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"The Quality and Experienced Healthcare Professionals"
Claims Review Services (CRS)


Claims Review Services (CRS) A Frazier & Associates provides retrospective claims review of both inpatient and outpatient health care services for medical necessity and appropriateness of billing practices in compliance with company payment and legislative guidelines. A Frazier & Associates nurse review specialists evaluate billing practices inclusive of level of care, procedure code, and documentation of incorrect billing associated with claims abuse and fraud. A Frazier & Associates reviews include but are not limited to:
  • Incorrect charge amounts
  • Services that were not performed and/or were miscoded
  • Improper reimbursement due to exclusions or carve-outs
  • Payment for services that fail to meet professionally recognized standards of care
  • Payment for services that are determined medically unnecessary

For more information about our services contact us today!

 
 

 

 

 

 

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 AFrazier & Associates
is a Proud Supporter of
the “Little Medical School”



 
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