💵 Revenue at Risk — Documentation Gaps interventions likely performed but not charted (downcode / denial risk)
Enter Your Reimbursement Rates
ALS level reimbursement ($/transport)
BLS level reimbursement ($/transport)
Downcode / denial risk applied35%
Per affected claim: $200 · documentation-gap calls: 0
$0
estimated revenue at risk this quarter
≈ $0 annualized
across documentation-gap flags only
Formula: documentation-gap calls × (ALS − BLS reimbursement) × risk%. Care-gap flags (intervention not delivered) are excluded — care that was not provided cannot be billed. Rates are yours to set; figures update live and save to this browser.
Agency Performance & Top Flags
Flagged Calls by Agency
High · Medium · Low priority
Top 5 Missed Interventions — System
Ranked by flag count this quarter
Agency Detail Table
Agency
Total Calls
Flagged
Flag Rate
High Priority
Medium
Low
Rolling 5-Quarter Trend
Quarter
Total Flagged
High Priority
Medium
Low
Flag Rate
QoQ Change
Clinical Second-Pass Review · Automated rule-based chart audit applied to all completed ePCRs ·
Rules cross-reference NEMSIS v3.5 elements: impression, vital signs, mechanism, procedures & medications documented ·
A flag does not confirm a missed intervention — it identifies cases for medical director review ·
Revenue at Risk is applied ONLY to documentation-gap flags (care performed but not charted → downcode/denial). Care-gap flags are clinical opportunities and are not billable ·
Revenue figures are estimates driven by user-entered reimbursement rates · Synthetic demonstration data — not real patients · NEMSIS v3.5