Medical providers in the United States are losing over $125 billion yearly due to underpaid and improperly denied insurance claims.
While there are many companies with vast expertise assisting medical facilities in billings collections, virtually nobody addresses the fact that 100% of the time – medical practices, medical groups, hospitals, urgent cares, and surgical groups are not paid what they owed.
Simply put, the largest medical payers (Blue Cross / Blue Shield, for example) are shockingly creative in finding ways and means to pay doctor’s offices, urgent care facilities, surgery centers, hospitals, and the like far less than what they are owed.
While everyone else is content to collect what they can and move on, we focus on those payments received, audits them, and returns to the payor to recapture the difference between what was paid and what should have been paid.
We use a proprietary technology system that identifies and recovers underpayments, manages denials and overpayment fines and responses, automates appeals and requests, and negotiates much more favorable contracts.
Some recent client achievements:
- For a 123-bed hospital in Texas, we identified $6 million in underpayments through BCBS alone.
- A 142-bed hospital in Louisiana was able to save over $10 million in underpayments for their top 4 payors.
- A large physician group in Ohio serving a 500+ bed provider saved 7 million in underpayments in BCBS professional only.
- A small Tennessee clinic provider who recently started the program is uncovering $100K – $150K more monthly revenues per insurance contract.
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At Access Discount Healthcare Rx we have made it our mission to help the uninsured and underinsured (people who have insurance but deductibles are so high they never meet them and they are paying full price for medicine). With decades or relationships, partnerships and buying power, we have pooled our resources and are bringing you the lowest prices on medications in the country.