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Unlike Medicare, it’s
easier to identify 3rd party underpayments, but much more difficult
to get paid for them. Our 3rd party payment review includes managed
care and commercial contracts, workers comp, and other
non-government insurers. |
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We have extensive national
experience in modeling complicated contracts and identifying
accounts that aren’t paid correctly. During follow-up, our
collection department builds and maintains relationships with 3rd
party insurers to recover underpayments. If stronger measures are
necessary, we work closely with the client to provide the support
and documentation that leads to resolution. |
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Most hospitals today have
add-on contract management systems, but these products may not be
programmed for all payers, or may no longer be correctly calibrated.
We independently calculate expected reimbursement for all accounts.
Clients find this useful as a check on their contract management
systems. |
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As with Medicare, 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 findings so that errors
aren’t repeated. |
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Contact us
to schedule a personal appointment. |
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Let Us Recover
The Revenue That Is
Rightfully Yours. |
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