Howard Francis (650) 449-6888 Howard@CPAddc.com

Howard Francis (650) 449-6888 Howard@CPAddc.com

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CPA Due Diligence.com

CPA & Attorney Due Diligence community Vetting Cost savings solutions

CPA & Attorney Due Diligence community Vetting Cost savings solutions CPA & Attorney Due Diligence community Vetting Cost savings solutions

Best-in-Class Hospital AI Software

Underpayment Recovery System

Our best-in-class Artificial Intelligence (AI) Software partner brings you a revenue cycle system designed to help healthcare providers with the necessary tools, data, and business intelligence support to reduce operational costs and maximize revenue. 


Our primary focus is to analyze and recover revenue for the billing that is being underpaid. Our team of experts helps with correcting billing and recovering underpaid billing and plays a crucial role in negotiating contracts to maximize reimbursements. 


The combination of our team's:

  1. Proprietary software, which allows our team to analyze all aspects of your financial circumstance in seconds.
  2. Experts who have reviewed and embedded virtually all contract methodologies, billing payment systems, and associated tracking. and our proprietary software, slashes the time required to analyze your contracts to ensure that you are accurately paid.

We will also ensure that your billings and associated payments are correctly coded (a prevalent issue). Finally, we will remove any expected shortfalls, providing the industry's fastest, most accurate, and irrefutable results. 


What do we need from our clients? 

  1. Copy of the Payer agreement (Usually the top 4 Payers or top 4 problem Payers) 
  2. Up to the past 2 years of Electronic Claim Payments (known as ERA or 835 files.) 


How can the Underpayment Recovery System Help? 

  1. We will review every payment over the past two years to verify that they were paid in full according to the payer agreements. 
  2. Our team of experienced contract specialists will analyze, load, and verify that all contract details have been entered correctly into the platform. 
  3. Once your Electronic Claims are uploaded to the platform, we will provide the following details: 

• Any claim setup issues. 

• Breakdown of Underpayments by Payer according to Claim Adjustment Reasoning. 

• Group all Underpayments by collectability. 

• Begin collections on past underpaid claims. 

• Our goal is to initiate collections within ten days of receiving all relevant information. 


What we do?

3 areas that create value are overviewed on this page:

  1. Forensic Analysis
  2. Contracting
  3. Analytics / Reporting

Find out more

Howard Francis, CEO (650) 449-6888 Howard@CPAddc.com 

Victor Mojica, President (408) 314-3017  Victor@CPAddc.com

Our 4 free eBooks total over 800 pages: ProfitsUSA.com  GeniusPaymentSystem.com  How to Get 20% More ERC Refund in 1 Month 


 For over 10 years, our elite community of Attorneys & CPAs has done Due Diligence on many cost and risk saving solutions and also wealth creation solutions. Most of our vetted solutions have NO NET COST and have many client references. 


Copyright © 2023 Santa Cruz Ventures Inc. - All Rights Reserved.  This reading material is presented with the understanding and agreement that SCV Inc. is not engaged in rendering legal or other professional services by posting said material. US Treasury regulations require us to inform you that any US federal tax advice contained herein is not intended or written to be used and cannot be used by any person or entity to avoid penalties that may be imposed under the Internal Revenue Code. The services of a competent professional should be sought if legal, accounting, tax, or expert assistance is required. 

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