Due to the complexities and time-consuming nature of workers' compensation claims collections, our contingency-based resolution model is an asset to our clients' revenue cycle. We have the staff and expertise required to maximize reimbursement in a timely manner. Our experienced team and proprietary claims processing software have a significant impact on our clients' bottom line on a regular basis.

Our Workers' Comp Collections Process

  1. Identify or confirm patient’s employer and workers’ compensation carrier as well as filing of accident claim
  2. Take direct electronic feeds of 837 files from providers and clearinghouse partners, accelerating our ability to submit claims and turnaround cash
  3. Electronically bill and submit required documentation to workers' compensation carrier
  4. Follow-up with the workers’ compensation carrier on a regular basis, confirming all necessary documentation was received, until the provider receives payment
  5. Reconcile payments received against expected reimbursement based on state specific rate table and appeal underpayments
  6. Report to your specifications and notes scripting/ access to Kemberton's system



    • Increased WC claims resolved at a higher reimbursement level
    • Improved claim turnaround time
    • Improved cash collections
    • Reduced days in accounts receivables
    • Redirect your in-house health system staff to focus on more mission-critical revenue cycle operations


These are typical results realized by clients who have chosen to outsource workers compensation claims processing or have moved from a generic revenue cycle management partner to Kemberton for workers compensation claims:



Increase in workers'

compensation accounts identified




increase in workers'

compensation success rates




increase in cash payments

received for workers' compensation 





Still not convinced you need us?

Take a moment at your next meeting and simply ask “who is our workers' comp insurer?”

Did anyone raise their hand? Let us help.

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Discover how Northern Arizona Healthcare utilized Kemberton to maximize their MVA and WC reimbursements!

    • Identify an additional 4,179 claims to pursue for reimbursement

    • Convert a full 35% into paid WC claims, up from just 9%

    • Receive an additional $5.3M in payments, a 660% improvement


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What really kept me up at night early in my tenure at Northern Arizona Healthcare was knowing that even though we were doing everything we could to get our revenue integrity numbers up, there was still a ton of viable revenue just being abandoned, because it was too difficult or too time consuming or we just didn’t have the specialized staff to collect it. With Kemberton, I know the team will identify every appropriate payer and exhaust every possible avenue, and therefore bring in as much revenue as possible.

Ryan O'Hara, Chief Revenue Officer, Northern Arizona Healthcare


Kemberton in the News

Changing the way lost revenue is found

Kemberton sat down with Healthcare Finance News and discussed how the Kemberton difference is helping hospitals collect on previously uncollectible claims, generating millions of dollars that would otherwise be lost.

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4 ways hospitals can lower claim denial rates

Kemberton discusses how hospitals can lower claim denial rates. Read these 4 tips to learn how you too can improve revenue cycle performance by lowering claim denial rates.

Read More




Contact one of our Workers' Compensation experts today.

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