Healthcare

MSP Recovery is disrupting the antiquated healthcare reimbursement system, using data and analytics to identify and recover massive amounts of improper payments made by Medicare, Medicaid, and Commercial insurers from responsible parties.

Medicare and Medicaid are payers of last resort, as are Medicare Advantage Organizations and certain downstream risk providers. Too often, they end up being the first and only payer, because the responsible payer is not found or billed. Because Medicare and Medicaid pay a far lower rate than what other insurers are often billed, this costs the healthcare system and taxpayers tens of billions of dollars a year in improper billing and lost recoveries.

By discovering, quantifying and settling the billed-to-paid gap on a large scale basis, MSP Recovery can maximize your recoveries.

MSP Recovery aggregates and analyzes historical client healthcare claims information, leverage data analytics capabilities to identify improper payments. Utilizing proprietary algorithms, MSP Recovery systems identify potentially recoverable claims while uncovering fraud, waste, and abuse. Through the analysis of healthcare billing codes such as ICDs, CPTs, and NDCs – along with industry resources such as FDA Recalls, Crash Reports, Fee Schedules, and more, MSP Recovery’s data scientists and medical professionals identify recoverable opportunities. Once these potential recoveries are reviewed, they are aggregated and the recovery teams pursue them and pursue them. To date, MSP Recovery has developed over 1,400 proprietary algorithms which help identify billions of dollars in improper payments in the Medicare, Medicaid, and commercial insurance segments.

MSP Recovery offers healthcare providers invaluable data analysis tailored to their practice. This includes running specialized healthcare analysis based on a provider’s specific needs, connecting to different data sources, leading to improved patient care.