Maximize Recovery. Accelerate Cash Flow.
Parathon has helped hospitals, health systems, and physician groups recover billions of dollars in revenue—delivering results where others fall short.
Our expert collection consultants work exclusively within the Parathon Parallel Database® (PDBTM), powered by our patented revenue cycle management (RCM) technology. This allows us to resolve and recover complex claims that are often overlooked—or deemed uncollectible—by hospitals or traditional vendors.
Whether it’s underpayments, denials, or zero-payment claims, Parathon uncovers hidden revenue and drives immediate cash flow for your organization.
Revenue Recovery Services Include:
Denial Management (Clinical & Technical)
We address a wide range of denial scenarios, including:
- Authorization issues
- Inpatient level of care and length of stay
- Billing and coding discrepancies
- Timely filing denials
- DRG and SOI downgrades
- Experimental or investigational services
- Medical necessity disputes
- Coordination of benefits
- NCCI bundling edits
- Coverage and benefit determinations
Underpayment Recovery
We ensure full and accurate reimbursement by:
- Identifying and resolving issues impacting compliant payment
- Appealing underpaid claims directly with payers
- Adjudicating 100% of provider contracts
- Conducting rapid, precise claim validation
- Pinpointing coding, registration, and charge capture trends
- Delivering detailed, custom reporting—down to the penny
- Providing root-cause and trend analysis by department
Zero Balance
Review
Even after a claim is marked as paid in full, revenue may still be left on the table. We:
- Revalidate all claims against contract terms
- Detect missed charges and coding discrepancies
- Provide detailed and customizable reports
- Uncover patterns and systemic issues through root-cause analysis
Zero Payment Resolution
We investigate claims that received no response or payment from the payer. Our services include:
- Root-cause analysis by department
- Identification of breakdowns in process or communication
- Actionable insights to prevent future losses
Unlock Your Organization's Full Revenue Potential
Ready to recover revenue you didn’t know you were missing? Schedule a complimentary consultation with our expert team and discover how Parathon can transform your collections.
