Contract Payment Compliance

Underpayment identification is difficult because an underpaid claim falls outside the realm of claims clearly identified as fully paid or denied. The degree of underpayment adds further complexity to the difficulty of underpayment identification. In many cases billing offices do not have the bandwidth to handle this important component of revenue cycle management. Appealing underpaid claims on a schedule which follows the payer timely filing guidelines is essential to ensure recovery which can be as high as 5% of monthly claim volume. Our software tool identifies the underpayments; our payment compliance auditors handle everything else, from appeal to collection.

• NHPN’s software tool automates the payment variance identification process
• Recover cash effectively from inaccurately paid claims
• Detailed reporting on the source of underpayments and how to remediate
• NHPN paid on contingency fee basis providing a risk free service offering
• Leverage the extensive national managed care expertise of NHPN for best practice solutions in contract language and management