Other RCM Services
- Accounts Receivable
- Appeals
- AR Run Down And Recovery Audit
- Charge Entry
- Chronic Care Management
- Claims Submission – Work Edits & Rejection
- Coding Denial Management Services
- Complete Practice Analysis
- Contracts Negotiation
- Credit Balance Services
- Denial Management Services
- Document Management Services
- EHR Support
- Eligibility & Benefits Verification
Underpayment Recovery Services for Hospitals and Medical Practices
Healthcare providers work tirelessly to deliver quality care, yet many lose significant revenue due to payer underpayment. Insurance companies often reimburse less than the contracted amount due to complex fee schedules or system errors. At iMagnum Healthcare Solutions, we identify and recover the revenue you are contractually entitled to but never received.
Why Underpayments Are a Major Revenue Risk
Underpaid claims are harder to detect than denials. Without a regular revenue cycle audit, hidden discrepancies accumulate into major revenue leakage.
- Incorrect payer contract application
- Fee schedule discrepancies
- Bundling & modifier errors
- Coding inconsistencies
- Automated adjudication errors
Our Underpayment Recovery Process
1. Contract & Fee Schedule Analysis
We compare actual payments against contracted rates to pinpoint specific recovery opportunities and identify where revenue is being lost.
2. Claim-Level Payment Audits
Our specialists conduct deep-dive reviews of historical data to identify patterns of healthcare underpayment recovery opportunities across all service lines.
3. Automation-Driven Detection
We integrate automation part underpayment recovery tools to scan large datasets and quickly flag discrepancies that manual reviews often miss.
4. Payer Dispute & Recovery Management
Our team manages the entire appeal process, from complex documentation to final reimbursement, ensuring you collect every dollar owed.
iMagnum’s Performance Promise:
- Recover Lost Revenue: Reclaim overlooked payments from previous fiscal years.
- Ensure Contract Compliance: Hold payers accountable to your specific contracted rates.
- Data-Driven Insights: Gain transparency into payer behavior and claim performance.
- Reduced Financial Leakage: Proactively monitor the revenue cycle to prevent future loss.
Recover the Revenue You Deserve: If your organization suspects lost revenue due to payer discrepancies, let iMagnum Healthcare Solutions help you uncover and recover it.
Our More Services
- HCC Coding
- Hedis Measures Reporting
- Holiday Staffing Support Service
- Home Health Coding
- In House Staffing
- Medical Coding
- Migrate to New EMR PMS
- MIPS
- Patient Demographic Entry
- Patient Statement Generation
- Payment Posting Services
- Prior Authorization
- Provider Enrollment & Credentialing
- Revenue Cycle Analytics
- Strategic Consulting
- Under Paid Claims Audit
- DRG
The team has done a stupendous job in clearing the backlog of work from the other vendor in such a short time. Thanks, team, for your dedication by working through days and nights and weekends to have this accomplished.
VP Services
from CaliforniaWow that’s an amazing performance, you have collected 40% from the claims that was sitting unpaid for more than 180 days in less than 4 months. This is truly great performance team. Love your commitment, speed, and technology.
Pediatrician Physician
from AtlantaThe team has done a stupendous job in clearing the backlog of work from the other vendor in such a short time. Thanks, team, for your dedication by working through days and nights and weekends to have this accomplished.