Only what the review needs
We ask only for what the review needs. We read payment files and we do not change your billing system.
For independent ambulatory surgery centers
Our payment accuracy platform helps your surgery center see whether every payer paid what the contract says.
Example: one payment
Contract says
$4,200
Payer paid
$3,190
Drag to try itArrow keys, Home, and End also change the payment.
Your center agrees to a rate with each payer. Then thousands of payments arrive over the year, each one with its own adjustments and its own codes. Checking every payment against the contract by hand takes more time than most teams have.
So most centers check only a few payments, or only the ones that look wrong.
A payment that is a little short can slip through, and nobody finds out.
Your team is busy taking care of patients and running the center, and that is exactly why this kind of gap is easy to miss.
Our payment accuracy platform compares what each payer actually paid with what is expected for that payment. It does this after the payment is posted, so your daily work does not change.
When a payment looks different, we flag it for your team to review. We show you what we see and why, so you can judge it for yourself.
Then a person at your center decides what to do next.
It reads your payment files. It does not change anything in your billing system.
It works alongside your billing team or your billing company. We do not replace anyone.
Not sure whether this is worth your time? Start with a free look.
We review about 90 days of your past paid claims. We compare the payments against published payer rates, and against your contract terms once we have them. We show you where payments may differ.
Anything we show you is preliminary. It is a starting point for your team to check, and it is not a final answer.
It is a review only, and you decide what happens afterward. We do not promise any result. We will show you what we see, and you can judge whether it is useful.
The look uses your real claims data, so we will explain exactly what we need and how it is handled before you share anything.
We are new. We would rather show you how this works on your own past payments than ask you to trust a logo.
Payment and claims information is sensitive, and you answer to your patients and to the law for how it is handled. So we keep this simple and honest.
We ask only for what the review needs. We read payment files and we do not change your billing system.
Before any real data is shared, we will explain in writing what we need, how it is used, and who can see it. We will also talk with you about the agreements your center needs.
If your compliance officer or IT lead has questions, they are welcome on the call. We would rather answer them early than have you guess.
Tell us a little about your center and we will get back to you.