Revenue Recovery
Overpayment Recovery
Underpayment Recovery
Credit Balance Management
AR Analytics

As healthcare expenditures continue to increase, the need to efficiently identify fraud, waste, and abuse is greater than ever. In fact, CMS estimates 3.9% of all payments are improperly paid.

MethodCare’s Overpayment Recovery Solution provides an efficient, accurate, and automated process for detecting improper and overpaid claims. Unlike manual audits, MethodCare’s data-driven models capture specific provider, payor, and region nuances to maximize recoupment benefit. MethodCare’s algorithms identify historical overpayments and detect new trends and anomalies to proactively flag errant claims on an ongoing basis.

MethodCare’s Overpayment Recovery Solution:

Automates Overpayment Detection
Analyzes All Records Daily
Increases Accuracy Rates
Provides a Repeatable Process
Removes Human Error
Flags Errant Claims Prior to Payment

MethodCare provides the hardware, software, and analysts