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Building value with values

Modern Healthcare Best in Business 2025

© Kodiak Solutions

AICPA Logo

Building value with values

Modern Healthcare Best in Business 2025

© Kodiak Solutions

PlatformInsightsNews
Job to be Done
Account resolution automationAutomated risk assessmentBenchmarking IntelligenceClinical revenue managementClinical risk and complianceCredit balance managementCybersecurityDenials IntelligenceFinancial risk supportGovernment reimbursementInpatient DRG ValidationInternal audit workflowMedicare Cost Report AutomationMonth-end close assistanceNet revenue reportingPayor insights and benchmarkingPharmacy complianceRevenue cycle intelligenceRisk intelligenceStrategic pricingThree-way cash reconciliationTransfer DRG Revenue RecoveryUnclaimed property supportVendor performance monitoring
Solutions By Role
CFOFinance leadersHealthcare reimbursement leadersRevenue cycle leadersRisk and compliance leadersTax leaders
Solutions By Department
FinanceRevenue cycleRisk & Compliance Management
ResourcesAll resourcesKodiak AcademyHealthcare Women ConnexxtNational Payor ScorecardRevenue Cycle Performance AwardsBenchmarking Intelligence reports
EventsUpcoming eventsHealthcare SummitRevenue CircleWebinars
Our Company
About KodiakOur LeadershipCareersTestimonialsAdvocacyPrivacy PolicyTerms of Service
AICPA Logo
Modern Healthcare Best in Business 2025
AICPA Logo
PlatformInsightsNews
Job to be Done
Account resolution automationAutomated risk assessmentBenchmarking IntelligenceClinical revenue managementClinical risk and complianceCredit balance managementCybersecurityDenials IntelligenceFinancial risk supportGovernment reimbursementInpatient DRG ValidationInternal audit workflowMedicare Cost Report AutomationMonth-end close assistanceNet revenue reportingPayor insights and benchmarkingPharmacy complianceRevenue cycle intelligenceRisk intelligenceStrategic pricingThree-way cash reconciliationTransfer DRG Revenue RecoveryUnclaimed property supportVendor performance monitoring
Solutions By Role
CFOFinance leadersHealthcare reimbursement leadersRevenue cycle leadersRisk and compliance leadersTax leaders
Solutions By Department
FinanceRevenue cycleRisk & Compliance Management
ResourcesAll resourcesKodiak AcademyHealthcare Women ConnexxtNational Payor ScorecardRevenue Cycle Performance AwardsBenchmarking Intelligence reports
EventsUpcoming eventsHealthcare SummitRevenue CircleWebinars
Our Company
About KodiakOur LeadershipCareersTestimonialsAdvocacyPrivacy PolicyTerms of Service

Building value with values

© Kodiak Solutions

Building value with values

Modern Healthcare Best in Business 2025

© Kodiak Solutions

AICPA Logo
Job to be Done
Account resolution automationAutomated risk assessmentBenchmarking IntelligenceClinical revenue managementClinical risk and complianceCredit balance managementCybersecurityDenials IntelligenceFinancial risk supportGovernment reimbursementInpatient DRG ValidationInternal audit workflowMedicare Cost Report AutomationMonth-end close assistanceNet revenue reportingPayor insights and benchmarkingPharmacy complianceRevenue cycle intelligenceRisk intelligenceStrategic pricingThree-way cash reconciliationTransfer DRG Revenue RecoveryUnclaimed property supportVendor performance monitoring
Our Company
About KodiakOur LeadershipCareersTestimonialsAdvocacyPrivacy PolicyTerms of Service
Solutions By Role
CFOFinance leadersHealthcare reimbursement leadersRevenue cycle leadersRisk and compliance leadersTax leaders
Solutions By Department
FinanceRevenue cycleRisk & Compliance Management
ResourcesAll resourcesKodiak AcademyHealthcare Women ConnexxtNational Payor ScorecardRevenue Cycle Performance AwardsBenchmarking Intelligence reports
EventsUpcoming eventsHealthcare SummitRevenue CircleWebinars
PlatformInsightsNews

Payor Market Intelligence

The modern method to increasing reimbursements

With national trends and data at your fingertips, your team will be able to reduce net revenue leakages, benchmark your performance, and improve response times to denials.

