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Our Services

Auditing

HealthCare Analytics' Auditing Services include:

  • Review & Analysis of Claims Extract Files
  • Development of Stratified Random Samples on a Statistical Basis
  • Review of IBNR Factors for Reasonableness
  • Eligibility Testing
  • Other Carrier Liability Testing
  • Reimbursement Accuracy
  • EOB Review
  • Out-of-Area / Out-of-Network Claims Review
  • Delineation of Systemic vs. Ad-Hoc Errors
  • Extrapolation of Sample Errors to Population
 
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