Zero Balance Audit & Recovery
We go beyond simple denial recovery by resolving issues related to underpayments, & ensure no money is left on the table.
- Identify & Reduce Errors
- Refund Maximum Claims
- Get The Money You Owe
Get Those Hard-to-Collect Balances
Every year, medical billing and coding complexity rise, while provider margins continue to shrink. And, when coding and billing criteria change, there is a rise in partial and complete claim denials. It is estimated that 90% of denied claims are avoidable and 67% are recoverable.
Medmax has specialized in zero balance audits and AR recovery so, we will provide a thorough plan for both recovery and prevention.
Our professional auditors use cutting-edge analytics technologies to examine your claims data, discover underpayment trends, and flag suspicious claims.
We evaluate your Zero Balance Commercial accounts for any underpayments due to errors. We verify that the billing codes provided on contracts are current and consistent. Claims are reprocessed according to the right processes, allowing your hospital or health system to address specific errors and recover any funds previously lost due to unpaid or underpaid claims.
In addition to collections, we perform an audit recovery and make recommendations to reduce billing mistakes and maximize reimbursement.
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Why Outsource Zero Balance Audit & Recovery To Us
Medmax examines zero-balance claims with the ultimate goal of optimizing cash flow and discovering fundamental reasons to assist our clients in reducing negative balance accounts and improving revenue consistency in medical billing.
In addition to collecting on such balance claims, we will provide regular feedback to our clients about the origins of underpayments and lost income. This input avoids future instances of underpayment.
Detailed Audit
Identify Underpayments
Reduce Systematic Errors
Improve Patient Care
Avoid Future Mistakes
Boost Revenue
FAQs
Zero balance audit and recovery guarantees you receive your money. Zero balance audits can detect claim denials and recover lost money from services your hospital or medical practice could have paid for. The audit will also find underpaid insurance claims, which cost contemporary healthcare systems money. Zero balance recovery means regaining your money
Hospitals and healthcare systems can audit and recover zero balances. To collect all income on schedule, outside help is needed for this complicated operation.
How do you allocate your limited efforts to maximize income after you have a list of interactions with reimbursement? Is this the proper move for each revenue-capture-potential zero-balance account? To identify accounts with the highest compliance risk or income potential, we offer risk stratification.
How do you know you’re getting paid enough? Do you regret dismissing denials? Charges you may have billed or billed higher? Have payers downgraded or underpaid your contracts? These prevalent errors and their earnings often go unnoticed after accounts are canceled and given a zero-balance status. You leave money on the table by not charging the full amount or by not pursuing claims that may have been underpaid or refused.
We use an advanced software analytics lens to your accounts with zero balances to assist you to identify suspicious claims and additional chances to boost collections and boost revenue cycle integrity.
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Benefits of Medical Billing and Coding Specialist Services
Medical billing and coding specialists play a crucial role in the healthcare industry. They are
