Inpatient and Outpatient Programs

Per RTR’s team-centric philosophy:

  • Each referral will be grouped by Insurance Carrier and assigned an Insurance Carrier Specific team
  • Each line CPT code will be audited and reconciled with the Carrier Contract as to establish an itemized reimbursement projection.
  • The itemized reimbursement forecast is than applied to the Carrier Explanation of Benefits as to ensure and defend all reimbursement.
  • All services paid will be reconciled, applied to the relevant facility contractual reimbursement and corresponding metric department to update contractual issues.