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By Matt Bridge
December 14, 2023
Underpayments are an often overlooked challenge of the revenue cycle management process for many healthcare organizations, as detailed in our recent article. Large acute systems to ambulatory practices are grappling with underpayments, which occur when payers fail to reimburse the full eligible amount for services provided. The common causes can be classified into four main categories: people, process, technology, and payers.
Addressing the multifaceted issue of underpayments in healthcare requires a combination of resources, expertise, technology, and collaboration between healthcare organizations and payers. By proactively identifying and addressing underpayments, healthcare organizations can protect their financial health and ensure fair reimbursement for the critical services they provide to patients.
Listen to our webinar, “Underpayment Recovery and Its Impact on Your Bottom Line” to learn more and watch for the next article in our series that outlines a seven-step framework for quantifying underpayment issues.
As senior vice president of RCM services at AGS Health, Matt oversees strategic growth initiatives for the company’s Patient Access and Patient Financial Services business units. He possesses more than 15 years of experience in professional and managed services with expertise throughout the revenue cycle continuum. Matt’s career has provided him with broad experiences covering diverse provider settings and a deep understanding of the challenges facing customers of all provider types. He is passionate about mentoring and coaching others as they pursue their career journeys in revenue cycle and healthcare business management. Matt possesses a bachelor’s degree in business administration and management from Curry College in Milton, MA.