Hospital Bill Review 

•     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

•     Usual, Customary and Reasonable Review

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 like the back of our hand.