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More than 98% of Medicare claims are paid correctly. The remaining 2% are mostly underpayments, due to extensive edits and a comprehensive RAC program to identify and take back overpayments.
Inpatient payment errors are very infrequent, but the consequences can be thousands of dollars per account. While we don’t analyze coding for DRG changes, we identify non-clinical reasons why hospitals aren’t paid correctly.
We use our own analysis tools and experience to find these underpayments, and we know how to work with the Intermediary to get them paid correctly.
All adjustments are submitted to the client for approval prior to rebilling, and the client has absolute control over all claims.
 
Best of all, our services require little or no effort from the hospital staff. We do all of the work and pay all of the expenses. Throughout the engagement clients receive feedback on our finding so that errors aren’t repeated.
Contact us to schedule a personal appointment.
 

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