Navigating the complex area of denied, stalled and underpaid provider claims is incredibly difficult and time-consuming. CMA is dedicated to helping providers recover those claims, thereby increasing revenue and allowing provider personnel to focus on less time-intensive claims. CMA follows payers’ appeal processes and escalates claims to an executive or legal level when appeals have not been properly reviewed and considered. Our close partnerships with our clients and reputation among payers as honest and diligent defenders of those clients are the keys to our success.
CMA offers clients a contingency rate fee structure competitive with other revenue cycle vendors but with the added assurance of CMA’s ability to quickly understand legal and contractual issues, with all claims worked by our denial specialists in direct partnership with our attorneys.
CMA offers various placement options to meet our clients’ needs. CMA can accept placement on a claim by claim basis but is also prepared to manage large projects involving numerous claims. Some clients prefer direct placement via work queues as accounts are identified while others prefer to automatically assign unpaid claims at a certain date past discharge. CMA also reviews bad debt, self-pay and write off reports to identify claims with recovery potential.