In conjunction with our widely implemented claim modeling software and contract management software solutions, since 1995, we’ve been auditing hospitals as part of our Medicare Review project. This process can return millions of dollars to your hospital.
- MCA identifies [modal id=”3207″ style=plain color=default size=default]underpaid and unpaid[/modal] Medicare Inpatient and Outpatient claims and then follows-up to get them paid correctly for your hospital. MCA is always in full compliance with Federal Regulations governing Medicare Inpatient and Outpatient payments under PPS and OPPS.
- MCA accurately and thoroughly identifies dozens of different kinds of [modal id=”3205″ style=plain color=default size=default]claim payment errors[/modal] and gets them corrected and repaid by Medicare. CMS and Fiscal Intermediary computer edits were designed to prevent overpayments to providers and are biased toward that objective. Providers are left on their own to find and correct underpayments. For that reason, MCA works to find hospitals all of the underpayments that otherwise fall through the gaps.