Emdeon Audit and Recovery Services

Help minimize profit loss with Emdeon Audit and Recovery Services. Emdeon recovers overpayments caused by inaccurate contract re-pricing, improper coding and misapplied reimbursement methods. We combine retrospective audit and coding expertise with extensive, multi-region data mining resources, to help you recover lost healthcare dollars. And because Emdeon serves both payer and provider markets, we’re sensitive to the need for maintaining provider satisfaction during the process. Our highly skilled, experienced nurse auditors and clinical coders work collaboratively with providers, often obtaining their sign-off on payment recoveries.

Have more work than resources? We can help. Emdeon Audit and Recovery Services won’t drain your resources or your budget. We design our solutions to complement your infrastructure and integrate seamlessly with your existing workflow.

Features

• Keep provider network relationships strong
• Extensive, multi-region data that’s continuously refreshed and updated
• Helps prevent claims adjudication interruptions
• Retrospective error identification and analysis are used to re-price contracts, apply proper coding and correct reimbursement methods

Benefits

• Reduce profit loss associated with disgruntled providers leaving the network
• Maximize recovery savings with more accurate data that can produce better results
• Minimize workflow disruptions, to save time and resources
• Maintain and expand profit margin by optimizing savings opportunities