Healthcare Underpayment Recovery Services

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Recover Underpayments Fast

Underpayment Analysis and Recovery Services

Underpayments from payers can take a serious toll on your organization’s financial health. These shortfalls often slip through the cracks, resulting in lost revenue and lower profitability. That’s where AnnexMed comes in. Our Underpayment Analysis & Recovery services are here to catch and recover those missed payments, making sure your organization gets every dollar it’s owed.

Our approach to underpayment analysis is both comprehensive and proactive. We start by conducting a detailed review of your payment data, identifying patterns and pinpointing specific claims where underpayments have occurred. This process involves cross-checking contracted rates with actual payments received, ensuring that every claim is evaluated for accuracy. Our team of experts then works diligently to recover the outstanding amounts from payers, leveraging industry knowledge and negotiation skills to maximize recovery rates.

By partnering with AnnexMed for underpayment analysis and recovery, healthcare providers can ensure that their revenue cycle is being managed precisely. Our services not only help recover lost revenue but also provide insights that can prevent future underpayments, leading to a more robust and profitable financial operation.

Underpayment analysis & recovery capabilities include:

Payment
Variance Reports

Dispute
Management

Contract Compliance
Monitoring

Detailed Account
Reconciliation

Service Highlights

Comprehensive Payment Data Review
Payment Integrity Assurance
Targeted Recovery Efforts
Negotiation and Payer Communication
Preventive Insights

Benefits

Increased Revenue Recovery
Enhanced Contract Compliance
Reduced Financial Leakage
Improved Cash Flow
Proactive Revenue Cycle Management

Achieve Measurable, Proven Results

Costs Reduced

upto

45%

Reduced operational costs

DNFB Reduced

upto

32%

Reduction in DNFB accounts

Improve Productivity

upto

72%

Productivity improvement

Reduction in AR

upto

36%

Reduction in aged A/R

Improved Collections

upto

98%

Achieve net collections

Reduce Denials

upto

72%

Decrease in denial rate

FAQs in Underpayment Analysis Services

What is underpayment analysis in healthcare billing?

Underpayment analysis is the process of comparing payer reimbursements against contracted rates and expected payments to identify claims paid below the correct amount.

Why do payers underpay claims?

Payers may underpay due to incorrect contract rates loaded in adjudication systems, coding or billing errors, incorrect revenue code mapping, bundling, unbundling, or payer adjudication mismatches.

How does underpayment differ from denials?

Underpayment occurs when a claim is paid but the amount is less than contracted or expected, whereas denial means the claim was not paid at all.

How does underpayment analysis improve financial performance?

It improves performance by identifying revenue leakage, recovering lost payments, tightening contract compliance, and informing better billing and payer negotiation strategies.

How can providers identify underpayments?

Providers identify underpayments through detailed reconciliation of remittances, analysis of expected vs. received payments, contract rate audits, and variance reporting.

Ready to Get Started?

Whether you need full-scale support or help with just one part of the revenue cycle, AnnexMed offers modular services tailored to your most pressing needs.

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