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re|pay

Payment Review

Optimized Payments

Other Benefits Include:

Challenge

Are you certain your payers are sending reimbursement that complies with the negotiated contract? Do you currently use a post payment audit process to optimize and identify any reimbursement issues?

Contracts with payers are negotiated, discounts and payment terms change and errors in payment occur for a number of reasons.  Perhaps a contract amendment update was missed, or incorrect proration applied. Employees posting payments may not have immediate access or time to review revised contracts.  A higher reimbursement rate may be missed for many months while the payer pays at the old rate.  re|pay identifies errors that cause reduced reimbursement. re|pay will identify underpayments and inappropriate denials.  Once identified, our analysts will appeal underpaid and inappropriately denied accounts.   

Methodology and Solution