HRA’s turnkey solution consistently identifies 1-3% of total managed care revenues

Using sophisticated technology and human expertise, we recover an average of 90% of all identified underpayments, from accounts that can be up to 24 months old.

Technology and Expertise
HRA uses a unique combination of proprietary software and experienced auditing analysts to maximize the number of accounts identified as having been underpaid as well as the recoverable amounts associated with those accounts. As an example, both facets of our process work to ensure that the payment provisions described in the applicable managed care contract are identified and supported. Even smaller underpayments are identified. All of our staff and systems are HIPAA-compliant, ensuring patient privacy and hospital confidentiality. We adhere to all federal regulations and guidelines applicable to the auditing process, giving regulatory compliance our highest priority.

We Find Underpayments by Contract

During our payment review and audit, we comprehensively study all “Zero Balance” Managed Care accounts. We specifically look for coding validations and coding errors.