FinThrive Debuts Denials and Underpayments Analyzer, a Unified Solution for Denials and Underpayments, at HFMA 2025

Next generation analyzer helps hospitals protect revenue before it's lost by delivering timely end-to-end visibility and actionable intelligence

DENVER, June 22, 2025 /PRNewswire/ -- FinThrive, Inc., a leading healthcare revenue management software-as-a-service (SaaS) provider, today announced the launch of FinThrive Denials and Underpayments Analyzer, a next-generation analytics solution that gives health systems unprecedented insight into two of the most persistent and financially damaging issues in healthcare: payer denials and underpayments.

Denials now impact over 10% of all claims submitted by providers, with denial-related write-offs tripling since 2018. Meanwhile, underpayments largely remain hidden, costing hospitals between 1% and 3% of their net patient revenue each year. According to a recent 12-month FinThrive analysis, conducted across a subset of 117 providers, more than 32% of medical claims were underpaid, totaling more than $5 billion in uncollected reimbursements.

The Denials and Underpayment Analyzer can significantly enhance recoveries, up to 20% higher than traditional rates. In areas such as appeals, where documentation is available but not provided, recoveries can be as high as 40% for specific denials, resulting in millions of dollars of recovered earned revenue.

"Denials and underpayments represent some of the most corrosive forces in revenue cycle management, but most tools on the market handle them in isolation or provide static reporting after the damage is done," said John Yount, Chief Innovation Officer at FinThrive. "What makes FinThrive unique is our ability to unify these pain points into a single, actionable view, providing timely insights, intelligence, and seamless integration into workflows. It's not just another dashboard — it's an intelligent analyzer built to help health systems uncover risks, prioritize action, and protect revenue before it's lost."

Smart Visibility at Scale

The Denials and Underpayments Analyzer, part of the FinThrive Analyze solution suite, provides timely insights, pinpoints root causes, and fits seamlessly into existing workflows, enabling Chief Financial Officers (CFOs), Chief Revenue Officers (CROs), and heads of revenue cycle operational areas to view and act on key metrics relevant to their roles. While built to support the strategic decisions of C-suite leaders, the Analyzer also delivers practical, day-to-day value for operational teams — empowering them with clear insights to resolve issues faster, streamline workflows, and drive measurable results.

"Denials and underpayments continue to represent a significant source of revenue leakage, even for well-managed health systems," said Nicole Clawson, VP of finance and revenue cycle at Pennsylvania Mountains Healthcare Alliance (PMHA). "Having a solution that consolidates this information and delivers real-time, actionable insight will bring much-needed transparency and control to an otherwise opaque process."

The Analyzer goes beyond simply identifying problems — it empowers organizations to act on them with clarity and precision. Unifying fragmented data into a single, actionable view transforms decision uncertainty into strategic guidance and eliminates guesswork. A single intuitive interface delivers a cohesive experience that drives both immediate action and long-term financial performance:

• Line-Level Detail: Pinpoint precise root cause for denial and underpayment trends with daily refreshed data.
• Accurate Expected Reimbursement: Harvest consistent calculations harvested from payer contracts.
• Configurable Denials Classification: Categorize intelligently denial rules specified for the myriad plans.
• Workflow Options: Use existing workflows or integrate fully with FinThrive's denial management suite.
• Impact: Leverage actionable Insights to sustainably mitigate emerging risks, including downgrades and slow-pays, to maximize revenue.

Unlike static reports, the Analyzer fits seamlessly into existing systems—no workflow changes are required. It flexes to any environment, helping organizations of all sizes uncover revenue gaps with speed and precision.

"Hospitals and health systems need a simple way to connect the dots, take action faster, and recover more revenue with less manual effort," said Yount. "We are committed to putting data to work and delivering the insights our customers need – where and when they need them."

FinThrive Denials and Underpayments Analyzer will be showcased with live demonstrations at FinThrive's booth #631 at HFMA's Annual Conference.

About FinThrive
FinThrive helps healthcare organizations increase revenue, reduce costs, expand cash collections, and ensure regulatory compliance across the entire revenue cycle continuum. Providing one of healthcare's most comprehensive and intelligent revenue cycle management SaaS platforms, FinThrive's holistic and AI-driven approach to revenue optimization offers patient access, charge integrity, claims management, contract management, automation, data and analytics, and education solutions. Three out of five U.S. hospitals and health systems are using FinThrive today. For more information, visit finthrive.com.

SOURCE FinThrive, Inc.