See how to recoup lost charges with detailed follow-up

Why This Topic Matters

Underpayments and payment errors can be easy to miss when attention is focused only on denials. The article shows why routine post-payment review matters for revenue integrity and contract compliance in physician practices.

Article Sections

1. Overview of the recoupment approach

   Introduces a simple review process used to compare paid claims with expected payment and identify missed revenue. It frames the method as a recurring practice for payer follow-up and contract review.

2. Six-step payment review workflow

   Outlines a step-by-step process for selecting a payer, reviewing paid claims, comparing expected and actual payment, documenting discrepancies, and presenting findings to the payer. The section also notes using the results to address future denial patterns.

3. Examples from anesthesia and other claim review findings

   Describes the types of payment problems the practice found through its review process, including payer disagreements and other recurring reimbursement issues. It also discusses how contract language was used to support follow-up on these issues.

4. System helps tracks top denials, downcoded claims

   Summarizes how the review process helped identify claims most likely to be denied or reduced and reduced payer pushback over time. The section emphasizes ongoing monitoring of payment patterns.