Denials accounted for 11% of all claims in 2022.

 

 Learn how you can fight the rising tide of bad debt — while keeping patients happy!

Let's start a conversation with the president/owner of our UnderPayment Recovery Platform to see results like this. Purely on a contingency basis on accounts you have given up on.

Larry G. Potter

Senior Underpayment Recovery Advisor

Lgpotter33@gmail.com

Text: 1-847-872-4047

Manual underpayment recovery processes can drag down the bottom line.

Learn how this platform solution can cut denials, boost payments and drive your bottom line, all with no upfront fees. 

Let me set a call with the president/owner of our UnderPayment Recovery Platform to see results like this.

Larry G. Potter

Senior Underpayment Recovery Advisor

Lgpotter33@gmail.com

Text: 1-847-872-4047

HOSPITAL UNDERPAYMENT RECOVERY SYSTEM

 

Larry G. Potter

Senior Underpayment Recovery Advisor

Lgpotter33@gmail.com

Text: 1-847-872-4047

The most successful healthcare organizations are targeting transformation.

Learn how 1,000+ leaders are applying this platform to boost hospital revenue w/o any upfront costs.

Larry G. Potter

Senior Underpayment Recovery Advisor

Lgpotter33@gmail.com

Text: 1-847-872-4047

This is very disturbing!!

12% of U.S. clinicians, care delivery leaders and healthcare executives do not believe their organization's financial health will ever recover to pre-pandemic levels. 

54% of respondents said their organization's financial health is somewhat or significantly worse than before COVID-19, despite rebounding patient volumes.

A fundamental challenge in the healthcare system at large is that the reimbursement mechanisms, which come from the payers, are not keeping up with the cost of healthcare along with millions in underpayments from insurers.

Now, if a hospital or medical center has a minimum $2M annual in payer revenue with their top 3 payers, a new underpayment recovery platform is available with a typical result of 10%-20% of gross payer receipts in recovery.

The owner/president of the platform is ready to have a conversation with you to explain the process and answer any questions you may have.

Larry G. Potter

Lgpotter33@gmail.com

Hospital closures affect both physicians and their patients.

Depending on the local market and the specialty, the physician may have to uproot their family and move to an entirely different area. Patients may lose their physicians and/or access to medical care, especially in underserved/rural areas.

Let's Start a conversation with our owner and you!!

Larry G. Potter

Lgpotter33@gmail.com

Senior Underpayment Recovery Advisor

The Cost of Unclaimed Underpayments: Why Hospitals Fail to Recover Funds Owed by Insurers.

There are a few reasons why hospitals may not pursue underpayments by insurers:

- Administrative Burden - The process of appealing denied claims and pursuing underpayments can be very time-consuming and require a lot of administrative work. Small underpayments may not be worth the effort for hospitals.

- Power Imbalance - Insurers tend to have more power in negotiations than individual hospitals. Hospitals may be hesitant to challenge large insurers out of fear of retaliation or being excluded from provider networks.

- Contractual Obligations - Hospital contracts with insurers often have clauses requiring disputes to be handled through specified appeals processes. Hospitals may be limited in what they can pursue outside of those processes.

- Inconsistent Rules - Billing and reimbursement rules are complex and inconsistent across insurers. Hospitals may lack confidence that underpayments are clearly valid or provable. 

- Financial Resources - Legal action to pursue underpayments can be expensive. Some hospitals may lack the financial resources for prolonged legal battles over small claim amounts.

- Maintaining Relationships - Hospitals have an incentive to maintain positive long-term relationships with major insurers in their regions. They may tolerate some underpayments to avoid jeopardizing those relationships through legal action.

In summary, while underpayment by insurers is an issue, hospitals have to weigh the costs, risks and benefits before deciding to pursue action on any specific claims. The system creates some disincentives for hospitals to aggressively go after underpayments.

Now there is a platform that over 1000 hospitals & medical centers have used for underpayment recovery that is a risk-free addition to their Revenue Cycle Management (RCM) efforts. Their forensic audit is performed on remittances AFTER all other RCM efforts have been completed including other internal or external underpayment recovery efforts. They only engage remittance files that clients expect no further revenues from. 

The typical result is 10%-20% of gross payer receipts in recovery with the only stipulation that they have minimum $2M annual in payer revenue with their top 3 payers.

Let's Start a conversation with our owner and you!!

Larry G. Potter

Senior Advisor

Lgpotter33@gmail.com