Why it's the Best This 100% contingency-based program takes a totally non-disruptive approach to identify charges that should have been billed, but weren't. Once identified, the company recaptures this "lost charge" revenue and then implements corrective action to prevent recurrence of the billing deficiencies in the future.
General Features The process begins with a retrospective review of select claims to identify if a "lost revenue" opportunity exists. A diagnostic assessment is performed off-site on a small sample of cases in conjunction with a charge master review. If an opportunity is identified, an experienced R.N. will interview nursing directors from surgery and OB to determine currently adopted standards of care and charging protocols. Once the specific problems are pinpointed, the company provides extensive training of nurse managers in order to prevent the billing oversights moving forward. This training facilitates a sustainable improvement in overall charge capture.
No Risk Engagement All fees are derived from the proceeds generated for the hospital by this firm.