Our Revenue Reclamation Services
At our hospital revenue reclamation service, we specialize in helping healthcare providers maximize their reimbursements and minimize revenue leakage. Our team of experts utilizes advanced data analytics and proven methodologies to identify and recover underpaid or denied claims, ensuring your organization receives the full compensation it deserves.
Discover how our comprehensive approach can transform your hospital's revenue cycle.
Step 1
Assessment
Our team will conduct a comprehensive assessment of your revenue cycle, identifying areas of opportunity and potential revenue leakage.
Step 2
Implementation
Based on the assessment, we will work with your team to implement targeted solutions and process improvements to optimize your revenue cycle.
Step 3
Optimization
Our team will work with you to identify and implement further improvements, leveraging data analytics and industry best practices to drive continuous optimization.
Common Revenue Challenges
Discover how our services can help you overcome the most common revenue challenges faced by hospitals.
High Denial Rates
Our comprehensive denial management approach addresses root causes including patient status determinations (inpatient vs. observation), clinical documentation gaps, and systematic payor denial patterns. We implement proven strategies to reduce denials and secure appropriate reimbursement for your organization.
Contract Performance
Our data analytics and contract optimization expertise helps you maximize reimbursement through strategic analysis of DRG versus per-diem structures, payor behavior tracking, and identification of underpayment patterns. We strengthen your position in contract negotiations with data-driven insights.
Administrative Efficiency
We streamline your revenue cycle operations by optimizing workflows, automating manual processes, and reducing staff workload. Our solutions help your team focus on high-value activities while maintaining compliance and accuracy throughout the process.
Physician-Led Appeals
Our specialized approach to tertiary appeals leverages physician expertise to create compelling medical necessity documentation. This physician-driven strategy achieves significantly higher success rates compared to traditional RN/case management appeals, helping recover more of your denied revenue.