Over the last 30 years our team has been responsible for building EDW’s for over 150 different hospitals. We’re deeply experienced with building EDW’s and data mining algorithms.
Simply put, we’re just way more efficient than our competitors. We’re smaller, more nimble, faster and we’re more accurate.
In a nutshell:
We match ZBA accounts to EDI files.
We run EDI rules for 837 & 835 to ascertain potential errors.
The errors are grouped together for workflow.
Productivity and results monitoring is real time.
Power BI is integral.
We provide 100% transparency.
Impekkable leverages advanced technology to automate the evaluation and collection of underpaid claims. By combining billing expertise with sophisticated contract modeling, a next-generation workflow and analytics solution, and strong relationships with payer representatives, Impekkable efficiently identifies and appeals underpayments and inappropriate write-offs.
As a dedicated partner to our clients, Impekkable provides detailed feedback on recoveries. Our monthly reports highlight the causes of revenue leakage and suggest actions to prevent future losses.
Impekkable offers innovative solutions for zero balance account analysis, maximizing the recovery of lost revenue. We are uniquely positioned to deliver a high return on investment for your hospital.
The opportunities found in zero balance reviews go beyond payer underpayments. Much revenue leakage is due to providers not coding and billing according to payer rules. As a full-service revenue cycle services firm, Impekkable has the expertise to correct these issues. We help hospitals and health systems overcome billing challenges with government payers, Medicare and Medicaid replacement plans (HMOs), and commercial and contracted payers.
Next Generation Automation and Analytics
Born in the digital age, Impekkable continuously develops next-generation technology that enables our reimbursement teams to quickly analyze trends, identify revenue leakage, and manage a high volume of large- and small-dollar accounts.
Impekkable uses contract modeling, automated claims status reports, and historical 835 electronic payment explanation data to segment zero balance accounts into recovery opportunities. Our proprietary product, RCMDecoder, provides a rules-driven workflow that streamlines the appeal process, maximizes results, and delivers detailed documentation. Impekkable’s advanced capability for modeling expected reimbursements simplifies account analysis and balance validation, ensuring our teams focus on true revenue opportunities and helping providers more accurately estimate the value of potential recoveries. Impekkable has already analyzed and modeled reimbursements for many payment methodologies, including MS-DRGs, APR-DRGs, eAPGs, and Encounter Rate clinics.
In today’s market, payers embrace artificial intelligence to deny more claims. Impekkable counters this challenge by identifying payer behavior with our own technology and continuously advancing our machine learning capabilities to overcome payer barriers.
Improvement Advice
Impekkable offers unparalleled advice to enhance our clients’ success. Our advice is grounded in a deep understanding of revenue cycle processes. Impekkable’s willingness to analyze and share issues makes us a true partner.
The opportunities found in zero balance reviews extend beyond payer underpayments. Much revenue leakage is caused by providers failing to code and bill according to payer rules. As a tech-based revenue cycle services firm, Impekkable has the expertise to identify and correct these issues. We proactively track and analyze payer notices to ensure staff remain aware of the latest reimbursement rules and payer issues. Our broad understanding of revenue cycle and payer processes informs our improvement advice.
A key differentiator in how Impekkable provides advice is how we organize the findings. We categorize appealed claims as payer or process issues. Process issues are underpayments that would have been paid if the business office had processed or followed up on claims differently. With our experience identifying process issues and our understanding of health system operations, Impekkable has been effective in accurately sharing opportunities for improvement.
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