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
total recovered underpayments for health system
annual average collections
Healthcare system collects $21.3M in underpayments with payment variance partnership. Case Study Healthcare system collects $21.3M in underpayments with payment variance partnership. A healthcare system sought to maximize yield from insurance payers to maintain financial health. Increasingly complex managed care contracts, downgraded DRGs and billing and payer discrepancies resulted in lower-than-expected reimbursement. Download the Case…Read More >
Client increases cash collections during height of the pandemic with strategic AR support. Case Study Client increases cash collections during height of the pandemic with strategic AR support. An acute, safety net system of 323 beds and $532M NPR was experiencing a revenue decline and a growing volume of at-risk patients. The pandemic had eroded…Read More >