Titan Health

Key Takeaways Unique reimbursement requirements from a major Arizona payer created widespread underpayment risk for local hospitals Titan Health uncovered significant missed reimbursement opportunities tied to non standard contract language and billing expectations More than $13 million in underpayments identified across two Arizona health systems with rapid recovery timelines Overview Certain Arizona payer contracts contain unique coding, billing, and reimbursement requirements that differ...

Five Hospital Arizona Health System Boosts Collections by Recovering $459K and Preventing Future Medication Underpayments

Key Takeaways Insurance claim denied as cosmetic despite significant functional impairment affecting the patient’s ability to eat Titan nurse auditor pursued the case for more than seven months, assembling extensive clinical documentation Denial overturned, $52K recovered, and patient family reimbursed after paying expenses out of pocket Background A young adult patient underwent temporomandibular surgery to correct a congenital defect that significantly impaired his ability to eat. Despite...