Your bill review program can’t be beat when it comes to applying juris rules and standard edits. You may even incorporate nurse reviews. But provider billing grows more complex every day. MultiPlan’s Payment Integrity services combine automation with clinical review by a board certified physician, certified coder or licensed nurse so that we can target costly, hard-to-catch issues like contradictory or overlapping services, unlikely service combinations and suspect billing patterns.
We fit seamlessly into your bill review process to help you address billing waste and abuse, and deliver an additional 1% to 2% reduction in medical spend.