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Holding payors accountable for full payment.

Revenue recovery & billing integrity to ensure providers get paid what they’re due.

Do you think your payors might be underpaying?

02

Analyze Your Revenue Contracts

We analyze your revenue contracts to profile contracted service pricing and identify nuanced services that may be eligible for alternative pricing.

03

Validate Pricing Integrity in Billing Systems

We perform a thorough audit of your billing system pricing programs and compare those to your revenue contracts to validate open balances and identify anomalies that represent additional revenue opportunities.

04

Profile Claim Collection Opportunities

We analyze your claims data to identify patterns of systematic denial or underpayment that represent outsized opportunities for recovery.

05

Package & Collect On Claims In Bulk

We package claims according to identified patterns and seek bulk reimbursements from payors. During this process, we remain mindful of the importance of maintaining your relationships with your payors.

06

Identify Root Causes & Recommend Process Improvements

We identify the root causes of non-payment & underpayment, then recommend specific process improvements to prevent future occurrences.

Our Process

We focus on getting providers properly paid by private payors, with a focus on HMOs and their capitation partners.

01

Conduct Focused Stakeholder Interviews

We interview relevant members of your revenue team to understand where the biggest challenges are, and tailor our efforts to those needs, as opposed to relying on a one-size-fits-all solution.

Advanced Benefits

We've designed everything we do to be no-risk & low effort for your organization.

No Upfront Fees

We only get paid after we get you paid.

Simple Setup

Getting started requires no change to your existing systems or processes.

No Increase in Workload

You give us access, and we get it done.

Forward-Facing Fixes

We identify root causes & share process improvement recommendations.

Team

Get in Touch

If you think (or know) your payors are not paying you the full amount you're owed, let's talk. â€‹Submit this form and we'll reach out quickly to schedule a brief, no-commitment consultation.

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If you prefer, contact us directly at:

zabelle@advancedmedrev.com

(760) 985-4535

We've received your information! We'll reach out ASAP to schedule an initial conversation.

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