Audit Defense and Support

PRS Consulting continues to assist numerous practices in defense of take back claims from Medicare, Medicaid and private payers. You do not need to be a large hospital system to fight insurance company bullying. Our team has time-tested methods of coding and expertise, saving practices millions of dollars in take back money inappropriately claimed by a third party review. Our audit team has worked for both the payer and provider offering our expertise in accurate coding and reimbursement review across the country. Whether you have just received a letter requesting records, a demand letter for return of funds, or you simply wish to have a records review and educational audit, we can help. Your goals are our goals.

  • IRO services (contracted review of claims for groups with a Corporate or Physician Integrity Agreement monitored and reviewed by the OIG)
  • Insurance Audit Consultation and Defense
  • Medicare/Medicaid Audit Consultation and Defense
  • Educational Audits
  • Internal Audit Double Check
  • Internal Audit Team Training and Program Development
  • ICD-10/ICD-9 Coding Audit
  • Medical Necessity Audit
  • Billing and Internal Process Audit
  • Legal Review and Preparation Assistance
  • Expert Testimony

 

We can help. For more information and to schedule conference call assessment call (800) 972-9298 ext. 135.