360° Approach

Data Marshall’s approach encompasses the role of stakeholders within the entire claims payment process (Patient, Provider, Payer) and their corresponding impact on accurate claim reimbursements. Our exposure and experience across the entire claim life cycle allows us to drive compliance and to utilize highly effective revenue analytics to achieve revenue enhancements.

Provider

Revenue Enhancement Services
Pre-bill Audits
Predictive Denial Management
Pre-visit & Retro Authorization
Member Benefits & Insurance Verification
2nd Pass review & Low $ recoveries
Coding Audit and Compliance
Provider
Coding Audits - Prebill & retrospective audits
Clinical Documentation improvement
Provider Education
Healthcare Revenue Analytics
Payment Integrity Audits
Underpayment Recovery
Credit Balance Resolution (Contractual / Overpayment validation)
Practice Audits & Consulting

Patient

Healthcare Revenue Analytics
Coordination of Benefits
Revenue Enhancement Services
Pre-visit Patient Eligibility Verification
Collection of Patient responsibility upfront
Coding Audit and Compliance
Member / Dependent Eligibility Audit

Payer

Coding Audit and Compliance
Bill Review Audit
DRG Compliance Audit
Medicare Risk Adjustment (MRA) Audits
Healthcare Revenue Analytics
Post-payment audit
Appeals & Grievances
Fraud, Waste & Abuse
Revenue Enhancement Services
Claims Adjudication - Business rules validation
Provider Contracting Services
Fee Negotiation Services

Get in Touch

Learn how Data Marshall can help your Organization

Scroll to Top