curo:

The truth is - it depends.  Once you determine the jurisdiction of the claim, you can then determine which rules and applicable fee schedule might apply. Carriers make mistakes. It happens. Our experts have never NOT found money, so that's a plus!  

Zero balance account reviews are quite simple for providers. Run a report of your paid-out work comp claims for a decided period of time. We can provide you a "wish list" of items we would like to see; however, at minimal, we need an account number, type of service, charges and payments. With online access to your system or hardcopy bills, we can get started auditing right away.  We bill you on a contingency fee, so you don't pay if we don't collect any additional payments.

Not all underpayments are mistakes made by payors. Once we complete the review, you will also receive a complete analysis of the accounts. Workers comp is only a small percentage of your total A/R, but we might identify errors that could potentially travel across financial classes. Errors could be in billing, precertification, registration, etc.  With this analysis, you will be able to drill down to the exact root cause of of any identified issues.  

Yes we do.  We suggest that each provider start with a zero balance review, but we do also offer appeal/denial work, billing & claim follow-up, process reviews and training seminars to help you build a work comp team.   

No. It's not that we can't do it, but we believe that the mindset to deal with workers compensation claims is different from other so called "complex claims". There's no reason to try to be good at lots of claim types. It leaves more time to focus on the one we do best - workers comp.