Minimize the Costly, Time-Consuming Claims Denials and Underpayments from Medicare and Commercial Insurance.
Recover 7-10%+ of Annual Revenue in 90 Days with Proven, AI-Powered Medical Billing Software.
Client Experience
- Health America (PA) - Recovered 19% of annual patient revenue for Reading hospital, Pottstown Hospital, and Phoenixville Hospital.
- Geisinger Health (PA) - Recovered 12% of annual patient revenue for Geisinger Health System.
- Gettysburg Health System (PA) - recovered 17% of annual patient revenue in service to Blair Mill Network and Lehigh Valley Health Network.
- Baylor Scott & White Medical Center (TX) - recovered $6 million in underpayments from Blue Cross Blue Shield alone.
- Berk’s Womens Health (PA) – recovered 18% of annual patient revenue.
Key Benefits
Recover Underpayments
We identify savings and untapped revenue from underpaid claims.
Minimize Claims Denials
We resolve and resubmit current denials swiftly and conduct ongoing claims management to ensure accurate and timely payment moving forward.
Full Revenue Cycle Management
We manage all aspects of your revenue cycle including billing, contracting negotiations, and accounts receivable posting.
How It Works
Step 1: Data Analysis
Our software analyzes 12-24 months of claims data to learn payor behavior and denial patterns, and we use this information to identify all claims underpayments.
Step 2: Hands-Off Underpayment Recovery
We handle all aspects of claims underpayment recovery, including arbitration, resubmissions, and A/R posting. We will recover all underpayment savings within 90 days.
Step 3: Ongoing Claims Management
Optionally, we can continue to monitor, report, and proactively manage your claims submissions in order to minimize future denials and underpayments.
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