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 AI to deny claims in seconds. Denial rates have hit a decade high as a direct result. 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.

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 Practice Revenue 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.

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 Practice Revenue Assessment are both usable immediately on day one.

Basic includes the EDI Code Intelligence Lab, the Practice Revenue Assessment, five appeal templates, and email support. Pro adds the full appeal template library, the Revenue Integrity Audit, denial workflow frameworks, and priority support. Premium adds the 90-Day Action Plan, the Claims Substantiation Worksheet, advanced training modules, consulting call access, and white-glove onboarding. 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 12+ 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.