REVENUE CYCLE SOLUTIONS

Consulting. Compliance. Collections.

Our Mission: To improve the financial state of every provider while delivering personalized and secure revenue cycle services. Our success is achieved by an elite team of experienced professionals who seek maximum reimbursement for every claim received.  

DENIALS

Allow our experienced staff to advocate on your behalf with payers. ANI’s team of experts will help to rapidly resolve underpayments related to contract, policy, eligibility, billing and documentation. 

  • 1 Million + Appeals completed by ANI.
  • 86% Overturn Rate for Medicare Denials.
  • 78% Overturn rate for Commercial Denials.

Roughly 95% of denials are appealable.  We can help reduce backlogs and strengthen your revenue cycle team in less than 90 days.

ZERO BALANCE PAYMENT REVIEW

Zero Balance Payment Review offers the opportunity to reopen closed accounts and find out if underpayments exist. Even if it is ‘Past Timely’, the zero-balance payment review offers insight, opens opportunities to improve contract negotiations, and ensure higher future revenue.

Our contingency-based pricing allows ANI to assume all risk, which maximizes your reimbursement. You don’t pay until we find your lost revenue.

  • Discuss project needs and reporting protocols. Every hospital has different requirements.
  • Draft a work plan, obtain contracts and request system access.

Analyze and Audit:

  • Analyze contracts for possible underpayment and interpretation errors.
  • Review coding, billing, and medical records which affect reimbursement.

Follow-Up, Recover, and Report:

  • Monthly and quarterly reports.
  • Contract and operational recommendations.

Please reach out if you would like to schedule an appointment or obtain a free feasibility study.

VARIANCE PAYMENT REVIEW

ANI Healthcare Solutions will work all variances received no matter the dollar amount. Identifying the root cause between the expected payment and the actual amount received could point to an error in the fee schedule or loaded contract. The result of our analysis could disclose important information before more accounts are underpaid or past timely.

The key benefit to our review:

  • Increase claim recoveries and decrease future underpayments.
  • Receive appropriate payment for delivered services.
  • Determine root causes for discrepancies through our monthly and quarterly reports.
  • Gain access to Senior Healthcare Consultants and their capabilities:
    • Knowledge of specific payer payment rules.
    • Managed care contract experience.
    • Government fee schedules.
    • Workers’ compensation state regulations.