Giving Old Claims a Second Chance
Many times a claim will be closed, paid or cancelled without the appropriate revenue being generated.
Benefit Recovery reviews those closed, paid or cancelled claims up to one year in the past to discover additional opportunities for revenue generation by identifying claims that were closed inappropriately. Since we are only paid on contingency and the claims are no longer active, you have absolutely nothing to lose and everything to gain.
This program helps you meet OIG requirements now and in the future through a systematic audit of accounts closed out before placement with a follow-up or denial management vendor. Working manually from trend reports, our experienced staff reviews can identify missed opportunities such as co-insurance / life reserve benefits, partial-stay denials, incorrect non-covered denials, and other carrier related processing errors.
Every account within the audit parameters is analyzed to ensure that recovery efforts cease only after the VHA gets the maximum benefit to which it is entitled.
This review process:
- Ensures that you get the money owed to you on a case-by-case basis
- Provides data on your staff’s level of compliance with VHA follow-up and documentation requirements
- Demonstrates to carriers that inappropriate denials will not be accepted
- Supports superior data integrity for your entire A/R
Contact Benefit Recovery to ensure quality and compliance throughout the recovery process.