Underpayment Recovery (Zero Balance Audit & Recovery)
Identify and recover lost payer reimbursement
Elevate Patient Financial Solutions has the people, process, and technology to recover unpaid revenue. We combine extensive revenue cycle management reimbursement experience, proven processes, and proprietary software to identify and collect on underpayments.
Recover Revenue Left Behind with our expert teams and specialized zero balance technology.
Prevent Future Revenue Leakage with our root cause analysis reporting that provides insights for continuous process improvement.
Start Recovering Quickly with our quick and easy implementation, so you can start collecting in as soon as 60 days.
We work all accounts specified by the provider at an agreed-upon frequency. Our team immediately begins identifying reasons for claim denial or rejection and following up to obtain documentation for billing or re-billing. We track Medicaid, Medicare, and commercial health insurance coverage and billing deadlines, and all claims are prioritized according to timely filing deadlines, write-offs, patient transfers, and potential for collecting.
As a value-added service, our proprietary screening software scrubs all accounts with no identified health insurance coverage against commercial and government payer databases to locate coverage that may have been available at the time of service. When coverage is identified, we then bill the appropriate payer or Medicaid program and collect on behalf of the hospital.
The Elevated Difference
WE FIND MORE MONEY
Our team's deep reimbursement expertise in payer contracts, registration, coding, documentation and billing, and the fact that we check every zero balance claim for payment variances, means we identify every underpayment.
WE COLLECT MORE MONEY
We assign claims to a specialized expert according to payer name, contract type, variance reasons, or dollar amounts, to collect every penny you're due according to your payer contracts.
WE WIN MORE APPEALS
Our customized appeal letters, phone calls, follow up process workflow, and legal counsel results in more successful appeals and greater revenue recovery for you.
A Partner You Can Trust
for Unmatched Results.
ElevatePFS delivers outstanding results. With more than 1,500 client facilities and a 98% client retention rate, we’re a proven partner that you can count on.