Then your facility is probably recovering most of the money due to you. But why not get it all? Health Check frequently re-audits behind other vendors or software, often finding significantly more underpaid dollars. If we don't find any additional underpayments, then you will have additional peace of mind that you are being paid correctly — and it didn't cost you anything.

Absolutely not. We only recover underpaid balances from insurance companies. We will never contact your patients.

Our results vary based on the size of the facility, the services provided, managed care penetration level, contract language, and other factors. However, we typically find that 3-5% of managed care claims are underpaid. That means that we recover hundreds of thousands, or even millions, of dollars for individual facilities every year.

We only audit closed or zero-balance managed care accounts. This includes replacement policies such as managed Medicaid or Medicare plans, as well as managed workers' compensation plans.

We work with your facility's Information Technology department to develop a method and schedule that is convenient and that ensures the highest level of security. Typically, we receive monthly downloads of accounts as they reach a zero insurance balance. The data is typically sent via secure HIPAA-compliant network connections.

Our Auditors review every account on a line-by-line basis. We do not rely on payment calculators. By comparing the actual reimbursement to your contracted terms, we identify where you were underpaid.

We use a variety of methods, including routine phone calls to payors, written appeals, negotiations with Provider Relations departments, nurse-generated medical appeals, and cooperative efforts with your facility's Managed Care or Legal departments. All payments are sent directly to your facility — we never touch your money.

Our services are provided exclusively on a contingency fee basis. We only bill for what we successfully collect, and only after your facility has received and posted the payments. Our percentage varies, but it includes everything. There are no hidden fees.