Bill Audit Services

Ensures accurate and appropriate charges

The Medical Billing Advocates of America estimates that 8 out of 10 itemized medical bills contain multiple errors that can range from a few dollars to tens of thousands of dollars (2007). To minimize the costly impact of billing errors and overcharges, American Health's Bill Audit Services provides clients a comprehensive, line-by-line bill audit and analysis, ensuring they are charged a reasonable amount for the appropriate services.

Bill Audit Specialists match facility and/or physican bills to itemized statements to identify errors and unbundling of services. Utilizing industry-standard benchmarking and repricing tools, they are able to obtain the deepest possible discounts. Even in-network PPO claims benefit from the identification of duplicate and inappropriate charges. A free prescreening analysis is performed on each bill to determine if the claim is appropriate for auditing, and fees are based solely upon a percentage of the overall claim savings achieved. American Health specializes in auditing and negotiating the following types of claims:

• Inpatient facilities
• Outpatient facilities
• Dialysis
• Surgical Anesthesia
• Pharmaceuticals
• Durable Medical Equipment
• Ancillary (home care, infusion)
• Oncology (radiation, chemo)
• Rehabilitation (OT, PT, speech, chiropractic claims)

• Free prescreening review
• Flexible program options to meet client needs, including error review with or without reasonable and customary charge benchmarking
• Verifying the appropriateness of charges based on diagnosis
• Detailed line-by-line claim audits ensure billing accuracy
• Offering negotiation services and provider signoff options
• Prompt turnaround time

To learn more about American Health's Bill Audit Services, please call us at (866) 614-4244 or send an email to marketing@AHHinc.com.