
Why do we need a Managed Care Reimbursement Review?
In our experience, an average of 3-6% of a hospital’s managed care volume is underpaid. STAT Revenue Consulting works to identify and efficiently recover those underpayments. In today’s economic climate, can you afford not to collect every dollar you’re entitled to?
Consider the following questions. If you find yourself unable to answer even one of them, STAT can help you boost your bottom line:
 Are your implant devices mapped to the correct revenue code (which enables them to be carved out correctly)?
 Is your staff adequately trained to successfully collect the proper contractual COB reimbursement?
 Where applicable, have you received the correct multiple APG reimbursement?
 Are your new contract rates being correctly and timely updated in your proration module?
 Have you updated all your contracts to ensure that the recent changes in the DRGs have been accounted for?
Find out how much of your hospital’s managed care volume is potentially underpaid with our Revenue Recovery Calculator
Our hospital already uses a proration system, why do we need STAT?
We’ve found that even hospitals that use proration systems are susceptible to revenue underpayment. Computerized systems have intrinsic weaknesses, and STAT can address those areas and maximize contracted revenue.
We have controls (x,y,z). Why do we need you?
We have consistently worked behind our clients’ controls (computer systems, manual processes) and positively augmented these controls. Our detailed zero balance review not only recovers significant underpayments, but it also provides recommendations to improve your existing controls.
How will you impact our current processes?
As we are working zero balance accounts, we strive not to duplicate any of your staff’s efforts. We are able to recover lost revenue that will flow directly to your bottom line. Our detailed review enables us to provide substantive recommendations on how to fine-tune your current controls and empower your business office to increase productivity through customized training.
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