The Problem: Unclaimed Revenue
The Solution: Data Validation
- Data acceptable for risk adjustment and is not in RAPS return data.
- Any claims we believe should not have been submitted with an explanation of why we do not believe it is an acceptable encounter.
- Claims rejected by CMS, which are eligible for resubmission.
- Any claims types that are potentially subjective in nature and require additional research and/or guidance from CMS.
- Increased ROI
- Provide clients with a 100% compliant revenue enhancement program
- Accurately attribute ROI from the appropriate source
- Understand the source of the submitted diagnosis