Contractual Reimbursement and Underpayment Analysis

Services include

1. 01Expected reimbursement calculations.
2. 02Review of incorrect allowances and unpaid units.
3. 03Investigation of inappropriate contractual adjustments.
4. 04Hospital and physician payment analysis.
5. 05Review of per diem, percentage-of-charge, and stop-loss provisions when applicable.
6. 06Identification of recurring payer payment discrepancies.
7. 07Documentation of recoverable balances.
8. 08Support for payment disputes and escalation.

— Receiving a payment does not establish that the payment is accurate.