health insurance claim auditing software

FINDING THE FRAUD 'NEEDLES' IN THE HEALTH-
Health-care claims are like a giant haystack . and data-mining software have revolutionized . well beyond the range of any traditional audit review process.
http://www.auditsoftware.net/documents/FearNot_NovDec2007.pdf

Health Care Medical Claims, Dependent Eligibility, and Rx Audits
Dependent eligibility verification audits are a tool that can provide immediate cost . the very best in software analytics for auditing medical, Rx, and dental claims. . Our software is used by health care claims administrators, employers, and .
http://www.bmiaudit.com/products.html

Health Care Medical Claims, Dependent Eligibility, and Rx Audits
BMI Audit Services, LLC is a premier health care claims auditing firm, offering both auditing services and audit software to fit your needs. As the cost of health .
http://www.bmiaudit.com/

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Sampling for Medicare and Other Claims
5 Journal of Health Care . for a Medicare Audit by a Program .
http://www.willyancey.com/sampling-claims.html

Ingenix Software Simplifies Medical Claims Audit and Appeal ...
Jun 28, 2010 . Ingenix Software Simplifies Medical Claims Audit and Appeal . claims audits conducted by government and commercial health care plans.
http://www.optuminsight.com/news-events/press-releases/331/

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Claims Auditing - Self Insured
Jan 23, 2006 . Download our Medical Plan Auditing Focus Sheet. . cash or billing credits from your organization's health benefits program from prior years and . Employers rely on their health care claims administrator for proper and timely .
http://www.jafconsulting.com/HCPractice/claimself.htm

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Amazon.com: Auditing Health Care Benefits: How to Manage Costs ...
Explains in detailed, easy-to-apply steps how to review each component of existing health care benefit programs. Contains a sample audit program, claim .
http://www.amazon.com/Auditing-Health-Care-Benefits-Minimize/dp/0471119180

PCG Software: Home - Cost Containment, Financial Recovery and ...
Leticia Anguiano, Claims Audit Sup. . PCG Software's fraud and abuse claims software . adjudication and code review for national and regional health insurance plans, independent physician associations and third-party administrators.
http://www.pcgsoftware.com/

Medical Claims Auditor Careers: Job Description and Salary Info
What are the pros and cons of a career as a medical claims auditor? . Health Unit and Ward Manager, Hospital and Health Care Facilities Mgmt. Medical . Students in postsecondary training programs in medical coding or an equivalent area .
http://diplomaguide.com/articles/Medical_Claims_Auditor_Career_Summary.html

Appeal that Claim
Step 1: Determine who will be responsible for auditing health insurer payments . the health insurer may be more likely to correct its claims-editing software .
http://www.ama-assn.org/resources/doc/psa/appeal-that-claim.pdf

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VENDOR RESPONSE RFP#0746 Professional Services for Claims ...
their experience performing audits of group health insurance programs. . report of your action plans to perform each task of the project: Claims processing, .
http://www.npelra.org/files/members/Sample%20Forms/RFP_AuditofHealthIns_VendorResponse_WaukeshaCoWI.pdf

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