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re|disburse

Disbursement Audit

Overview

Sophisticated software detects disbursement errors other systems miss.  These errors, when eliminated, positively impact a hospital’s cash flow by $100,000 for each 100 beds.  We are also able to assist you in the recovery of additional cash from past 3 years of mistakes while preventing future mistakes with continuous monitoring. These errors are detected before payments are sent, which is the easiest and least expensive time to correct them.  It costs you virtually nothing to determine the potential, and the upside is immense.

Challenge 

In many instances health care providers have been unable to easily identify duplicate invoices, catch incorrect pricing, incorrect quantities, missed volume discounts or even incorrect sales tax. It was possible to check that the bill was similar to previous months but reviewing each item for all cost saving opportunities was nearly impossible. Additionally, missed reimbursement can result from charge master errors, missed charges or coding errors no matter how experience your staff.

Solution

re|solution uses proprietary sophisticated software developed by Oversight Systems that detects disbursement errors other systems miss. Errors generally fall into one of three categories: duplicate payments, duplicate line items and pricing not in accordance with GPO or other vendor contract terms. Such results have been proven in healthcare and with non-healthcare clients such as MD Anderson, The Coca-Cola Company, Yahoo!, McDonalds, Martin Marietta, Pfizer, Celanese, W. W. Grainger, and the Department of Defense.

re|solution identifies past payment errors for the prior three years, validates the errors with both the client and the vendor, and then files claims for refund, credit or future discount.

Analyzing the payback for your hospital is simple. All you need to do is provide us data that is representative of your past three years of disbursements. We will analyze your data and validate suspected errors and analyze the financial impact. It is as simple as that, there is no cost to the hospital, and it will take just two meetings with you.

That is the upfront diagnostic. Running the ongoing project is just a simple continuation: You will provide re|solution the same data as before on a regular basis. Oversight will use our analytics to detect the errors and re|solution will validate the errors and prepare claims for vendor submission. You pay only for the claims and credits you actually collect.