Are there any upfront costs or fees?
No. BLS | Revecore gets paid on a contingency basis which means we get paid a percentage of the additional money we collect on behalf of our clients.
I already use a variance program in my revenue cycle; why do I need BLS|Revecore?
Our underpayment services consist of much more than simply running a variance program and looking for differences. Each and every claim gets the exact attention it needs from our internal network of specialized analysts who assess the claim for accuracy and appropriateness of payments. We have decades of experience and a vast proprietary database that provides context and intelligence that cannot be duplicated in an hospital’s patient accounting system. With BLS, clients have the benefit of technology, individual expertise, and unsurpassed experience. This explains why we consistently outperform every other underpayment company in the business.
My internal team handles underpayments; can BLS|Revecore still add value?
Yes. Even with an internal team handling underpayment recovery, BLS|Revecore can still find missed opportunity. This isn’t about finding things your team missed, but rather leveraging the unique algorithms and databases we have developed to find additional opportunity hiding in a hospital’s revenue cycle. We generally work behind an internal hospital staff and process, and provide a safety net to ensure that every dollar due the hospital has been collected.
And, BLS provides collective intelligence to help improve a hospital’s internal performance. We have very extensive resources that we apply to every phase of the claim process to capture fail points that cause claims to be underpaid. We employ a synergistic combination of very robust, proprietary technology, experienced underpayment and denials analysts, certified coders, and nurses to ensure that our clients are fairly and accurately paid. Underpayments and Denials Management and Prevention are our only focus.
What does a typical new client implementation look like?
We recognize the time constraints and competing priorities for our clients’ resources. Our goal is to make each implementation as simple and streamlined as possible. Toward this end, we handle everything. We assign a dedicated client team to your account to do much of the heavy lifting. We manage all aspects of the implementation, from supporting the scope of work to real-time communication and feedback.
We have a process in place and don’t want to overlap with our team or with other outsourced claim vendors. Why should I consider BLS | Revecore?
Because BLS|Revecore has access to the client’s PFS system, each claim is reviewed for notes or current activity. If there is any question, we will always seek permission before working a claim that has previously been worked internally or by another vendor.
We have used other vendors in the past that were not successful. Can BLS|Revecore achieve different results?
BLS|Revecore has a unique approach to auditing claims for underpayments. Our specialty teams include analysts who are experts in every claim type. Each claim is processed with the exact experience and expertise required. These teams combined with our robust, proprietary technology allow us to dig deeper into the claim to ensure that our client has maximized reimbursement at every step of the claim process. No other underpayment firm uses this comprehensive approach. As a result, you can be sure that BLS will out-collect the competition.
There is no money in my budget for any additional resources. How is BLS|Revecore compensated?
BLS|Revecore identifies and collects additional revenue and is paid a percentage of additional revenue.
Effective March, 2019
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