WORKERS' COMPENSATION CLAIMS
Due to the complexities and time-consuming nature of workers' compensation claims collections, our contingency-based resolution model is an asset to our clients' revenue cycle. We have the staff and expertise required to maximize reimbursement in a timely manner. Our experienced team and proprietary claims processing software have a significant impact on our clients' bottom line on a regular basis.

Our Workers' Comp Collections Process

  1. Identify or confirm patient’s employer and workers’ compensation carrier
  2. Take direct electronic feeds of 837 files from providers and clearinghouse partners, accelerating our ability to submit claims and turnaround cash
  3. Electronically bill and submit required documentation to workers' compensation carrier
  4. Follow-up with the workers’ compensation carrier on a regular basis, confirming all necessary documentation was received, until the provider receives payment
  5. Report to your specifications and notes scripting/access to Kemberton’s system

 

Benefits

    • Increased WCclaims resolved at a higher reimbursement level
    • Improved claim turnaround time
    • Improved cash collections
    • Reduced days in accounts receivables
    • Redirect your in-house health system staff to focus on more mission-critical revenue cycle operations
  •  

OUR RESULTS

These are typical results realized by clients who have chosen to outsource revenue cycle management and WC collections or have moved from a generic business process outsourcing partner to Kemberton for WC collections:

 

 

10%

Increase in workers'

compensation accounts identified
 

 

 

20%

increase in workers'

compensation success rates

 

 

35%

increase in cash payments

received for workers' compensation 

 

  1.  

 

 

Still not convinced you need us?

Take a moment at your next meeting and simply ask “who is our workers' comp insurer?”

Did anyone raise their hand? We have the cure. Let us help.

get my revenue cycle assessment

 

 

Discover how Northern Arizona Healthcare utilized Kemberton to maximize their WC reimbursements!

    • Identify an additional 4,179 claims to pursue for reimbursement

    • Convert a full 35% into paid WC claims, up from just 9%

    • Receive an additional $5.3M in payments, a 660% improvement

 

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What really kept me up at night early in my tenure at Northern Arizona Healthcare was knowing that even though we were doing everything we could to get our revenue integrity numbers up, there was still a ton of viable revenue just being abandoned, because it was too difficult or too time consuming or we just didn’t have the specialized staff to collect it. With Kemberton, I know the team will identify every appropriate payer and exhaust every possible avenue, and therefore bring in as much revenue as possible.

Ryan O'Hara, Chief Revenue Officer, Northern Arizona Healthcare

 


Kemberton in the News

Changing the way lost revenue is found

Kemberton sat down with Healthcare Finance News and discussed how the Kemberton difference is helping hospitals collect on previously uncollectible claims, generating millions of dollars that would otherwise be lost.

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4 ways hospitals can lower claim denial rates

Kemberton discusses how hospitals can lower claim denial rates. Read these 4 tips to learn how you too can improve revenue cycle performance by lowering claim denial rates.

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Contact one of our Workers' Compensation experts today.

start now