When we talk to teaching hospitals, they often tell us the shadow billing process for Medicare Advantage claims is “covered”. This may be attributable to more integrated technology within hospitals and confidence in processes that have been in place for almost twenty years.
The reality is that even the best hospital systems can find disconnects in their shadow billing processes resulting in revenue leakage.
BESLER’s IME Revenue Recovery service quickly uncovers Medicare Advantage shadow billing opportunities – meaning more payments, more revenue, and fewer headaches.
- Our proprietary technology identifies shadow bills that were not submitted – even those for Medicare Advantage patients that weren’t properly flagged at the time of registration.
- We provide beneficiary eligibility and claim information necessary for rebilling.
- Our detailed management reports track the identified claims and confirm that timely rebilling has occurred.
- Our deliverables provide a roadmap to process improvement eliminating revenue leakage moving forward.
Want to keep the process in-house? BESLER’s BVerified suite of web-based solutions allows teaching hospitals to easily identify, prioritize, and recover Medicare Advantage shadow bill underpayments on their own.
Remove the complications. Maximize your revenue.