�

Revenue Recovery

Managed care contracts play an important role in revenue recovery in the healthcare industry. As a key player in the KPO industry, Orthopedic Services's team of knowledgeable professionals are well-versed with such contracts between payers and providers, including a variety of non-fee schedule classes such as stop losses. Our team uses IT based tools to interpret, analyze and identify systematic underpayments by payers at the individual claim level, and practice excellent follow-up processes in contacting payers to pay as per rates committed in their signed contracts.

In the case of zero balance accounts that have been closed by the facility, the OSI team takes great care in providing collections services towards old accounts receivables, including follow-up on underpaid claims, understanding reasons for underpayment, addressing issues as the case may be (resubmitting claims, appeals, complaints, etc.) and then recovering revenues from payers.