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Claim Payment Errors

Claim Payment Errors


MCA has identified over 50 different types of claim payment errors. For proprietary reasons we can't list them here, but we will be pleased to go through them in detail at your hospital. We believe you will agree that no human endeavor is 100% accurate, 100% of the time. Even the most sophisticated hospital patient accounting system and highly trained hospital staff can have momentary lapses. Our retrospective review finds these lost payment dollars and returns them to your hospital. 

Payment error field research may include spending time searching through medical charts, patient accounting notes, CWF eligibility records, intermediary correspondence and even preparing cost report reconciliations. In addition to recouping payment errors, clients may request a post engagement "best practices" report highlighting opportunities for process improvement and also to have their unique points of excellence singled out.