At the heart of TLC are the managed care underpayment review projects. TLC uses a systematic approach to determine whether the provider has received the negotiated rate from the payor. Using a relational database, terms and conditions of contracts are loaded and zero balance accounts are processed to calculate expected payment. Comparison reports are run against actual payments to determine the additional monies owed to the hospital resulting in "found" money.TLC provides all the rebilling and follow-up activities related to collecting the underpayments.

The industry standard is between 3-5% annual managed care revenue that results in underpayments by insurance companies. Previous projects have exceeded those projections.

Read further to see how TLC can benefit your facility.