Simplified Underpayment & Denial Recovery Service Options

Full ServiceDIYHybrid

7-11% of all claims are underpaid. We offer a mobile app for tracking your collections to 100% payer collectability.

Take the first step & contact us today.

Simplified Underpayment & Denial Recovery Service Options

Full ServiceDIYHybrid

7-11% of all claims are underpaid. We offer a mobile app for tracking your collections to 100% payer collectability.

Take the first step & contact us today.

Simplified Underpayment & Denial Recovery Service Options

Full ServiceDIYHybrid

7-11% of all claims are underpaid. We offer a mobile app for tracking your collections to 100% payer collectability.

Take the first step & contact us today.

Simplified Underpayment
& Denial Recovery
Service Options

Full ServiceDIYHybrid

7-11% of all claims are underpaid. We offer
a mobile app for tracking your
collections to 100% payer collectability.

Take the first step & contact
us today.

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UNDERPAYMENTS AND DENIALS SIMPLIFIED.We model all your contracts in days not months while updating and maintaining them as we become your contract management team. A state of the art SaaS with full transparency into your underpayments and denials identification and collections whether you DIY or we do it for you. 

DOWNLOAD GUIDE5 Best Practices In Payer Contract
Modeling & Management
DOWNLOAD GUIDEOutsource or do it yourself guide
to underpayments and denials
CONTACT US& stop underpayments
& denials

 

Simple yet powerful contract modeling and management SaaS that works with any HIS.

We model your contract then maintain and update them for you

We can model any contract no matter it's complexity

We model all contracts in days instead of months

You can easily identify and overturn underpayments and denials to appeal

You can easily monitor Payer CvC (Collected vs Collectable)

You don’t need a contract management department

Revenue Masters is operated and serviced in San Diego, California.

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Revenue Masters' San Diego Based and Serviced Platform Delivers:

 
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Payer Contract Management 
Healthcare payer contract modeling and management with claims management to identify and overturn underpayments and denials within any HIS system and model any contract.
 
 
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Underpayments Management 
Take back the money you have earned with
our state-of-the-art revenue recovery
program.
 
 
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Denials Management
Identify and overturn wrongful denials.
Save time by cutting down appeal time by two-thirds. Invisible vs. remit denials can
only be identified by contract modeling.

 

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Contract Negotiation 
Simulate contracts with ease to compare newly proposed contract terms vs. existing contracts for win/lose analysis.
 
 
 
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Contractual Net Revenue Forecasting
Net revenue forecasting based on your
payer contract allowables vs. inaccurate historical
or bucket revenue forecasting
 
 
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RM-Validate
MS-DRG Pre-billing Risk Analysis to Uncover
Coding Compliance and Revenue Integrity
Provides a narrative description that guides coders
on the reason a claim was flagged.
 

Underpayments and Denials Management Simplified.

We believe that providers deserve to be paid every penny earned and due according to their payer contracts. Our mission is to simplify this process. By delivering the most advanced healthcare contract management platform in the industry with integrated payment recovery, 100 percent claims collections across all payers is possible.

Our Services

 

 

Cloud Contract Management & Modeling

We offer payer contract modeling and management as a service. We can model your payer contracts with our turnkey, user-friendly cloud software at a fraction of the competitors' prices. Boost your net patient revenue by identifying and overturning underpayments and wrongful healthcare denials.

 

Learn more

 

Payment Recovery

Our payment review and recovery services help improve revenue cycle management operations, helping your team achieve optimal revenue cycle performance with a monthly summary that provides a detailed analysis of payer activity, source reasons for underpayments and denials recommendations to prevent future cash loss.

 

Learn more

 

RM-API for Partners

The RM-API powers your current technology with the contract management and modeling functionality and benefits your clients have been asking for. Once your client's payer contracts and data tables have been provided, contracts are modeled quickly and easily into the RM software for ongoing management.

 

Learn more

Revenue Masters Role in Your Revenue Cycle

Healthcare revenue cycle is composed by different administrative and clinical functions associated with claims processing, payment, and revenue generation. The process includes identification, management, and collection of patient service revenue. Revenue Masters plays a key role in a variety of aspects of your revenue cycle, with our specialty being contract management.

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We offer a simple-to-operate, advanced medical revenue cycle contract management platform that seamlessly integrates revenue recovery workflows to enable 100 percent collections across all payers. Our Contract Management solutions simplify identification of wrongful underpayments and denials to then help you overturn them and increase your net patient revenue.

Why Choose Revenue Masters

 

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Identification of underpayments and denials with high recovery success for 100% collections

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Payer contract management expertise, maintenance and updates included in subscription

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User-friendly software that works with any HIS system in the industry

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Affordably priced, 14 days' set-up and 30 day money back guarantee

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Most technologically advanced contract management solution in the market

 

Revenue Masters works with any HIS system

Our software works with any HIS system, such as MEDITECH, ACOM Health, McKesson, CPSI, Epic Systems Corporation, Netsmart Technologies, Cerner Corporation, MEDHOST, and more!

Payment Review and Recovery

Payment Review and Recovery Services through Powerful Contract Management Software to enable 100% collections across all payers. Revenue Masters Payment Recovery Services help healthcare providers improve their Revenue Cycle Management operations. We use our powerful contract modeling software, the RMReimbursement Maximizer, to model your contracts and then audit and collect on all commercial managed care “zero-balance” claims. Along with payment variance audit and recovery, we also provide a monthly summary that includes a detailed analysis of payer activity, source reasons for underpayments and denials, and recommendations to stop future cash loss. Our Payment Review and Recovery Services require no upfront setup costs or capital, and feature a contingency fee pricing strategy based entirely upon the successful recovery of unpaid claims. Your success is our success. If you don’t get paid...We don’t get paid.

 

Download Brochure

 

 

MS-DRG Pre-billing Risk Analysis

RMValidate is a cost-effective cloud-based application to assist healthcare providers in detecting missed revenue opportunities, potential coding compliance errors, and reduce costs of incorrect original billing. RMValidate intelligently analyses pre-billed MS-DRG based on predetermined qualifiers, automatically flags claims that have a likelihood of MS-DRG validity, either missed revenue integrity opportunities or potential coding compliance concerns, and provides a narrative description that guides coders on the reason the claim was flagged.

Learn More

 

 
 
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Free RCM Demo - Take a quick look at some of our reporting features.

See how CFO's always know their Collected vs. Collectable. Download Revenue Masters CvC Demo App.

download on app store download on google play

What Clients Say

We added contract management onto our existing system. The executive dashboard includes status and charts with the complete revenue cycle process in real-time, this helps us better visualize accounts and items that need attention. We are able to model various rate and term scenarios for better contract negotiations and improved financial performance. It saves us countless hours and we have the peace of mind that we are working our claims according to the complicated payer contracts.

 
Joe Adams - Revenue Cycle Director / IT Director

We chose the Revenue Masters system for its ability to deliver accurate and on-demand reports to help us quickly resolve denials. We had specific reporting requirements that our current denials and patient accounting systems couldn't handle, so we spent lots of time running multiple reports and merging data to obtain the information we needed. The Revenue Masters system takes care of that for us.

Becky Sanders - Corporate Director Patient Accounting

Phoebe Putney Hospital
 

Learn how Revenue Masters can increase your net patient revenue by 7-11% or more.