The medical bill audit compiles all of the medical charges by provider which are reviewed and audited by billing professionals to establish a reasonable value of medical charges based on diagnosis codes, standardized fee references, NCCI edits and correct coding rules.
This audit is useful if you are looking for a compilation of charges, a transparent view of the bills and to determine if the bills are 'inflated'. This audit uses scientific methodology to establish reasonable value and validation of the charges.
Required Records: All billing & statements including insurance EOBs and all medical records
Features | ![]() |
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Organized Charge Data | ||
Billing Totals | ||
Total Reasonable Value | ||
Review for Duplication | ||
Review for Related Versus Unrelated Charges | ||
Audited Using Standardized Fee Reference Methodology | ||
Audited Using Standardized Fee Reference Methodology with Application of Geographic Modifier | ||
Line Item Commentary to Explain Reductions | ||
Compilation of Amount Paid, Adjusted, Paid by Patient, and Balance Due | ||
Review of Medical Record to Substantiate Services Provided as Necessary for MBA (Medical Bill Audit) Completion | ||
Medical Records Summary and Chronology of Pertinent Events | ||
Evaluation Conclusion | ||
Records Required | All billing & statements including insurance EOB's and medical records | All billing & statements including insurance EOB's and medical records |
Place order via My.Ontellus portal. Select desired level of service; Identify records to be included; Securely upload files not already in your Ontellus case repository.
Within 24 hours, you will receive an estimate; We await your approval before proceeding.
We conduct our analysis and produce your report.
Your report is then securely delivered to your account via the My.Ontellus portal.
A Claim Evaluation is an intelligent and comprehensive report that provides a functional road map to the most productive defense strategy and a clear breakdown of the facts you need for effective negotiation, expediting settlement and reducing indemnity.
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