Our Hospital Bill Audits are independent, line-by-line reviews of inpatient hospital claims identified as posing a significant financial risk to our clients. These audits apply to Total Billed Charges, Percentage of Billed Charges and Cost Outlier payments.
MedReview offers independent hospital billing audits that include a line-by-line review of the itemized bill and corresponding medical record. Each line item is validated to ensure that all services rendered were documented in the record, ordered by the physician and deemed medically appropriate. For Cost Outlier payments, we also validate the DRG coding using our proprietary physician-led clinical audit process.