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Revenue Recovery

Revenue Recovery or Underpayment Recovery Services

CHANGE EFFECTIVE JANUARY 1, 2011: PPACA Section 6404 – Maximum Period for Submissions of Medicare Claims Reduced to not more than 12 Months.

This is a hot topic among agency owners…  What is Revenue Recovery?

Revenue Recovery is the right of an agency to go back and correct mis-billed or under-billed charges for Medicare Patients.  Currently, the agency is allowed to go back 18 months.  Medicare is changing the recovery rules from 18 months TO 12 months as of January 1, 2011.  You have from today through December 31, 2010 to recover an additional six months of inaccurately billed revenue.  If you are interested in having a conversation regarding our capabilities in helping your billing personnel recover that revenue, call Marielena Kenny at 312.772.3507 or email mkenny@bksfin.com.

Until this new rule goes into effect, claims from December 01, 2008 and later are still considered timely.  We can review all eligible PPS claims and determine if there are any unpaid (or additional) balances due for your agency.  Even if we don’t find any additional balance due, you’ll have the peace of mind knowing that none of your agency’s revenue has been “left on the table” before this rule changes.

Information needed to begin recovery of mis-billed claims:

  • Agency Name
  • Agency Address, City, State, Zip Code
  • Agency phone, fax and email
  • Agency provider number
  • Agency’s NPI number
  • Agency’s Tax ID number