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.