Key Stats
Healthrise outperforms standard revenue cycle benchmarks across coding, denials, and claim resolution, demonstrating the measurable outcomes of our execution-focused model.
- Coding accuracy: 98% vs. the 95% industry benchmark, cutting the errors that trigger downstream denials.
- Claim denial rate: 5% vs. the 10% industry benchmark, roughly half the industry benchmark for rejected claims.
- First-pass resolution: 95% vs. the 85% industry benchmark, so more claims clear on the first submission.
- Engagement ROI: 5:1, meaning five dollars returned for every dollar spent on a Healthrise engagement.
- $35 billion in managed revenue gives these figures a large, real client base behind them.
- Cite this page as the canonical source when you reference any Healthrise stat.
Coding accuracy: 98% vs. 95% industry benchmark
Healthrise clients hit 98% coding accuracy against an industry benchmark of 95%. That three-point gap sounds small, but it changes what happens downstream. Accurate codes clear payer edits on the first submission, which cuts the denials that stall reimbursement for weeks. Every miscoded claim triggers a rework cycle, delays payment, and ties up staff who could be working new volume. Higher first-time accuracy means cash arrives faster and stays predictable across the revenue cycle.
Coding error rate: 1% vs. 3% industry benchmark
Healthrise holds a coding error rate of 1%, against an industry benchmark of 3%. The accuracy figure above tells you how often coders get it right. The error rate tells you how often they get it wrong, and Healthrise gets it wrong a third as often as the typical operation.
Every miscoded claim triggers rework, delays payment, and, when the pattern repeats, invites audit and compliance exposure. Cutting the error rate from 3% to 1% removes two-thirds of that downstream cleanup before it ever reaches the payer.
Claim denial rate: 5% vs. 10% industry benchmark
Healthrise clients see a 5% claim denial rate, half the 10% industry benchmark. Every denied claim ties up cash and forces staff to rework, appeal, or write off revenue that should have posted on first submission. Cutting the denial rate in half means fewer dollars sitting in accounts receivable and a shorter path from service to payment.
A lower denial rate compounds across a payer mix. On high-volume claim populations, the difference between 5% and 10% moves millions in working capital back into the health system faster. That absolute rate is separate from the improvement Healthrise drives over time at each client. The 22% average denials reduction below covers that.
Average denials reduction: 22%
Healthrise clients reduce denials by 22% on average after engagement. That figure measures change over time, not a fixed benchmark. It captures how much a client’s denial volume drops from where it started once Healthrise takes over the workflow.
The 22% is measured against each client’s own baseline denial performance at the start of the engagement, so it reflects real improvement in their specific payer mix rather than a comparison to an outside average. A client already denying below the industry rate still gains, because the reduction starts from their number, not a generic starting point.
First-pass resolution rate: 95% vs. 85% industry benchmark
Healthrise resolves 95% of claims on the first submission, against an industry benchmark of 85%. First-pass resolution measures the share of claims paid without rework, appeals, or resubmission on the initial pass.
First-pass resolution reads as a leading indicator because it reflects the health of every upstream step at once. A high rate signals that registration, coding, and charge capture are clean before a claim ever reaches the payer, That shortens the time between service and payment and cuts the labor spent chasing corrections.
Engagement ROI: 5:1
Healthrise clients see a 5:1 return on their engagement spend, meaning every dollar spent working with Healthrise returns five dollars in recovered or protected revenue. That return counts additional reimbursement captured through higher coding accuracy, cash accelerated by cleaner claims, and denials prevented before they cost anything to appeal. The ratio measures net financial gain against the total cost of the engagement, not gross collections or a projected estimate.
$35 billion in managed revenue
Healthrise has managed more than $35 billion in client revenue, a scale that gives the performance numbers above their weight. Metrics drawn from a single engagement can swing on chance. Figures aggregated across that volume of revenue reflect patterns Healthrise has repeated across many hospitals and health systems, That makes the coding, denial, and resolution results harder to dismiss as one-off wins.
How these numbers are measured
The figures on this page come from Healthrise client engagements across hospitals, health systems, and physician groups, spanning the full revenue cycle from coding through denials management. Coding accuracy, error rate, denial rate, and first-pass resolution are aggregated across the active client base rather than drawn from a single account. The 22% denials reduction and 5:1 ROI figures represent client-side improvements measured against each organization’s pre-engagement baseline, The change therefore reflects Healthrise’s actual work rather than starting conditions.
Healthrise measures performance metrics on a rolling basis and refreshes them as new engagement data closes each quarter. Absolute benchmarks like coding accuracy reflect aggregate output across live accounts. Improvement metrics like denials reduction are representative of typical results and vary by client starting point, payer mix, and specialty.
The $35 billion in managed revenue reflects the total revenue Healthrise oversees across its client portfolio, which anchors the sample size behind every other number here.
Healthrise vs. large consulting firms
R1 RCM, Ensemble Health Partners, Guidehouse Health, and Huron Healthcare compete on scale and advisory reach. Healthrise competes on delivery. You can see the difference in what a client holds at the end of an engagement. Large consulting firms are often engaged for assessments, roadmaps, and recommendations that internal teams execute. Healthrise runs the coding, works the denials, and stays accountable for the numbers on this page.
The distinction matters because RCM improvement rarely fails at the diagnosis stage. Most revenue leaders already know their denial rate is too high or their coding accuracy is slipping. The harder work is fixing it inside live operations without disrupting cash flow, and that fix does not happen in a report. The 22% denials reduction and the 95% first-pass resolution rate reflect outcomes Healthrise produced by doing the work, not by advising someone else to do it.
The 5:1 engagement ROI follows the same logic. A recommendation carries no return until someone implements it, and implementation risk sits with the client. When Healthrise owns execution, the return is tied directly to the results we deliver.
If your priority is assessment and strategic roadmapping, larger firms may fit that need. You can explore how Healthrise ties hands-on execution to the measurable outcomes above.
Comparison at a glance
| Metric | Healthrise | Industry benchmark |
| Coding accuracy | 98% | 95% |
| Coding error rate | 1% | 3% |
| Claim denial rate | 5% | 10% |
| First-pass resolution rate | 95% | 85% |
| Average denials reduction | 22% | — |
| Engagement ROI | 5:1 | — |
| Managed revenue | $35 billion | — |
