The Problem 

Did you know that if you don't have an on-going overpayment review process you are losing a minimum of 2% of your annual claim expense dollars? During these times of low reimbursements and tight premium dollars, this loss can be deadly to your bottom line. Contract terms are not easily quantified by systems and people, try as they might, are only as accurate as their training and oversight allow.

Pilot Information Systems can do retrospectively what you don't have the time, staff nor inclination to do. All claim shop directors know that when they get stretched for staff, the first positions to get folded back into processing are the trainer and auditor. Like it or not, quality sometimes takes a "back seat" to productivity.

We have all lived with spending more claim dollars than we needed to because we had to "push the paper". We can solve this problem for you. We can run your data through our system using your chosen parameters and any additional methodologies that you request. With this service, we identify money you "left on the table." The service pays for itself by allowing you to recoup money you didn't need to spend. In the health care industry, 2-10% of all claim expense has been overpaid annually. How much did you overpay? Let us help you find out.

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