Healthcare providers lose $48.4 billion annually to revenue they earned and never collected. Most of it never appears in a denial report. FORT finds it.
FORT has identified $4.05B in payment variance across 884,901 Medicare procedure records. See the methodology.
In net revenue leakage across U.S. hospitals in 2025. Source: Kodiak Solutions, 2,300 hospitals.
Business days from data receipt to certified findings. No system access. No implementation.
Data streams reconciled simultaneously. Clinical records. Billing ledgers. Payer remittances.
Every healthcare organization operates three data streams simultaneously. Clinical systems record what was delivered. Billing systems record what was invoiced. Payer systems record what was paid. These systems were built independently and report independently.
The intersection — where revenue is either captured or permanently lost — has never been the subject of simultaneous forensic analysis at the individual account level. That is the gap FORT was built to close.
“50% of denied claims are never resubmitted. That is not a denial management problem. That is a documentation problem.”
Pre-exit forensic certification, data room integrity documentation, and EBITDA protection across multi-site healthcare platforms. Findings structured for LP committees and prospective acquirers.
The window immediately following an acquisition is where billing gaps form fastest and go undetected longest. We close that window before it becomes a permanent loss.
Teaching hospitals, academic medical centers, and large regional health systems with complex multi-entity billing environments where standard RCM was not designed to operate.
When a buyer's team arrives in your data room, what they find becomes their negotiating instrument. We certify the billing environment before they do.
Every engagement begins with a mutual NDA and a Business Associate Agreement executed before any data changes hands. The Firm receives read-only flat file exports — no EMR credentials, no network access, no integration. A full four-pass FORT reconciliation runs and returns within fourteen business days of confirmed data receipt.
Data receipt → reconciliation → certified findings. One defined period.
Every finding is documented at the claim level: procedure code, allowed amount, amount paid, variance, and recovery eligibility. The findings package is prepared for attestation under AICPA AT-C 215 by an independent CPA partner. The deliverable is an evidentiary document — not a management report, not a software export.
Revenue Integrity Report. Revenue Integrity Certificate. Recovery Document.
Using publicly available federal Medicare procedure data, the Firm applied FORT's remittance drift reconciliation methodology across 884,901 procedure records spanning cardiology, ophthalmology, and gastroenterology. The analysis identified over 4 billion dollars in systematic payment variance at the procedure level. Full findings are published at dataixai.com/case-studies.
884,901 records. Three specialties. Public Medicare data. Open methodology.
Dataix works with a defined number of organizations at any given time to ensure the full attention of senior advisory leadership on every engagement. All submissions are reviewed within one business day.
