This report combines the record review and med bill audit services into one streamlined report. Charges are substantiated by the record review and inconsistencies within the records are pointed out, including items related to or unrelated to the subject event. If there is over-use (ex: 3 MRI’s within a year) you would see that in the chronology of events.
Included in this report is a summary of medical bills by provider as well as a detailed provider audit summary and a chronological summary of the medical record, allowing you to look for overlapping medical care.
Required Records: All billing & statements including insurance EOBs and all medical records
| Features |  Medical Bill Audit |
 MBA & Record Review |
|---|---|---|
| Organized Charge Data |  |
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| Billing Totals | |
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| Total Reasonable Value | |
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| Review for Duplication | |
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| Review for Related Versus Unrelated Charges | |
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| Audited Using Standardized Fee Reference Methodology | |
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| Audited Using Standardized Fee Reference Methodology with Application of Geographic Modifier | |
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| Line Item Commentary to Explain Reductions | |
|
| Compilation of Amount Paid, Adjusted, Paid by Patient, and Balance Due | |
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| Review of Medical Record to Substantiate Services Provided as Necessary for MBA (Medical Bill Audit) Completion | |
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| Medical Records Summary and Chronology of Pertinent Events | |
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| Evaluation Conclusion | |
|
| Records Required | All billing & statements including insurance EOB's and medical records | All billing & statements including insurance EOB's and medical records |
