Coverage Discovery and Medicare Underpayments
Our Proprietary Software & Processes leads to a more accurate and faster eligibility search. We look for eligible claims, not eligible individuals. This translates to receiving reports containing only eligible claims, unlike other services that boast high returns of eligible individuals. These services frequently include a high number of ineligible claims that unnecessarily requires additional facility resources to discover. This along with the perceived “reduced” up-front fees can shift costs back to the provider; cost benefits gained through outsourcing may be negated because the provider is often left to complete the underpayment work, pull medical records and make the necessary adjustments.
National Eligibility Verification Solutions
NEVS
NO FEE ASSESSMENT
THAT’S RIGHT, NO STRINGS ATTACHED AND NO OBLIGATION. WE ARE SO CONFIDENT IN OUR NEVS PRODUCT WE WANT TO PROVE OURSELVES FIRST.
GIVE US A YEAR’S WORTH OF YOUR SELF-PAY AND CHARITY ACCOUNTS. IN OUR NON-INTRUSIVE APPROACH, WE WILL GO BEHIND YOUR CURRENT PROCESS WITH OUR PROPRIETARY LEVEL 3 ALGORITHM THEN SUBMIT A DETAILED REPORT ON REIMBURSABLE ACCOUNTS.
WANT MORE? GIVE US 4 YEARS OF YOUR MEDICARE TRANSFER DRG ACCOUNTS FOR POTENTIALLY MORE REIMBURSEMENT.
Occasionally, data provided by the facility may conflict with records in the Common Working File. In these cases, we go one step further, calling the FI/MAC to verify and reconcile the ambiguity. Other vendors will typically write off such instances as a data error or ineligible for underpayment.
Bottom Line
We have never entered into a contract in a higher position than second or third. NEVER have we failed to move up in the process.