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RiverHealthcareMedical Practice Managers

River for Medical
Practice Managers

Track prior auths, draft denial appeals, run patient recall, and review weekly practice KPIs. One workspace, alongside your EHR.

The status quo

What slows medical practices down today

  • Auth spreadsheets always stalePrior auths are tracked in spreadsheets that go stale by Friday. Nobody knows which ones are waiting, which are denied, and which are about to expire.
  • Denials get lostDenials get lost across portals, faxes, and payer calls. By the time someone starts the appeal, the window is closing.
  • Follow-ups depend on memoryPatient follow-ups depend on whether staff remembers. Care gaps widen, recall rates stay low, and reactivation campaigns never quite happen.
  • No clean practice viewThe owner has no clean weekly view of the practice — auth rate, denial volume, recall performance, or revenue cycle health.
  • Campaigns that never happenReferral partner outreach and patient reactivation campaigns are always "something we should do" but never get done.

The work, organized

What practice managers use River for

Prior Authorization Package

A tracker for every open prior auth — payer, service, submission date, and status. River flags follow-ups and drafts initial submissions.

Denial Appeal Package

River drafts a complete denial appeal packet — appeal letter, clinical justification, supporting attachments — from the denial documentation.

New Patient Intake + Follow-Up

Intake forms, follow-up sequences, and care gap outreach drafted and tracked in one workspace alongside your EHR.

Referral Partner Growth

Referral source tracking, outreach templates, and relationship management so your referral pipeline actually grows.

Weekly Practice KPI Review

A dashboard that pulls together auth rates, denial volume, recall metrics, and revenue cycle KPIs — written up automatically each week.

Patient Recall / Reactivation

Automated recall messages drafted per patient, sent on schedule, and tracked so you know who booked and who needs a second touch.

Start here

Prior Authorization Package

Start here. A tracker for every open prior auth — payer, service, status, and clinical notes. River drafts the initial submission and flags follow-ups when the timeline slips.

Included

  • Prior Authorization Package
  • Denial Appeal Package
  • New Patient Intake + Follow-Up Package
  • Referral Partner Growth Package
  • Weekly Practice KPI Review Package
  • Patient Recall / Reactivation Package

How River works

Everything lives inside a Space

A River Space holds your trackers, documents, automations, and dashboards alongside your EHR. The AI reads across all of it when you ask for a draft or an analysis.

Docs
Sheets
Notes
Canvases
Decks
Tasks
Dashboards
Automations
Mail
AI chat
Files
River AI

The shift

Before vs after

Before
  • Prior auths and denials tracked in spreadsheets
  • Denial appeals written from scratch every time
  • Patient recall depends on memory
  • Weekly practice review is "we should do that"
  • Referral outreach never gets off the ground
  • Staff SOPs in a Word doc from 2019
After
  • A live tracker for every prior auth and denial
  • River drafts appeal packets with clinical justification in minutes
  • Patient recall automation that actually runs every week
  • Weekly practice KPI review packet that writes itself
  • Referral partner outreach running on schedule
  • SOPs current, accessible, and staff can actually find them

How it works

From a blank tracker to a running practice

1

Set up your Practice Space

Start with the Prior Auth Package or the Weekly KPI Review. Drop in your payer data, patient lists, or denial records and River organizes the workspace.

2

River handles the first draft

Appeal letters, recall messages, KPI summaries, intake forms — River drafts everything from the context in your Space. You review and send.

3

Automate the recurring work

Patient recall, review requests, and weekly KPI packets run on schedule. The practice runs without depending on anyone remembering.

Guides

Guides for practice managers

FAQ

Common questions

Yes. Each prior auth gets a record in the Space with payer, drug or procedure, status, and clinical notes. River drafts the initial submission and flags follow-ups when the timeline slips.

Start your first Medical Practice Space

Pick a template and River builds the Space for you. Prior auth tracker, appeal packet, recall automation, and weekly KPI review — all in one place.