schedule a demo

There's been a lot of focus on things like value based care and a lot of regulatory efforts and a lot of technology investments. And and what we see in the data is that's not working. We're taking that data and we're investing in tools like payor market intelligence, denials intelligence to really provide insight into, you know, what payors are causing you the most harm. Where do you need to focus your resources from a denial prevention standpoint? So we're trying to kind of empower our users with the particular data that they're part of the community, the whole reason that they have it. We have certain metrics like cash as a percentage of net revenue. You know, bad debt write offs, net revenue leakage. Things that are only Kodiak unique because people are using it for net revenue that we can really use to empower the organization to kind of increase their ROI and their investment in kind of that enterprise platform that is the Kodiak platform. When it comes to increased administrative burden, we focused in on building automated solutions around low value, debits and credits. The variance of where their opportunity is at the payer level so that we can have actionable discussions internally and externally to drive down the net revenue leakage and administrative burden that our customers are facing. We provide our customers with an easy access to, denials analytics that gets them fully down to the account level and measures trends in an automated fashion.

There's been a lot of focus on things like value based care and a lot of regulatory efforts and a lot of technology investments. And and what we see in the data is that's not working. We're taking that data and we're investing in tools like payor market intelligence, denials intelligence to really provide insight into, you know, what payors are causing you the most harm. Where do you need to focus your resources from a denial prevention standpoint? So we're trying to kind of empower our users with the particular data that they're part of the community, the whole reason that they have it. We have certain metrics like cash as a percentage of net revenue. You know, bad debt write offs, net revenue leakage. Things that are only Kodiak unique because people are using it for net revenue that we can really use to empower the organization to kind of increase their ROI and their investment in kind of that enterprise platform that is the Kodiak platform. When it comes to increased administrative burden, we focused in on building automated solutions around low value, debits and credits. The variance of where their opportunity is at the payer level so that we can have actionable discussions internally and externally to drive down the net revenue leakage and administrative burden that our customers are facing. We provide our customers with an easy access to, denials analytics that gets them fully down to the account level and measures trends in an automated fashion.

Our proprietary technology and data will give you access to:

Revenue optimization tools to quantify true payor yield

Targeted metrics pinpoint operational challenges

Denials intelligence to identify impacts by payor to active accounts receivable

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physicians trust RCA Next

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transactions aggregated daily

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hospitals rely on our technology

Connect with our in-house experts

See how we can help your team optimize your workflow and increase reimbursements.

Matt

Szaflarski

VP, Revenue Cycle Intelligence

Email

See Bio

Eric

Boggs

VP, Revenue Cycle

Email

See Bio

Ken

Ruiz

Chief Revenue Officer

Email

See Bio

Insights

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Insights Tech Image
Report

Where are your prior authorization claim denials headed?

The prior authorization and precertification initial claim denial rate hit 1.7% in May 2025, up nearly 31% over the rate in May 2024. The new Revenue Cycle Intelligence monthly benchmarking update from Kodiak explains what payor categories and what types of care are driving the unprecedented increase.

READ MORE

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Webinar

Revenue cycle performance excellence in practice

Don't miss out on this webinar event hosted by Colleen Hall, SVP of Revenue Cycle, and Matt Szaflarski, VP of Revenue Cycle, as they speak on the current headwinds facing revenue cycle leaders and share innovative strategies to navigate this dynamic landscape and thrive in an ever-evolving environment. During this event we will showcase the process we take to identify our Revenue Cycle Performance Award winners, show the performance of the market vs. the top performers, and hear from some of our winners on how they achieved this great feat.

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Article

Stable. For now.

What’s the financial outlook for hospitals in 2025? Three credit rating agencies weigh in with their predictions.

READ MORE

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Resources

National Payor Scorecard

Compare your revenue cycle KPIs by payor category with the latest KPIs from your national peers.

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The Kodiak Platform

Unlock the value of your data, improve net revenue, and generate higher ROI—all from one cloud-based platform.

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Healthcare Summit

Join us for our annual three-day conference focused on helping you optimize finance and reimbursement options.

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The smartest solution for your team

Our cutting-edge technology not only frees up your team’s time to work on more high-level initiatives—but also moves your payors to action even faster.

Provides a path to expedited results

Using the latest analytic tools, our experts will be able to help you quickly find proven solutions when claims are denied.

Kodiak Tech
Streamlines communication

Your team will have a more efficient way to give payors the information they need, thanks to trend-level data that equips them with quick, powerful insights.

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