Zero-Balance Review
Instead of focusing on reducing expenses, find a new source of revenue in a risk-free contingency model, with a seamless transition and low burden on your teams.
With rising expenses, staffing shortages and a rapidly changing payer market, there's little time for evaluating the precision of revenue cycle processes and payments.
discovered
$10.6M
in revenue leakage
for 3-hospital integrated delivery system
collected over
$3M
in six months
for 9-hospital regional health system
Why you should Go With Different
TM
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Advanced analytics compare reimbursements with payer contracts and policies
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Proprietary automated claims scrubber flags incorrect claims, denials and underpayments
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Unparalleled advice enhances our clients' success in reducing future revenue leakage
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PHI treated with the utmost care; SOC2 compliant and recurrent HIPAA compliance training
When Salud steps in…
Collections and financial health increase.
Billing and coding issues are identified and corrected.
Payer relations and accountability are improved.
Challenge
What started as a modest review of settled claims within a 10-hospital health system gained traction quickly, especially after Salud was able to recover $10 million in the first year for the system. The system is part of a statewide purchasing consortium.
​
Solution
Salud’s payment models include reimbursement calculators designed to ensure complete account payment for services performed, not just what was billed. As each system hospital was added, a review of coding, billing and write-offs fixed a host of broken processes.​
​
Results
-
$43 million in underpayments identified
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$26 million appealed
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$21 million recovered
Early success drives expansion of zero balance reviews
IN UNDERPAYMENTS
IDENTIFIED
$43M
APPEALED
$26M
RECOVERED
$21M