Identify and collect unrecognized revenue
PCH Health’s tech-powered solutions optimize the entire reimbursement and revenue lifecycle.
Our experts aid healthcare providers in ensuring compliance while implementing revenue-enhancing strategies in the following key areas:
Charge Optimization
Detect opportunities to enhance billing consistency and compliance
HIM Code Review
Analyze claims to check proper use of HCPCS & CPT codes, and DRGs
Charge Capture
Detect and rectify missing charges also review net revenue potential
Transfer DRG Review
Review transfer-eligible accounts to identify missing reimbursements and manage rebilling
Contract Management
Oversee government and managed care payers
Payment Variance Analysis
Identify revenue leakage or denials and manage the appeal process to ensure correct payments
What makes PCH Health the top choice?
At PCH Health, we achieve maximum reimbursement rate for healthcare providers. By leveraging advanced AI and analytics, coupled with specialized expertise, we consistently deliver superior results.
Our revenue integrity professionals exceed revenue targets for healthcare providers through compliant and robust solutions.
Ready to enhance your financial performance?
Get the reimbursements you deserve
PCH Health has recovered billions for healthcare providers.
We believe in revenue maximization and fostering growth for our clients.
98.6%
Recovery success
rates
2-5%
Average increase in
net revenue
>95%
Predicted
reimbursement
>95%
Recovery rate for
identified underpayments
What sets PCH Health apart from other revenue integrity service providers?
- Noticeable rise in net revenue
- Effective management of rebills and corrections
- Accurate utilization of HCPCS codes, CPT codes, and DRGs
- Harmonize pricing strategies with strategic objectives
- Enhanced cash flow to maximize reimbursements
Awards and Certifications
Top specialties managed by PCH Health include but are not limited to:
Ambulatory Surgical Center
Behavioral Health
Cardiology
Oncology
Orthopedics
Primary Care
Urgent Care