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Overpayment Errors

Reduce & Recover

Analytics

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Line by Line Detection

Reviews

Clinical

Workers CompensationLearn more

End to End Payment Integrity

Compensation

Workers'

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Ensuring Right Party Payment

Other Party Liability

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Unparalleled Customer Service

Superior Results &

What We Do

With headquarters based in Chicago, IL, AuditSolutions360 is a cutting edge, privately held, end to end payment integrity organization. Through the use of integrated healthcare data, proprietary algorithms and technologies, AuditSolutions360’s solutions work for a broad spectrum of organizations in the healthcare industry.

Our innovative platform is designed to manage claim data and help clients avoid, identify, and recover multiple payment integrity types, lessen administrative burdens, price, and ultimately recover inaccurate transactions that drive measurable outcomes and improvements for healthcare payers.

Markets We Serve

Commercial Health Plans
100%
Commercial Health Plans: 100%
Medicare Advantage
100%
Medicare Advantage: 100%
Medicaid Managed Care
100%
Medicaid Managed Care: 100%
Self-Insured Employers Group
100%
Self-Insured Employers Group: 100%
Third Party Administrators
100%
Third Party Administrators: 100%

Solutions

Claim Analytics:

• Data Mining

• Prospective Claims Accuracy

• Network/Pricing Optimization

Clinical Reviews:

• Hospital Bill Audit

• DRG Validation

• Outpatient Audit

Other Party Liability:

• Healthcare Subrogation

• P&C Subrogation

• Coordination of Benefits

Workers’ Compensation

• Medical Bill Review

• Clinical & Coding Validation

• DME & Pharmacy

• Predictive Analytics

LEARN MORE ABOUT OUR SOLUTIONS

Focused Markets

Healthcare Payment Integrity

Our comprehensive approach
helps to identify and recover
improper claims payments.

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Workers' Compensation

Our goal is payment accuracy
for your Workers’ Compensation
liability.

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Other Party Liability

We provide customized solutions
to ensure accurate payment
by the appropriate stakeholder.

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payment integrity

The Right Track

It’s a $1 trillion dollar elephant in the room, inaccurate payments.  With so much at stake, payers need analytics, actionable insights, and hands-on guidance throughout the end to end payment integrity process. AuditSolutions360 ensures the Right Track throughout the claim payment cycle so that the appropriate payment reimbursement is paid while improving member experience and provider relations.

Partner with us and experience the most innovative approaches to transforming healthcare cost containment. People-focused, technology-driven, quality-assured is AuditSolutions360’s personal commitment to you.

 

Our healthcare solutions overcome payment inaccuracies and help solve payment integrity challenges.
Get in touch with an expert.

Contact AS360

Digging Deeper. Covering More Ground. Claim by Claim.

AuditSolutions360

73 West Monroe
Chicago, Illinois 60603

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