Payment Recovery Case Study

Case Study | May 24, 2023

Nonprofit acute care hospital partners with ElevatePFS to identify and recover lost revenue due to underpayments 

A nonprofit, 425-bed, short-term acute care hospital in northwestern Arkansas that is part of the largest health system in the area had become increasingly unhappy with its payer contract management software vendor, which was not maintaining the timeliness and accuracy of its contracts, resulting in excessive underpayments. Due to inaccuracies and delays, it was unable to generate exception reports, which placed it at risk for missing timely filing deadlines. It frequently did not receive its write-down file on time and periodically went multiple days without receiving one. The hospital weighed a variety of options to improve revenue recovery. Elevate Patient Financial Solutions® was selected for its ability to seamlessly integrate payment recovery services and enable 100% collections across all payers.

Click the button below to download the full case study and learn how ElevatePFS optimized payer collections and delivered $36 million of revenue recovery for this client. ElevatePFS’ robust technology identified all potential underpayments and its reimbursement team pursued each underpaid claim, using customized appeal letters and phone calls to effectively resolve every claim.

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