Your Revenue Cycle Partner for Complex Claims
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In 2019 alone, motor vehicle accidents cost the U.S. healthcare system approximately $463 billion. Unfortunately, it’s unlikely the hospitals treating injured patients recovered even a quarter of the …
Continue Reading about Why Hospitals are Missing Up to 75% of MVA Claims →
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Provider organizations tell us that as much as 1% of their net patient service revenue is recouped annually by payers. They don’t realize that most of those takebacks are expressly prohibited under …
Continue Reading about Healthcare Payment Recoups are Often Recoverable Under ERISA →
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While providers are exceedingly familiar with the traditional payer-based process for appealing claim denials, remarkably few know about ERISA appeals. The Employment Retirement Income Security Act of …
Continue Reading about Top 10 ERISA Revenue Recovery Opportunities for Healthcare →
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Even among the most seasoned healthcare revenue cycle experts, ERISA appeals are often a new concept. By our estimates, as many as 98% of provider organizations do not realize they can expect a 1% …
Continue Reading about Frequently Asked Questions about ERISA Recovery for Healthcare Claims →
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By our estimates, as many as 98% of provider organizations assume that health plans have the last word in coverage decisions and reimbursement rates. Often, they don’t. Most private-sector health …
Continue Reading about Why Don’t Hospitals Know they Can Recover Millions through ERISA Appeals? →
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The average hospital claim denial rate increased 23% in 2020, but those funds may not be lost. Two little-known COVID relief measures opened a new route that may allow providers a second chance at …
Continue Reading about Hospitals Can Recover Lost 2020 Revenue through ERISA Appeals →