Radiation Revenue Recovery
Revenue recovered is profit realized.
Billing methods that returned significant profit just five years ago have been squeezed to single digit margins since then. Trying to stay current with those changes is as difficult as trying to stay current on tax laws. Knowing exactly what can be claimed, when and how is not always clear. It is understandable why medical practices have increasingly turned their billing over to 3rd party firms.
OCI’s proprietary Radiation Revenue Recovery™ (R3) service provides:
- The most thorough review of all your data and charts available
- Stringent verification analysis.
- We have confidence in the results we present to you.
- This product is specifically designed for the intricacies of radiation oncology billing.
Somewhere along the way every practice for which OCI has performed Revenue Recovery services has experienced considerable under- or over-payments with their insurance providers.
Radiation Revenue Recovery offers multiple benefits:
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Any underbill R3 finds is your money sitting there unclaimed.
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You’ve earned it, but rule changes have made it more complicated than it used to be to claim it.
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R3-discovered over-payments can be used to help you to adapt work flow and other processes in order to maximize profits while maintaining compliance with insurance providers.
OCI’s painstaking work in discovering and verifying data anomalies is converted to a turnkey product for the sake of busy oncology practices. Simply preparing and presenting the data is only half the process. Gathering and duplicating all the necessary documents in order to submit them for payment is just as time-consuming. OCI performs that labor for you. Additionally, OCI’s work carries no upfront costs; we work on a risk-free contingency basis, so it is to our benefit as much as it is to yours to ensure that all appropriate claims are organized and prepared in a timely enough manner to maximize return. For that reason, we are motivated to make sure that we uncover all revenue opportunities and complete all details necessary to achieve that goal.
In addition to maximizing profits, Radiation Revenue Recovery™ aids your organization in attaining compliance with changing insurance regulations. Simply continuing processes and submitting claims the way it used to be done is often following incorrect procedures today. It is possible to have a profitable oncology practice while still being compliant. R³ provides OCI with the tools to recognize over-payments and recommend process alternatives that are profitable while maintaining compliance with insurance rules and regulations. Finally, it is to your benefit to discover where your organization has been overpaid before RAC auditors do it for you. Should they find those errors, repayment and fines may be in your future. For more information on RAC audits, you may want to view the CMS website RAC presentation (http://www.cms.hhs.gov/RAC)
Please proceed to our CONTACT US page for more information on how Radiation Revenue Recovery™ can maximize your radiation oncology practice revenue >>