Healthcare Revenue Solutions that Fit

Even when claims are based on medically necessary treatment and otherwise entirely legitimate, if hospital billers fail to meet all procedural requirements, commercial insurers will deny them.

We’ll identify the best opportunities to reverse denials by correcting coding errors, providing additional medical records, creating itemized bills, and other administrative tasks to secure payment based on medical necessity.

The billing and coding process for motor vehicle accident claims can be complex. Commercial insurers routinely deny, delay, or underpay these claims due to common coding errors.

Our proprietary methods and systems expedites investigation into all applicable policies that provide MVA coverage. We can quickly verify all coverages, correct any coding errors, and ensure timely payment on MVA claims.

Due to complex processes, hospitals often struggle to collect workers’ compensation claims in full. Even clean claims are routinely rejected due to errors in attempting to follow obscure procedural requirements.

Many workers’ comp denials are readily reversible. Using our proprietary machine learning technology, our experienced coders will quickly find underpaid and denied WC claims that are winnable on appeal.

Most recovery efforts target outright claim denials because they stand out on the balance sheet. Meanwhile, millions of dollars are lost due to claims that were underpaid. The balance is written off and zeroed out.

Let us quickly identify these unseen revenue opportunities by auditing your paid (zero balance) accounts for clear evidence of underpayment on claims that we’re confident we can quickly win on appeal.

The VA reimbursement process is a tedious, complex maze, all for notoriously low reimbursement. Even hospital billers with specialized expertise find the process time-consuming and cost-prohibitive.

Your revenue cycle team’s time can be put to better use than attempting to reverse VA claim denials. We’ll investigate these denials for you at no upfront cost to prioritize and appeal your best recovery opportunities.

When denied, delayed, or underpaid claims increase, hospital revenue cycle teams often lack the resources to identify all the root causes. It’s difficult to create an effective recovery strategy without the full picture.

Our machine-learning system can quickly help you identify where your hospital is losing revenue and why. We prioritize claim denial types most winnable on appeal to recover revenue and help you prevent future denials.