Midwest Health System Climbs from 69% to 91% Paid Workers' Compensation Claims

Challenge:

A twelve-facility health system in the Midwest had an in-house team managing workers' comp claims, achieving payment on 69% at a 76% reimbursement rate. The program was functional, but leadership knew the numbers had room to move. They engaged Revecore to push performance further, recover the maximum revenue possible, and bring more consistency to payment timing. 

Solution:

The health system brought Revecore in alongside their existing operations. Revecore's dedicated WC specialists applied purpose-built technology and payer-specific workflows to work claims the internal team couldn't reach at the same depth. Payment rates climbed, reimbursement improved, and collections came in faster. 76% of workers' comp payments are now received in under 60 days.

Results:

By combining internal resources with specialized expertise, the health system achieved stronger financial performance and faster claim resolution. 

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