RKM: A Healthcare Technology Services Company for Medical Claims and Payments Solutions

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Billing Errors and Non-Allowable Charges Representing 10% to 15% of
Billed Charges Eliminated through ClaimConfirm Scrubbing...

The cost of healthcare remains a central topic in today's economy. While everyone wants to do an effective job and provide solid fiduciary practices for their clients, the simple fact remains that the providers of healthcare delivery make mistakes when billing for services rendered; therefore claims get overpaid on a regular basis. These billing discrepancies can average 10% to 15% of total billed charges before the claim is ever repriced or adjudicated.

Employers, Third Party Administrators and Reinsurance companies all have a responsibility to ensure that claims are paid and discounts are applied from an accurately billed claim. Anything less than complete assurance that the bill is correct before it is settled and paid causes uncertainty and slows down the process. Particularly on large dollar claims, these errors can be very costly and non-detectable to the claims examiner or claims system.

ClaimConfirm is a product developed and marketed through RKM Enterprises, Inc. ClaimConfirm allows payers of claims, i.e., reinsurers, TPA's and self-funded employer groups, to scrub hospital and physician claims through editing tools and billing regulation rules-based processors to eliminate billing errors and or non-allowable billing practices. We ensure that your Claim has been Confirmed for accuracy through our proven and proprietary process. We back our findings and even intervene with the provider of services on your behalf to explain our findings. Our acceptance rates are greater than 95% and our findings are backed by defensible data with guaranteed results. Remember, these are defensible mistakes; not discounts or negotiations.

ClaimConfirm is not a claim audit company, nor is it a fraud and abuse detection service. We scrub and edit claims to eliminate duplicate items, errors and non-allowable charges. By scrubbing claims at the line item level ClaimConfirm can systemically review and detect these anomalies, returning the claim to the payer of that claim with the assurance that the bill is accurate and ready for payment.

ClaimConfirm... Saves Your Money!

Because No One Should Ever Pay for the Other Guy's Mistakes.

For your FREE quote and to learn more
Call Today for a Trial Claim - 888-228-0966 x103
Email: michelle@rkmonline.com

ClaimConfirm is a registered trademark of RKM Enterprises, Inc. - All rights reserved.