Reduce write-offs
Simplify complex claims
Prevent future denials
Relieve the administrative burden of appeals
Revco’s specialized insurance revenue recovery programs provide a collaborative solution for recovering lost revenue and reducing — even preventing — future denials. These include:
At Revco, we efficiently untangle denied claims so you can invest more energy and resources into caring for your community. Reduce write-offs, win more appeals, and prevent future claim rejections with our proven denials management solutions.
Our thorough and effective management and appeals processes not only improve yield, but also help identify the root cause of common denials in your organization to prevent them from happening in the future.
No matter the stage, we turn denied claims into vital revenue. Whether a denial is newly active, aged, or closed, we’ll step in with intelligence and diligence to guide it to a positive outcome.
As patterns emerge from our resolution process, we’ll report back to you and recommend proactive steps you can take to avoid future denials.
We remove the guess work using CRXIS – Revco’s proprietary business intelligence system and the largest health data network in the industry. CRXIS helps analyze insurance policies, provides comparable data, and allows us to track payer tendencies and trends. Our team of medical, legal, and claim specialists will review every claim to accelerate and maximize netback for your organization.
What types of claims are considered complex claims?
⦁ Motor-Vehicle Accident (MVA): These claims involve patients injured in a motor vehicle accident and are seeking coverage of their medical expenses.
⦁ Government Payers: These claims involve patients seeking coverage through Medicare, Medicaid, or the Department of Veterans’ Affairs
⦁ Workers’ Compensation (WC): These claims involve workers who have been injured on the job and are seeking coverage for medical expenses.
⦁ Out-of-Network (OON): If services are provided by an out-of-network provider, the payer may deny all or part of the claim or significantly reduce the payment amount.
At Revco, our A/R follow-up service involves the procurement of funds from insurers for services already provided, often due to delayed, denied or underpaid claims, coding errors, or lack of identified patient coverage. Key highlights include the vital role of our experienced staff, business analytics team and automation for efficient claim review, claims follow-up, insurance discovery, and addressing claim denials. Revco utilizes data-driven strategies to negotiate with and receive payment from your payers. Effective revenue recovery also requires up-to-date staff training (both ours and our client’s) to improve overall revenue cycle management.
What does Revco’s A/R Follow-Up/Cash Acceleration program entail?
Revco’s A/R follow-up/Cash Acceleration program involves the recoupment of lost, missing, denied or delayed revenue. It is the process of identifying and collecting revenue that a healthcare provider is rightfully owed but hasn’t received from an insurance company.
Addressing various issues:
Revco’s A/R follow-up solution addresses problems such as underpayments, coding errors, missed or incorrect insurance coverage information, and many technical claim denials.
We drive all denials toward a positive resolution using advanced software, extensive industry knowledge, and collaborative communication. Here’s a closer look at the process that powers our success:
By recovering on unpaid and underpaid claims, healthcare organizations can significantly improve their revenue streams and financial health.
Outsourcing to a trusted partner with automation and advanced tool capabilities and expert staff helps reduce manual workloads at our client partners and increase operational efficiency.
Minimizing billing, coding and payment delay/denial issues for patients leads to a more positive experience.
Revco takes over the entire denials management process — from root cause analysis to appeals and prevention — so your team can focus on filing clean claims in a timely manner. By identifying denial patterns and addressing them at the source, we reduce repeat denials, recover dollars you’ve already earned, and improve your first-pass yield going forward.
These claims are our specialty. Our team combines deep medical coding knowledge with legal and payer expertise to untangle requirements, supply airtight documentation, and negotiate prompt resolution — recovering revenue that often ends up written off when handled in-house.
We accelerate your reimbursement cycle with aggressive, methodical follow-up on all outstanding accounts. Our cash acceleration services ensure no claim slips through the cracks, so payments arrive faster and your revenue stream is steady and reliable.
We act as an extension of your team, providing the bandwidth and expertise you need without increasing headcount. Our specialists handle the high-touch, resource-heavy follow-up so your internal staff can focus on patient care and strategic priorities.
While many vendors promise they can help with insurance recovery, most handle each claim as it comes, rather than taking a segmented and strategic approach to your claims to improve reimbursement faster. We review every single claim, but prioritize those with the highest probably of positive adjudication.
Revco is also the only RCM partner in the country that offers dedicated assistance in handling complex claims like motor vehicle, workers’ compensation, government payer, and out-of-network denials. But here’s what really makes Revco different:
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