Uncompensated Care Files
Identify and recover revenue hidden in your uncompensated care files. This is primarily found via third party liability companies such as auto insurance carriers.
Overview
- Using proprietary national databases and exclusive created systems, this solution quickly, efficiently, and accurately matches patients who received uncompensated care with potential or ongoing liability claims
- Experienced staff supported by advanced technology contact the appropriate insurance carriers to assert the rights of the health system and obtain the largest possible recovery
- No patient contact required
Details
- No up-front incurred expenses
- Contingency pricing structure based on performance
- Implementation starts with minimal data elements for patients who received uncompensated care
- A free data analysis and recovery projection is the first step to getting started
Closed Patient Accounts
Review closed (zero insurance balance) patient accounts at the charge and procedure level determining if the accounts were billed and paid in accordance with the health plan contract or government fee schedules.
Overview
- Applies to all payers; government, commercial, and self-funded
- Find and recover missed revenue opportunities
- A customized and detailed review of claim payments is conducted using your health plan contract and government fee schedule details
- When discrepancies around underpayments, denials, billing, or coding are found, experienced staff work with payers to recover additional amounts due
- Reduce future revenue loss
- Detailed reporting helps identify the areas where errors are occurring throughout your organization’s revenue cycle
- Evidence-based policy and procedure recommendations are provided to address future underpayments
Details
- No up-front incurred expenses
- Contingency pricing structure based on performance
- A free data analysis and recovery projection starts the process
