Popular Solutions
Payment Integrity Services
Emdeon Payment Integrity Services, an HFMA Peer Reviewed service, provides both professional services and technology solutions enabling you to transform previously written-off Government Managed Care and Commercial payer underpayments into realized revenue. Coupling industry expertise with sophisticated tools to work with providers as an extension of Patient Financial Services staff, Emdeon Payment Integrity Services focuses on key areas of the revenue cycle where providers traditionally lack the resources to address payer underpayments including accuracy of payments and collection issues. From contractual underpayments, authorization issues, medical denials, Coordination of Benefits (COB) discrepancies, charge bundling, timely filing denials, Current Procedural Terminology (CPT) coding conflicts to even disparate claim systems, the Emdeon Payment Integrity Services suite identifies what's missing from your Government Managed Care and Commercial payer revenue bottom line.
Whether utilizing our professional services as staff within your facility or technology solutions as part of your workflow, Emdeon Payment Integrity Services can be tailored to meet your needs. Emdeon Payment Integrity Services not only identifies root cause, but also collects and prevents underpayments from happening in the future with Audit & Recovery Services, Accounts Receivable Management, Denial & Appeals Services and Performance Improvement & Prevention.
Want to transform previously written-off payer underpayments into realized revenue? Contact us and we'll show you how.
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Enables providers to ensure that reimbursements received from payers meet negotiated, contracted reimbursement rates.
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Assists providers in overcoming common Government Managed Care and Commercial payer challenges with performance improvement initiatives based on the development of baseline measurements, documentation of chronic problems and identification of systematic payment issues.
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Provides you with support services focused on the collection of aging or problematic Government Managed Care and Commercial payer accounts acting as an extension of your staff.
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Helps providers by navigating the complex appeals process to overturn denied claims for payment reducing unnecessary write-offs.
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There's much mention of percentages in today's headlines: "the 1%," "the 99%" and so on. For those of us in the healthcare industry, let's hope we’re part of "the 43%."
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