Eliminate vendor fragmentation, departmental handoff friction, and finger-pointing. Nova Arc assumes 100% operational ownership of your hospital network's entire revenue cycle—from pre-service patient access and certified clinical coding to electronic claims dispatch, denial eradication, and balance liquidation—all governed under One Master Enterprise SLA with financial at-risk guarantees.
In multi-hospital enterprises, revenue cycle management is routinely fragmented across 4 to 7 independent vendors and disconnected internal departments. When claims deny or aging receivables balloon, each party defends their narrow silo while the hospital CFO absorbs the financial loss.
The Finger-Pointing: Billing blames Patient Access for failing to obtain authorization; Patient Access blames Clinic Schedulers for urgent add-ons; Schedulers blame physicians for missing clinical documentation.
The Finger-Pointing: Central Business Office blames outsourced coding vendor for downcoded DRGs; Coding vendor blames hospital CDI specialists; CDI blames physician query response delays.
The Finger-Pointing: Secondary A/R agency blames primary billing team for slow initial dispatch; Billing blames payer clearinghouse; meanwhile, commercial timely-filing clocks expire.
Nova Arc connects every stage of hospital revenue operations into a closed-loop system. Select each operational pillar to examine how automated data loops, certified clinical pods, and unified SLAs eliminate revenue friction.
Unlike standalone front-end vendors who never see remittance denials, Nova Arc feeds every downstream back-end ERA 835 denial directly back into registration rules. If a commercial payer changes coverage policies, the front-end intake engine updates within 4 hours, permanently eradicating CARC 27/197 denial recurrences.
When Nova Arc assumes front-to-back revenue cycle ownership, we bind our fees to contractually defined metrics. If we fail to achieve any guaranteed threshold in any quarter, fees are automatically forfeited and credited back to the health system.
| Performance Dimension | Health System Benchmark (Average) | Nova Arc Contractual SLA Guarantee | At-Risk Enforcement Mechanism |
|---|---|---|---|
|
Net Collection Ratio (NCR)
Payments / (Charges - Contractuals)
|
94.2% – 95.8% | ≥ 98.4% Guaranteed | 15% management fee penalty credit if quarterly NCR drops below 98.0%. |
|
Days in A/R (DAR)
Average days from discharge to collection
|
48.6 Days | ≤ 31.8 Days Guaranteed | 10% fee reduction for each 30-day period DAR exceeds 35 days without payer outage. |
|
First-Pass Clean Claim Rate
Claims accepted without edits/rejections
|
78.4% – 84.1% | ≥ 99.2% Guaranteed | Automatic escalation to executive engineering pod within 4 hours of drop. |
|
Aged A/R > 90 Days
Percentage of active accounts aging past 90d
|
22.8% of Total Ledger | ≤ 11.5% Guaranteed | Contingency-only recovery fee on accounts aging past 90 days caused by Nova Arc. |
|
Discharged Not Final Billed (DNFB)
Unbilled clinical charts awaiting coding
|
6.8 Days Gross Revenue | ≤ 3.2 Days Guaranteed | Overtime coding surge deployed at zero additional expense if DNFB spikes. |
|
Initial Payer Denial Rate
First-pass remittances returned denied
|
11.2% – 14.8% | ≤ 4.8% Guaranteed | Zero appeal charges for avoidable CARC denials originating from intake/billing. |
Unlike conventional RCM vendors that bill health systems regardless of cash performance, Nova Arc operates with skin in the game. Exactly 20% of our monthly enterprise management fee is held in escrow each month. If our trailing 90-day performance meets or exceeds all 6 Master SLA benchmarks, escrow is released. If any benchmark is breached due to operational execution, that portion of the fee is permanently refunded to the hospital system.
Model the financial impact of transitioning from fractured vendors to Nova Arc's front-to-back single SLA. Adjust your hospital network's revenue metrics below to quantify cash acceleration and write-off prevention.
A 12-hospital regional health system ($1.8B NPR, 3,100 beds) operated with 5 separate vendors: an offshore coding partner, a third-party prior authorization firm, internal business office billing, and two distinct aged A/R collection agencies. Days in A/R had surged to 53.2 days, first-pass clean claim rate stagnated at 79.4%, and initial claim denial rates exceeded 13.8%.
The health system terminated all 5 vendor contracts and engaged Nova Arc under a single master enterprise SLA with 20% fees at-risk. Nova Arc integrated into Epic Resolute (HB/PB), deployed automated 270/278 front-end sentinels, staffed dedicated certified coding pods, took over 100% of billing and 835 posting, and managed back-end liquidation.
Switching your revenue cycle partner should never threaten cash collections. Our phased ingestion model protects daily hospital billing while progressively activating Nova Arc's front-to-back single SLA.
Bi-directional EHR integration via Epic App Orchard, Cerner Discern, or MEDITECH. Ingestion of 100% of historical remittance 835 and claim 837 data. Shadow workqueue mirroring begins with zero operational disruption.
Nova Arc activates automated 270/278 eligibility and prior auth sentinels. Certified HIM and CDI coding pods assume primary chart abstraction across inpatient DRG and outpatient surgery. DNFB queues reduced by 50%.
Full billing cutover: EDI 837 clearinghouse dispatch, automated 835 posting, and aged A/R liquidation pods go live. Single-source Master SLA officially activated with 20% management fees in at-risk escrow.
Schedule a confidential executive consultation with our health system revenue architects. We will conduct a comprehensive baseline analysis across your acute facilities, ambulatory networks, and professional billing pods, delivering a custom single-SLA pro forma model within 10 business days.
