Services

Recovery to Prevention

ERS revenue recover solutions, partner with healthcare delivery systems in order to recover denied claim revenue. Many of your medical procedures are unpaid due to oversight or various billing and coding errors. Partner with ERS to handle your most valuable assets – your receivables.

ERS offers a number of professional services to various health care providers, hospitals, medical clinics and surgery centers. Some of the services provided by ERS include:

Denial Management:

Analyzing Denials – Collect denial patterns to quantify denial cases
Appealing Denials – We possess extensive knowledge in appealing both clinical and administrative denials.
Tracking Denials – Denials will be categorized to measure the financial impact, as well as, identifying the root cause.
Preventing Denials – Provide analysis reports and process improvement to prevent future denials.

Under Payment Review Program:

Forensic approach to determine whether the provider has received the negotiated rate from the payor.
Using a relational database, terms and conditions of contracts are loaded, while underpayment and zero balance accounts are processed to calculate expected payment.
Comparison reports are run against actual payments to determine the additional monies owed resulting in “Recovery Revenue.”
ERS provides all the follow-up activities related to collecting the underpayments.

Performance Management Consulting Services

Root Cause Analysis
Business process re-engineering
Designing change management plans
Continuous improvement programs