HOSPITAL ZERO BALANCE AUDIT – MANAGED CARE
We review your Zero Balance 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. Once underpayments are identified, we collect the from the health plans. We provide monthly reports that identify the errors and make recommendations to maximize reimbursement. Our network is SOC 2 Type 2 certified and our client’s data is insured for $10 million from cyber liability. We work on a contingency fee so there is no risk or loss to hospital. Contact us for sample reports.