Revenue Recovery

What are Medical Underpayments?

  • Doctors and hospitals are having a challenging time getting paid by insurance companies and losing a lot of money, more so with third-party pricing company
  • $200 billion each year from insurance Company Reimbursement Wars.
  • Focused solutions to help providers get paid the right amount.


Who is this for?


  • All Healthcare Facilities from a small office to large Hospitals, all specialty.
  • In –network and especially Out–of-network


How this works?


  1. Client provides copy of top 4 (payors/problem payors) and 2-years electronic claims EOB
  2. We review every payments received over the past 3 years to verify that they were paid in full according to the payor contractual agreements or the benefit out –of network rate.
  3. Our team of experienced contract specialists will analyze, load, and verify all contract details have been entered correctly into the platform.
  4. We provide the following details:
  5. Breakdown of underpayments by payor according to the Claim Adjustment Reasoning.
  6. Group all underpayments by collectability.
  7. Begin collections on past underpaid claims.
  8. Goal is to initiate collections within 10 days of receiving all relevant information.
  9. After, help maintain and update your or renegotiates contracts. Includes product modeler.
  10. It is very common for the procurement department financial department, and even the CEO of the organization to not understand the nuances of how their reimbursements align with their contracts.


Expected Outcomes


  • $0 upfront fees
  • We historical recapture10-30% additional insurance revenue
  • Process time varies within magnitude of insurance billings
  • Underpayment identified and recovered
  • Denials, overpayment fines and responses all managed
Contact Us
  • A group of people are sitting at a table with laptops and papers.

Insurance Recovery

Automation transforms the complex task of financial reconciliation into a seamless, automated process, reclaiming your rightful earnings with precision and ease, ensuring every dollar you have earned counts towards your bottom line. If your current approach to revenue recovery and self-pay/uncompensated care costs is lacking, this is your year to focus on proactivity and prevention.

Who is this for?

  • Ambulatory Surgery Centers
  • Labs
  • Community Health centers
  • Federally Qualified Centers
  • Urgent Care 
  • Ambulance Company
  • Emergency Department & Hospital
  • Large Medical Groups
  • A group of people are sitting at a table with laptops and papers.

Real-World Data-Driven Insights

Deliver effective evidence strategy across various focus areas, applying data from Medicare, Medicaid, and commercial plans in partnership with Compass Medical Billing Service statistical and data experts. Compass Medical Billing Service revenue recovery solutions can help relieve the burden of resolving uncompensated care cases and help patients avoid self-pay scenarios. Our technology can also eliminate human error while reducing the time investment required by your team.

Insurance Discovery 

Reduces uncompensated care and underpayments by identifying active billable coverage previously unknown to the provider. Using sophisticated search capabilities, this solution identifies if patients have multiple active payers to help boost reimbursement opportunities.

Improve Coverage Results

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


Conduct more in-depth searches - Identify more complex cases with multiple commercial and government payers to ensure claims are sent to every applicable group.

Rethink Denials Management

An estimated 90% of denials are preventable, with many occurring due to simple clerical errors. This means some legitimate claims end up denied by the payer and become uncompensated care.


Instead of accepting these denials at face value, re-evaluate how you handle them. Compass Medical Billing Service conduct exhaustive searches to make sure every available payer is identified for a claim and streamline your internal response process.

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