All hospitals are at risk for missed outpatient revenue. The complexity of the Outpatient Prospective Payments System and the Revenue Cycle virtually guarantees it. Risk factors include miscoded procedures, missed charges, and missing modifiers.

OUR SOLUTION

• A comprehensive search of outpatient claims data identifies improper coding, recoverable denials, and billing errors

• Our proprietary engine includes rules to identify charge capture issues

• A true chart-to-claim audit is performed by coupling our technology with expert review

• Medical records are compared with received payments to identify revenue opportunities that most reviews miss

• Charge capture policies and procedures are reviewed to ensure sustainability

• Increases compliance with state and federal regulatory requirements

• We work behind-the-scenes to ensure no disruptions to daily operations

Results

Our outpatient revenue recovery system identifies payments that traditional contract management and billing scrubbers miss. You receive no false positives, 100% of the claims are payable

Experience

Our professional staff averages 20 years of real-world experience and hold credentials such as RHIA, RHIT, CCS, CPC, CPMA, etc.

Value

We deliver transparent, in-depth reporting to allow for longitudinal process improvements. Our services are delivered with minimal disruption resulting in sustainable solutions