• Certain areas of a facility have difficulty capturing all of their charges
• Take charging out of the hands of your clinical staff
• Get it right the first time

So many areas of a facility still have to charge manually.  How good is the clinical staff at capturing the correct charges for complicated procedures?  Medical Review Service has a team of experts ready to help. 

Areas of particular difficulty... View full description

• Payer denials

Inundated with denials?  Seeing the same ones over and over?  Medical Review Service can help you clean them up.  Our auditors are experienced in finding the correct information and writing appeal letters to overturn cases where possible.  For those that are denied correctly, based on the documentation, we can work with hospital personnel to reduce future denials by improved... View full description

• Inactive charge codes
• Accurate charge descriptions
• Correct HCPCS and CPT Coding

Make sure all your codes are active and your descriptions are correct. Nothing is more cumbersome than a CDM with numerous inactive codes. Our experienced staff will review your CDM and make the necessary corrections to eliminate inactive charges, review charge descriptions and verify HCPCS and CPT... View full description

• Medical record review based on InterQual or Milliman standards
• Ensure that documentation supports level of care

A clinical review of the medical record is performed utilizing screening tools such as InterQual or Milliman to determine if the services reported were clinically indicated and adequately supported by the documentation in the record. Recommendations are provided regarding whether further evaluation of the level of care is warranted. Ensuring the adequate level of care is... View full description