-level RCM credentials. No implementation cost, no annual contract, no IT dependency.

ROI does not process, store, or transmit PHI. No BAA is required to use the platform. For consulting engagements where PHI may be involved, a Business Associate Agreement is available and executed before any information is shared. See our Security page for full details.

You keep access through the end of your current billing period. After that, your account moves to the Free plan, so your login and account information stay in place if you decide to come back. If you would rather have your account and data deleted, email hello@roithatworks.com, and we will honor the request within 30 days, subject to any legal obligations that require us to keep certain records. See our Privacy Policy for details.

ROI is designed to work alongside your billing team, not replace it. Most billing teams are managing claims volume, not conducting structured denial pattern analysis. ROI gives your team a systematic audit layer, denial intelligence tools, and appeal frameworks that were not part of their original process. The practices that get the most value are the ones where staff are already working hard, and where a smarter system would let that effort recover significantly more.

Most practices identify recoverable claims in the first session with the Revenue Integrity Audit. The EDI Code Intelligence Lab gives your team immediate denial code clarity on day one. Appeal templates are available to use immediately. Broader process improvements take more time, depending on how systematically your team adopts the workflow frameworks. What you can expect immediately is clarity on where your losses are concentrated, which is usually the hardest part.

Denial rate alone doesn't tell the full story. A practice with a 6% denial rate that works only 40% of its denials is losing more revenue than a practice with a 10% denial rate that works 90% of them. The more important metrics are your worked-denial rate, your appeal success rate, and your A/R aging profile. If you're not measuring those consistently, the Revenue Health Assessment will show you exactly where your gaps are in about two minutes.

No. ROI was designed specifically for the range where the problem is most acute and least addressed: solo practices to groups of about 15 providers. Larger organizations have enterprise RCM platforms and dedicated denial management teams. Smaller practices typically have neither, and they are the ones hit hardest when payer AI increases denial volume. The platform is also used by billing companies managing multiple accounts, where consistent diagnostic frameworks across clients are particularly valuable.

No. ROI is built for billing staff and practice managers, not IT teams. If you can read a remittance advice, you can use the EDI-Code Intelligence Lab, the appeal templates, and the Library. Some medical coding knowledge is helpful, but no programming or technical coding skill is required. The one exception is the Automation Suite engines, which are licensed separately. Implementing an engine requires IT involvement, but once it is in place, your team does not need technical skills to use it.

Yes. The Team plan is built for group practices and small billing companies. It includes 5 named-user logins, and additional seats are $79 per seat per month, up to 25. Your team applies the same denial frameworks and appeal templates across every client you work.

Yes. Denial patterns differ by specialty, so the Library includes in-depth specialty guides for behavioral health, orthopedics, dermatology, ophthalmology, physical therapy, and ambulatory surgery centers. The EDI Library works for everyone.

There are no annual contracts required. Month-to-month plans can be cancelled at any time. If you cancel and later rejoin, current standard pricing will apply at that time. The platform is designed to deliver value in your first session, the Revenue Integrity Audit and the Revenue Health Assessment are both usable immediately on day one.

Free gives you the Revenue Health Assessment and 90-Day Action Plan, the Revenue Integrity Blueprint, 23 Library resources, nine how-to-appeal walkthroughs with the appeal-letter handbook, and the denial rate benchmarks, with no card required. Solo at $199 a month adds unlimited EDI-Code Intelligence Lab lookups, appeal templates for 12 denial families, Resolution Kits, the Revenue Integrity Audit, the outsourced billing guide in full, the six specialty billing playbooks in full, and email support. Practice at $349 a month adds three named-user logins, a monthly 30-minute working session, a custom appeal template on request, and same-business-day email response. Team at $499 a month includes five named-user logins with Solo-level access each, additional seats at $79 per seat per month up to 25, and a team admin view for seat management. Solo and Practice check out through Stripe. Team is set up with us. Full details are in the pricing section, or you can view the full pricing breakdown.

ROI was founded by Mindy Corbett, CSPO, CPC, CPB, CPPM, a revenue cycle strategist with 15 years operating inside healthcare organizations and $150M+ in reimbursement managed. The platform reflects the intelligence frameworks, audit methodologies, and denial analysis approaches that would typically require hiring a senior RCM consultant. The methodology is not theoretical. It comes from working the problems at the operational level, inside real practices, across a wide range of payers, specialties, and billing environments.

ROI's methodology takes lessons learned from 15 years in revenue cycle and more than $150 million in managed revenue to create tools you use on your own schedule. There is no need for hourly rates or lengthy projects. With the Solo plan and above, the EDI-Code Intelligence Lab, appeal templates, and the Revenue Integrity Audit are available right away. If you want additional help or a more hands-on approach, we also offer one-time engagements, such as our Denial Triage Diagnostic for $250, and consulting services.

It depends on your plan. Solo and Team include email support. Practice adds a monthly 30-minute working session with our founder, a custom appeal template on request, and a same-business-day email response. Either way, you get real, professional guidance from someone who has worked denials.