Revenue cycle,
engineered.
GRT helps hospital CFOs and revenue cycle teams identify, validate, and recover reimbursement opportunities that even sophisticated revenue cycle workflows miss.
Explore our approach →What reimbursement could your current workflows be missing?
Enter one or more 6-digit Medicare CCNs for a directional estimate across four GRT recovery areas.
Estimated Annual Recovery Opportunity
Your total estimate is based on public hospital data and GRT screening models across four focused recovery areas.
Unlock the hospital-specific report.
See the estimated opportunity for each review area, the public data behind the estimate, how GRT calculates it, and why the reimbursement can be missed.
Paid doesn’t always mean fully paid.
Hospital revenue cycle teams process enormous claim volume through sophisticated systems and established workflows. But specialized reimbursement opportunities can require outside data, nuanced rules, and difficult follow-up—often competing for resources with larger, more immediate revenue priorities.
Every payer brings its own contracts, policies, edits, and interpretations. Rules change. Application varies. Keeping pace with every reimbursement nuance is a moving target.
Specialized reimbursement opportunities can require information from other hospital stays, eligibility systems, and multiple payer portals. Finding and reconciling that data takes time and effort away from the day-to-day priorities revenue cycle teams are built to manage.
Once a claim is paid, most workflows consider the work complete. But payment alone does not confirm that reimbursement was accurate or complete—leaving some underpayments effectively invisible.
Targeted reviews for the hardest reimbursement opportunities.
GRT applies purpose-built, payer-specific analytics across hospital claim populations to identify potential underpayments based on contract terms and reimbursement methodologies. Experienced reimbursement auditors validate each finding and support recovery through the appropriate correction, appeal, or payer-resolution process.
↗02Transfer DRGAutomation identifies claims paid under per diem methodologies that may qualify for full DRG reimbursement under Medicare’s Transfer Rule or applicable commercial payer contracts. Experienced analysts validate each finding, and GRT can rebill the claim with the payer and track it through payment.
↗03IME / DGMEIdentifies claims with potentially missed IME reimbursement for claim-level validation and recovery.
↗04Medicare Add-On Payments (NTAPs)Reviews claims for potential missed NTAP reimbursement tied to qualifying technologies and applicable Medicare payment criteria.
↗Find it. Validate it. Work it through payment.
GRT combines purpose-built technology with experienced reimbursement professionals to move specialized opportunities from detection through recovery.
Targeted logic surfaces claims and reimbursement patterns that warrant focused review.
Analysts validate the reimbursement logic, supporting data, and claim-specific facts before recovery activity begins.
Where appropriate, GRT supports correction, rebilling, reopening, appeal, or payer follow-up.
Recovery is followed through payment so identified opportunity is tied to an actual reimbursement outcome.
Built for the hardest reimbursement work.
When difficult reimbursement problems sit outside routine workflows, GRT brings focused teams, purpose-built technology, and claim-level discipline to help revenue cycle leaders find and recover what conventional processes miss.
Some of GRT’s projects.
Representative projects across hospitals and health systems nationwide. Net patient revenue reflects publicly reported Medicare cost-report data and is rounded to show scale.