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, visit comp-attorneys.com to view our experts reviews. We are committed to assisting our clients in saving time and cost savings.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.