Workers' Compensation Recovery Solutions

Pennsylvania hospitals are challenged to monitor and ensure they receive appropriate payments by workers' compensation payers. Unfortunately, many hospitals lack the resources required to adequately monitor claims and provide the Bureau of Workers' Compensation important quarterly update information. This process is difficult and confusing, and most hospitals have opportunities to correct historical claims.

SunStone Consulting has unmatched expertise in Pennsylvania workers' compensation billing, reimbursement and collections. Since the passage of Act 44 in 1993, SunStone's Jim O'Connell and Tim Mosco have been directly involved with the development of the Bureau of Compensation's regulations, claims processing systems, Application for Fee review process and staff training.

Our process blends extensive clinical and technical experience with a proprietary software edit tool that identifies opportunities to recover underpayments for historical claims.

You can count on SunStone to:

• Review your top commercial contracts for payment terms and timelines
• Process your historical claims to uncover opportunities for adjustment claims
• Review medical record and billing documentation, to make recommendations regarding adjustment claims
• Estimate the financial impact of adjustment claims
• Calculate expected payment by claim, to assist with improved contractual allowances and accounts receivables
• Evaluate opportunities to improve cash flow by outsourcing accounts receivable to SunStone

For detailed information about SunStone Consulting Workers' Compensation Recovery Solutions, please contact Jeffrey St.Clair at 717-561-6014 or via email at jeffstclair@sunstoneconsulting.com.