The Revenue Recovery Tool Detecting Medicare Underpayments You’re Missing
Primary Care Perspective - Texas Edition | Wednesday, January 28, 2026
Strategic intelligence for independent primary care physicians in Texas.
Opening Insight
A specialized software tool is helping hospitals across the nation recover significant Medicare underpayments they never knew existed-and it’s now being integrated into a broader platform that could finally make revenue recovery accessible to independent practices. While this technology has been quietly working for 40 years in hospital systems, the recent acquisition by Kodiak Solutions signals a shift toward making these sophisticated analytics available to smaller providers who can’t afford fragmented point solutions.
What’s Happening
Kodiak Solutions has acquired BESLER & Company, a 40-year veteran in hospital revenue recovery, specifically to integrate BESLER’s Transfer DRG software into its modern analytics platform. Transfer DRG software is designed to detect a very specific type of Medicare underpayment that occurs when patients are transferred between facilities-a billing complexity that often results in “revenue leakage” even for practices with solid coding protocols.
This isn’t just another healthtech merger. Kodiak CEO Derek Bang describes it as a “platform play”-consolidating niche revenue cycle tools under one roof so that CFOs and practice administrators can replace multiple fragmented vendors with a single, data-driven ecosystem. BESLER’s specialized recovery tools, which have historically been enterprise-level solutions, are now being absorbed into Kodiak’s massive analytics engine that promises broader accessibility.
The strategic message is clear: the future of revenue cycle management isn’t about hiring more vendors or consultants-it’s about deploying smarter platforms that can automatically identify underpayments before they become permanent write-offs.
Why This Matters for Texas Independents
Texas independent practices face unique revenue pressures that make every dollar of proper reimbursement critical. With the state’s refusal to expand Medicaid, you’re already operating with tighter margins than colleagues in expansion states-28% of your potential patient base lacks insurance coverage entirely. When Medicare does pay, you cannot afford to leave money on the table due to coding complexity or transfer scenarios.
The consolidation of specialized revenue recovery tools into broader platforms could be a game-changer for smaller practices. Historically, Transfer DRG software and similar underpayment detection tools were priced for hospital systems, not independent practices. If Kodiak’s platform approach delivers on its promise, Texas independents might finally access the same revenue optimization technology that health systems have used for decades-without the enterprise price tag or the need to manage multiple vendor relationships.
In major metro markets like Houston and Dallas where you’re competing against large health systems and physician groups backed by private equity, revenue optimization isn’t optional-it’s survival. Rural practices facing critical access challenges need these tools even more desperately, as thin patient volumes mean every missed reimbursement dollar has outsized impact.
Your Action Items This Week
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Audit your last quarter of Medicare transfers and complex cases - Pull reports on any patients you transferred to specialists, hospitals, or other facilities. These scenarios are where Transfer DRG underpayments typically hide. Calculate what percentage of your Medicare revenue involves transfers or multi-provider episodes.
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Request a revenue leakage assessment from your current RCM vendor or billing company - Specifically ask whether they have automated tools to detect Medicare underpayments related to transfer DRGs and complex billing scenarios. If they can’t clearly explain their process, that’s your answer.
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Schedule a 30-minute practice finance review - Block time with your practice manager or biller to identify the top three areas where you suspect revenue is being left uncollected. Make a shortlist of platforms (including Kodiak) that claim to address those specific gaps, and commit to demoing at least one solution in the next 60 days.
Source
“Kodiak Solutions Acquires BESLER to Close the ‘Revenue Leakage’ Gap” - HIT Consultant
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