What
is
it?
ReCon
is
an
automated
solution
that
compares
insurance
payments
from
your
Payer
against
the
specifications
in
your
Payer
contract.
When
discrepancies
are
found,
ReCon
helps
you
collect
the
difference.
Although
designed
to
handle
the
unique
challenges
of
the
OPPS
reimbursement
approach
used
by
Blue
Cross
of
Illinois,
the
Recon
pricing
engine
is
used
in
several
hospitals
to
net
receivables
and/or
find
underpayments
for
dozens
of
commercial
payers
plus
Medicare
and
Medicaid.
Why
do
I
want
it?
- Analyzes
claims
as
actually
billed,
not
just
what
is
generated
by
host
system
- Matches
claims
with
all
relevant
experience
reports
to
produce
a
clear
history
of
payments,
adjustments
and
takebacks
-
Manages
contracts
and
calculates
expected
reimbursements
-
Analyzes
and
pinpoints
variances
between
expected
and
actual
payments
- Manages
underpayments
by
generating
packets
of
supporting
documentation
which
can
be
tracked
against
future
payment
or
takeback
activity
-
Generates
productivity
reports
-
Maintains
control
on
an
ongoing
basis
-
Integrates
with
eCare®
CMS
to
provide
a
complete
Contract
Management
System
-
Exports
variance
data
into
other
applications
such
as
spreadsheets
and
word
processors
How
does
it
work?
ReCon
matches
insurance
claim
and
voucher
data
with
experience
reports
going
back
to
2002
in
order
to
determine
actual
reimbursements.
It
is
available
as
a
stand-alone
service
or
it
can
be
completely
integrated
with
other
Nebo
products.
Integration
simplifies
the
installation
process
and
insures
a
thorough
and
accurate
analysis.
How
do
I
get
more
information?
Send
an
email
to
info@nebo.com
Call
Rick
Derer
at
630-916-8818
x158
