Outpatient Medicare Review

Medicare Inpatient | Medicare Outpatient | 3rd Party Review | About Us | Contact

Outpatient payment errors are much more frequent and varied, due to the complexity of the OPPS payment system. The regulations and fee schedules that determine reimbursement are updated quarterly, creating more opportunities for errors. We review all of the OPPS accounts for payment errors, not just a sample.

We have developed a comprehensive review process for OPPS including coding analysis. Whether the errors involve drugs and supplies, surgical codes, or Intermediary payment errors, we can identify the problem and make the correction.

We often identify systemic issues that result in lost revenue. Working with the client, we can assist in developing solutions to prevent future losses.

A review by VHCI will result in additional revenue and improved compliance. Because VHCI does all the work, the client hospital can realize these benefits without investing any resources.

We deliver additional revenue and assurance
against future payment errors.

Let Us Recover The Revenue That Is Rightfully Yours.

Our Consulting Fees Are Contingent Upon Actual Results. We Only Get Paid If You Do.