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FAQ: CollectionPro Healthcare Claims Recovery and Arbitration Solutions
TL;DR
CollectionPro's acquisition and no-fee model gives healthcare providers a competitive edge by maximizing revenue recovery from underpaid claims without upfront costs.
CollectionPro operates through three automated tracks: Federal NSA IDR management, state-specific resolution, and negotiation optimization with comprehensive data validation and reporting.
CollectionPro's services ensure fair healthcare reimbursement, reducing financial strain on providers so they can focus resources on patient care and community health.
CollectionPro uses advanced data modeling and automation to resurrect old claims, turning previously lost revenue into recovered funds for healthcare providers.
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CollectionPro is a healthcare reimbursement recovery and arbitration management solution that helps healthcare organizations recover underpaid claims, manage disputes, and maintain compliance through intelligent automation and expert-driven processes.
CollectionPro addresses challenges surrounding the Federal No Surprises Act (NSA) and various State level 'Balance Billing' laws, particularly focusing on out-of-network billing scenarios and surprise billing regulations.
The three primary tracks are: Federal No Surprises Act (NSA) IDR Management, State Surprise Bill and IDR Resolution, and Negotiation and Settlement Optimization, each supported by core services like claim validation and deadline tracking.
CollectionPro operates on a performance-based compensation model where providers only pay when recoveries are achieved - if no additional funds over the payer's offer are secured, the provider owes nothing, and the company advances all administrative and arbitration costs during the trial period.
CollectionPro upholds HIPAA compliance, advanced cybersecurity standards, robust Business Associate Agreement (BAA) protocols, complete audit trails, PHI encryption, and continuous data integrity monitoring to ensure regulatory assurance and data protection.
CollectionPro helps providers recover underpaid claims faster through expert-driven IDR filings and timely responses, while improving reimbursement accuracy with real-time, comparative rate analytics and data-backed negotiation strategies.
CollectionPro specializes in handling pending claims, particularly those arising from out-of-network billing scenarios, by reopening and scrubbing old claims and taking them through negotiation and arbitration processes.
CollectionPro operates across the United States, serving healthcare providers nationwide, as evidenced by their recent acquisition of a hospital-client in Chicago and their ability to handle both federal and state-level regulatory requirements.
CollectionPro reduces administrative overhead significantly, enhances the likelihood of fair reimbursement outcomes, provides complete predictability through their cost-advancing model, and ensures regulatory compliance while improving revenue recovery.
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