HFMA25: FinThrive Launches New AI Platforms to Stop Revenue Leakage

What You Should Know: 

– FinThrive, a healthcare revenue management SaaS provider, today announced the launch of FinThrive Fusion, the first dynamic intelligence platform purpose-built on a modernized data fabric to power the future of revenue cycle management (RCM) innovation. 

– The company also announced the launch of FinThrive Denials and Underpayments Analyzer, a next-generation analytics solution powered by the new platform.

Introducing the Denials and Underpayments Analyzer

Powered by the new Fusion platform, the FinThrive Denials and Underpayments Analyzer gives health systems unprecedented insight into two of the most persistent and financially damaging issues in healthcare. Denials now impact over 10% of all claims, and underpayments cost hospitals between 1% and 3% of their net patient revenue each year. A recent FinThrive analysis found that more than 32% of medical claims were underpaid, totaling over $5 billion in uncollected reimbursements across a subset of 117 providers.

The solution unifies fragmented data into a single, intuitive interface that delivers:

• Line-Level Detail: Pinpoints the precise root cause of denial and underpayment trends with daily refreshed data.
• Accurate Expected Reimbursement: Provides consistent calculations based on payer contracts.
• Configurable Denials Classification: Intelligently categorizes denial rules specific to various plans.
• Workflow Options: Integrates with existing workflows or FinThrive’s full denial management suite.
• Actionable Impact: Helps sustainably mitigate emerging risks to maximize revenue.

Unified Platform to Overcome a Fragmented RCM

Unlike bolt-on AI tools and siloed applications, FinThrive Fusion is seamlessly integrated into the company’s RCM platform, acting as the connective layer between data, decisions, and outcomes. This pioneering foundation combines one of the industry’s largest healthcare databases with a modern data fabric, driving intelligent automation and eliminating fragmented workflows.

“Denials and underpayments represent some of the most corrosive forces in revenue cycle management, but most tools on the market handle them in isolation or provide static reporting after the damage is done,” said John Yount, Chief Innovation Officer at FinThrive. “What makes FinThrive unique is our ability to unify these pain points into a single, actionable view… It’s not just another dashboard — it’s an intelligent analyzer built to help health systems uncover risks, prioritize action, and protect revenue before it’s lost.”

FinThrive will be showcasing its latest AI-driven solutions powered by Fusion, including the new Analyzer, at the 2025 HFMA Annual Conference.