We Are Not:
We're NOT an RCM company
We are NOT an EMR/EHR software.
We do NOT require ANY changes to your current processes.
Most importantly, we do NOT require any budget or fee to perform our analysis - it is entirely performance-based.
This means we only get paid if we find more revenue owed to you (hint: we do, every time...no seriously, we have a 100% success rate after thousands of analyses performed).
We only get paid after you get paid!
Lastly, the workload is on US! – which means you do NOT need to devote a special team to a new “project”.
Where Do We Come Into The Picture?
Once your claims are marked as PAID IN FULL and CLOSED OUT in your system.
We come in AFTER all your other RCM tools and recovery processes have been finished.
After you think you've been paid fully from payors - THEN you have us perform our analysis to find STILL MORE REVENUE.
We are the leader in identifying gaps missed by your normal RCM process.
How Do We Do This?
With a HIPAA-compliant, battle-tested, proprietary technology, which comes in behind all your other softwares, systems and RCM tools.
Key Stats
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On average, we find about 20% of client final claims to be incorrectly paid.
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We've found and recovered contractual underpayments for 100% of our clients.
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Our largest recovery to date is $330,000,000.
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Our lowest recovery to date is 10% of gross receipts.
Case Studies
We have 100s of successful clients - check out our case studies!
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Texas – For a 123-bed hospital, we identified $6 million in underpayments through BCBS alone.
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Louisiana, for a 142-bed hospital, we identified over $10 million in underpayments for the top 4 payors.
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A hospital network with 3 of their top facilities, we identified over $30 million in underpayments.
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A large physician group in Ohio serving a 500+ bed provider, we identified $7 million in underpayments in BCBS professional only.
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A small Tennessee clinic provider is uncovering $100-$150,000 more monthly revenues per insurance contract.
Cost of Waiting
If you are an average client (22% recovery of gross receipts), each day could be costing you over $6,000 in lost recovery per $10,000,000 in gross receipts.
Why? — Because most payer contracts only allow you to go back one year.
For example: If you’re doing $50 million in gross receipts annually from your payers, the cost of waiting could be over $30,000 PER DAY!”