Chase Professional Medical Coding
- $19 Per-Hour Pricing with Industry Standard “Charts-Per-Hour” Production Levels
- Certified-Experienced Coders and Auditors
- No Long-Term Contracts
Claims Auditing/Claims Appeal Services
Research shows that hospitals, physician centers, urgent care centers, and emergency clinics often experience a high number of claims that are held up by the bill scrubber due to NCCI edits, other modifier needs, medical necessity code requirements, duplicate charges, missing procedures, missing dates/times, and medically unlikely edits. We realize it is difficult and expensive to identify the internal resources needed to correct these claims, which often result in denied charges.
Many organizations struggle to identify the most efficient process to correct these issues and, due to internal constraints, often write-off these charges. Over time, this can amount to a significant amount of unclaimed revenue.
Chase has worked with premier clients to successfully address these issues and reclaim additional facility revenue that was once written-off. We research the bill and the associated medical record documentation, and them make the necessary corrections, thus resolving the error identified by the scrubber.
Clinical appeals of high-dollar denials is a niche service that Chase is able to provide to its clients. An example is the denial of charges for Remicade due to multiple units in excess of what’s allowable by Medicare – requiring additional documentation and justification for medical necessity. Chase has worked with clients to successfully overturn such denials at minimal expense to their organization.
Charges for this service are on a contingency basis, so there is virtually no financial risk to your organization.