Meduit has identified missed Medicare Bad Debt reimbursement in 100% of its lookback reviews. That statistic alone indicates that most hospitals are leaving earned reimbursement revenue on the table. Unfortunately, most hospitals don’t have the time, technology, or expertise to go back and track every dollar. But a contingency-based lookback provides a second chance to capture what’s owed.
Why Lookbacks Make Sense
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No upfront cost
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No risk – if your vendor doesn’t find missed value, there’s no fee
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Fast ROI – When missed claims are identified, an amended cost report is filed, and a tentative settlement is delivered within 120 days of submission, per CMS guidelines.
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Minimal disruption to existing workflows
Reclaiming What’s Yours
This snapshot of two recent Meduit lookbacks shows just how much can go unclaimed, even in well-run organizations with reliable cost-reporting infrastructures.
| Hospital A (Central CA) | Hospital B (Western NC) | |
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Type |
Short-term Acute Care |
Short-term Acute Care |
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# Beds |
873 |
396 |
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Patient Revenue |
$6.5B |
$2.5B |
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Years Reviewed |
FY 2019 – FY 2022 |
FY 2016 – FY 2021 |
|
Recovered Value |
$2M |
$1.4M *As part of the engagement, Meduit filed a Humana Medicare Advantage bad debt lookback for FY2016-FY2022, which returned ~$3.4M gross. |
In both cases, the hospitals submitted their annual cost reports, believing they had captured everything owed. Without a review, they would have missed out on millions.
These cases aren’t outliers. They reflect a widespread opportunity for hospitals to recover reimbursement that might otherwise go unclaimed. That’s what makes the lookback such a powerful RCM strategy.
For more information about Meduit’s no-risk lookback services, email contactus@meduitrcm.com.