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Healthcare Accounts Receivable Recovery and Denial Management

Maximize reimbursement from payers in the shortest time and at a lower cost to collect

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

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

Outsourcing Solution

The majority of denials are recoverable and preventable — a typical hospital can recover between $5 to $10 million by addressing the issue.1

Our cutting-edge, proprietary technology combined with people domain expertise powers our outsourcing denial management solution to deliver both root-cause and actionable insights. Without adding a single staff resource, we’ll help you address legacy, aged, small balance, underpayments, zero balance and workers comp accounts, resulting in:

More Cash

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

Faster Cash

We provide detailed, accurate and actionable denial and underpayment analytics, as well as payer score cards that monitor performance by tracking response times and types, and percentage of allowable paid by insurance vs. patient responsibility.

Lower Cost to Collect

We leverage sophisticated workflow and analytics that allow us 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.

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1Health Business Insights

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