Workers’ comp claims tend to reach a tipping point where the resources required to collect become costlier than the potential reimbursement itself. In this instance, organizations can pass off stingy open A/R to EnableComp. Upon receipt, workers’ comp specialists will scrub the claim to identify where the snag is, correct it and resubmit and/or appeal on your behalf.
Payer Verification and Review: EnableComp uses Enforcer360, our proprietary software to identify the correct payer and address for bill submission to ensure that bills are going to the right place the first time to expedite payment to your facility. To ensure proper payment, all EOBs must be reviewed and accounts compared on a line-item level. Enforcer, allows our Revenue Specialists to efficiently identify and appeal virtually all underpaid items.
Denial Management: We quickly identify claims that are denied as not related to a work injury and provide the necessary documentation for your facility to promptly pursue reimbursement from the health insurer or the patient.
Status Documentation: Weekly text-based collection notes files can be uploaded into your hospital database to ensure that patient account status are updated.