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INVESTIGATIVE RESEARCH/DEFENSE

• Are you receiving an increasing volume of insurer requests for records?
• Have you received an insurer letter requesting repayment of a "potential overpayment"?
• Do you have questions that you have been unsuccessful in resolving regarding proper submission of certain claims, use of modifiers, how to bill your nurse practitioner/PA/CRNA?
• Are you under investigation by an insurer or a State Medical Society Disciplinary Committee?

BHS expertise includes many years of working for a CMS carrier and CMS(previously HCFA). We can help you resolve any and all issues with an insurer, including providing a "shadow audit" of the same claims that have been audited by the insurer or Board in order to either validate or contest the issues at hand.

Contact us today to learn more about how we can help you.