Employer Groups

Question - When was the last time you had your healthcare expenditures audited to be certain they are being handled appropriately and accurately?

For most companies, one of the largest expenses they have is the cost of employee healthcare. If that expense is not managed carefully, the effect can be devastating to your bottom line. 

ARC Reviews offers employer groups healthcare claim audit and consulting services to help ensure that your company's healthcare costs are being managed appropriately. 

Your Healthcare Audit will be tailored specifically to your company's plan design and we will assist in the recovery of any overpayments that are identified.   

Payers

ARC Reviews offers a suite of services to the payer community.  Whether you offer fully insured or self-funding products to your clients, our programs can assist you by enhancing your claims processing accuracy. 

How much time and resources are you spending trying to chase down overpayments?  You can streamline your processes by utilizing our payer services that meet your needs:

1.  Overpayment Recovery Services

2.  Hospital Bill Audits

3.  Compliance Reviews

Providers

ARC Review Services offers powerful solutions to assist providers in identifying and resolving claim underpayments.  We utilize data mining techniques that uncover underpayments due to payer contract compliance, clinical edits, COB issues, and patient responsibility.

Appealing underpayments is an expensive proposition.  Some estimates put the price tag at $18 to $25 per claim appeal.  Choosing to outsource this process to ARC helps to reduce your administrative cost.  And since ARC will work on a contingency basis, you will also mitigate the financial risk of appealing your underpayments. 

The benefits are clear: analyzing your remittance data for payment errors often translates into boosted revenue of 2% - 5%.