Managed Care Contract Recovery
You need to ensure that you´re being paid correctly when it comes to your managed care payors. Overpayment means a liability, and underpayment means less cash flow. Omega´s Managed Care Contract Recovery service provides a strategic solution that is both economical and ensures compliance. We have found that many hospitals simply mark underpayments as a contractual adjustment without verifying that the payment was accurate, while overpayments are identified and often returned. There simply aren´t enough resources to address the problem and ensure payment accuracy. Engaging Omega Solutions will bring you the immediate and ongoing benefits that you need, without breaking the bank.
Here are the key features of the Managed Care Contract Recovery service:
- Comprehensive screening of your claims for over- and underpayments
- Analysis of all claims to identify billing and coding errors that prevent payment
- Complete outsourcing of the work from review through rebilling and collection
- Ongoing education of your staff
- Review of claims approaching catastrophic limits for accuracy and completeness
- Analysis of claims for carve-outs ensuring the appropriate payors are billed
- Access to our proprietary ChargeMASTER analysis software is included
- Complements your internal audit and concurrent review programs
- Free analysis to determine the impact of a potential project
- 100% riskfree engagement you receive the money directly and pay only for results
Omega has assisted hospitals throughout the U.S. with revenue recovery projects for over 18 years. We can help you ensure that your claims are being paid in accordance with contract terms. Our Lost Charge Recovery service has received the prestigious Peer Reviewed designation from the HFMA and our clients find our services to be highly successful and entirely unobtrusive.
Contact Omega today at 800-559-8009 to speak with a representative and arrange your free analysis.
