Inpatient and Outpatient Contractual Underpay 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.