Medical bill review audit

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Information about Medical bill review audit

Published on March 6, 2014

Author: ScottFuqua


Medical Bill Review/Audit Relevant Healthcare offers a proven Medical Bill Review & Audit solution that can be applied to all types of claims (Group Health, Workers' Compensation, Auto, Liability) and for any type of medical bill of service. This is a FREE program - fees are based on a percentage of the savings achieved. We also accept EDI transmissions for negotiations. (HIPAA Compliant Formats) Traditional bill review evaluates the appropriate coding and not necessarily the appropriate charges. Relevant Healthcare's Medical Bill Review/Audit achieves significant savings compared to traditional bill review. BENEFITS ° Unlike our competition Relevant Healthcare focuses on appropriate and fair charges ° Services include UCR Recommended repricing, Negotiated Settlements, and Medical Bill Review focusing on proper coding and claim data. ° Recommended/Negotiated reimbursements are based on our evergrowing data base of regionally specific accepted reimbursements for like procedures and charges ° 46.8% Savings on UCR Repricing ° 15.0% Savings on Negotiated Settlements ° 8.2% Savings on Medical Bill Review and Coding Audits ° Success Rates into the 70+% range EASY TO IMPLEMENT ° We review in-network and out-of-network claims ° Quick turnaround with detailed line item review ° Nightly EDI transmission of HCFA/UB/EOR data from the Payer system to the Relevant Healthcare system for all bills ° Electronic submission allows for encryption of data ensuring HIPAA compliance. ° We also can accept HCFA/UB/EOR data in many formats such as fax, e-mail, and via our website at Relevant Healthcare Cost Containment Phone (855) 328-5100 FAX (708) 390-3891

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