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OUR PROMISE TO YOU:
Identify and Recover Underpaid Accounts by Working Directly With Each Contracted Payer.
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Our Services
Industry-wide, underpayments range from 1% to 3% of Total ‘Net" Managed Care Revenue. Based on our experience, HRA has observed an average of approximately 2.4% across our entire client base. In light of this reality, HRA has consistently generated recovery rates of 90% for ‘Zero Balance’ accounts dating back 12 to 24 months.
We manually audit ALL accounts to ensure that the terms and conditions established in each negotiated managed care contract is honored. Given our approach, it should be clear that there’s no underpayment too small to pursue. And, given the sensitivity of patient data entrusted to us, our staff and systems are HIPAA-Certified, ensuring patient privacy and hospital confidentiality. Consistent with this assertion, regulatory compliance is given the highest priority throughout the entire audit process. As such, we adhere to all federal regulations and guidelines.
With today’s ultra-thin operating margins, no hospital or medical center can afford to disregard balances that quickly add up to millions of dollars of lost revenues. As we begin to see results from our audit activities, HRA gets paid only after a recovery is fully processed, paid and recorded in your system. While our efforts are labor intensive, our fees are 100% Contingency based. Combined with a low cost structure, we can offer extremely competitive rates, making HRA a very attractive business partner. This should eliminate any concern you may have about ‘Up-Front’ fees that were unbudgeted or a potential hit to cash flow.
Go ahead! Ask us for an estimate. It will be based on your facility’s size and annual managed care revenue.