Advanced Algorithms & Intelligent Queries
Difficult-to-match patients require data permutation algorithms and evolving knowledge of state-specific matching logic. COMPASS analyzes data associated with a hospital provider to identify the most common registration errors to create alternate matching options.
Our competitors use mostly manual processes which makes these types of analyses impossible.
As a result of the unique, comprehensive review process coded into COMPASS, we have a best-in-class 99% audit acceptance rate. Our process includes using multiple data sources to uncover "hidden" eligibility as well as strategically re-testing patient eligibility before filing to optimize allowable additional reimbursement.
Additionally, COMPASS provides a complete audit trail for any results we find, a high-value feature important given the greater scrutiny faced by providers when filing for reimbursement dollars.
Regulatory & Program Knowledge
Our in-house team of experts, with more than 100 + years of reimbursement experience, ensures COMPASS is current with all the latest CMS compliance requirements. This virtually eliminates the likelihood of having results challenged by auditors looking for non-compliance.
Our experts also help develop new products to address the ever-evolving regulatory environment and find providers the dollars they deserve.