Revenue Consulting

Medical Underpayments: The Hidden Revenue Gap

Medical underpayments represent a significant challenge for healthcare providers. Doctors and hospitals are increasingly struggling to secure rightful reimbursements from insurance companies, compounded by the complexities introduced by third-party pricing entities. In fact, over $200 billion is lost annually in the ongoing battle for fair insurance reimbursements.


At Compass Medical Billing Services, we provide focused solutions to help healthcare providers recover lost revenue and secure accurate payments.


Who Can Benefit?


Our services cater to all healthcare facilities, from small medical offices to large hospitals, across all specialties. We specialize in working with both in-network and out-of-network providers.

  • A stethoscope is sitting on top of a clipboard next to a laptop.

  • A stethoscope is sitting on top of a graph.

Hot it Works?

  • 1. Initial Review:

    • The client provides copies of their top four payors/problematic payors and two years of electronic claims Explanation of Benefits (EOBs).

  • 2. Comprehensive Analysis:

    • We review payments received over the past three years to verify they align with payor contractual agreements or out-of-network benefit rates.
    • Experienced contract specialists analyze, upload, and verify all contract details to ensure accuracy.

  • 3. Detailed Reporting:

    • Breakdown of underpayments by payor and claim adjustment reasoning.
    • Categorization of underpayments based on collectability.

  • 4. Underpayment Recovery:

    • Collections on past underpaid claims begin within 10 days of receiving all relevant information.
    • Ongoing support to renegotiate and maintain contracts, including product modeling.

Expected Outcomes

  • No Upfront Fees: Risk-free engagement with results-driven solutions.
  • Revenue Recapture: Historical recovery of 10-30% additional insurance revenue.
  • Efficient Process: Timeline tailored to the volume of insurance billings.
  • Comprehensive Management: Recovery of underpayments, denial handling, and management of overpayment fines and responses.

Bridging the Knowledge Gap

Many healthcare procurement and financial departments, as well as executives, may not fully understand how reimbursements align with their contracts. Our specialized team ensures complete transparency and education throughout the process, enabling better financial outcomes.


Let Compass Medical Billing Services help you recover lost revenue and secure your financial future.

Contact Us

Transform Revenue Recovery with Automation and Expertise

Automation is revolutionizing financial reconciliation by turning complex, time-consuming tasks into seamless processes. Compass Medical Billing Services ensures every dollar your organization earns is accounted for, reclaiming your rightful revenue with precision and efficiency. If your current approach to revenue recovery and self-pay or uncompensated care costs is falling short, now is the time to shift toward proactivity and prevention.

  • A doctor is using a tablet computer with a stethoscope around his neck.

Who Benefits from Our Solutions?

Our services are tailored to meet the unique needs of:

  • Ambulatory Surgery Centers
  • Laboratories
  • Community Health Centers
  • Federally Qualified Health Centers (FQHCs)
  • Urgent Care Facilities
  • Ambulance Companies
  • Emergency Departments and Hospitals
  • Large Medical Groups

Real-World Data-Driven Insights

Partner with Compass Medical Billing Services to leverage data from Medicare, Medicaid, and commercial plans. Our revenue recovery solutions:

  • Provide actionable insights through evidence-based strategies.
  • Reduce the burden of uncompensated care cases.
  • Help patients avoid self-pay scenarios.
  • Minimize human error and reduce time investment for your team.

Key Offerings

Insurance Discovery

Identify active billable coverage previously unknown to the provider, reducing uncompensated care and underpayments. Our advanced search technology uncovers:

  • Patients with multiple active payers.
  • New reimbursement opportunities for higher returns.


Enhanced Coverage Results

Achieve an average insurance identification hit rate of 63.7% on uninsured accounts across all care settings.

  • Conduct deeper searches to identify complex cases involving multiple commercial and government payers.
  • Ensure claims are submitted to all applicable payer groups for maximum reimbursement.


Denials Management Reimagined

With 90% of denials preventable, many legitimate claims are lost due to simple clerical errors. Compass Medical Billing Services:

  • Performs exhaustive searches to identify every available payer for denied claims.
  • Streamlines your internal processes for managing and preventing denials.
  • Ensures no claim is left unresolved, turning potential losses into recovered revenue.

Proactive Revenue Recovery

By partnering with Compass Medical Billing Services, you can move beyond reactive strategies to a proactive, data-driven approach. Our innovative solutions reduce uncompensated care, optimize reimbursements, and streamline operational efficiencies, helping your organization focus on what matters most—delivering exceptional care.


Contact Compass Medical Billing Services today to reclaim your earnings and drive financial excellence.

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