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A claim can be accepted, adjudicated and paid, and still be paid below your contracted rate. That’s an underpayment, and it never lands in a work queue — no denial code, no appeal. Most practices can’t even see their underpayment rate by payer. Our analysis of more than 630 million professional claims found that when underpayments occur, payers pay an average of 27% below the allowed amount.

Our latest paper breaks down confidence-led RCM — a model that sorts claims work into three lanes: automate, review or route to your experts. Read how it works.

Aging accounts receivable slows cash flow and diverts staff from higher‑value work. This case study shows how an external recovery model can help healthcare organizations recover revenue, improve predictability and operate more efficiently – without disruption.

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