You could be losing up to 8% in revenue related to Worker’s Compensation claims. We have found that many WC claims are being underpaid by an average of 4% to 8% because clients don’t have the time or expertise to do the considerable follow-up work with insurance companies and other third party payers.
TPL represents a particularly complex type of receivable because accident claims frequently result in limited data capture at the time of treatment. In addition, when benefit coordination is required, the hierarchy of payment is often unclear. TPL is not only complicated but highly labor intensive and occupies a disproportionate percentage of a hospital’s business office resources.
Our TPL Expertise
When you partner with The Outsource Group’s TPL Division, you profit from over 20 years of experience devoted exclusively to the processing of healthcare accident related claims. Having processed over 1.7 million claims representing over $1 billion in Worker’s Compensation, Motor Vehicle and Industrial Accident Claims, we have developed sophisticated systems and procedures designed to effectively process healthcare accident claims.
We provide:
- Knowledgeable staff that understands the nuances of timing and legal requirements of liability claim reimbursement.
- Technology designed to handle the “paper” laden process of claims submission.
- Claims processing through our re-pricing engine to insure reimbursement rates that meet or exceed standard compensation levels.
- Full electronic interface between our claim s management system, clients’ systems and payers’ systems.
- On-site client liaison support.
- Complete reporting including: monthly activity reports, regression reporting, inventory of claims status and age, and escalation reports to notify clients of pending problem claims.
- Re-submission or appeal of underpaid “zero-balance” claims for our clients.
People, Processes & Technology
This unparalleled combination of people, processes and technology devoted to accident claims processing translates into tangible value for our clients by creating a higher return from their liability claim portfolios. By selecting The Outsource Group to deal with this specialized segment of your receivables, you are able to re-direct valuable time and energy to your core business, rather than attempting to handle this very burdensome area of third party liability.




