BLS|Revecore: Technology-Driven Underpayment Review Services

How do you help healthcare organizations navigate the biggest challenges in healthcare?

More than anything else, healthcare providers need to increase revenue, which is BLS|Revecore’s singular focus. Our mission statement highlights our commitment, stating: “We are dedicated to assuring that our hospital clients are fully, fairly and accurately paid for enhancing and saving the lives of their patients.”

Our underpayment review uses unique, customized technology to collect dollars that would otherwise go unrecovered. We combine robust, proprietary software — driven by more than 500 algorithms and underpayment queries — with more than 20 years of experience to ensure that our clients receive maximum reimbursement. Further, we leverage information and ideas from our nationwide experience to help hospitals improve their internal revenue cycle processes and strengthen their payer contracts. The synergy of our collective knowledge, comprehensive technology and vast library of payer data allows us to recover full reimbursement and reinforce our unwavering commitment to revenue cycle improvement.

What advice would you offer healthcare leaders when choosing among vendors?

Selecting a qualified vendor with exceptional service and recovery results is key when seeking an underpayment review services provider. It is important to choose a partner that offers a highly automated solution but does not underestimate the value of human touch points. Although our robust technology reduces the need for human intervention, a critical component of our offering is the experienced-based, specialized knowledge our analysts bring to each claim.

We also recommend providers seek out vendors that will establish a true ongoing partnership and provide regular feedback on trends and reimbursement opportunities. With all our clients, we take a consultative role, advising where improvements can be made to help prevent future underpayments. We also employ extensive analytics and sophisticated data mining to identify payment errors and additional reimbursement opportunities to ensure maximum reimbursement. The bottom line: Healthcare leaders should partner with an organization that offers the combined benefits of technology, expertise and unsurpassed experience to provide invaluable process improvement and industry-leading collections.

What is some advice you can give providers for a successful implementation of a new product or service?

It is valuable to partner with an expert that has a clear process for implementation but can also provide flexibility based on a hospital’s unique needs. During implementation, the vendor must ensure that it has all processes in place for data privacy and HIPAA compliance. It is increasingly important to contract with a company that is SOC 2 Type II certified, which confirms the effectiveness of the vendor’s systems. In addition, vendors that offer an onsite analyst not only greatly accelerate the implementation process but strengthen the partnership and maximize recoveries by providing ongoing feedback and recommendations for overall process and contract improvements.

Quick facts

Number of years on the Short List: Four consecutive years.

• In HFMA’s 2018 Peer Review process
• 100% of Peer Reviewers agree/strongly agree that BLS|Revecore’s underpayment review services exceed expectations.
• 95% agree/strongly agree that the services provided are a good value.

100% agree/strongly agree that they would recommend BLS|Revecore’s underpayment review services to a colleague.

About BLS|Revecore

BLS|Revecore provides revenue recovery solutions focused on underpayments and denials prevention services. BLS utilizes proprietary technology and a highly skilled team of billing, coding and clinical experts to identify and recover additional revenue for hospitals and health systems throughout the U.S. In addition, BLS|Revecore provides clients with continuous feedback in order to improve revenue cycle processes and payer contracts, and increase future reimbursement. BLS|Revecore was founded in 1996 and is based in Crescent Springs, Kentucky. For more information, visit www.bls.revecore.com.