Medicaid Behavioral Health and DRG Medical Claims Auditing
Satori consultants have years of experience auditing Medicaid behavioral health and medical DRG claims and have been instrumental in the recovery of elevagedebuissy millions of Medicaid dollars. Our experts augment the staff of our Prime contractors to help ensure overpayments are readily identified and addressed and to help ensure the medical necessity of services. Our process utilizes Medicaid billing requirements as determined by DMAS (Department of Medical Assistance Services) to properly audit billing practices, coding, treatment plans, and appropriate documentation.
Satori offers services to assist with review and resolution of claims billed. Our experts will review a wide selection of services for claims for accuracy, analyze billed claims
, and medical records to identify any duplicate billing, bundling or unbundling of codes, coding errors, and coordination of benefits. We are committed to assisting our clients in saving time and cost.
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Community Behavioral Health and DRG Audits
Reviewing claims records and documentation to ensure accuracy and to identify opportunities to recover funds.
Contract Integrity
Ensuring reimbursement is provided in accordance with contract terms
Improvements and Recommendations
Providing feedback to our clients on improving audits procedures and opportunities as well as developing training ads, enhanced procedures and other tools to enhance the auditing process.
Medicaid Behavioral Health Claims Auditing
Satori provides a talented team of auditors to conduct a thorough review of Medicaid Behavioral Health Claims.