MEDICAL CLAIM REVIEW

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 Assesment / Review - Day 1 Impact
• Mitigate Risk of Denials
• Review Medicare, Medicare Advantage, and Commercial Claims