TPA‘s

TrueFACS joins forces with TPA‘s to bring additional savings to your client!

This is an opportunity to provide your clients with access to a unique and diverse hospital bill compliance auditing service.

Distinguish your TPA from your competitors!

Errors and overcharges account for 17% to 42% of Hospital Billings in an industry that paid nearly one trillion dollars in 2008.

Our “forensic hospital and provider profiling” resource will reduce costs and assist your contract re-negotiation efforts.

You are doing the best job possible, given the millions of claims processed on a daily basis. With such a large volume of claims, plan administrators find it difficult if not impossible to perform itemized statement reviews or accomplish numerous and cumbersome medical record audits.

Why let hospitals hold your clients money hostage while retrospectively auditing hospital bills? We audit and negotiate settlement before payment, not after payment!

Utilizing specially trained auditors, we do a unique manual “line by line ” compliance audit before the claims is paid that will identify the hospital's erroneous charges billed to your client

We present the identified charges in an “Explanation Of Audit” (EOA) format to the hospital based on irrefutable copyrighted denial reasons and request the hospital to send you a corrected bill or documentation why the items/services ar billable(which they cannot).

We carry the process through to completion whereby payment of the adjusted bill is accepted by the hospital as full and final settlement with no balance billing to your organization or your insured!

Errors and overcharges account for 17% to 42% of Hospital Billings in an industry that paid nearly one trillion dollars in 2008. Let TrueFACS assist in targeting out-of-network facilities with our copyrighted Compliance audit and obtain a true and accurate billing for services rendered. This proprietary process of receiving and dissecting itemized bills, pre or post payment, gives negotiators the leverage needed to achieve a very high level of success. You owe it to your company and your client's to see why.

Our Pricing analysis for out of network facilities will reveal each hospital's costs for services rendered and give you the most ‘usual and customary’ payment each hospital accepts from its largest payer. Value can only be determined by knowing the cost.

The success of our efforts has been recognized nationally by:

Contact us today and let’s team up to maximize the savings you bring to your clients.

Click Here to contact TrueFACS' corporate headquarters for additional information.