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.
What’s included in Underpayment Audit and Recovery
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
PRODUCT SUPPORT
Need support for
this solution?
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