The P4p Group, Llc

Cost Containment and Cost Reduction Programs for Healthcare Consumers, Providers, and Payers Healthcare Providers Revenue Cycle Optimization • Real-time calculation and reconciliation of patient financial responsibility at point of care • Medical Banking-Lockbox/Check Processing/EOB to 835/Re-association of 835 with original 837 • Clearinghouse services • Automated Denial Management Appeals and Recovery for high volume low dollar claims • Automated detection and recovery of underpaid claims • Conversion of Business Office Records to digital media • Call Center Services Health Information Management Optimization • Medical Record conversion to EMR – Day Forward and Back file • Web based Document/ Image Repository • HIPAA and HITECH compliant user authentication technologies for remote access and mobile computing applications Healthcare Payers • Claims processing – Paper to EDI • Web based Document/ Image Repository • Unified EDI gateway with a normalized user web portal • Fraud and Abuse analytics with detection pre payment and retrospectively • Medical Bill Review and Audit • Overpaid claims Management and Recovery • Out of Network Claims Negotiation and Recovery • HIPAA and HITECH compliant user authentication technologies for remote access and mobile computing applications • Call Center Services