For physician owners & private practices
The AI back office for private medical practices.
River is the AI back office that helps private practices capture the revenue they've already earned, write off fewer denials, and claw back hours of admin every week. More money in, less money out. Built for physician owners, practice managers, billers, and care teams.
Where the money is
Five workflows that pay for themselves
Each one targets a place your practice loses money or time today: revenue capture, denial recovery, patient communication, faster intake, and growth. Pick the one that hurts most and we'll show you the upside.
Coding & Reimbursement Optimizer
Recover the $10K–$50K per physician you under-code every year
Capture supported reimbursement that’s already in your notes, without upcoding.
15–25% of outpatient visits are billed below the level the documentation supports (AAPC / coding-audit benchmarks). It never shows up as a denial, so most practices never see the money walk out the door.
Every under-coded note is revenue you earned but never billed. River reviews assessment notes for ICD-10 specificity, E/M support, and documentation gaps, then hands physicians and coders a structured, defensible review instead of a blank page, so supported reimbursement actually lands on the claim.
- ICD-10 extractor from assessment/plan text
- Specificity gap finder: flags laterality, acuity, complication, and severity gaps
- E/M level support based on 2021 MDM or time criteria
- HCC / risk-adjustment capture for practices taking risk contracts
- Batch audit mode for common documentation patterns
Denials & Prior Auth
Turn denied claims back into paid claims and reclaim 13 hours a week
A clear next step for every denial and prior auth, drafted for you.
Physicians spend ~13 hours a week on prior auth (AMA, 2024) and ~65% of denied claims are never resubmitted (AHIMA). That’s earned revenue and staff time bleeding out every week.
Denied claims and prior auths drain revenue and burn staff hours. Paste a denial, EOB, or payer policy and River explains what happened, decides resubmit vs. appeal, and drafts the next action (letter, attachment checklist, or corrected-claim guidance), so fewer dollars get written off and your team stops starting from scratch.
- Denial triage: reason, deadline, and next-action classification
- Appeal packet builder with clinical justification and attachment checklist
- Payer policy matcher checks the chart against required policy elements
- Resubmission checklist for corrected-claim denials
- Prior authorization letter generator from clinical facts and failed alternatives
Patient Education & Medication Handouts
Cut repeat calls and boost adherence with handouts patients actually understand
Every patient leaves with a clear, branded care plan in their language.
Confused patients call back, skip meds, and miss follow-ups. Clear after-visit instructions free up your front desk and keep patients on track and loyal to your practice.
Hand every patient a clear, branded care plan before they walk out the door. River generates multilingual handouts, medication tables, and after-visit instructions from trusted medical sources. They improve adherence, cut repetitive phone calls, and keep your practice looking polished without adding headcount.
- Condition and procedure handouts based on MedlinePlus / PubMed
- Medication tables: why you take it, how to take it, side effects, refill notes
- Multilingual support in Spanish, Chinese, Vietnamese, Arabic, and more
- After-visit summary and chronic-disease action plans
- Procedure prep and post-op wound care instructions
New Patient Intake & Visit Notes
Give every provider back hours of documentation time each week
Every visit starts with a clean chart summary and a drafted note.
Physicians spend nearly 6 of every 8 clinical hours in the EHR, with 2+ hours a day just on documentation (JGIM, 2024). River drafts the note so they don’t start from a blank page.
Slow intake means wasted provider time and rushed, under-documented visits. River pulls problems, medications, allergies, surgical history, and goals from intake forms, then drafts the visit note, patient instructions, and billing support, so every appointment starts ready to bill instead of buried in paperwork.
- Intake form to structured problem list, med/history/allergy extraction
- Referral PDF summarizer with missing-info checklist
- Audio transcript or dictation to SOAP note draft
- Assessment/plan to ICD-10 suggestions and coding support
- Pre-visit planning brief for the care team
Practice Growth & Reputation Manager
Win the 84% of patients who check your reviews before booking
Stay visible, current, and protected online without an agency retainer.
84% of patients read reviews before choosing a provider and 75% won’t book below 4.0 stars (rater8, 2026). River keeps your reviews, profiles, and site current so you show up and get picked.
