Underpaid Claims Recovery

614-805-0588

Underpaid Claims Recovery

Leverage a Proprietary Software Solution to Optimize your Medical Billing and Increase Revenue

22%

National Average Recovery Rate

Traditional RCM Software Recovery is 2-5%

400+

Hospitals Currently Utilizing The Proprietary Software Solution

15-18%

Increase In Revenue

What Our Team Does

Our team specializes in advanced forensic audit solutions designed to identify and recover underpaid claims from insurance payers for healthcare facilities. Using proprietary software, our team uncovers revenue opportunities by targeting zero-balance and previously adjudicated claims—areas often overlooked by traditional Revenue Cycle Management (RCM) systems and internal audits.

What Our Team Does Not Do

Our team is not a billing company, nor do we sell costly RCM software.
Our team does not disrupt your organization’s structure or operations.
Our team does not interfere with your facility’s internal or external billing workflows or existing RCM processes.

Who Our Team Helps

Our team partners with healthcare facilities, including:

Hospitals
Surgical Centers
Urgent Care Centers
Diagnostic Centers

THE PROGRAM

Our Underpayment Recovery Program stands out as a unique solution in the industry, leveraging proprietary, custom-designed software to uncover underpayments on zero-balance and previously adjudicated claims.

Our team steps in after your revenue cycle team has fully adjudicated a claim and exhausted all internal processes—typically 90 days post-submission. Our team's audits extend back 1-3 years (based on payer contracts), enabling our team to identify and recover significant underpayments that might otherwise go unnoticed.

What Makes Our Team Different

Tailored Solutions: Our team's software is uniquely customized for each facility, detecting patterns and trends that reveal hidden underpayments.
Direct Payments: Recovered funds are remitted straight to your facility, ensuring you retain full control of your revenue.
Seamless Integration: Our team's process is completely non-disruptive, allowing your existing operations to continue uninterrupted.

THE BENEFITS

Achieve Higher Recovery Rates
While traditional RCM software recovers just 2%-5% of underpaid claims, our proprietary system delivers significantly better results, recovering 10%-30%, with a national average of 22%.
No Upfront Costs
Our contingency-based model means you only pay after our team recovers funds. No recovery, no cost—it's that simple.
Risk-Free Experience
Our team manages every step of the audit and recovery process, requiring no financial investment from your facility.
Effortless Implementation
Flexible agreements allow you to cancel before software implementation. Minimal involvement is required from your team—just a quick assist with data uploads, and our team handles the rest.

THE RESULTS: REAL SUCCESS STORIES

Business Growth - Positive Financial Impact

$20 Million: A private hospital in Missouri achieved a recovery exceeding $20 million.
$6 Million: A 123-bed hospital in Texas reclaimed $6 million in underpayments from BCBS alone.
$10 Million: A 142-bed hospital in Louisiana recovered over $10 million from its top four payers.
$1.2 Million: A private hospital in Pennsylvania uncovered $1.2 million in underpayments from its fourth-largest payer.
$7 Million: A large physician group in Ohio secured $7 million in underpayments from BCBS professional claims.
$4 Million: A small community hospital in Texas recovered $4,048,555 from BCBS.
$30 Million: National Network - 3 facilities combined to recover an impressive $30 million.

WHY PARTNER WITH OUR TEAM

Key Benefits:

Zero Upfront Costs: Our team's services are completely risk-free—you only pay after our team recovers funds for your facility.
Maximize Lost Revenue: Our team specializes in recovering revenue from claims that are often overlooked, including:
- Denied Claims: Often due to minor issues like missing documentation or easily correctable errors.
- Underpaid Claims: Frequently caused by under-billing allowable codes for specific procedures.

Partner with our team to unlock the hidden revenue your facility deserves, without disrupting your operations or budget.

System Stream - Systems To Increase Revenue and Decrease Expenses

TAKE THE FIRST STEP

Your organization's financial health is the foundation of its success. Let our team help you uncover substantial savings opportunities while staying true to your mission and objectives. Reach out today to discover how our team can drive meaningful savings for your organization.

Start your journey today and achieve 15-18% revenue growth!

How May We Help You?