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Leveraging Low-Pay Recovery Efforts to Recover Underpayments

Leveraging Low-Pay Recovery Efforts to Recover Underpayments

by admin | Jul 27, 2020 | Collection Rates, New Release, Outsourcing

From the perspective of providers, payers too often adjudicate claims below the providers’ contracted rate agreements or underpay claims when they don’t have a contracted agreement with the provider. These “low pay” situations, which include denials, can highlight...
Improving Authorization Activity and Increasing Patient Length of Stay

Improving Authorization Activity and Increasing Patient Length of Stay

by admin | Jul 27, 2020 | New Release, Patient Recovery, Utilization Review

Utilization Review (UR), or Utilization Management, is a critical function to managing the quality and cost of care at any healthcare facility. Besides being a legal requirement for participation in federal healthcare programs, it is crucial for preventing claim...

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