P2A’s unique system for monetizing your old data uses our one-of-a-kind Business Intelligence software.
Our BI engine was designed using extensive knowledge gained from three decades of experience building actuarial systems, payer systems, and provider networks. It’s uniquely able to sync payor, provider and contract data spanning going back nearly 30 years and can handle more than 100 million claims. What does that mean for your hospital system?
We take 5+ years of your past data and actually re-bill every claim exactly as their payer contracts prescribe. As a result, we’re able to capture and identify every problem, or mis-pay, from the payors.
How our state-of-the-art recovery system works:
After our thorough audit of your old data is completed, we provide you with a detailed Contract Value Analysis (CVA) report. It includes a comprehensive analysis of each and every contract that that payor had with your hospital or physician group.
Your CVA reports typically identifies three different types of claim recoveries:
The net cash collection on the 1st CVA is usually equal to 1.5% – 2.0% of the annualized audited claims amount, which is typically equivalent to a full year of operating margins at a hospital…. without seeing a single patient!
Once an issue is discovered, the payor is immediately notified. In most cases, they’ll initially challenge the recovery request. We’ll provide the payor with the 100% audit of every claim they had with you, which quickly leads them to realize we have more control over the data than they do. They quickly move to negotiate a settlement, despite any filing limits or other restrictions.