Fluctuating regulations and policies affect how payors rewrite their contracts, making them much more complex than in the past.
For this reason, you need a modern, comprehensive platform that identifies areas of opportunity within the revenue cycle to allow you to quickly react to recover losses and prevent re-occurrence.
DENIALS: 1 in 5 claims are denied on the 1st pass
An estimated 65-90% of denied claims are recoverable.
Unresolved denials equate to an average 3.3% net revenue loss per year.
While many systems manage denials, claims paid in the amount of $0 often fall through the cracks and can be lost or forgotten as an underpayment.
The average 350-bed hospital is missing out on
in potential revenue per year!
WHAT WE DO