Solution Bundle

Underpayment Audit and Recovery

Outsourced healthcare revenue recovery services for hospitals that want to better manage denied claims and quickly correct healthcare underpayments.

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What’s included in Underpayment Audit and Recovery

  • Underpayment audit and recovery expertise

    • Proprietary technology reprices each claim
    • Skilled staff advocates on your behalf
    • Payer adjustment codes and remittance advice
    • Clinical, technical, and RCM experts
    • Services are system-agnostic

  • Payer audit services

    • Appeal Medicare notifications to rescind
    • Address commercial and government audits
    • Coordinate medical chart reviews
    • Meet appeals deadlines
    • Alleviate administrative drain on staff

  • Ongoing system edit-and-workflow maintenance

    • Experts inform you about regulatory changes
    • Review and implement payer bulletins
    • Educate your staff via tutorials
    • Edits maintenance and workflow modifications
    • System cleansing to keep up with changes

  • Detailed reporting

    • Gain healthcare revenue recovery insights
    • Detailed denial and underpayment reports
    • Leverage reports for payer negotiations
    • Specific improvement recommendations
    • Address root cause of denials

Healthcare revenue recoveryto facilitate reimbursement

Expertise to help support financial performance

Rely on our experts to help improve revenue cycle management and financial performance. We build and model actual contracts and reprice every claim according to contractual rules using proprietary technology. Our services are system-agnostic, enabling our clinical and technical experts to work your denials onsite or remotely within your system.

Rely on experts to streamline healthcare revenue recovery

Managing denied claims can be costly. Our experts analyze payer adjustment codes from remittance advice to facilitate appeals for faster healthcare revenue recovery. Plus, we can help you streamline workflows and alleviate the administrative burden on your patient financial services, case management, and health information management staff.

Automation to reduce regulatory risk

Get a solution that supports a clean claims rate by helping to identify and correct root causes of denials to improve your clean claims rate. Our custom gold standard compliance program aligns with the requirements of the office of inspector general. Increase clean claims via trending insights as well as specific recommendations for documentation, edit improvements, claims management, and process improvements.

Our outcomes

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e-Book

How to Write RFPs for Revenue Cycle Management That Get Results

e-Book

How to Write RFPs for Revenue Cycle Management That Get Results

Learn how to write the best possible RFP for your next revenue cycle management project so you can achieve better results while staying on time under budget.

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On-demand Webinar

How to Make the Labor Shortage Work for You

On-demand Webinar

How to Make the Labor Shortage Work for You

A deficit of 3.2 million lower-wage workers is expected in the healthcare industry within 5 years. Leaders are finding solutions in long-term service strategies.

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Case Study

Anesthesiology Group Improves Thanks to RCM for Physician Practices

Case Study

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Learn how an anesthesiology group increased profitability, efficiency, and stability thanks to Change Healthcare RCM for physician practices.

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Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

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