Services
Payment Variance and Underpayment Services
Overview
Payment variance and underpayments are silent revenue killers that can represent millions of dollars in unrecognized net revenue. It’s estimated that 3-11% of all insurance claims are underpaid. Identification and resubmission of those underpaid claims offer a tremendous opportunity for organizations to improve their revenue stream.
AGS can help identify and review underpaid claims to uncover payer processing issues or identify contract management tool optimization. Discover how your organization can pursue full-eligible reimbursements for services rendered and gain insights to optimize future contracts without negatively impacting your day-to-day operations and responsibilities.
SERVICES PROVIDED
Get access to the resources you need to quantify and recoup unrecognized earnings.
- Precise claim adjudication, reviews of underlying causes, and follow-up for correction of underpayments.
- Individual resubmission processes.
- Identify appeal opportunities and file bulk-appeals.
BENEFITS
Unlock the benefits of payment variance & underpayment services
Collect What You Deserve
Our team carefully reviews your claims and contract terms to identify payment errors, and processes appeals to ensure you collect on every eligible dollar owed.
Gain Insights Into Payer Policies
AGS Health conducts comprehensive payer contract reviews to ensure accuracy and uncover valuable insights for improving revenue and enhancing operational performance.
Prevent Future Underpayments
To help avoid future underpayments, we supply customers with the documentation, reporting, and recommendations they need to negotiate better contract terms with payers.
TECHNOLOGY ENHANCED DELIVERY
Intelligently automated workflows to maximize productivity, efficiency, and business intelligence.
AGS Health’s proprietary Intelligent RCM Engine drives excellence in patient financial services with cutting-edge AI, machine learning, and analytics. Our advanced automation and data-driven logic ensure optimal task distribution, streamlining workflows, and supercharging productivity. Enjoy faster revenue collection, reduced costs, and exceptional efficiency while achieving unparalleled quality and value.
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Resources
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Let’s transform your revenue cycle today
When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.
