WHat We offer
VBCRR's team of experts offer the most cutting edge and thorough service to produce savings for companies in time and money. If we don't recover over-payments and/or reduce your costs, there is no fee for our services. Our compensation is calculated exclusively on a share of recovered costs or new savings generated by our services.
We at VBCRR serve our clients as third parties and remain independent of any affiliations We use non-intrusive processes and proprietary software to perform analysis and cause minimal interruption to day-to-day business We only partner with companies to efficiently identify, implement and manage expense reduction programs which are measurable and sustainable.
"VBC Revenue Recovery Pledge" - Understanding the Problem
With the healthcare industry in the midst of an unprecedented time of change requiring healthcare providers to analyze and evaluate every aspect of their business. These changes have brought a financial dilemma and burden that could impact a provider’s ability to retain profitability, operational control and effective administration during this era. There has been incredible effort placed on improving operational efficiency and running a lean organization while maintaining the highest level of patient satisfaction. Many organizations have made tremendous improvements prior to service and at point of service entry points all in an effort to increase cash collections along with an improved patient experience. Independent tools such as insurance verification, claims scrubbing, coding and reimbursement solutions, clinical decision support, healthcare predictor scoring, and other analytical tools have been employed to minimize any lost opportunity for recovery but still fall short of desired expectations.
In spite of these revenue cycle initiatives, the fact remains that nationwide, CMS and AHA state that up to 44% of hospitals revenue is unrealized, due to claims being unbilled or under billed. Complete rejections by payer vary from 2.68% (UHC) to almost 7% (Medicare whose was 1.7 times higher than commercial payers).
VBC Revenue Recovery’s Revenue Cycle Analytics provides healthcare provider organizations with “real time” and historical insight into billing, collections, denials and staff productivity across the entire revenue cycle. VBC Revenue Recovery aggregates disparate patient accounting data, payer remittances, collector workstation activity, and third-party information to proactively identify trends, bottlenecks and black hole accounts. Using a proprietary business rules engine, VBC Revenue Recovery enables business office staff to intelligently prioritize account follow-up activities and standardize best-practice workflows to maximize net revenue and cash acceleration. The solution also provides a collaborative platform for enterprise revenue cycle reporting and analysis, empowering both executives and analysts to monitor revenue cycle trends, benchmark performance across the organization, and drill down to the root causes of outliers and variances.
Analytics - Revenue Recovery Opportunity
Many healthcare providers continue to write off millions of dollars in contractual adjustments that are a direct result of third-party under-payments even when their billing, contract management and payer reimbursement audit procedures are adequate. Our team is made up of former Revenue recovery managers and analysts who know that simply because systems are operating and processes are in place does not necessarily mean that you are getting what is due to you.
VBC Revenue Recovery has helped IPAs and Medical groups recover millions of otherwise lost revenue. We have a powerful track record of recovering both commercial and Medicare Transfer DRG and IME underpayments for providers across the region. VBC Revenue Recovery utilizes its proprietary software to immediately and efficiently work through the identification and follow-up tasks required to validate the accuracy of commercial and Medicare/Medicaid billing, to ensure compliance and to make final determination of various underpayments.
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Correcting the various underpayment mistakes requires an in-depth analysis of all services according to the complex terms of today's health care contracts. Utilizing a balanced approach of proprietary analytics and experienced auditors, VBC Revenue Recovery identifies missing money from inaccurately billed and inaccurately paid claims. This retrospective review incorporates innovative discovery methods, team experience and established payer relationships. VBC Revenue Recovery delivers the ultimate contractual underpayment assessment by building your contract calculation models and importing your claims data. This assures a quality assessment of existing payer audit systems and processes. In addition to collecting the identified underpayments, VBC Revenue Recovery’s analytics reveals error issues and process improvement opportunities so you avoid future underpayment losses.
As a contingency-based review or full scale engagement, VBC Revenue Recovery's team is result oriented. We stand by our system and out team and their unparalleled experience and capabilities in data analysis, patient account administration, managed care contracting, coding and government reimbursement.
Engaging VBC Revenue Recovery for a retrospective recovery review provides at the very least "peace of mind" that accurate payment for all services is taking place. VBC Revenue Recovery can provides an ad hoc review of past claims for billing and coding inconsistencies. As part of our process, VBC Revenue Recovery not only audits behind your process but also communicates identified trends so you can adjust your processes for even more timely and accurate internal audits. This can have a significant impact on your cash flow within weeks, improve your balance sheet, P&L and ultimately the bottom line.