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Financial Assessment

Underpayment Recovery

UNDERPAYMENT RECOVERY

Underpayment Recovery Support: Maximizing Your Reimbursement

At One Hive, we understand that underpayments can significantly impact your financial performance. Effective underpayment recovery is essential for ensuring that you receive the full reimbursement you are entitled to. Our comprehensive underpayment recovery services are designed to help you identify, address, and recover underpaid claims efficiently.

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Case Studies

Our Support

Here’s how we support you

Thorough Underpayment Analysis

Our process begins with a detailed analysis of your accounts receivable to identify underpaid claims. We review payment discrepancies, compare reimbursements against contracted rates and billed amounts, and categorize underpayments based on payer, claim type, and other relevant factors. This thorough analysis helps us pinpoint areas where recovery efforts are needed.

Contractual Rate Verification

Ensuring that claims are paid according to contractual agreements is critical for accurate reimbursement. We verify that payment rates align with your contracts with payers, including fee schedules and negotiated rates. Our team identifies any deviations from contractual terms and initiates recovery efforts to address these discrepancies.

Claim Reconciliation and Adjustment

We handle the reconciliation of underpaid claims, including adjustments to correct payment errors. Our team works to ensure that all discrepancies are resolved and that payments are accurately adjusted. We update your accounts receivable records to reflect the corrected amounts and improve financial accuracy.

Effective Appeal Strategies

When underpayments occur, appeals may be necessary to recover the correct reimbursement. We manage the appeals process by preparing detailed appeal letters, gathering supporting documentation, and submitting the appeals to the appropriate payers. Our strategic approach aims to overturn underpayments and secure the reimbursement you are owed.

Proactive Follow-Up and Monitoring

Continuous follow-up and monitoring are essential for successful underpayment recovery. We track the status of appeals and recovery efforts, ensuring that claims are processed and adjusted promptly. Our proactive approach helps expedite the recovery process and reduces the likelihood of further payment delays.

Data-Driven Insights and Reporting

We provide detailed reporting and insights into your underpayment recovery efforts. Our reports highlight key metrics, such as recovery amounts, denial trends, and payer performance. These insights help you understand the effectiveness of our recovery efforts and identify areas for further improvement.

Payer Communication and Resolution

Effective communication with payers is crucial for resolving underpayment issues. We handle all payer interactions related to underpayments, including inquiries, negotiations, and follow-ups. Our team ensures that you receive timely and accurate responses from payers, facilitating successful recovery.

Contract Review and Optimization

To prevent future underpayments, we offer contract review and optimization services. We analyze your payer contracts to identify any terms that may lead to payment discrepancies. Our recommendations help you negotiate better terms and prevent underpayment issues going forward.

Training and Education

Educating your staff on underpayment recovery best practices is essential for maintaining an effective recovery process. We provide training and resources to enhance your team’s understanding of underpayment issues, appeals processes, and payer requirements. This knowledge helps reduce errors and improve recovery outcomes.

Dedicated Support and Expertise

Our commitment to your success includes providing dedicated support throughout the underpayment recovery process. Whether you need assistance with complex cases, guidance on payer negotiations, or help with implementing recovery strategies, our team is here to offer the expertise and support you need.

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Partner with Us for Effective Underpayment Recovery

At One Hive, our goal is to ensure that you receive the full reimbursement you are entitled to by providing expert underpayment recovery support. With our experienced team, strategic approach, and commitment to excellence, we are your trusted partner in overcoming underpayment challenges and optimizing your financial performance.

Contact us today to learn more about how we can assist with your underpayment recovery needs and help you achieve your revenue cycle goals.

Financial Assessment