Resolving Complex Underpayments Through Data-Driven Contract Oversight

Reading Time: 5 minutes
Financial Impact: Recovered $1 million in underpayments.

A healthcare organization uncovered over $1 million in underpayments caused by a payer misapplying reimbursement rates for eating disorder claims. OpsRadar provided evidence for successful payer negotiations and established annual audit protocols to ensure compliance with updated rates.

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Identifying and Addressing Pre-authorization Denials Through OpsRadar

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Uncovering Hidden Underpayments IN COVID-19 TEST CLAIMS