REIMBURSEMENT SERVICES
Complex and Denied Claims Program
- Client-based solution.
- Identifies and resolves unpaid or underpaid claims.
Commercial and Government Health Insurance Follow-up
- Automatically places unpaid patient account balance with Trilogi within a set period from discharge date.
- Ensures timely alert of issues before claim can be denied.
Underpayment Recovery Program
- Contract and account analysis on zero balance/paid accounts to determine if potential additional cash recoveries are due.
- Attorney/clinician advocacy to pursue underpaid claims and resolve root cause issues.
A/R Cleanup and Customized Projects
- Complete or partial cleanup of aged A/R accounts.
- Client-based services to determine the most cost effective approach.
- Implementation of more efficient receivables management processes.
Workers Compensation Program
- Management, tracking, follow-up and collection of workers compensation claims.
- Attorney/clinician advocacy to resolve disputes, eligibility, and other issues.
System Conversion Services
- Trilogi’s team of clinicans, attorneys and finacial recovery experts resolve legacy system claims while hospital staff focus on learning the new patient accounting system.
Legal Services and Litigation Management
- Experienced attorneys specialized in healthcare representing the hospital’s interest.
- Pre-litigation action, claims appeals, contract interpretation, and other legal services.
- Single account, multi-claim and complex third-party collections pursued with equal vigor.
CONSULTING AND EDUCATION PROGRAMS
RAC Program
- Audit preparation.
- Defense of hospital charges.
- Attorney/clinician written appeals and deadline management.
- Recovery services.
Case Management Consulting Services
- Comprehensive case management assessment.
- Design and implementation of case management program.
- Staff training and education.
Customized Training for Business Office Staff
- Client-based services scaled to need.
- Technical training of staff on billing interchange system.
- Hospital-side accounting practices and procedures education.