Current and situational data analyzes and identifies predictive discrepancies while ensuring your billing is compliant with payer policies and CMS requirements.  Our team combines the expertise of active Physicians, medical practitioners, coders, nurses, and financial experts to ensure your billing and coding is compliant with payer/CMS requirements.  EnableComp’s contract management system employs state-of- the-art data modeling to continuously learn payer behavior and requirements, while providing actionable real-time analytics and reporting.  We routinely provide detailed root-cause analysis reports enabling our clients to modify front-end processes to reduce and prevent denials.

Our team identifies underpayments between what is paid versus what is owed and will pursue full reimbursement on your behalf. EnableComp’s Enforcer360 system calculates the expected payment amount based on payer contracts or fee schedules and provides a comprehensive payment analysis based on thousands of data markers to ensure payment accuracy and full reimbursement on your behalf. EnableComp’s detailed reporting also helps clients fine-tune internal processes in order and prevent denials from recurring. Comprehensive reporting provides extensive analytics to allow our clients to enhance processes, expand denial coverage, and educate internal staff for the best possible outcome.

To ensure you collect every dollar you’re owed, we provide specialized recovery services, including those needing complex utilization reviews, an appeals process, or denials from government payers.  In addition, EnableComp provides legal resources to fully pursue all reimbursement owed. Starting with a standard dataset, our expert team of revenue cycle specialists and billers work every claim until payment is received and all options are exhausted.