Remote Charge Audits – Inpatient Acute Care
Amenity’s remote charge audits (desk audits) include comprehensive review of UB-04 and itemized bill for charging, coding and billing anomalies that represent recoverable savings for the health plan. Amenity also reviews medical records when appropriate to ensure accurate coding, billing and payment of the services rendered and billed. Based upon your plans needs and contract terms, Amenity can also review for Hospital Acquired Conditions, Sentinel and Never Events, to ensure payment for quality services. Amenity works with your network management, claims processing, and policy teams to ensure a successful audit program which balances the needs of cost containment and recovery while engaging providers to ensure compliance.