Medical and Clinical Audits to Provide Solutions such as:

• Reduce Overall Claim Denials
• Accurate and Compliant Billing Improvements based on each Payers’ Policies and Clinical Guidelines
• Education for Staff to Improve Documentation and Billing.
• Develop Practice and RCM Policies & Procedures including Implementation and Staff Training
• Third Party Audits of RCM Company or Billing Staff for Monitoring Performance

Appeals or Dispute Responses to Payer Audits and Denials

• • Healthcare Provider Audit and Investigations Support

• • Provider Education to Fuel Better Payer/Provider Relationships

• • Billed Services & Claim Assessments for Contracting or Claims System Configuration Updates

• • Dispute Resolutions for Payer Audits or Investigations

• • Support for Licensing Board Complaints and Investigation Notices

• • Patient Medical Insurance Disputes

• • Patient Medical Bill Negotiations & Settlements

• • Expert Witness

• • Complete Medical and Clinical Audits for Accurate Business Valuations

• • Third Party Audits of RCM Company or Practitioners’ Billing Performance Monitoring

• • Ad-Hoc or Routine Progress Reports & Analysis for Oversight and Profit Improvement Tracking