Revenue Optimization Solutions
Capture and amass additional paid compensation
We identify underpaid revenue that others miss and uncover missing reimbursement opportunities for hospitals and health systems through our thorough payment assessment.
Capture Charge
Using our intelligent cloud solution, rules-based logic, and unique technology that links data from hospital and physician visits, evaluate 100% of hospital and physician claims for income opportunities.
DRG Verification
Use a data-driven strategy to manage the intricate group environment connected to diagnostics. Alphaclinik DRG Validation maximizes revenue recovery and increases efficiency by utilizing intelligent automation, with an emphasis on earned reimbursement, compliance, and quality.
Insurance Find
With a higher true hit rate, fewer false positives, and an automated postback to your patient accounting system, you can streamline your early post-discharge revenue cycle. In order to enhance earned revenue recovery, Alphaclinik Insurance Discovery uncovers additional coverage.
DRG Transfer
Delivering the greatest levels of transfer DRG recovery and compliance in the industry requires identifying and recovering the full value from Medicare Advantage and fee-for-service claims.
Recovery of Underpayment
Determine and retrieve revenue that has been lost and that directly affects the bottom line. This includes staff education to reduce the possibility of future underpayments and root-cause investigation of lost revenue. Underpayment Recovery locates underpaid claims and retrieves unpaid reimbursement by utilizing cutting edge technologies and industry knowledge.