Claim Recovery and Overpayment Audits
Health Decisions combines analysis and expert review to audit paid claims in order to identify those that are the responsibility of another party. Our Claim Recovery Service is comprehensive and screens 100% of paid claims in over 40 Recovery Modules. Most competitors conduct random sampling of claims and have under five areas of review. Our Recoveries are then sought from the appropriate third party to maximize a “strong” return on investment (ROI) Think about it, wouldn’t you rather entrust Health Decisions to conduct a more comprehensive and thorough recovery/overpayment audit?
PCR (Paperless Claim Recovery) is the software suite Health Decisions uses. PCR is also available for use by plan administrative staff. This tool improves case processing efficiency 30 times.
If you are serious about your company taking the appropriate steps to minimize your Health Care expenses and potential claim recoveries, contact Si Nahra, President - Health Decisions today! Si@healthdecisions.com