Doctor and lab bills should be scrutinized to ensure that they are correct BEFORE they are paid. But where do you start to unravel the confusing codes that seem to make no sense?
Auditing medical bills has become a necessary evil now that most people are required to pay high deductibles, copays and coinsurances as part of their medical insurance coverage. Failing to do so can expose them to paying more for their medical expenses than they should.
Systemedic’s medical bill analysis includes:
A thorough review of all bills down to their granular coding to determine if there are any inaccuracies or discrepancies.
Comparing all billed procedures to the insurance explanation of benefits to assess proper claims processing.
Identifying missing, inaccurate, inappropriate, and incomplete information necessary to correct any billing errors.
Facilitating claim appeals, resubmissions, and reprocessing.
Coordinating with the provider billing offices and insurance providers to resolve disputes.
Negotiating payment options or reductions in fees wherever possible.