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
