Revenue Operations System

Make billing
predictable.

A streamlined workflow that captures clinical documentation, prepares compliant claims, and helps recover denied revenue — without adding complexity to your practice.

Audit trailRole-based accessCoder review gatesPacket builder
Revenue Ops Command CenterMode: Intake
Denials at risk
$48,320
17 claims
Ready to submit
42
QA pass
Appeals due
8
72 hrs
Missing docs
11
Needs follow-up
IDReasonAmountDueStatus
Enc #18421Missing note$1,240TodayFix
Enc #18423Missing auth$98024 hrsFix
Enc #18426Dx mismatch$76048 hrsReview
Packet Builder
Chart note attached
Authorization verified
Required fields complete
Missing items assigned
Audit Trail
All actions logged & timestamped
$0.0B
lost annually to preventable claim denials
~0%
of denied claims are recoverable with the right process
$0.0B+
recovered through appeals across U.S. providers 2024

Many billing losses stem from documentation gaps, coding inconsistencies, and missed appeals. Structured workflows close those gaps, returning time to patient care.

Sources: CAQH Index 2023, KFF Denial Data

Outcomes

Measurable from week one.

Denial leakage reduction

Flag missing documentation, coding mismatches, and authorization gaps before submission—not after.

First-pass readiness

Every claim is scrubbed, coded by a human reviewer, and verified against payer rules before it leaves.

Audit-ready by default

Every action is logged. Every decision has a trail. Every packet is exportable and retention-ready.

How it works

From intake to resolution.

01

Intake & Document Capture

Upload visit notes, authorizations, and supporting documents. The system flags missing items, verifies required fields, and routes encounters for coding—before anything leaves your office.

Auto-flag missing docs
Field validation
Route to coder queue
02

Human Coder Review

Every encounter passes through a certified coder who reviews suggested codes, checks modifiers, and logs QA approval. Nothing is submitted without human sign-off.

ICD-10 / CPT validation
Modifier verification
QA gate before submission
03

Submission & Tracking

Claims are submitted to the clearinghouse with full audit trail. Deadlines are monitored, payer statuses updated in real time, and at-risk claims surfaced before they age out.

Clearinghouse submission
Deadline monitoring
At-risk alerts
04

Denial Appeals & Recovery

Denied claims are analyzed with CARC/RARC codes, routed to appeals specialists who build evidence packets, and submitted with clinical documentation—tracked to resolution.

Denial root-cause analysis
Evidence packet builder
Resolution tracking
Why TeddyCare

What most platforms miss.

Workflow depth, not feature breadth

Most RCM platforms try to cover everything on day one. We connect the three breakpoints where providers lose the most money: coding accuracy, denied claims, and appeals recovery.

Human review where it matters

Software handles speed and consistency. Certified coders and appeals specialists handle complexity and judgment. Every submission has human sign-off.

Provider simplicity, operational depth

Your team uploads documents and reviews results. Our team does the coding review, denial analysis, evidence gathering, and appeal submission.

Compliance

Built for scrutiny.

Audit trail by default

Every action—code selection, approval, submission, edit—is timestamped, attributed, and immutable. Exportable on demand.

Role-based access

Five roles with scoped permissions. Providers see their claims. Coders see their queue. Admins see everything. No shortcuts.

Retention-ready

Document retention policies, versioned records, and complete submission history. Built for HIPAA, SOC 2, and HITRUST readiness.

Abyde HIPAA Certified for Business Associates
HIPAA Certified
BAA
BAA Available
Pilot

See it on your data in 30 days.

Start with intake, document capture, and claim preparation.