Many of today's managed care contracts include prompt payment language. Unfortunately, it is difficult for the provider to track claims to ensure that each payer is adhering to the terms of their agreements.
Healthcare Resources "Contract Compliance Program" provides the necessary follow-up and tracking of claims to ensure prompt and proper reimbursement for all billed claims. Dependent upon the terms of each contract, we will appeal for "FULL CHARGE" reimbursement immediately following the expiration date for payment. These services provide the healthcare provider with documentation on each claim for each payer. This information is used to support re-negotiated contract terms or if necessary, a claim against the payer for the contractual breach. In addition, our pursuit of "FULL CHARGES" will also improve your cash flow.
