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Crowe RCA

by Crowe
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OVERVIEW

Patented revenue cycle analytics and benchmarking software providing net revenue forecasting, AR valuation, and denial management for hospitals and health systems.

Crowe Revenue Cycle Analytics (Crowe® RCA) is a patented, enterprise-level software platform designed specifically for the complex financial operations of hospitals and large health systems. It serves as a "single source of truth" for net revenue reporting by capturing every patient financial transaction and normalizing data from patient accounting systems on a daily basis.

Key Benefits and Capabilities

Financial Reporting and Forecasting: Crowe RCA provides analytics to explain and forecast net revenue, estimate accounts receivable (AR) reserves, and strengthen internal controls. It is designed to support external audits and accelerate the monthly financial close process by providing accurate and timely data.

Benchmarking and Performance: The solution includes a robust Benchmarking Analytics program, comparing an organization's performance against a peer group of over 1,800 participating hospitals. This allows finance teams to gain real-time insight into trends, measure performance against industry standards, and develop meaningful plans for strategic improvement.

Revenue Cycle Optimization: The platform focuses on critical revenue cycle metrics, including:

  • Accounts Receivable (AR) Management: Measures true AR days and tracks the proportion of receivables over 90 days.
  • Denials Management: Provides detailed analysis of initial and final denial rates, including those related to prior authorization/precertification, to help prioritize complex denial resolution workflows.
  • Bad Debt and Collections: Analyzes bad debt transfers, credit balances, and cash-to-expected-pay metrics to optimize collection success.

Crowe RCA is a proprietary technology solution offered by Crowe LLP, a major public accounting, consulting, and technology firm, and is used by over 1,800 hospitals and more than 200,000 physicians nationally. The platform's advanced services include predictive analytics and forecasting to help organizations tailor their financial strategies.

RATING & STATS

Customers
1,800+
Founded
2012

KEY FEATURES

  • Net Revenue Forecasting and Analysis
  • Accounts Receivable (AR) Valuation and Reserve Estimation
  • Accelerated Month-End Close Process
  • Peer-Based Revenue Cycle Benchmarking
  • Denial Management and Analysis (Prior Authorization, RFI)
  • Bad Debt and Credit Balance Tracking
  • Daily Patient Transaction Data Normalization
  • Key Performance Indicator (KPI) Reporting

PRICING

Model: enterprise
Enterprise-level solution. Pricing is not publicly disclosed and is custom-quoted based on the size of the health system, scope of implementation, and specific consulting services required.

TECHNICAL DETAILS

Deployment: saas, cloud
Platforms: web

USE CASES

Financial Reporting and External Audit SupportRevenue Cycle Performance ImprovementOptimizing AR and Bad Debt ReservesIdentifying and Appealing Claim DenialsStrategic Financial Planning and Forecasting

INTEGRATIONS

Patient Accounting Systems (EHR/PMS)835/837 Electronic Remittance Data

COMPLIANCE & SECURITY

Compliance:
HIPAASOC2
Security Features:
  • 🔒Data Encryption
  • 🔒Access Controls

SUPPORT & IMPLEMENTATION

Support: email, phone, dedicated account manager
Implementation Time: 1-3 months
Target Company Size: enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +Leverages a massive, normalized dataset from 1,800+ hospitals for highly accurate benchmarking.
  • +Patented technology for automating complex net revenue analysis and AR valuation.
  • +Accelerates the month-end close process and simplifies external audit support.
  • +Deeply integrated with consulting expertise from a major accounting/technology firm.
✗ Cons:
  • -Pricing is not transparent (enterprise model).
  • -Primarily a financial/reporting tool, not an operational workflow system.
  • -Lack of public user reviews makes independent assessment difficult.
  • -High implementation and consulting costs are likely.

ABOUT CROWE