Overpayment and Recovery
To stop profit leakage and improve bottom line performance, payers need to take a new approach to payment integrity. This is where Consova’s diligent, thoughtful approach to retrospective claims accuracy comes into play. Our team of industry veterans dig deep to find overpayments and recover the funds,while respecting your sensitive provider relationships.
Our payment integrity solutions complement your existing reviews with a more thorough examination that often uncovers additional recovery opportunities. Our analysis includes everything from identification and financial resolution to root cause analysis and prevention, resulting in millions of dollars in savings for our payer clients.
Consova identifies a wide variety of improperly paid claims, including:
- Contractual Errors
- Coordination of Benefits
- Duplicate Payments
- Improper Discounts/Allowances
- Benefit Audits
- TPL Audits
We perform in-house collections and utilize partnerships to recover every dollar possible for you. Our main collection partner collects 75% of every identified dollar within 180 days.