Review 100% of the primary payments made to dialysis facilities and identify all potential overpayments on behalf of the healthcare payer.
Many factors contribute to overpayments, including pressures on both providers and payers to expedite claims processing, incomplete information and confusion surrounding Coordination of Benefits guidelines and overly complicated Medicare Secondary Payer regulations that pertain to dialysis services and dialysis billing.
The growing cost to payers, for renal dialysis treatments, is expected to continue to increase as the population ages. Given that a full month of renal dialysis services may cost a payer several thousands of dollars, there is a significant opportunity for overpayment recovery in this growing, yet often overlooked, category of providers.
Conduent’s Renal Dialysis Billing Audit Program includes a review of 100% of the primary payments made to each dialysis facility. We review both provider- and payer-supplied documentation to identify all potential overpayments made to providers on behalf of our payer clients.
By engaging Conduent to perform Renal Dialysis Billing Audits, payers receive improved profitability and cash flows through the recovery of dollars that were previously undetected. Our professional staff conducts the comprehensive dialysis billing audit with little or no disruption to providers at no financial risk to our payer clients.