About MedRecover

How does MedRecover Audit Solutions™ work?
First, MedRecover Audit Solutions™ develops and maintains a record of your negotiated payer contracts. By comparing actual payments to previously negotiated contract terms, it identifies discrepancies between the two. Our solutions further separate legitimate variances from contract violations, ensuring that only collectible claims are presented to the insurance company for payment. That’s the audit part of the service.

MedRecover Audit Solutions also pursues insurance companies for proper payment of claims, from automatically generating validated appeals for each error, to monitoring reimbursement payments when they are received. We follow each claim until it is resolved. That’s the recovery part of the service.

How does my practice pay for the service?
Fees are based on a percentage of dollars received from the payer. Your operating budget doesn’t increase because the money you recover pays for the service. If we don’t recover, you don’t pay.

Will MedRecover Audit Solutions™ complicate my existing system?
On the contrary, it simplifies your workday. It generates seamlessly with your other billing management services, so it’s easy to use. That’s another benefit of being a MedRecover Audit Solutions™ subscriber--you get a series of powerful solutions from a single source.

What are the short-term benefits of using MedRecover Audit Solutions™?
Increased revenue is an immediate and ongoing benefit of subscribing to MedRecover Audit Solutions. It also makes your practice more efficient; by giving busy billing managers back the time they normally spend trying to uncover and unravel underpaid claims.

What are the long-term benefits of using MedRecover Audit Solutions™?
Managing contracts is complicated. Many practices are unaware when contracts expire or how their contracts compare with other contracts issued by the insurance carrier. Over time, MedRecover Audit Solutions becomes a powerful contract-negotiating tool for you.

Using the data we collect to recover the money owed to you, we can also tell you how your practice compares financially to others in your location and area of specialty. Our reports can also identify the most profitable areas of your practice and where your practice can improve revenue.

It sounds too good to be true. Does it really work?
The numbers speak for themselves. MCAG has recovered more than $400 million for medical providers just like you.