At Physician Care Coordination Consultants (PC3), we offer a wide range of services to ensure healthcare organizations are being reimbursed appropriately and avoiding increased cost to collect. With a team of highly seasoned experts, we understand the financial challenges healthcare organizations face. Our goal is to provide you with the resources and tools you need to prevent claim denials through robust pre-service processes and recover and retain revenue related to denials, payment discrepancies, and recoupments.
Our Denials Prevention and Pre-Service Process services begin by evaluating your specific needs and the areas of revenue leakage that put your financial health at risk. From prior authorizations, to claim edits, to inpatient only, and more, our team can offer a unique perspective. Weather it is assisting you with process improvement and implementation or assuming the process with our team of highly qualified Revenue Cycle experts, we are committed to increasing efficacy and efficiency to received first pass claim payment and preventing lost or recoupment of revenue all while avoiding increased cost to collect.
Our Revenue Recovery team is here to assist you in the fight to ensure proper payment is issued by payors and your patients are being appropriately approved for medical necessary services. We have the expert skills to assist you with all types of denials including Technical/Billing rejections, site of service, and those denied as patient responsibility. With real time access to our Physician Advisors, we will pursue erroneous denials, underpayments, and recoupment requests with payors and work with them on resolution of claims processing errors. Our goal is to gather and provide robust data to move the needle from recovery to prevention.
With the number of denials and payment discrepancies continually rising, the financial implications can be devastating. While the vast majority of denials are preventable, roughly only 60% of claims that result in a denial are recoverable. Ensuring you have appropriate pre-service processes and highly skilled staff in place is crucial, however, the administrative burden is costly.
Contact us today to see how we can help you alleviate that burden and increase your financial success.
Physician Care Coordination Consultants (PC3)
11709 Commonwealth Drive, Jeffersontown, KY 40299
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