Our Medical Bill Review solution combines our robust technology with the expertise of our professional health care review team to maximize savings opportunities while ensuring bill accuracy.
We begin our review with a software-driven editing and audit process to identify errors in billing, unnecessary charges, and/or inordinately high charges. Our professional health care review team validates the findings of our technology-driven process and additionally, performs detailed reviews of medical records and line item charges to identify additional inappropriate charges and improprieties in billing. We combine the results of our software-driven process with the expertise of our professional health care review team to develop a set of required revisions to the health care claim. Our skilled audit resolution team leverages the combined information in discussions with facilities, in an effort to obtain revised or corrected bills.
Our Medical Bill Review solution is fully customizable and is an effective solution on both in-network and out-of-network hospital and facility bills. We collaborate with our Clients to define a comprehensive bill audit strategy designed to ensure bill accuracy while establishing fair reimbursement for health care providers.