New patients judge you online before they ever call. River keeps your website current, drafts HIPAA-safe responses to reviews, builds local SEO pages, and publishes patient-friendly content from your clinical expertise, driving new-patient demand for a fraction of agency cost. Works for primary care, dermatology, psychiatry, dentistry, concierge, PT, med spa, and more.
- Review monitor with HIPAA-safe public response drafts
- Website service-line pages, physician bios, FAQ pages, and condition pages
- Local SEO page generator for city and service combinations
- Blog posts and social content from clinical expertise
- Provider bio updater and insurance pages
Who uses it
Every role in the practice
Practice managers, billers, and front desk staff often see the biggest time savings.
Physician owner
Revenue visibility, prior auth oversight, and reputation management without adding admin hours.
Practice manager
Denials, intake workflows, patient recall, and staff SOPs running without depending on memory.
Biller / coder
ICD-10 specificity review, E/M support, denial triage, and appeal packets, done faster and more consistently.
MA / nurse
Patient education handouts, medication tables, after-visit instructions, and pre-visit prep.
Front desk
New patient intake, scheduling scripts, referral tracking, and review responses.
Marketing / admin
Website pages, local SEO content, social posts, and practice-branded patient materials.
Also exploring
More workflows on the roadmap
These workflows are in active development. If one of these would help your practice, book a meeting and tell us which one matters most.
Referral Leakage Tracker
Track referrals from fax to scheduled visit to completed note. Stop losing referred patients between intake and scheduling.
No-Show Recovery Assistant
Draft SMS, email, and call scripts for missed appointments. Generate a reschedule queue and track outcomes.
Lab Result Follow-Up Organizer
Summarize abnormal labs, draft patient messages, create follow-up tasks, and flag unclosed clinical loops.
Chronic Care (CCM) Assistant
CCM eligibility finder, monthly call note generator, care plan updater, time log, and billing readiness checklist.
Policy & SOP Generator
Front desk SOPs, phone scripts, refill policies, prior auth SOPs, and new patient onboarding flows.
Practice Owner Operations
Banking subscription finder, vendor invoice analyzer, SaaS/license cleanup, and contract renewal tracker.
Trust & safety
Built for clinical environments
HIPAA-eligible
Your workspace is private to your account. Inputs are not used to train models. On-prem deployment is available for teams that require full data sovereignty.
You review every output
River produces draft documents and coding support. Every output requires clinician or coder review before use. Nothing gets sent without your approval.
Not an EHR replacement
River lives alongside your system of record. It produces documents and administrative work you can review before use. It does not replace your EHR or practice management system.
Local / on-prem option
River can run on dedicated hardware in your clinic. Patient data stays on-site. No cloud BAA required when running fully local.
Common questions
What does River actually do for a private medical practice?
River handles the administrative, documentation, and patient communication work your team does manually today: coding review, denial triage, appeal letters, patient handouts, intake prep, and website content. You provide the source material, River drafts the work, and your team edits and sends.
How much staff time can it save?
The biggest time savings are in denial/prior auth work (AMA research shows physicians average 12 hours per week on prior auths), coding review (ICD-10 specificity work that typically requires manual chart review), and patient education (generating handouts from scratch vs. generating them in seconds). The exact impact depends on your volume and workflows.
Does River replace my EHR or billing system?
No. River produces documents and coding support that you copy into your EHR or send to your biller. It does not replace your system of record, billing software, or clearinghouse.
How does River handle PHI?
River is HIPAA-eligible. Your workspace is private to your account, your inputs are not used to train AI models, and on-prem deployment is available for teams that require full control. Always follow your organization's policies before entering protected health information.
Does it work for specialties beyond primary care?
Yes. The coding and denial tools apply across specialties. The patient education tools work for any condition or procedure. The growth and reputation tools are especially popular for dermatology, psychiatry, dentistry, PT, med spa, concierge medicine, and ophthalmology.
What is involved in getting started?
Book a meeting and we will walk through your specific workflows, set up your practice account, and connect the tools that matter most for your team. Most practices are producing useful outputs on their first day.
See where your practice is leaving money
Tell us which workflow matters most and we'll show you exactly how it pays off: more revenue captured, fewer denials, hours back every week. No commitment required.