Comprehensive Claim Review and Correction
Our meticulous approach involves reviewing and correcting claims based on requests from both internal and external stakeholders. We undertake thorough processes to audit claims, identifying reasons for non-payment. Through initiatives such as Provider Disputes, Appeals, Second Level Appeals, and Meet and Confer, our team takes corrective action, guaranteeing proper claim payment. Our hospital collector representatives' extensive experience in medical appeals, which spans over ten years, is supplemented by ongoing education on California state and federal laws that govern the healthcare landscape.
Expertise in Compliance and Regulation
Navigating a landscape governed by numerous laws and codes, our team is well-versed in key regulations. This includes a deep understanding of the California Health & Safety Code, California Knox-Keene Laws, California Insurance Codes, California Code of Regulations Title 28, California Labor Codes, and California Business and Professions Codes. This knowledge ensures our operations adhere to the highest standards while maintaining positive customer relations.
Exceptional Collection Rates and Contingent Model
Our in-house practice boasts an impressive 90% collection rate for Appeals, highlighting our commitment to efficient and effective resolution. This success is mirrored in our service to clients nationwide. Operating on a contingent basis, we alleviate any upfront financial burden on our clients, only charging them once we've successfully collected their funds.
Tailored and Flexible Services
Recognizing the diverse needs of medical practices, our services are designed to be flexible, adapting to each client's unique requirements. Whether navigating federal or state medical collection laws or customizing solutions to specific practice needs, our approach is centered on providing optimal support and results for our clients nationwide. Don’t let debt constrain your finances. Let us help you resolve bad debts.