The healthcare payment environment is forever evolving and increasing in complexity. Today, managing and processing claims is more complicated than ever, and healthcare organizations are under increasing pressure to process claims at lightning speeds. The inevitable result is increased errors and overpayments.

P.O.RA. was designed to help payers navigate their complex healthcare billing and payment data and transform it into a tool for overpayment recovery.

intelligent post and pre-payment review

How Can We Help You?

Contact us with your questions or to request a demo.

Forward thinking software that drives analytics and creates transparency while reducing the operational costs associated with data management.

Analyzes 100% of paid claims retrospectively and/or pre-payment, resulting in larger financial satisfaction.

Designed to find overpayments on a variety of claims types (e.g. professional, facility and pharmacy).

Combines all payment integrity efforts while streamlining internal and external processes through a single solution.

Real time data, on demand, free of  bottle-necks.

experience p.o.r.a. firsthand

Driving Real Value:  P.O.R.A. Results

0

R.O.I.

0

in erroneous payments found

one recent client’s payment recovery experience with P.O.R.A.

overpayment by type

  • Inpatient 43%
  • Outpatient 15%
  • Professional 42%

overpayment identified and collected in millions

  • Identified $108,000,000
  • Collected $105,000,000