According to the January 2008 issue of the Healthcare Financial Management Magazine Hospitals were losing anywhere from 8% to 14% of their managed care and commercial revenue because of improper payments. I am sure with inflation the figure has probably grown, and in this economy how many hospitals can really afford to write off 8-14% [...]

We currently have a hospital client whereby we review managed care and commercial payments against contractual terms on a retroactive basis. In doing this project it became evident that there were many more benefits to this facility than just the recovery of additional dollars that should have been paid the hospital to begin with. I [...]