What is your expertise with claim audits?

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We validate all DRG codes and follow all applicable client State regulations. We determine the Fair Market Price for clients in all states necessary, and ensure all coding edits are supported and clinically sound. We verify appropriate use of coding modifiers. Our recovery program is “turn key” and we pursue refunds on behalf of the Payer. Reliant guarantees state Workers’ Compensation Fee Schedule compliance where required.

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