Proven recovery, lasting results
Discover how Reimbursement Recovery Consultants (RRC) transforms revenue cycle challenges into successful recoveries. Our case studies illustrate our commitment to helping healthcare providers reclaim the reimbursement they are rightfully owed.
Client success stories
We pride ourselves on delivering tangible results for our clients. Here are a few examples of how we've helped hospitals and doctor groups recover the money they were owed:
- A pain management group, struggling with inadequate reimbursement from their billing system, saw revenues increase from $10 million to $27 million in under 12 months after we successfully converted their billing using the Zirmed platform.
- Our team generated over $43 million in revenues by resolving a Medicare DDE RTPO backlog and Medicare Secondary Payer (MSP) claims.
- We found and recovered over $650,000 in two-year-aged Medicare Advantage denials using the Medicare Grievance platform.
- A two-year audit for a hospital revealed over $1.2 million in recovered funds due to NDC denials related to invalid drug codes.
Common challenges we address
Many of our clients face similar financial hurdles before partnering with RRC. These include:
- Constant reimbursement delays from hospital payers.
- Automatic system denials for high-dollar claims.
- Appeals being denied, even with strong appeal letters.
- Thousands of initial denials and rejects originating from the clearinghouse.
- Pre-authorization denials for high-dollar surgeries.
If these challenges resonate with your organization, RRC has the expertise to help.
Our strategic approach to recovery
Our unique strategies and processes are designed to tackle complex reimbursement issues effectively. We solve problems by:
- Utilizing Out of Network (OON) and ERISA laws through the No Surprise Act for payment resolution.
- Leveraging the No Surprise Act (NSA) for appeals to ensure payers reimburse.
- Submitting unlimited appeals using comprehensive state and federal language.
- Pursuing legal reconsideration by applying the payer's own payment policies to ensure payment.
- Analyzing percentages based on the total number of claims paid versus the percentage denied to identify areas for improvement.
- Conducting retrospective audits that compare paid claims to contract variances, uncovering discrepancies.
Beyond financial recovery: Added value for our clients
Our commitment extends beyond just recovering money. When you partner with RRC, you gain significant additional benefits:
- Improved relationships with payers, which leads to future claims being paid in a timely manner.
- Creation of bulk projects with payers, resulting in reimbursement for thousands of claims, not just individual ones.
- Reduced stress for hospital staff as we assume responsibility for getting claims paid.
- Real-time identification of underpayments and variances, preventing issues from lingering for months or years.
Create Your Own Website With Webador