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Zero Balance Audit & Recovery
Titan Health audit team uncovers bundling denials triggered by specific charge code combinations and recovers $2.9M for prestigious Midwest health system.
Titan Health auditor discovers billing unit error made when new drug code added to CDM and helps 5-hospital health system recover $459k in lost revenue.
Hospital and physician claims denied coverage for months; finally overturned through dedication and persistence of Titan Health nurse auditor.
Health system re-bills outpatient wound care services individually and recovers $160K of under-payments.
Capital Cost Recovery
Titan Health recovers $1.7M in capital cost reimbursement for multi-hospital health system with two recently constructed facilities.
Titan auditors recover $2.3 million of lost revenue for multiple health systems by challenging auth-related denials.
Suspiciously high patient co-payments prompt investigation; processing error discovered and claims paid.
Reaching out to payor’s Provider Representative for advocacy helps Titan Health overturn authorization denial.
Health system recovers more than $500K in underpayments by analyzing medical records and correcting site of service.