Claims review, claim audit, claim fraud identification, appeal of denied claims are some of our services

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Claims Review

HCRR staff has over 20 years experience with claims review, compliance and regulatory issues.

Our claims review services include:

Identification of claim fraud and inappropriate coding and billing

Establishment of appropriate coding and billing protocols to allow for maximum reimbursement

Consultation with providers and individuals to appeal denied claims

Analysis of applicable state and federal mandates

Services of licensed CPT and ICD-9 coders available

Design and oversight of claims audits