What We Do
- Underpayment Identification
- Recovery & Follow-up Support
Underpayment Recovery Support
Underpayments often occur due to payer processing errors, contractual discrepancies, or incorrect reimbursement calculations. Without structured review, these variances can accumulate and result in significant revenue loss. Our services help healthcare organizations identify and address underpayments with clarity and consistency.
We follow disciplined workflows to review payments, compare reimbursements against expected amounts, and initiate recovery actions where appropriate. By focusing on accuracy and documentation, we help improve overall revenue realization.
Underpayment Recovery Services
Comparison of posted payments against expected reimbursement.
Review of payer contracts and reimbursement terms.
Identification of claims with reimbursement shortfalls.
Structured payer follow-ups to resolve underpaid claims.
Support for appeals or reprocessing requests where applicable.
Documentation and tracking of recovered amounts and outcomes.
Learn more about our underpayment recovery services.
Underpayment Recovery Process
We follow a structured underpayment recovery process to review payments, identify reimbursement variances, and initiate recovery actions with payers. By tracking outcomes and documenting resolutions, we help recover entitled revenue, reduce unnoticed losses, and support accurate financial reporting.
Payment & Contract Review
Understanding expected reimbursement
Underpayment Identification
Identifying reimbursement variances
Recovery Action & Follow-up
Engaging payers for resolution
Resolution & Documentation
Closing gaps and maintaining records
Our Expertise
Our expertise in underpayment recovery lies in analyzing payment accuracy, understanding payer reimbursement behavior, and maintaining consistent follow-up. We focus on structured reviews, clear documentation, and disciplined tracking to help healthcare organizations recover entitled revenue and improve financial visibility.