Simply reviewing hospital claims alone does not always address billing errors and overcharges at a level necessary to uncover all discrepancies. M-Audits’ highly skilled medical reviewers and our state-of-the-art medical bill auditing software system reviews the medical records, audits each line of the supporting hospital claim itemization, identifies and adjusts inaccurately billed items.

Because M-Audits uncovers so many hospital billing errors, we are able to work on a contingency basis or for an hourly fee, in accordance with your state law and your preference.

With the continued increase in healthcare costs, employers are becoming increasingly interested in cost containment measures.  Studies show that between 5 – 15% of dependents on a plan are ineligible for coverage.  With estimates placing the annual savings at more that $2,000 per plan participant, it is becoming increasingly clear that companies need to look at performing an eligibility audit.

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• Incorrect basic charges
•“Upcoding,” or misclassification of    procedures resulting in a higher charge
• “Unbundling” of charges, resulting in    double-billing for services
• Operating room usage based on incorrect    times
• Keystroke errors and more....