Keep improving and maximize results
Realize measurable improvements in accuracy, compliance, and quality. There’s zero risk with Cloudmed’s 100% contingency fee-based model. Here’s how we work together:
You provide the data pull of all paid claims, grant Direct Data Entry (DDE) access for our research and electronic medical record (EMR) access to review medical records.
We validate the data and run it through our proprietary rules and machine learning algorithms. Our expert team reviews the resulting worklists for additional recovery opportunities. Our initial review includes a four-year lookback.
We prepare and verify the pre-bill list with the Medicare Administrative Contractor (MAC). We can perform the re-billing or follow-up weekly with your team to ensure re-billing is occurring. We monitor payments throughout the entire lifecycle within the Medicare system.
Robust reporting and root cause analysis equip you to better manage your workflow, team, and ongoing education efforts. Plus, we provide custom education sessions from a former Chief Compliance Officer.