Healthcare Subrogation, Property & Casualty Subrogation, Coordination of Benefits, and Pre – Post Payment Integrity Solutions. AuditSolutions360’s unique ability to leverage data and provide customized solutions ensures accurate payment by the appropriate stakeholder. Right Payment, Right Party, Right Time.
Focused Markets
Other Party Liability
Healthcare Subrogation
Our goal is simple: Identify potential third-party liability claims, uncover hidden opportunities, and recover monies from the approximate party.
Property & Casualty Subrogation
Dynamic investigation & engagement techniques, prompt action, and sophisticated advance analytics identify all potential sources of recovery.
Coordination of Benefits
Technology to identify, expertise to investigate and determine other coverage based on multifaceted algorithms.
Pre- Post Payment
Advance analytics capabilities, automatic workflows, specialized team ensuring the highest reimbursement.
With advanced analytics, automated workflows, and specialized teams, we ensure payment accuracy.
Life Care Planning
A Comprehensive approach with assessment reports and dynamics documents designed for individuals who have suffered catastrophic and life-long injuries as a result of an accident.
Workers' Compensation
AuditSolutions360 Worker’s Compensation solutions includes Medical Bill Review, Clinical & Coding Validation, DME & Pharmacy, and Predictive Analytics solutions.
We subject each claim to a full suite of payment integrity solutions and technologies to minimize errors and ensure payment accuracy. The end result is decreased total cost to you.
Our end to end approach digs deeper into line by line charges to identify inappropriate charges and billing patterns. Our goal is payment accuracy for your Workers’ Compensation liability.
Healthcare Payment Integrity
Many tools and techniques are deployed (data mining, claim editing, advanced training, fraud & abuse, and proprietary algorithms) to turn data information into meaningful and measurable values to help payers reduce cost, mitigate future risk & exposure, and improve end to end payment integrity solutions.
AuditSolutions360 technology and data mining platform manages and tailors a custom-fit payment accuracy and cost-containment program for our clients – health plans offering Commercial, Medicare (Advantage and Fee for Service) and Medicaid plans, for both fully and self-insured plans and TPA’S.
Our comprehensive approach helps to identify and recover improper claims payments associated with adjudication errors, billing errors, or contract language but prevents leakage and reoccurrence of these errors in the future.
Our healthcare solutions overcome payment inaccuracies and help solve payment integrity challenges.
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Digging Deeper. Covering More Ground. Claim by Claim.
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