Revenue Recovery

MCRC Group goes beyond where software is capable of going and performs a forensic analysis of claims data for each hospital service, for each payor, on a claim by claim basis, finding additional dollars due to your hospital or practice. The result is significant additional revenue to your bottom line. MCRC Group has collected over $40 million in additional revenue for hospitals on closed out zero balanced claims that were actually underpaid. On a go-forward basis, these efforts generated over $12 million annually in additional revenue due to system and contract corrections identified and fixed during the underpayment review and collection process. MCRC Group’s many years of experience on both the hospital and health plan side of the business in crafting managed care contract terms, understanding the limitations of payors’ systems, knowledge of conflicts and various interpretations of standard contract language, and working first hand with payors to correct system issues, uniquely qualifies MCRC Group to identify opportunities for greater revenue and collect the monies due to providers. MCRC Group investigates claims for all services, inpatient and outpatient, regardless of the level of expected reimbursement. MCRC Group has no limitation or threshold to pass in order to pursue underpayments - no variance is too small.