Payment Variance

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Accurately Forecast, Calculate and Capture All Net Revenue

You deserve to be compensated for the services you provide. For decades payers have paid less than a claim’s expected reimbursement. These reductions in revenue add up over time, severely impacting the bottom line of hospital systems and physician practices. We can identify the root cause of these payment variances, put insurers on notice that future instances will be challenged, seal contract loopholes, and proactively drive expected reimbursement.

Our Payment Variance Services will:

  • Identify and recover underpaid claims.
  • Recapture lost revenue due to improper discounts.
  • Discover and maximize revenue from Medicare transfer DRG claims.
  • Prevent future variance.
  • Forecast revenue and budget with confidence.
By the Numbers

Boston-Based Healthcare System

$21.3M

total recovered underpayments for health system

43%

win rate

$2.1M

annual average collections

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