Analysis: Cedar Valley Health System

Projected net revenue of $4.28M exceeds the prior-month baseline by 12.4%, driven by a favorable shift in EM Level mix (99284/99285 share up 4.1pp) at Pflugerville and a 31% reduction in Fin Class mapping errors. Denial risk remains elevated at 8.2%—above the 7.5% target—concentrated in Visit Status inconsistencies (142 events) and unmapped Fin Class rows (98 events). Recommend tightening front-desk Visit Status capture for BCBS and Medicare LocFin segments, which together account for 68% of denial exposure. Clean claim rate of 89.0% is now in the upper quartile vs. peer Altus facilities.