We review your Commercial accounts for potential underpayments caused by errors in: Managed Care Contracts, CDM, and PFS system(s). We validate the billing codes (e.g. DRGs, CPTs, ICD9/10s, etc.) listed on contracts to make sure they are current and consistent.
Our suite of web based applications solves contract management issues for healthcare organizations of all types and sizes. Its scalable architecture can accommodate medical groups, hospitals, health plans, and other organizations.
We provide expert consultation and analysis on various managed care and revenue cycle issues.