Fee-For-Service (FFS) Underpayment Recovery Solution

AI prioritizes high value Underpaid FFS claims, which are then reviewed by Experts, Driving Significant ROI

Our CDI solutions incorporate advanced AI/(ML) machine learning technology with a team of experts, ensuring optimal revenue recovery and quality scores for your organization and physicians.

Choose between concurrent pre-billing or retrospective auditing reviews.

Lastly, all of our solutions come with the TogetherMD guarantee. If we do not deliver the results promised, then you pay nothing!

Impacted Claims:

  • Facility inpatient & outpatient

  • Pro-fee

THE PROBLEM

According to the American Medical Association (AMA), approximately 12% of medical claims contain inaccurate codes, leading to lost revenues, claim denials, and payment delays. This can impose substantial financial challenges and administrative burdens on healthcare providers.

Average Client Impact:

THE SOLUTION

TogetherMD employs deep learning AI algorithms to prioritize high-value claims, which are subsequently reviewed by our experts for underpayment, ultimately delivering sizeable returns for healthcare providers. And if we don't succeed, then you don't pay. That's the TogetherMD Guarantee!

$4,900 per DRG & $270 per APC change

Our Core Benefits

Increased Reimbursement

Recoup under-coded patient claims and realize about $4,900 per inpatient claim and $390 per outpatient claim.

Improved Quality Scores

Ensure your providers are coding optimally, which improves their quality scores, as judged by payers, by 20 – 45% per claim.

Guaranteed Impact

TMD works on a contingency basis, so if our team cannot find opportunity, then our clients pay us nothing.

Simple Interoperability

Our experienced IT staff integrate via the clients' method of choice including EDI, HL7, SFTP, etc. for easy connectivity.

Quick, One-time Setup

Our team onboards a client in hours and not days, including data interoperability, process alignment, and systems access.

Minimal Time Commitment

The average 250-bed hospital spends less than 2 hours per week on the inpatient or outpatient integrity process.

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We Strive to be an extension of your team.

Ask most of our clients, and they will tell you, TMD is such a joy to work with that “they are an extension of our team.”