The Solution
Knowtion’s solution:
- Calculates what payers owe accurately, transparently, and at scale.
- Curates results for presentations to payers.
Results
Knowtion has helped our customers achieve the following in interest and penalties cases:
Revenue Recovery
Revenue Optimization
Revenue Discovery
Most health systems aren’t capturing the interest and penalty payments they’re owed by payers-leaving millions of dollars on the table.
Our scalable solution, underpinned by our proprietary technology identifies what you’re owed and holds payers accountable, so you can capture each dollar. We capture millions of dollars in interest and penalties each year, turning overlooked per-claim amounts into substantial payouts that help your bottom line.
CASE STUDY
Providers are missing out on interest and penalties payments because they lack the resources to manually and consistently calculate, track, and monitor what they’re owed.
Knowtion has helped our customers achieve the following in interest and penalties cases:
3.5M hospital claims reviewed
$4.2B payments reviewed
50k claims identified for revenue opportunity
$4.5M total opportunity ($3M commercial claims, $1.3M managed care claims and $0.2M other claims)
Our Intelligent Automation (IA) calculation engine can model interest owed based on payer contract or state-based legislation to uncover what payment you deserve.
Free your teams from the manual effort of interest and penalties calculations and still capture all the reimbursement you’re owed.
Our 835 and 837 ingestion engine builds reports, tracks, and calculates interest and penalties owed at a claim level-and everything is documented in an audit ledger.
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