Revenue capture is vital for the financial health of any healthcare organization. Underpayments, often stemming from payor mistakes, insufficient documentation, or poor contract management, significantly impact a provider’s bottom line. ERN’s Revenue Capture solutions focus on uncovering underpayments, recovering lost revenue, and optimizing payment processes, ensuring healthcare organizations maximize their earnings and avoid the financial strain of unpaid services.
ERN’s Revenue Capture & Underpayments solutions ensure that you don’t leave money on the table. We analyze payor contracts, identify underpaid claims, and work relentlessly to recover lost revenue through proactive denial prevention and claims resolution. By implementing best practices and leveraging ERN’s deep expertise, we optimize your revenue cycle, ensuring maximum reimbursement for the care you provide.
Many healthcare providers unknowingly accept underpayments, often because they lack the expertise or tools to properly review payor reimbursements. Underpaid claims significantly reduce revenue, and without proper systems in place, these underpayments can persist unnoticed, leaving substantial amounts of money on the table.
Payors often interpret contract terms in ways that disadvantage healthcare providers, leading to underpayment. Without a deep understanding of payor contracts, it’s easy for providers to miss out on the full reimbursement owed to them, especially when those contracts are vague or ambiguous about reimbursement terms.
Different payors use various reimbursement structures, which can make payment recovery more complex. Without a comprehensive, systematic approach to revenue capture, healthcare providers can struggle to navigate these complexities, leading to missed payment opportunities and a delay in securing owed revenue.
ERN’s reimbursement advocacy is designed to help you recover every dollar owed. Our team of experts, using in-depth contract analysis, strategic follow-up, and payor-specific regulatory expertise, will ensure that your practice is reimbursed fairly and efficiently to ensure your organization’s compliance with Wickline vs. State.
