AI Claims Recovery

About AI Claims Recovery

At AI Claims Recovery, our revenue experts use cutting edge technology to work as a practice partner and extension of your billing team driving more successful claims processing to recover up to 28% more reimbursement revenue.

Our specialized AI technologies and deep expertise help recover significant financial returns for your institution — from thousands to millions of dollars!

Our technology toolbox includes the breakthrough

AUDIT DETERMINING HEALTHCARE COMPENSATION program.

Maximize Your Collections with AI Claims Recovery

The strain on Doctors' offices is increasing. From a Provider's prospective, medical underpayments pose several problems that can significantly impact practice operations and financial health. These issues include:

Reduced Cash Flow

Underpayments directly reduce the cash flow to the practice. Since the reimbursement is less than expected or contracted, the practice receives less money for the services provided, affecting its ability to cover operational costs.

Increased Administrative Costs

To manage and contest underpayments, practices must invest in additional administrative resources. This includes staff time spent reviewing and appealing underpayments, which can be significant and detract from patient care.

Negotiation and Contracting Issues

Underpayments can signal issues with payer contracts or the negotiation process. Practices may find it challenging to negotiate favorable terms, or there may be discrepancies in how payers interpret and apply contract terms, leading to underpayments.

Revenue Predictability Problems

Underpayments create unpredictability in revenue streams. Practices budget and plan based on expected reimbursements. When payments fall short, it disrupts financial planning and can lead to shortfalls that affect the entire operation.

Patient Care Impact

Financial constraints caused by underpayments can indirectly affect patient care. Limited revenue may lead to cuts in staff, reduced office hours, or delays in investing in new technologies or treatments that could benefit patients.

Compliance and Legal Risks

Attempting to navigate the complexities of underpayments, especially if it involves contesting claims or renegotiating contracts, can expose practices to compliance and legal risks. Missteps in these areas can have serious consequences.