Discover how EnableComp turned a problem VA claim into $540K cash within 60 days.
The challenge
A New York-based healthcare system challenged with underpayments and denials was struggling with a large VA claim that was over 180 days old and on its way to being written off.
While they had the resources to get most commercial claims processed and paid, they didn’t have the technology or expertise to successfully manage their specialty revenue cycle claims, the most challenging claims which also result in the lowest and most elusive returns.
While the organization did not typically outsource, but participated in an EnableComp zero-balance review, and out of curiosity, their Patient Financial Services Director asked us to take a look at this specific VA claim.
The solution
With only an 837 file imported into a spreadsheet, our team of experts – together with our specialized intelligent automation platform, e360 RCM® – cut through the complexity to drive a significant and unexpected outcome.
The bottom-line impact
Within 72 hours, we were able to identify the problem and the path to resolution. Within 60 days, we recovered $540,000, which was 12% over net expected.
With decades of intelligent automation and expertise, EnableComp is the industry leader in specialty revenue cycle management solutions. Reach out to us today to learn more about what we can do for your organization.
