Payment Integrity

Recover What You’ve Earned. Protect Your Bottom Line.

At Nexiotron, We don’t just chase payments — we uncover patterns, hold payers accountable, and help you build a smarter, more resilient revenue cycle.

In the complex world of healthcare reimbursement, underpayments often go unnoticed — quietly draining revenue over time. At Nexiotron, we specialize in payment integrity and underpayment recovery services, combining technology, data analytics, and domain expertise to identify and recoup every dollar your organization is owed. We bring a data-driven and contract-aware approach to underpayment recovery, powered by advanced technology:

  • Contract Modeling and Expected Payment Calculation: Digitize and Interpret payer contracts where shortfalls are automatically flagged.
  • Automated Claim Matching and Discrepancy Detection: Comparing Actual vs expected payments at a line-item level identifying trends by payers, procedures or location.
  • Appeals and Recovery Management: Initiating payer-specific appeals backed by contract terms and clinical justification with real-time dashboards tracking recovery progress.
  • Root Cause Analysis and Prevention: Analyzing the cause of underpayment providing insights to prevent future revenue leakage.

Why Choose Us?

  • RCM and payer contract experts
  • Technology-enabled insights and recovery
  • Customizable engagement models (project-based or ongoing audit)
  • No upfront fees — performance-based recovery options available
  • HIPAA-compliant, secure infrastructure