Ask questions to your health record systems.
We build secure data warehouses where you can perform deep analysis on questions like revenue-cycle performance, service-line margin, ROI on programs and capital, vendor impact, forecasting, and more.
21st Care
Medicare Advantage drove 35% of denied charges. About $742K of the $1.18M denied looks recoverable — most of it prior-auth denials under 60 days old.
Denied charges by payer — Q2
Every figure traceable to its claim lines in Epic Clarity.
Denied charges
$0.00M
4.6% of gross charges
Recoverable
$0K
63% of denied
Avg days in AR
0 days
target · 45
- Reads your existing data
- We ingest data from your Epic Clarity extracts and SMART-on-FHIR server to build a single source of truth.
- One warehouse, one truth
- Every metric defined once — the board deck and the export show the same number.
- Built for healthcare standards
- HIPAA-ready with a BAA, per-tenant isolation, role-based access, audit logs.
- Live in weeks, not quarters
- A fixed extract set — no per-hospital data engineering, no warehouse project.
From billing feed to board-ready answer.
No warehouse project. No BI backlog. 21st Care builds the trusted analytics foundation first, then puts a plain-language interface on top of it.
Connect what you have
We ingest the exports your systems already produce — Epic Clarity extracts and SMART-on-FHIR resources. Read-only, HIPAA-compliant, running in weeks.
Unify it into one truth
Claims, remits, and encounters resolve to a single account spine in one warehouse, where every metric — denial rate, net collections, margin — is defined exactly once.
Ask, and see the answer
Type the question the way you’d ask a colleague. 21st Care answers with live charts and written analysis, every figure traceable back to its source claim.
Suggested
No SQL. No dashboard builder. Ask the way you’d ask a colleague.
The questions your billing data can already answer.
Every question below is one your own Epic Clarity and FHIR records can answer — unified into a single warehouse, computed once, and traceable to the source. Ask in plain language; get back the chart and the analysis behind it.
Revenue-cycle performance
Net collection rate, denial rate, days in AR, AR aging, write-offs, and case mix — the numbers your revenue cycle lives or dies by, reconciled in one place instead of a dozen spreadsheets.
Service-line & payer margin
Contribution and total margin by service line, payer, and DRG — so you see which work actually makes money. No cost accounting? We estimate cost from your Medicare Cost Report, so margin is never blocked.
ROI on programs & capital
Return on a program, intervention, service line, or capital purchase — benefit over cost, scoped to exactly what you’re evaluating. One engine answers every “was it worth it?”
Vendor & initiative impact
Did that RCM vendor, coding partner, or point solution actually move the numbers? Measure denials, collections, and net revenue before and after — and hold the contract to what it promised.
Forecasting & what-if
Project revenue, collections, and AR forward. Pull a lever — “what if we cut denials 5%?” or shift the payer mix — and watch expected reimbursement recompute against your actuals.
One trusted source
Epic Clarity and FHIR, unified into a single warehouse with every metric defined once — so the board deck, the export, and the forecast all show the same number.
What an answer actually looks like.
The questions finance and revenue-cycle teams ask all the time — each answered live: the question is typed, the chart draws itself, and the analysis follows. Drawn from your own data.
“Which service lines make money — and which lose it?”
Contribution margin for every service line, ranked, with the losers called out. No cost accounting connected? Cost is estimated from your Medicare Cost Report, so margin is never blocked.
21st Care
Six of nine are profitable. Cardiology carries the system; the burn unit loses money on every case.
Contribution margin by service line ($M, trailing 12 months)
Total contribution margin
$0.0M
+6.1% vs prior year
Strongest line
Cardiology
$4.2M · 38% margin
Losing money
Burn unit
−$1.4M · −22% margin
Judgment, at the speed your finance team needs it.
21st Care unifies billing, claims, and operational data into one trusted source of truth — so finance and operations teams stop reconciling spreadsheets and start making decisions about where the money goes.
In delayed and denied revenue surfaced for finance teams to act on.
Faster month-end close, on average, with one trusted source of truth.
What healthcare finance leaders are saying
Finance and operations teams who replaced guesswork and month-end fire drills with a trusted view of the numbers.
For the first time, my whole team is looking at the same numbers. We stopped arguing about whose spreadsheet was right and started fixing the denials that were actually costing us.
Jordan Rogers
VP, Revenue Cycle · Meadowbrook Health
Month-end used to be a week of reconciling exports by hand. Now the numbers are already reconciled when I walk in, and I spend that time on decisions instead.
Rajat Singh
Controller · Concise Surgical Group
I needed something my board would trust on the first look. 21st Care gave us numbers we can defend, traced all the way back to the source system.
John Walters
CFO · Orbital Health Network
Questions & Answers
Ready to see your data clearly?
Give your finance and operations teams a clear, trusted view of where money is made, lost, delayed, or wasted. We’ll show you the numbers from your own data in a focused 30-minute walkthrough.