The healthcare industry, particularly the claims reimbursement process, is a maze of complexity—a myriad of services, thousands of procedure codes, hundreds of thousands of providers, hundreds of payers, and billions of transactions all in an environment of intricate billing guidelines, evolving payment policies, and nuanced government regulations.

Using proprietary concepts and algorithms, we review claims payments and medical records to recover inappropriate payments that directly improve your bottom line.  Our strength is the combination of our healthcare expertise with the best practices of other industries.  Our physician led recovery audit team of registered nurses and certified coders understands the healthcare environment.  We have audited state, federal, and private payers and have recovered millions of dollars in overpayments.

Today, we serve:

• Government payers
• National and regional health plans
• Self-insured employer groups
• Third party administrators