For bills where compensability, medical necessity or excessive charges are in question, Medlogix’s Medical Bill Auditing Services provide a sound solution.
Medlogix’s team of highly credentialed Nurse Auditors perform extensive reviews of Provider and Facility bills to ensure all billed services include appropriate supporting documentation and are causally-related to the claim.
Audit results are compiled and presented in a detailed narrative report to include an EOB worksheet which outlines eligible/ineligible charges. Medlogix’s Medical Bill Auditing Services are available for First and Third party Auto as well as Workers’ Compensation lines of business.
Program Features:
- Easy Referral via secure, user-friendly MyMedlogix web portal
- 24/7 access to information with built in alerts
- Audits performed by highly credentialed Nurse Auditors
- Detailed narrative Audit report/EOB
- Arb/Appeal Support
- ROI Reporting
Medlogix has a dedicated team of registered nurses who perform extensive reviews of facility and provider bills to ensure all services billed were appropriately documented and causally related to the claim.
Depending on the need, audits can be performed at a desktop level or on-site at the provider facility. Our team of health care professionals use their years of training and medical expertise to review records to verify all billed services are properly supported in the documentation provided.
Documentation is also reviewed to confirm that all treatment rendered was as a result of the accident and not a pre-existing medical condition that would not be the responsibility of the insurer. The audit process also includes the application of all state regulatory requirements and application of any appropriate fee schedule.
Medical Bill Audit for Questionable Charges
- You have 24/7 access and automated alerts
- Make informed decisions with detailed narrative reports and ROI analysis
- Available for First and Third party Auto and Workers Compensation