Documentation & revenue capture
Documentation and revenue capture that keeps pace with the OR
Most revenue leakage doesn’t announce itself. It leaks out through an unbilled implant here, a coding mismatch there, a denial nobody worked. Perivanta catches it while it’s still cheap to fix — before the claim leaves the building.
Perivanta is in development with founding design partners — this page describes the capability we’re building together.
The claim is decided in the OR, not the billing office
Most ASCs still run documentation and billing as a relay race: the case happens, the chart gets finished later, charges get entered after that, and an outsourced biller submits the claim days downstream. Every handoff is a place where documentation gaps, coding variability, and missed charges slip through.
By the time a denial or underpayment surfaces, the case is weeks old and the context is gone. For a high-volume center, the accumulated leakage — incomplete documentation, delayed charge capture, unworked denials, quiet underpayments — can represent millions of dollars in lost reimbursement a year.
What Perivanta does between case and claim
Perivanta moves revenue integrity upstream — to the point of care, where problems are cheap to fix and context is still fresh.
Structured documentation assistance
Helps surgeons and staff capture procedure details as complete, structured documentation at the point of care — so the chart supports the claim before the patient leaves recovery.
Pre-claim coding checks
Reviews documentation against expected coding before submission, flagging mismatches and gaps while they’re a two-minute fix instead of a thirty-day appeal.
Charge-capture prompts
Flags implants, supplies, and services that were used in the case but never made it onto the claim.
Days-to-bill tracking
Measures the lag from case completion to clean claim at each workflow step, so you can see exactly where charges sit and age.
Denial pattern detection
Groups denials by payer, procedure, and root cause — turning one-at-a-time appeals into upstream fixes that stop the same denial from recurring.
Underpayment flags
Cross-checks remits against expected reimbursement and routes suspected underpayments to your payer analytics workspace for recovery.
Built to make your billing team faster, not replace it
Whether you bill in-house or through an outsourced RCM partner, Perivanta works upstream of that process: cleaner documentation, complete charges, and earlier flags mean whoever submits your claims is working with better raw material.
Clinical documentation stays in your EHR or ASC management system. Perivanta reads and analyzes; your systems of record remain the source of truth. Patient data handling is covered on our security page.
Common questions
- Does this replace my biller or RCM company?
- No. Perivanta works upstream of billing — improving the completeness and accuracy of documentation and charges before they reach whoever submits your claims, in-house or outsourced. Cleaner inputs mean fewer denials and faster payment regardless of who does the billing.
- How does Perivanta handle patient data?
- Perivanta is built for HIPAA-regulated environments: encryption in transit and at rest, role-based access, audit logging, and business associate agreements. Our security page describes the architecture and compliance roadmap.
- Where does the documentation live?
- In your existing EHR or ASC management system. Perivanta assists at the point of capture and analyzes what’s recorded, but your system of record remains the legal record of care.
- What causes most ASC claim denials?
- The recurring culprits are incomplete operative documentation, coding that doesn’t match what was documented, missing prior authorization, and payer-specific submission rules. Most are preventable upstream — which is why Perivanta focuses on the point of care rather than the appeal.
Explore the rest of the platform
Design partner program
Help build the system that decides what should happen next
We are selecting a small group of founding centers to shape the platform. Design partners get early access, direct input on the roadmap, and founding-partner terms.