HRA TYPICALLY RECOVERS ~90% OF IDENTIFIED UNDERPAYMENTS ON “ZERO BALANCE” MANAGED CARE ACCOUNTS

THOSE AMOUNTS CAN TRANSLATE INTO MILLIONS OF DOLLARS OF ADDED HEALTH SYSTEM REVENUE

20+

years in business

1B+

documents audited

$100M+

in recovered profits

11K+

current provider beds

We Are Your Advocates

Today’s complex and rapidly changing healthcare environment can directly affect your organization’s financial well-being. Hospitals and larger health systems typically lose millions of dollars per year because of the difficulties involved with identifying and collecting underpayments from managed care payers. HRA is committed to changing that.

This is a picture of a man that shows that HRA is your advocate

Powered by Technology

As a tech-driven revenue cycle management company, we utilize stack technology, robotic process automation, machine learning, natural language algorithms and AI analysis to identify revenue opportunities. With advanced analytical capabilities and a team of revenue recovery experts, we’re able to identify, verify, and collect unpaid and underpaid revenue.

Key Insights for Potential Clients

Underpayments typically range from 1% to 3% of net managed care revenue, and HRA has observed an average of approximately 2.4% across our client base.

We have a 90% recovery rate for identified errors on “zero balance” managed care accounts up to 24 months old, and we pursue underpayment amounts of all sizes.

All of our staff and systems are certified HIPAA-compliant, ensuring patient privacy and hospital confidentiality throughout the recovery process.

Our team has recovered revenue across specialties and departments, including OB/GYN, NICU, CCU, oncology, drug therapy, cardiology and more.

HRA only gets paid after a recovery is fully processed, paid and recorded in your system, and our fees are 100% contingency-based.

We offer extremely competitive rates based on facility size and annual managed care revenue, with no up-front fees that could disrupt your cash flow.

Focused on Every Detail

To improve reimbursements, the Healthcare Retroactive Audits team uses tools that challenge undervalued claims and medical necessity denials, discover coding errors, and enforce contract compliance. We’ve had success across dozens of specialties, including OB/GYN, NICU, CCU, oncology, drug therapy, cardiology and more.

Through detailed auditing, HRA provides comprehensive reports that help clients solve administrative issues, address future recovery strategies and drive payer negotiations moving forward.

Our Engagement Process

PRESENT CLIENT WITH DETAILED ACTION PLAN

AUDIT ALL EXISTING PATIENT ACCOUNTS

IDENTIFY CAUSES OF REVENUE LEAKAGE

RECOVER UNBILLED, UNPAID AND UNDERPAID BALANCES

PROVIDE A FULL REPORT AND OUR RECOMMENDATIONS

Solving for the Revenue Hidden in Your “Zero Balance” Managed Care Accounts

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