• Inpatient or Outpatient
• Trauma
• Rehabilitation
• Skilled Nursing
Rising’s experts – certified coders, nurse auditors, physician advisors, professional negotiators and claims veterans – zero in on those areas that impact your medical claims most, such as:
• DRG Validation
• Drug and Supply Charges
• Implant Analysis
• Inpatient / Outpatient Determination
• Multi-Specialty Facility / Treatment Patterns
• Private Room Charges
• Spinal Surgeries
• Trauma Charges
• Application of Coding Rules
• Fee Schedule / State Rules
•
Causal Relationship / Compensability Determination
Their Mission: to find and correct inaccurate, excessive and inappropriate charges so you only pay for what’s fair. By spotlighting these large, complex billings, Rising’s Hospital Bill Review gives you:
• Upside. Added 37% savings over traditional repricing methods.
• Opportunity. Our reviews can be done at any time – pre-payment or post-payment, with recovery options available.
• Flexibility. Offsite or onsite, we’ll perform our reviews wherever it suits you.
• Wisdom. We audit billions of dollars in medical charges annually, so we know hospital repricing intricacies and guidelines like the back of our hand.
• Choice. Use as part of Rising’s complete Medical Bill Review program, or all on its own – we’ll take the bills any way you can get them to us.