Revenue Integrity
Solve Problems That Could Cost Tons
With between 1% and 3% of net commissions lost to losses, companies can face serious financial challenges without robust revenue integrity programs in place. We can help ensure compliance by making revenue-generating improvements in the following areas:
Load Catch
Identify bad codes and missing payloads and check the possible net income. Analytical information drives process changes to avoid future failures.
Contract Management and Modeling
Analyze managed care and government payer contracts. Model scenarios showing the impact of changes in insurance contracts, tariffs, coding and prices on sales.
Optimization Chargemaster
Identify opportunities to improve compliance and consistency in your billing structure and manage reviews or rebills.
Payment Discrepancy Analysis
Identify accounts that have been incorrectly refunded or denied and manage the appeal process to ensure correct payment.
Strategic Pricing
Analyze billing agreements, payer agreements, and competitors to find pricing opportunities and create pricing scenarios that align with your strategic goals.
HIM Coding Review
Analyze patient accounts and requests to determine the appropriate use of CPT and HCPCS codes and DRGs.
DRG Review of Transfers
Evaluate accounts eligible for transfer and identify potential missing returns. Manage your Medicare billing.
Ready to Increase Your Earnings?
Whether you need help with medical billing or managing your revenue cycle, MedsRole is here for you. No matter the type of medical industry, we work across the country. Get in touch by calling us at +1 (855) 855-0990 or emailing us at info@medrole.com to talk to our friendly customer representative.
