Integrated Accounts Group

Denials Management

Do you have a claim that has been rejected or denied by an insurance company? An experienced team of clinical and denial specialists will investigate your case to find the reason it was denied and provide the necessary actions and documentation to have the decision overturned. UR Solutions is committed to helping inpatient and outpatient healthcare providers through the denials and appeals process to ensure optimal reimbursement for all services rendered.

LEARN MORE

Motor Vehicle

Motor Vehicle Accident (MVA) accounts are among the most difficult and time-consuming to work. Many times insurance information is unknown when patients present at a facility for treatment. Once identified, MVA insurance must be coordinated with health insurance and third-party liability coverage.

We identify MVA accounts at the point of registration.  Accounts can be assigned immediately or at a later point in the revenue cycle, depending on which is more advantageous to the provider under the laws of their state.

LEARN MORE

Emergency Department Underpayments

Underpayments happen more often than you would think, with as many as one in four hospital bills being underpaid. Often, emergency room bills are the ones undercut. Our team of experts will investigate why bills were not fully paid, identify patterns to streamline the billing process, and take steps to resubmit to receive optimal reimbursement.

LEARN MORE

Worker’s Compensation

Workers’ Compensation accounts are among the most difficult and time consuming to collect. Accurate employment information is not always obtained during the registration process. In addition, patients rarely know the name of the applicable workers’ compensation insurance carrier.

MAMI locates insurance information using internal databases, state resources, and patient contact when required. Our trained staff follows up on accounts until they are paid.

Our in-house legal staff is available to assist in contested cases and we are knowledgeable about state laws and regulations.

LEARN MORE

Veterans Administration (VA)

We have over twenty years of experience working for hospitals with accounts that fall under Veteran Administration policies and procedures. MAMI is successful in maximizing recoveries, receiving timely payments for claims, and reducing VA accounts receivables.

LEARN MORE

Coordination of Benefits

Coordination of Benefits denials are difficult to resolve due to a lack of cooperation with patients, guarantors and/or patient attorneys. We will confirm insurance information and current account statuses with appropriate insurance carriers and will work with the insurance carriers to resolve COB issues, as well as any other insurance issues which may arise during the insurance billing process. Our representatives will work diligently with patients and their attorneys to obtain any necessary billing information and will follow-up on claims until payment is received.

LEARN MORE

Utilization Review

Our utilization reviews provide evaluation and implementation for process improvement. We take a deep dive into the data to address the strengths and weaknesses in the claims process. We work with the clinical team to optimize the process, so claims are approved the first time they are submitted. Utilization reviews can become part of a system that standardizes insurance policies for set medical conditions.

LEARN MORE

Accounts Receivables

Our insurance follow-up services provide increased revenue for your facility of physician group.  Our highly trained staff work with patients and insurance carriers to:

LEARN MORE

Self-Pay Account Management / Early Out

MAMI works with patients to resolve past due obligations and to assist them to understand their statements and repayment options.

LEARN MORE