02 Oct Underpayment Detection & Recovery: Stop Losing Revenue You’ve Already Earned
Why This Matters
Healthcare providers work tirelessly to deliver quality care, but many never receive full payment for their services. Underpayments—often hidden in complex payer contracts or subtle errors—can quietly drain 3–10% of your annual revenue. Without a structured detection and recovery process, this money simply disappears.
The Financial Impact of Underpayments
- 3–10% average loss: Industry reports estimate underpayments cost practices hundreds of thousands annually.
- Hidden patterns: Most underpayments are buried in remittances and payer “adjustments” that busy staff cannot detect manually.
- Cash flow strain: Even small underpayments compound, disrupting budgets and making future planning unreliable.
Why Providers Need Underpayment Detection & Recovery
- Uncover hidden revenue: Systematic audits reveal recurring payer shortfalls.
- Level the payer-provider playing field: Identifies discrepancies in contract adherence.
- Recover missed payments: Structured appeals turn underpayments into collected revenue.
- Protect margins in VBC: Accurate collections ensure fair performance assessments.
The Risks of NOT Adopting This Service
- Silent revenue leakage that accumulates year after year.
- Weaker negotiating position with payers when patterns go unchallenged.
- Compliance exposure if documentation isn’t aligned with billed services.
- Inaccurate financial forecasting due to untracked shortfalls.
Proven Results from Underpayment Recovery
- 30–40% of identified underpayments successfully recovered within the first 90 days.
- Practices have seen ROI of 6–8x their investment in detection services.
- Immediate improvement in cash pacing when paired with collections forecasting.
Service Details (Project Requirements)
- Type: Project with recurring cycles
- Requirement: Access to EMR + Payer Contracts
- Step-by-Step Process:
- Import payer remittances
- Match against contract terms
- Flag underpayment variances
- Prepare & file recovery appeals
- Track resolutions + recovered funds
- Timeline: 6–8 weeks for first cycle
- Expected Result: Recovered revenue + prevention of future underpayments
- Potential Setup Fee: Yes
- Duration: Ongoing quarterly or monthly cycles
- Deliverables: Yes (detailed audit reports, recovery tracking)
- Requires Subscription: Yes (continuous monitoring & appeals)
Call to Action
👉 Don’t let hidden underpayments erode your margins.
Get Underpayment Detection & Recovery Below:
Underpayment Detection & Recovery: Uncover Hidden Revenue, Correct Payer Errors, and Protect Your Bottom Line
Underpayment Detection & Recovery — Subscription. Underpayments recovered; margin ↑
The Underpayment Detection & Recovery service by Remote Practice Managers, Inc. identifies payer underpayments, recovers lost revenue, and strengthens your contract compliance—ensuring you get paid what you’ve earned.
đź’˛ $8,400.00 per month (per practice location)
- Includes automated detection, payer recovery efforts, compliance monitoring, and monthly performance dashboards.
- Optional add‑on: $2,000.00 per month for advanced contract analytics, payer performance benchmarking, and quarterly revenue integrity workshops.
1000 in stock
