|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!