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Healthcare Accounts Receivable Recovery and Denial Management

Maximize insurance reimbursement in the shortest time and at a lower cost to collect.

Enhance insurance recovery dollars from all payers

Close the gap between peak cash potential and actual cash generated on claims by mitigating insurance denials and underpayments. Our platform features intelligent workflow and analytics that help ensure healthcare providers can get ahead of denial management and achieve the highest reimbursement.

The most comprehensive post-discharge revenue recovery solutions in the market

Our unique and powerful combination of data, analytics and workflow enables our clients to accelerate cash collections faster than the competition while gaining greater insight into their A/R.

Extended Business Office Services

Cutting-edge, proprietary technology blended with people domain expertise powers our Extended Business Office services to deliver both root-cause and actionable insights. Without adding a single staff resource, we’ll help you address legacy, aged, small balance, underpayments and zero balance accounts, resulting in:

More Cash
Accurately identify reimbursement and variances resulting from underpayments and denials for each claim — including primary, secondary, interim and repeat visits.

Faster Cash
Get transparent, accurate and actionable denial and underpayment analytics, as well as payer scorecards that monitor performance by tracking response times and types, and percentage of allowable paid by insurance vs. patient responsibility.

Lower Cost to Collect
Leverage sophisticated workflow and analytics to work accounts in groups by root causes with proven resolutions — two to three times faster than competing solutions.

With our denial management technology, you’re able to reduce and prevent denials and underpayments — and maximize reimbursement from insurance payers.

CONTACT US TO LEARN TO MORE ABOUT OUR SOLUTION >

A/R Recovery Management Solution

The majority of denials are recoverable and preventable — a typical hospital can recover between $5 to $10 million by addressing the issue up front.

Increase payments, reduce A/R days and decrease write-offs with our accounts receivable recovery and denial management solution.

Our end-to-end A/R management solution navigates all your claims from billed to correctly paid. Enable your hospital staff to improve A/R collections using our comprehensive platform consisting of easy-to-use, powerful modules, including:

  • Underpayment and denials management
  • Inventory management and workflow
  • Payer scorecard
  • Contract management
  • Vendor scorecard and outsource management

With our automated technology and combined features of enterprise-view dashboards and drill-down analytic reports, you’re able to reduce and prevent denials and underpayments — and drive more payment from insurance payers.

CONTACT US TO LEARN MORE ABOUT OUR SOLUTION >

A/R Recovery Denials Management Solution

The majority of denials are recoverable and preventable — a typical hospital can recover between $5 to $10 million by addressing the issue up front.

Increase your payments and denial overturn rate faster with our comprehensive analytics and workflow solution that identifies, organizes and segments all denial types to maximize reimbursement.

Our Denials Management solution provides:

  • A true remaining balance using expected contractual amount and detecting denials
  • Reimbursement analyzer to review what’s left at a line item level
  • Bulk strategies and bulk appeal capability to improve efficiencies
  • Payer scorecards to facilitate better negotiation with payers

Our denial management technology helps reduce and prevent denials and underpayments — and enhance recoveries from insurance payers.

CONTACT US TO LEARN MORE ABOUT OUR SOLUTION >

TransUnion Healthcare Revenue Protection® solutions impact your bottom line:

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