Forensic Recovery
Dig Deeper, Recover Smarter
Healthcare organizations lose revenue not just from poor care but also from complex payer systems. Silent denials allow money to slip away without anyone noticing. That’s where MedEquity Solutions' Forensic Recovery comes in.
We focus on thorough, data-driven audits. These audits find underpayments, misapplied adjustments, contract violations, and overlooked claims. This is the revenue loss that traditional RCM teams often overlook.
What Is Forensic Recovery ?
Forensic Recovery is a specialized service. It uses advanced analytics and contract audits to
find
and recover lost revenue. It also makes targeted appeals to reclaim funds that others overlook.
Our team has years of experience in contract enforcement, denial analysis, and data auditing.
We find payment gaps and fix them.
Common Payer Tactics We Uncover
How It Works
Contract & Payment Data Ingest
We securely collect and analyze 835/837 files, remits, EOBs, and contract terms from all payers.
Forensic Audit & Matching
Our proprietary tools scan every claim and line item against your contracted rates, identifying discrepancies others miss.
Appeal & Recovery
We file appeals, pursue payer escalations, and negotiate corrected payments, all while working alongside your internal teams.
Reporting & Prevention
You receive full transparency through detailed reporting and insights to help prevent future revenue loss.
Why It Matters
Traditional RCM isn't built to uncover deep underpayments. Payer tactics have grown more sophisticated, but so have we.
With Forensic Recovery, you get:
Hidden revenue recovered fast.
Full contract and claims compliance.
Improved denial tracking and appeal wins.
Stronger leverage in payer negotiations.
Why MedEquity?
Advanced Audit Technology
Purpose-built tools designed to dig deeper than standard RCM software.
Experts, Not Just Software
Our team includes contract analysts, reimbursement auditors and appeals experts.
Smooth Collaboration
We work in sync with your RCM team, not in competition.
We help healthcare providers boost their earnings through advanced technology, efficient automation, and expert reimbursement strategies.
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