We perform a comprehensive review

• We review the medical record for documentation of items used and services provided and compare it to the itemized bill to capture any missed items

• We compare the itemized bill to the UB-92/UB-04 to ensure proper coding and bill any corrections to capture the appropriate reimbursement

• We compare the payments received with contract terms to ensure complete and accurate payment and follow up with the insurance providers to collect any underpayments

We use our own staff – not the hospital’s

• Our Nurse Auditors are RN’s with OR and/or ICU experience

• We can pull and re-file medical records, providing temporary help if necessary to assist in this effort at no additional cost

• We will perform follow-up with the insurance providers to collect the additional reimbursement

• We will work with your staff to ensure everything is recorded appropriately

We provide ongoing education

• Monthly reports provide insight into what items are being identified and can be used in developing new mechanisms to ensure charge capture accuracy

• Periodic meetings with you and your staff to discuss specific issues in   detail and to help your departments address them

We actually earn our fees

• There are no up-front costs and no hidden fees and we earn our fees from actual dollars recovered, not billed amounts

• We only earn our fees if we can produce results for your hospital!

Lost Charge Recovery Presentation (5 Minutes)