Retrospective Underpayment Review
A retrospective underpayment review identifies and collects accurate payment on underpaid and denied accounts.
As a safety-net review, PMMC not only audits behind your process and contract management system, but also communicates identified trends so you can adjust your processes for even more timely and accurate internal audits. This can have a significant positive impact to cash flow and the bottom line.
PMMC provides a no-cost (contingency only) service to help ensure your hospital is pushing as much cash to your bottom line as possible – and we ALWAYS recover lost revenue.
Our collection process is simple and straight forward:
- Findings Phase: PMMC's review leverages our proprietary Contract Management system to quickly understand and audit the complex payer terms and rules.
- Collections Phase: Payers are contacted and claims are followed up on until the money is collected and/or the account is closed.
- Reporting Phase: Findings summary is presented with recommendations and areas for improvement.
PMMC collects the money that your hospital is contractually due and then reports the discrepancies so you may take appropriate action such as targeted staff training or discussion with payer representatives.
Click here to contact us for a retrospective underpayment review.