Healthcare Medical Claims Audits

In the healthcare field, audits on medical claims are necessary to maintain the integrity of the medical claims processing system.

You see, there are millions of dollars worth of medical claims overpayments that go undetected and uncorrected each year. Medical claims audits are a way of gauging how accurately your healthcare provider is processing your medical claims, as well as, a way to identify ways to improve that process resulting in great cost efficiencies for everyone.

Advantages of performing medical claims audits:

• Recover money from claim overpayments
• Provide an independent assessment on your medical claims administrator
• Evaluate areas for cost savings
• Acts as a safeguard against improper conduct by your claims administrator

If your organization is looking for ways to control or better understand its healthcare costs, then consider A&G Healthcare Services. Our clients can save up to 50% on medical claims costs by using our processing systems that are fully EDI ready and HIPAA compliant! We are a full-service provider of medical claims audits, out-of-area and network claims, bill reviews, negotiated discounts, and healthcare funding.

A&G Healthcare Services, based in Plano, Texas is part of one of the largest medical networks in the U.S. with access to 55,000 hospitals and clinics, and more than 1-million healthcare providers. We are nationally recognized cost containment specialists that provide customized audit services tailored to fit each client’s unique needs.

The focus of our medical claims audits is to optimize your organization’s medical claims process to help achieve medical cost savings, time and operational efficiencies, and improved ROI. We will conduct ‘due diligence’ on your behalf, taking a close look at all aspects of your health care benefits program and administrator’s processing system and see how they compare to industry standards. Audits are also very helpful in determining to see if your administrator is fulfilling their service guarantees and other service related issues.

Call 972-312-8589 x112 or email us for more information about medical claims audits.