Payment Variance

Accurately Forecast, Calculate and Capture All Net Revenue

Revenue leakage from payers can be difficult to identify and even harder to correct. Common payment variance issues include application of incorrect contract rates, non-contractual discounts, revenue integrity discrepancies, coding issues. Contract management systems do a great job calculating reimbursement, but they do not catch everything and are only useful if implemented and maintained correctly.

 

Savista has a dedicated team of payment variance experts that are well-versed in identifying revenue opportunity in zero-balance accounts. In addition to identifying and collecting revenue, Savista identifies the root cause of underpayment issues and works with clients to plug the leak. Our contingency-based fee structure allows for no upfront investment from our clients and maximizes ROI.

Our Payment Variance Services:

  • Identify and recover underpaid claims.
  • Recapture lost revenue due from non-contracted payors.
  • Review claims for billing and coding discrepancies that lead to missed revenue.
  • Provide feedback on accuracy of contract management technology.
  • Validate discharge statuses for Medicare post acute transfers.
By the Numbers

Boston-Based Healthcare System

$21.3M

total recovered underpayments for health system

43%

win rate

$2.1M

annual average collections

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