Closed Account Review Services

No matter whether your revenue cycle is “hemorrhaging cash” or you don’t yet know you have an opportunity, our closed account review solution—commonly known as “zero balance review”—can recover your lost revenue and increase go-forward cash.

First, we’ll conduct an all-payor forensic review that can identify opportunities across your entire revenue cycle, including aged accounts that haven’t been touched in years. We’ll do this using our proprietary technology, and drawing heavily on MRI’s business intelligence and technical and clinical expertise.

Once we’ve identified susceptible accounts, we will appeal and recover lost cash at no upfront cost to you—and zero risk. We fight hard for money you are owed per contract/fee schedule, no matter the age or reason for underpayment.

Finally, we’ll check in at regular intervals with root-cause analysis reports, so you can immediately address process gaps and plug the “holes in the boat” going forward. As a bonus, our reviews often result in value-added recommendations that lead to go-forward cash at no additional cost.

Typical challenges

Our clients typically face challenges recovering revenue in these areas:

Payor-Specific

  • Workers’ Comp
  • Out-of-State Medicaid
  • Out-of-State Workers’ Comp
  • Non-Contracted Plans
  • ERISA Plans
  • Auto/Accident Insurance

Facility-Specific

  • Academic/Teaching
  • Behavioral Health
  • Cancer Care
  • Children’s
  • Post-Acute Care
  • Trauma

Revenue Cycle-Specific

  • Authorization Issues
  • Billing Issues
  • Coding Issues
  • Cost Invoices
  • Mis-Mapped Revenue Codes
  • Missing Charges
  • Recurring Visits
  • Split Billing

Denials

  • Timely Filing
  • Third Party Liability
  • Incidental Services
  • Line-Item Review
  • No Authorization
  • Late Notification
  • Medical Necessity
  • Non-Covered Services