Specialized solutions to help you Simplify your A/R.
Third Party Liability
Our proprietary technology and specialized workflows were designed to streamline complex claim resolution. We understand the nuances which exist in identifying and coordinating payment sources for accident claims. First, we help you identify all available payment sources and bill them in accordance with federal and state law. Then we provide the routine and consistent follow-up necessary to recover on these claims.
Our representatives specialize in first or third party claim resolution for a given jurisdiction. Because of this, they understand the specific billing rules and reimbursement expectations for that claim type in that state or county. Our bifurcated approach allows us to manage each claim type with singular focus. This ensures the quickest turnaround on medpay and PIP claims, which are often paid on a first-come, first-served basis. Third party specialists understand the adversarial nature of claims involving a negligent third party. This enables them to successfully navigate resolution of contested or disputed claims with third party adjusters and attorneys.
Health Insurance Denials
Our Payer Analytics and Integrity Division (PAID) combines experience with advanced analytics. These seasoned revenue cycle specialists and healthcare attorneys help identify, resolve, and prevent denials. We work beyond the remit to uncover patterns of denials and underpayments in your A/R and provide valuable, actionable insights. With this information, you can combat bad payer behavior. It can help you identify opportunities to reduce future denials within your workflows. Our experts can help you overturn your challenging denials, whether they are due to medical necessity and level of care, authorization and eligibility, or coordination of benefits.
Workers’ Compensation
Workers’ compensation laws and reimbursement methodologies vary from state to state. Technical billing requirements and burdensome follow-ups add pressure to an already complex process. With our unparalleled experience in workers’ compensation claims, we’ll help you navigate the numerous bureaucratic steps involved from day-one billing to resolution of an underpaid or delayed claim. Our proprietary technology calculates the expected reimbursement based on the relevant contract and fee schedule, and our dedicated workers’ compensation division performs relentless follow-up until the correct amount is paid.
We can help.
Learn what makes our process unique and how we can help you simplify your A/R recovery. Schedule a demo today.
