Hospital Bill Audit Program

RN's or PA's with extensive clinical background travel to provider location and review the medical record for utilization and to assure billed charges are documented by the medical record.

Signed agreement with provider on each claim; minimal appeals and back-end "noise"

All hospital bill auditors have acute-care nursing experience

Consistent auditing guidelines

Effective post-payment cost control for large facility bills with minimum repercussions

Savings average 5% on bills selected for audit