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Revenue Integrity/Underpayment Services 2021

Revenue Integrity/Underpayment Services 2021
Do Deeper Engagements Lead to Better Outcomes?

April 1, 2021 | Read Time: 8  minutes

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Vendors that offer revenue integrity/underpayment services help clients receive owed reimbursements and fix internal processes that inadvertently create inefficiencies or lower payments. Measured vendors perform very well overall. They tend to partner closely with clients and are often paid on a contingency basis, which highly incentivizes them to find every last dollar. KLAS’ 2019 report on this market examined differences in experience and partnership with these vendors. This report builds on that research and compares the experience of vendors’ deepest-adopting clients (i.e., clients using their vendor’s services across several areas of revenue integrity) with the experience of standard clients to assess how deep adoption affects the overall client experience. 

Healthcare Providers,
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Current Time Inside Cache Tag Helper: 4/18/2021 12:14:08 PM and Model.reportId = 1727

Key Findings:

  1. BESLER Delivers High Value for Deep Adopters; Strong Partnership Less Likely for Standard Clients
  2. Deep Adopters Feel Past Revint (now Cloudmed) Acquisitions More Deeply
  3. Cloudmed (Triage) Maintains Tight Partnerships amid Merger
  4. Revecore’s Flexibility Sets Them Apart
  5. TransUnion Brings Industry Experience; More Transactional Than Some Would Like
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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2021 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.