Empower your senior patients.  Revitalize practice profitability.

Medical Underpayments Recovery

RECOVER THE REVENUE THAT IS RIGHTFULLY YOURS!

In today’s healthcare landscape, ensuring that you’re fully compensated for the services you provide is increasingly challenging. We can help!

Our expert medical underpayments recovery partners focus on helping healthcare providers (from small practices doing at least $2M a year to the largest hospital networks) identify and recover earned revenue that was previously lost due to carrier underpayments. These specialized billing audit services serve as a compliment to, and go beyond, traditional Revenue Cycle Management (RCM). Providing a focused, in-depth analysis that identifies and rectifies underpayments that could be impacting your bottom line.

We understand that safeguarding patient information is of utmost importance, not just for compliance with regulatory requirements, but also for maintaining the trust of our clients. Our proprietary software platform is built upon a robust security framework that strictly adheres to the Health Insurance Portability and Accountability Act (HIPAA) guidelines. We have implemented stringent security protocols across all our platforms, ensuring the confidentiality, integrity, and availability of Protected Health Information (PHI).

A key differentiator of our platform is its capability to turn payer contracts into digitized, software-driven agreements. This modular approach allows our software to meticulously analyze every claim, down to the smallest detail, in line with the exact terms outlined in the contracts.

By transforming payer agreements into software, we ensure precision in identifying underpayments and discrepancies in claims processing. Our proprietary system also provides flexibility, allowing for easy updates to accommodate contract revisions, regulatory changes, or specific client requirements. This ensures continuous accuracy and optimal revenue recovery for our clients.

Moreover, our approach streamlines contract management by providing a centralized, easily accessible digital repository of all payer contracts. Healthcare providers can view, manage, and modify their contracts in real-time, enhancing operational efficiency while minimizing administrative burdens. This practice has proven instrumental in enabling seamless, automated billing audits, minimizing human error, and maximizing the recovery of underpayments.