Claims Auditing, Recovery, & Revenue
Performing claim audits can help identify exposure points in your organization that lead to unintended errors and mispayments.
Claims Auditing, Recovery, & Revenue
In today’s constantly changing healthcare environment, health plans and risk-bearing organizations (RBOs) are challenged to provide high quality care while sustaining operational costs and reducing expenses.
The claims processing cycle is a key area that can significantly impact your organization’s bottom line. Many organizations have sophisticated claims systems, but are unaware of exposure points that can lead to payment errors.
Our professionals have provided claims audit and recovery services for more than 40 years, consulting a range of managed care organizations, from multistate health maintenance organizations (HMOs) and insurers to regional Medicare and Medicaid plans, capitated medical groups and independent practice associations (IPAs), management services organizations, third-party payers, and accountable care organizations (ACOs).
2026 Executive Healthcare Conference
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