Medical Underpayments

Medical Underpayments

Recover Lost Revenue with Our Healthcare Underpayment Recovery Program

Our program specializes in helping healthcare providers recover underpayments from insurance payers. Our team of payer contract experts utilizes advanced forensic audit software to analyze your remittances and identify noncompliance.

By reviewing your payer contracts and inputting the payment rates and terms into our system, we can perform a comprehensive forensic analysis of reimbursements received over 12-24 months. Our goal is to find variances between contractual obligations and actual reimbursements.

With a 100% success rate in detecting underpayments, our program can typically recover 10-20% of gross payer receipts for our clients. We offer a risk-free addition to your revenue cycle management efforts, working on a contingency-based engagement with no upfront fees.

Our program has analyzed billions in reimbursements, providing superior results compared to competitors. We have helped hospitals and physician groups recover millions of dollars in underpayments.

If you suspect your practice is not receiving full contracted payments from insurers, contact us today. Our healthcare underpayment recovery program will meticulously analyze your remittances and payer contracts to recover the revenue you’re owed.

Qualifications:

  • $25 Million Annual Revenue
  • Organizations that handle medical procedures
  • US (50 states)

Features:

Analyzes and recovers underbilling that is being under paid by insurance providers The average recovery is 22% Fully compliant proprietary system built with AI to analyze contracts and billings files using unique, custom-written algorithms

Business Types:

  • Hospitals
  • Surgery Centers
  • Stand alone ERs/Urgent Care Facilities
  • Medical Practices (excluding Primary Care, Radiology, Physical Therapy, Nursing Homes, and Fertility)

Schedule your free consultation