Sign up to save your podcasts
Or
Share ADHC Underpayments for Healthcare Providers
Share to email
Share to Facebook
Share to X
Share to email
Share to Facebook
Share to X
Or
ADHC Underpayments for Healthcare Providers
Welcome to Access Plus Underpayment Recovery!
We have developed the most advanced forensic audit system in the healthcare industry. Our proprietary software and team of payer contract experts perform a forensic analysis of every remittance received in a 12-to-24-month period to determine the contractual compliance of each reimbursement. We work with the payers to recover underpayments owed to our clients. With an impeccable 100% success rate, our results are unrivaled, consistently delivering an average recovery rate of 22% from payers over the last 15 years.
Our team of contract specialists reviews each payer contract in detail and loads the contract payment rates and specific terms into our software system. We also work with the healthcare provider’s billing department and claim clearinghouse to electronically upload their files using our HIPAA-compliant, proprietary encryption platform. Our software development team writes custom algorithms specific to the client’s contract rates and terms to perform forensic analysis. We identify and review variances in the actual reimbursement versus the payer’s contractual obligation.
View all episodes
By CG Moneta ConsultingWelcome to Access Plus Underpayment Recovery!
We have developed the most advanced forensic audit system in the healthcare industry. Our proprietary software and team of payer contract experts perform a forensic analysis of every remittance received in a 12-to-24-month period to determine the contractual compliance of each reimbursement. We work with the payers to recover underpayments owed to our clients. With an impeccable 100% success rate, our results are unrivaled, consistently delivering an average recovery rate of 22% from payers over the last 15 years.
Our team of contract specialists reviews each payer contract in detail and loads the contract payment rates and specific terms into our software system. We also work with the healthcare provider’s billing department and claim clearinghouse to electronically upload their files using our HIPAA-compliant, proprietary encryption platform. Our software development team writes custom algorithms specific to the client’s contract rates and terms to perform forensic analysis. We identify and review variances in the actual reimbursement versus the payer’s contractual obligation.