Government Payer Discovery & Recovery

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[email protected] (336) 416-7056 www.nfvgroup.com NEVS National Eligibility Verification Service KEY MARKET DIFFERENTIATORS: Payer Search Discover and Recover The NEVS advantage No upfront cost for search and report Contingency based after recovery No changes to your internal or third-party eligibility processes Self-Pay, Charity, Limit of Liability, Bad Debt can be turned into Revenue Captures Disproportionate Share (DSH) Reduces Bad Debt Ensures Timely Filing Identifies Spend Down Better faster eligibility searches. Proprietary Software & Processes. We look for eligible claims, not eligible individuals. This translates to receiving reports containing only eligible claims, unlike the services that boast high returns of eligible individuals. These services frequently include a high number of ineligible claims that unnecessarily requires additional facility resources to discover. NFV’s proprietary level 3 algorithms in conjunction with direct access to CMS data base automates the bucketing of data received from the facility, Medicare and Medicaid. This allows for prioritization of claims for further discrete processing, including denial management. NFV boasts an enviable track record of success. Your chosen vendor’s technology will largely determine the number of Medicare & Medicaid claims paid or written off. Not all services are created equal and NFV always outperforms, finding additional unidentified Medicare & Medicaid claims that other vendors had missed. We review 100%, not just a sampling of uncompensated accounts and typically find 5-12% of reviewed result in newly identified eligible claims.

Transcript of Government Payer Discovery & Recovery

Page 1: Government Payer Discovery & Recovery

[email protected] (336) 416-7056 www.nfvgroup.com

NEVS

National Eligibility Verification Service

KEY MARKET DIFFERENTIATORS: Payer Search Discover and Recover

The NEVS advantage

No upfront cost for search and report Contingency based after recovery No changes to your internal or third-party eligibility processes Self-Pay, Charity, Limit of Liability, Bad Debt can be turned into Revenue Captures Disproportionate Share (DSH) Reduces Bad Debt Ensures Timely Filing Identifies Spend Down

Better faster eligibility searches. Proprietary Software & Processes. We look for

eligible claims, not eligible individuals. This translates to receiving reports containing only eligible claims, unlike the services that boast high returns of eligible individuals. These services frequently include a high number of ineligible claims that unnecessarily requires additional facility resources to discover.

NFV’s proprietary level 3 algorithms in conjunction with direct access to CMS data base automates the bucketing of data received from the facility, Medicare and Medicaid. This allows for prioritization of claims for further discrete processing, including denial management.

NFV boasts an enviable track record of success. Your chosen vendor’s technology

will largely determine the number of Medicare & Medicaid claims paid or written off. Not all services are created equal and NFV always outperforms, finding additional unidentified Medicare & Medicaid claims that other vendors had missed.

We review 100%, not just a sampling of uncompensated accounts and

typically find 5-12% of reviewed result in newly identified eligible claims.