Did you know that research shows an average error rate of 8%-15% in the handling of your reimbursements from commercial contract Payors? Since it often goes unnoticed by the practice, it could mean that your practice is experiencing a revenue shortfall.
To assist in identifying potentially “recoverable” funds that were properly due to the medical provider, SWBC offers the CIRCA™ Process*. The CIRCA, Claims Intensive Revenue Cycle Analysis, Process provides access to forensic data mining services and consultants to find revenue that may be due to medical providers through the Texas Prompt Pay regulation.
There is no up-front cost for the assessment, and if a revenue shortfall is identified, the medical provider is presented with strategies and recommendations for recovery.
Contact SWBC or call 1-866-252-1920 to help you identify potential revenue shortfalls.
The CIRCA™ Process* identifies, evaluates, and assesses a medical provider’s possibilities for recovery of a potential revenue shortfall that may not be identifiable using other methods.
Many times, a medical provider/facility may be unaware of the revenue shortfall because, even though all may have been billed and handled correctly through their facility, the error often occurs as part of contract non-compliance on the Payor’s side.
After engaging our service, you’ll complete a few assessments and provide access to billing data. We will then provide you with a high-level overview of your potential “recoverable” monies.
An SWBC representative will communicate with the medical providers every step of the way to ensure they are completely informed of the process and to answer any questions he/she may have.
Why wait? Contact SWBC today or call 1-866-252-1920 to help you identify your potential revenue shortfall today.
This is not a collection service, such as traditional billing consultants or billing software. Those methods can only take into account “known and identifiable” Payor information, and such information may be limited or inaccurate.
Engaging the CIRCA™ Process* is an entirely different method. By employing an automated “upstream” analysis, the process focuses on areas where Payors may have incorrectly handled your claims, thus, bringing to light your potential revenue recovery.
Contact SWBC today or call 1-866-252-1920 to help you in finding your potential revenue shortfall.