TRACE Used to Recover $57K
Provider: Sacred Heart Medical Center
Dollar Value: $57,039.69
Communication Event: FaxCert
Challenge: Denial for lack of notification
Benefit: Recovery of $57,039.69
The admitting office used FaxCert to capture a fax with notification to a payer. The faxed notification included a roster of admitted patients. The payer denied the claim, citing lack of notification. The hospital located the fax record, along with a date and time stamp showing the timeframe of notification. The hospital sent the record to the payer, and the claim was paid. The hospital recovered $57,039.69.