Insurance Underpayment Audit
Insurance Underpayment Audit
What It Is:
A deep dive into your payer contracts and remits to identify underpayments and reimbursement errors.
Outcome For You:
- Recover money you’re owed from past claims
- Ensure future claims are paid correctly
- Peace of mind knowing you’re not leaving revenue on the table
Pricing:
- Percentage of recovered revenue (aligns our success with yours)
- No overlap with current staff workflow
- Optional ongoing monitoring to ensure consistent payments
Accounts receiveaBLe (AR) Optimization & clean-up
Accounts receiveaBLe (AR) Optimization & clean-up
What It Is:
A structured review and action plan for your Accounts Receivable. I identify stuck claims, follow-up gaps, and overdue balances.
Outcome For You:
- Faster collections and improved cash flow
- Reduced aging AR and fewer lost claims
- Clear, actionable plan for your team to follow
Pricing:
- Flat rate per month
- Optional recurring support for ongoing AR health
Front-End Revenue Leak Assessment
Front-End Revenue Leak Assessment
What It Is:
Evaluation of your intake and billing processes to catch revenue losses before claims are even submitted. Focus on auths, eligibility, coding, and charge capture.
Outcome For You:
- Prevent revenue loss at the source
- Reduce claim denials and rejections
- Streamlined workflows for staff efficiency
Pricing:
- Flat rate per engagement
Optional Add-On:
- Staff training and accountability sessions to implement findings
- Monthly check-ins to track results
Revenue Cycle Management
Revenue Cycle Management
What It Is:
Timely submission of outgoing claims, unpaid and denial claim follow up and payment posting via your own EHR and Billing software.
Outcome For You:
- Ensures continuous cash flow throughout the month
- Less administrative burden on the clinic
- Allows providers to focus on patient care
Pricing:
- Flat rate per month based on clinic patient volume