Medical Claims Auditing2020-03-02T22:56:42-05:00

Medical Claims Auditing

Revenue Cycle Reimbursement is the lifeblood of any healthcare organization and managing it properly ensures that the expected and desired results are achieved, which is critical for our client’s bottom line.  On the other hand, the Payers’ major concern is overpayments due to improper billing or insufficient documentation.

Satori offers services to assist with review and resolution of claims billed.  Our experts will review claims for accuracy, analyze billed claims, and medical records to identify any duplicate billing, bundling or unbundling of codes, coding errors, and coordination of benefits. We are committed to assisting our clients in saving time and cost.  Our process utilizes Medicaid billing requirements as determined by DMAS (Department of Medical Assistance Services) to properly audit billing practices, coding, treatment plans, and appropriate documentation.

Medical Necessity Reviews

Reviewing and resolving claims denied for medical necessity

Contract Integrity

Ensuring reimbursement is provided in accordance with contract terms

Claims Review

Providing internal, proactive reviews of claims and records to identify inappropriate billing patterns

Medicaid Behavioral Health Claims Auditing

Satori provides a talented team of auditors to conduct a thorough review of Medicaid Behavioral Health Claims.  Our process utilizes Medicaid billing requirements as determined by DMAS (Department of Medical Assistance Services) to properly audit billing practices, coding, treatment plans, and appropriate documentation.  The documents reviewed will identify any improprieties and assist in recovering any overpayments.

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We’re here to respond to your inquiries. Whether it’s a question about our services or your interest in joining our Talent Team, we’re on hand to help you.

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