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Overpayment


How is your overpayment recovery operation supported? ACS has a solution for those having to deal with the complex world of overpayment recovery.

ACS’s supplemental services can provide the safety net you need. ACS acts on your behalf to audit paid claims to identify other primary insurance coverage, track and report on all recovery efforts, verify recovery amount, and oversee rebilling and receivables management.

You achieve rewarding results through our proactive, sophisticated identification program managed by well-trained, experienced staff:

Coordination Of Benefits – Our supplemental COB process adds an extra safety net for those complex COB situations that are too difficult for even the newest of claims systems to catch. Our in-depth investigation accurately determines COB opportunities. Our recovery team then tracks and manages the overpayment opportunity through to final recovery.
Duplicate Payment – Our program focuses on finding those duplicate payments that most claims systems cannot detect. Our process combines an experienced team with high-speed analysis enabled by advanced technology. Detailed reporting provides our clients with everything they need to apply the recovered dollars back to the appropriate accounts.
  Referral Overpayment Recovery – Many in-house recovery operations become periodically overwhelmed or encounter recovery situations with special circumstances or complexities. That is when they can rely on the experience of ACS to take over: they simply refer the overpayment to us.
•  Medicare Advantage – ACS offers several options for plans with Medicare Advantage programs. Our processes can support the required annual member survey as well as identify and recover on any retroactive premium adjustments for those situations where the Medicare member’s status was incorrect.

Discover how one or more of our overpayment services can grow your annual recovery dollars with minimal impact on the current recovery team. ACS can quickly determine where opportunities are within your current operation and how our services can help maximize your recovery dollars.

Call today to arrange a no-cost data analysis.

 

 

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