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by JDA eHealth Systems, Inc.

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You are here: Home / Solutions / Revenue Recovery Services

Parathon has recovered billions of dollars on behalf of hospitals, health systems, and physician groups.   

Our collection consultants work exclusively in the Parathon Parallel Database™ (PDB) utilizing Parathon’s patented RCM technology to process claim receivables that would otherwise prove difficult, if not impossible, for hospitals or other vendors to collect.

Parathon can recover unrecognized revenue from complex claims and generate immediate cash flow for your hospital. 

Revenue Recovery Services Include:

  • Denial Management – Clinical & Technical
  • Underpayments – Managed Care
  • Zero Balance
  • Zero Payment

 

DENIAL MANAGEMENT – CLINICAL & TECHNICAL

    • Authorization
    • Inpatient Level of Care/Length of Stay
    • Billing & Coding Discrepancies
    • Timely Filing
    • DRG and SOI Downgrades
    • Experimental/Investigational Services
    • Medical Necessity
    • Coordination of Benefits
    • NCCI Bundling Edits
    • Coverage and Benefits

UNDERPAYMENTS

    • Identify and resolve issues preventing optimal and compliant payments per established Provider/Payer contracts
    • Identify and appeal underpaid accounts directly with Payers
    • Adjudicate 100% of all Provider’s contracts
    • Fast and accurate Claim Validation against the contracted terms
    • Easily pinpoint coding, registration, charge and capture trends
    • Extensive reporting to the penny and ability to create custom reporting
    • Root-cause Analysis and Trends Reporting by department

ZERO BALANCE

    • Adjudicate 100% of all Provider’s contracts
    • Fast and accurate Claim Validation against the contracted terms
    • Easily pinpoint coding, registration, charge and capture trends
    • Extensive reporting to the penny and ability to create custom reporting
    • Root-cause Analysis and Trends Reporting by department

    ZERO PAYMENT

      • Includes accounts in which the Payer has not responded to a claim with either a payment or a denial
      • Root-cause Analysis and Trends Reporting by department

            Allow us to show you how our services can transform your collections by scheduling a complimentary consultation with our expert team.

            • Grady Health System

              Testimonials


              Grady Health System


              Sandra Johnson


              Former Vice President Revenue Cycle Management


              “We use the Emergency Department Triage services with Parathon. We have had a great experience working with them, they submit appeal letters and help us with our denials. In one year they have collected almost 1 million dollars for us. Their overturn rate has been 66 percent. Working with Parathon is definitely worth it. I have been very impressed by everything they have done for our organization.”


            • Honor Health

              Testimonials


              Honor Health


              Cameron Wilson


              Director Payor Contracts


              “Parathon has been great to work with. They are extremely flexible. We have many nuisance and challenging contracts and methodologies. We have been able to work quickly and efficiently to get our modeling set up accurately and to feel comfortable with the numbers we are producing. They are easy to get in touch with and always work with us to get the right answers. This is paramount to our relationship.”


            • NorthShore University HealthSystem

              Testimonials


              NorthShore University HealthSystem


              Kathleen Smith


              Director of Patient Financial Services



              “I really value the practices that Parathon has implemented. We use them for denials recovery and they had a lot of positive results on things that were well past timely filing. I continue to work with Parathon because I have found that they are a vendor I can trust, they give me optimal results and have effective communication.”


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            JDA eHealth Systems, Inc. 1415 W. Diehl Rd, Ste. 250, Naperville, IL 60563.

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