An analytics and sequenced process-driven claims adjustment solution for payers that want to identify billing outliers, change provider behavior, and reduce overpayments of low-dollar, high-volume claims.
Address losses on high volume low dollar claims.
Decrease provider abrasion through a collaborative solution delivering targeted messaging and educational data insights.
Drive positive change in billing practices to help increase accuracy.
Help reduce E/M coding errors by educating physicians and their billing staff.
Increase medical cost savings for E/M services with provider self-auditing and coding validation.
Decrease the need for lengthy, costly, and abrasive audit activities.