Exela implemented a Retrospective Underpayment Identification and Recovery service, as well as a Proactive Underpayment Elimination service focused on payers with recurring payment discrepancies.
This work is carried out using Exela’s proprietary software platform coupled with our professional staff of certified public accountants, registered nurses, financial analysts, and certified coders.
Exela also provides a Predictive Contract Modeling and Benchmarking solution. This solution involves analyzing the most recent year’s patient data set for all new and renegotiable third party payer agreements. The analysis arrives at an overall positive or negative financial impact assessment by dollar, percentage, total, and service line. Exela then provides consulting and negotiations services upon request to increase reimbursement potential.
A detailed reporting package covering both service offerings is included in this solution to improve visibility and transparency, and provide operational flexibility to health system management.
- Underpayment Identification
- Underpayment Recovery (Retrospective and Concurrent)
- Predictive Contract Modeling
- Consulting & Negotiation