Physically review order documentation, applying Payor Policy and Guidelines, to catch potential denials, audit issues and fraud. Recommended changes and corrections are communicated back to client staff.
Our Document Review Team is dedicated to the accuracy and compliance of DME Provider paperwork. When claims are submitted they review each claim for accuracy, compliance with Payor Policy and even fraud. Any issues found are promptly brought to the attention of the appropriate client contact and an effort to expedite the resolution of the issues is begun. This proven process resolves denials before they happen while educating client staff.