HealthCheck

Health Check’s CORE business is to provide Managed Care auditing and recovery services to independent hospitals and health care systems across the country.

We employ teams of experts in inpatient and outpatient account auditing, recovery, benefits verification, contracts review, medical appeals, arbitration, and technology; and everything we do is under the guidelines and supervision of our HIPAA compliance officers. These teams work together to:

  • Audit your zero balanced Managed Care and Commercial accounts
  • Identify underpayments by your Managed Care and Commercial payors
  • Recover lost revenue on behalf of your facility
  • Produce intensely reviewed quarterly reports, results analyses and flash reports


Our team of experienced auditors reviews every assigned account on a line-by-line basis, capturing that extra 1-3% of underpayments that payment calculators and contract management systems can leave behind.

Our team of experienced recovery specialists pursues those underpayments as an extension of your business office. 

Our comprehensive client reports are clear, precise,  intensely reviewed, and provide excellent training tools for you and your team.

Your hospital could be among the hospitals for which the Health Check teams have:

  • Collected over $107,800,000 as of 03/31/10
  • Negotiated settlements exceeding $30,000,000
  • Recovered $2,450,000 from a single payor at a single facility on a “Silent PPO” issue
  • Identified and recovered a $5,200,000 “Silent PPO” issue at a single facility

“Because we stay within the boundaries of our core services, we deliver performance, not promises” . . .
 Carole L. Kelly, CEO
Health Check Incorporated