EOB Underpayment Recovery
This program specializes in claim payment transaction analysis through
sophisticated rules based edit tools to ensure that any denied item on any
payment record (EOB) is properly rejected and documented. Otherwise, the
payer owes the money to the physician or facility that filed the claim.
We confirm the accuracy of the payment record and assist in the collection
of wrongfully denied payments from the claim.
Remember - It's Your Money
So, here is the challenge:
This program can analyze your current inbound payments that are received
electronically (ERA). This number typically represents an average of 50%
of total payments, and we can get started today.
But wait, there's more: While this process produces significant results,
what about the balance of payments that are received in paper from the payer
or through your lock-box service with the bank? This represents the other
50% of your receivables and they are almost impossible to review manually
with internal staffing!
How much in denials are you losing for the lack of ability to analyze
the ERA and paper- based payments?
Our experience shows that by converting EOB documents to ERA transactions
and combining those converted payment records with existing inbound ERA payments,
we can identify underpayments that could be as high as 20% of your receivables
- underpayments that belong to you!
Our analysis is completely free and there is no obligation to buy
should we not identify underpayments. We will identify underpayments and
collect them from the payer on a contingency fee basis. We manage the process
and improve your bottom line significantly with no upfront cost. If we don’t
produce results, you owe us nothing. |
