Managed Care Remit Reconciliation

Revenue Integrity

Available as part of the overall Contract Analysis or as a stand-alone service, the Managed Care Remit Reconciliation provides an analysis of payments reconciled against contract rate sheet.

In order to ensure claims are properly paid per contracted terms and improve your overall billing process, we will analyze your 835 remits with managed care settlement terms  to identify improperly paid claims, creating actual versus expected reimbursement. From there, we provide a report to review claims by payer to identify trends that can be addressed to maximize reimbursement or improve the billing process.

We will provide a comprehensive report package outlines charges, adjustments, allowed amounts, payment amounts, and projected payment amounts.

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