MEDICAL CLAIM REVIEW
by Certified Physicians
Our medical claims review team is composed of U.S. Certified Physician reviewers who analyze medical records to ensure all billable diagnoses and procedures are captured and coded following the most up-to-date clinical guidelines.
Their training allows them to review charts form a clinical view, to quickly identify opportunities to maximize coding and engage hospital physicians through the creation of physician queries.
- DRG Review - Day 1 Impact
- Mitigate Risk of Denials
- Review Medicare, Medicare Advantage, and Commercial Claims
Ensure Accuracy & Compliance
Pre-Bill Medical Claim Review by Experienced U.S. Trained Physicians
DRG Review
Risk or morality
Severity of illness
Hospital-acquired conditions
Patient safety indicators
Present on admission conditions
Identifications of coding
Document trends that affect reimbursement
Physician engagement and collaboration with coding and CDI staff
Revenue projections and valuations of practices or service lines
Request a FREE Claim Assesment
(200 - 250 Claims) or 90-Day Review
