Claims Analysis

There is a great deal of savings opportunity to be found through claims analysis. MedSolutions has achieved significant savings for customers and even prospects through intense claims analysis

Claim Audit
Our experts have built retrospective audit techniques that consistently deliver our clients savings on radiology claim cost.

We require all diagnostic imaging claims receive a thorough review for coding inaccuracies. This initiative plays an important role in our ability to monitor coding abuse and ensure an accurate submission of claims.

Our review process uses a clinical knowledge base to detect, correct, and document coding inaccuracies.

Don’t want to pay for claim audit? No problem. We know this program will work – and we know it will save you money. Our approach is to get paid purely from results. We retain a small percentage of the savings. You receive detailed summary reports, a clear explanation of our claim processing edits, and the assurance of no more claim overpayments.

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