Effective underpayment tracking is crucial for healthcare providers to recover rightful reimbursements and optimize revenue. At Med Globe Healthcare Solutions, we specialize in comprehensive underpayment tracking services designed to identify discrepancies, pursue underpaid claims, and ensure you receive accurate compensation for services rendered.
Our Underpayment Tracking Services Include:
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Identification and Analysis
We conduct thorough analysis to identify instances where reimbursements fall short of expected amounts.
- Underpayment Identification: Analyzing payment discrepancies to pinpoint underpaid claims.
- Root Cause Analysis: Investigating reasons for underpayments, such as coding errors or contract discrepancies.
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Claim Reconciliation
Our team reconciles underpaid claims to ensure accuracy and maximize reimbursement.
- Review and Adjustment: Evaluating underpaid claims and making necessary adjustments for resubmission.
- Contract Compliance: Verifying payer contracts and fee schedules to ensure adherence to agreed terms.
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Appeals and Resolution
We manage the appeals process to recover underpaid amounts efficiently.
- Appeals Preparation: Compiling supporting documentation and preparing appeals for underpaid claims.
- Follow-Up: Persistently following up with payers to expedite resolution and ensure proper reimbursement.
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Reporting and Analytics
We provide detailed reporting and analytics to track underpayment trends and measure recovery outcomes.
- Financial Reports: Generating reports on underpaid claims, recovery efforts, and financial impact.
- Custom Analytics: Tailoring analyses to provide insights into underpayment patterns and root causes.
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Continuous Monitoring
Our continuous monitoring ensures ongoing identification and resolution of underpayment issues.
- Real-Time Tracking: Monitoring underpayment status in real-time to address issues promptly.
Alert System: Notifying providers of new underpayment cases and follow-up actions required.