Under Medicare Post-Acute Transfer rules, certain DRGs are subject to reduced payments if patients are discharged early and receive post-acute care elsewhere. In many cases, patients do not receive the expected post-acute care for reasons outside of your control. This puts your healthcare system at risk for underpayments as high as $70k per account if claims are not coded correctly.

OUR SOLUTION
Revint Solutions offers a full-service revenue recovery solution that uncovers every lost dollar your organization deserves.

• We couple our industry-leading technology platform with our hands-on regulatory and clinical expertise

• Our two-step approach identifies all uncovered revenue, which cannot be accomplished through technology alone

• We contact Medicare Administrative Contractors (MAC) to validate our findings prior to submitting claims for payment

• We go the extra mile while other solutions simply rely on computer programs to catch low-hanging fruit

Results

Our solution produces results that mirror the CMS system of checks and balances. We have time and again recovered 20% more than our competitors and 40% more than providers who have completed similar reviews internally

Experience

Revint Solutions pioneered the Medicare Transfer DRG review when we first launched in 1996. We have collected over $900 million for our clients, performed over 1,000 engagements across the U.S., and processed over 5 million claims

Value

From small hospitals to large health systems, we deliver value to all types of healthcare providers. Our detailed financial and operational understanding of each unique provider setting, coupled with our proprietary technology, consistently delivers more revenue than our competitors