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ERN

Maximizing Your Revenue and Reducing Payment Shortfalls

Revenue capture is vital for the financial health of any healthcare organization. Underpayments, often stemming from payer mistakes, insufficient documentation, or poor contract management, significantly impact a provider’s bottom line. ERN’s Revenue Capture solutions focus on uncovering underpayments, recovering lost revenue, and optimizing payment processes, ensuring healthcare organizations maximize their earnings and avoid the financial strain of unpaid services.

$262B

lost annually due to denied claims and underpayments.

19.7B

spent trying to overturn denied claims in 2022

Ensuring Timely Reimbursements & Accurate Payments

ERN’s Revenue Capture & Underpayments solutions ensure that you don’t leave money on the table. We analyze payer contracts, identify underpaid claims, and work relentlessly to recover lost revenue through proactive denial prevention and claims resolution. By implementing best practices and leveraging ERN’s deep expertise, we optimize your revenue cycle, ensuring maximum reimbursement for the care you provide.
Many healthcare providers unknowingly accept underpayments, often because they lack the expertise or tools to properly review payer reimbursements. Underpaid claims significantly reduce revenue, and without proper systems in place, these underpayments can persist unnoticed, leaving substantial amounts of money on the table.
Payers often interpret contract terms in ways that disadvantage healthcare providers, leading to underpayment. Without a deep understanding of payer contracts, it’s easy for providers to miss out on the full reimbursement owed to them, especially when those contracts are vague or ambiguous about reimbursement terms.
Many underpaid claims go unaddressed due to inefficient or lackluster revenue cycle processes. If a claim is not flagged or properly followed up on, it can remain underpaid, cutting into the revenue healthcare providers need to continue offering services.
Different payers use various reimbursement structures, which can make payment recovery more complex. Without a comprehensive, systematic approach to revenue capture, healthcare providers can struggle to navigate these complexities, leading to missed payment opportunities and a delay in securing owed revenue.
Underpayments, when accumulated over time, can result in significant financial strain on healthcare organizations. Without identifying and recovering underpayments promptly, practices face operational inefficiencies, hindered cash flow, and, in some cases, the inability to cover essential operational costs.

Optimize Your Revenue Capture Today

ERN’s Zero EOB Denial solutions are designed to help you recover every dollar owed. Our team of experts, using in-depth contract analysis, strategic follow-up, and payer-specific regulatory expertise, will ensure that your practice is reimbursed fairly and efficiently.

RevAssurance

TRAF Representation

NCRA Certified Training

ClaimCure Consulting

Connect with a Revenue Expert

If your healthcare organization is experiencing revenue gaps from underpayments or struggling to capture every dollar owed, let ERN help. Fill out the sheet below to discuss how we can help optimize your revenue capture process, improve cash flow, and recover underpaid claims efficiently.