Underpayment Payment Calculator via Remittance and/or Claim Status Check
BridgestoneHRS’s Underpayment Calculator is simple, fast and effective. The analysis may be performed at two different steps in the revenue cycle:
At the time of Remittance Posting. The day you receive your remittance file, upload to the Underpayment Calculator and within seconds you will know all accounts and their specific procedures that were paid correctly per the contract terms and which were both UNDERPAID or OVERPAID.
This data can then be routed to the appropriate staff member via real-time work queues or simply downloaded to Excel.
We recommend this process be run daily, but a facility can run all their remittance data, weekly, monthly or even annually, whatever is best for you.
At the time of Claim Adjudication. The process described above is a fantastic solution, but you also have the option of reducing the time line for this calculation by performing the same process at the time of Claim Adjudication.
Again the process is straightforward. We query every single claim against the payers online system daily. We report back to you the status of all claims daily. Only claims that need action are displayed in the system. Claims, which have been adjudicated, will be run thru the Underpayment Analyzer and all Underpayment or Overpayment accounts will be flagged.