Do you find it challenging and exhausting to try to recover all of the underpayments owed to you by the insurance companies?
Most all hospitals already have or have had software that recover underpayments via their revenue cycle management software, such as Epic, PMMC, or Cloudmed. These companies all provide underpayments as an ancillary service and all are solid options. We understand you already have this software in place.
However...
There is a big difference between our Underpayments forensic audit system and other software on the market that also offers a form of Underpayment recovery.
...which is why the industry average of recovery is 0.5-3%...and ours is 22%!
*Jordan Financial Group serves as an authorized representative of the company that owns the proprietary forensic audit system.
We perform our audit once a remittance has been fully adjudicated and has already gone through a hospital's internal and external processes. We fully expect hospitals and surgical centers to have utilized their revenue cycle management software prior to our forensic audit.
Hospitals and surgical centers can think of our system as a revenue cycle management quality control. Our forensic audit begins once their revenue cycle management team has fully adjudicated a remittance. If that is typically 90 days, then we begin on day 91 and audit 24 months back from that date.
The only responsibility of the hospital's revenue team is to upload their electronic remittances (835 and 837s) into an encrypted folder. This is simple clicking and dragging and doesn't require much manpower or time to complete. Our onboarding team works with the revenue team to efficiently get the electronic remittances uploaded. Our solution is not labor-intensive for the hospital. We do all of the heavy lifting.
We pay for the entire process and only bill the hospital if we are successful; there is no risk.
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