Improving hospitals.
Improving healthcare.
Leverage our tech-enabled solutions and deep subject matter expertise to recover lost revenue.
Complex Claims Solutions
Managing motor vehicle accident/third-party liability, workers’ compensation, and Veterans Affairs claims is time-consuming and can be overwhelming due to their complexity and highly manual processes.
Most hospitals seldom have the resources or bandwidth to manage and correctly bill these highly specialized claims.
Our #1 Best in KLAS solutions offer the dedicated expertise, advanced technology and exceptional client service to help you maximize reimbursements and minimize the challenges of complex claims.
Motor Vehicle Accidents
Our team of lawyers and specialized experts supplement our technology, applying their deep knowledge to the challenges of MVA claims to recover your rightful revenue, all while improving the patient experience.
Workers’ Compensation
Our technology is built to quickly identify available workers’ compensation insurance and accelerate claim processing while our dedicated team uses their deep expertise to investigate underpaid claims and handle appeals. With a thorough knowledge of state and federal requirements, we ensure accurate billing and faster reimbursements.
Veterans Affairs Claims
The results of our experience are clear for Day 1 placements
Improved patient satisfaction
Reduced self-pay debt
Higher reimbursements and more revenue, faster
Fewer denials
Advanced technology, process automation, & time-tested reimbursement knowledge
The fastest, most accurate property and casualty insurance identification and resolution in the industry.
Performance analysis and projected ROI
Using your data, we can offer an up-front lift analysis with transparent pricing to help you measure the revenue opportunity a partnership with us provides.
Revecore’s proprietary platform was built around the DNA of complex claims and leverages our comprehensive complex claims experience and knowledge accumulated over the last 25+ years.
Revenue Integrity Solutions
Underpaid and denied claims are wreaking havoc on revenue cycle performance. Problematic and dynamic payer practices, increased workloads and staff shortages have contributed to the rise in denials and underpayments.
Our Revenue Integrity solutions bridge these gaps by combining proprietary technology with the expertise of 21 specialty teams to reduce underpayments and denials, streamline processes, and maximize reimbursements. Our consultative client-focused approach and in-depth root cause reporting provide the insights needed to stop revenue leakage and prevent future losses.
Denials Recovery
Denials are on the rise amid challenges and limitations in resources, staffing and technology. Hospitals need a trusted, tenured partner to quickly and effectively address denials from commercial and government payers. That’s where Revecore comes in. Our Denials Recovery solution offers complete denials and appeals management to recover your rightful reimbursements, ensuring you have the revenue necessary to deliver exceptional patient care. With a configurable implementation protocol deployable in Day 1, Overflow, and Aged capacities, our solution has the flexibility to address your key denial problem areas.
Our team of skilled clinicians, nurse consultants, certified coders, and experienced claim analysts provides unequaled guidance on denials and payer practices. Knowing that prevention is key, we offer strategies to identify fail points, improve processes, and enhance recovery efforts to maximize cash flow. Our deep reporting and case studies highlight root causes and emerging trends. When standard appeals aren’t enough, our tenured Managed Care experts step in to support effective payer escalations, ensuring your accounts are resolved.
Zero Balance | Underpayment Recovery
Recover underpaid claims with our multi-pronged approach to review and recovery encompassing payment variance, billing and coding issues and zero-balance denials.
We remove the guesswork with sophisticated AI models and automation custom-built to identify underpayments, as well as specialized expertise to address the many drivers of underpayments and recover more revenue. Our unique platform utilizes proprietary AI models and 2,000+ algorithms, ensuring precise and thorough identification of reimbursement opportunities. Claims go through a thorough review by highly skilled claims analyst teams, including over 21 specialty teams, resulting in industry-leading recovery rates.
Transfer DRG Recovery
Managing Transfer DRG underpayments can be daunting and time-consuming, often leading to significant payment reductions for hospitals. Our solution simplifies the process and ensures accuracy, so that you can capture every dollar you are owed. We take away the manual lift of recovery with proprietary technology that combines algorithms, pricing tools and comprehensive third-party data to easily identify claims with potentially reduced reimbursements.
Our experts meticulously review claims to verify patient transitions post-hospital discharge, and work directly with Medicare and post-acute facilities to ensure accurate reimbursement of claims, alleviating the burden on hospitals.
At Revecore, safeguarding our clients’ data is a top priority. We are committed to maintaining the highest standards of security, availability, and confidentiality in our operations. As part of this commitment, we adhere to the SOC 2 framework, ensuring our systems and processes meet rigorous criteria for managing customer data.
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See how we can help optimize reimbursements for your most challenging claims.
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