Claim Review

Revenue Integrity

ParaRev will review detailed itemized and UB04 outpatient claims to identify missing charges, compliance problems, and billing issues. The review will be completed by a certified coder with extensive experience in all areas of coding and auditing.

From the review, we will identify charge process capture issues, coding and compliance errors, billing errors, and identify documentation and system issues. We will then:

  • Provide detailed and summary reports identifying ParaRev recommendations and impact on reimbursement
  • Provide supporting authoritative references to support ParaRev recommendations
  • Review our findings and provide education in a meeting with the opportunity for the client to ask questions, provide comments and discuss recommendations
  • Analyze reimbursement impact
  • Provide ongoing support regarding coding/billing questions through our PDE software