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Specialty Bill Review

Allied's focus is to maximize savings on every bill. We target your largest & most complex medical bills through an in-depth Clinical Audit & Professional Negotiation.

Our expert team consists of:

  • Certified Coders
  • Nurse Auditors
  • Expert Negotiators
  • Claims Professionals

 

        

DEFENSIBLE RESULTS
YOU CAN COUNT ON

         Average Discount Achieved:
         28%
         Negotiation Success Rate:
         40% - 60%
         Negotiation Sign-Off:
         100%

Our Approach

  • Certified Coding Review:  Every bill line is validated to ensure all coding is appropriate & accurate. We focus on targeting all billing errors through Bundling/Unbundling edits.
  • Nurse Audit:  We perform a line-by-line audit to identify appropriate treament consists with the provider's billing. This hands on approach provides an additional level of expert screening above standard bill review reductions.
  • Negotiation:  Our negotiators leverage clinical audit findings, historical provider success rates and national reimbursement databases. Negotiations are based off  the appropriate treatment, not the provider's billed charges. All negotiations are fair & equitable for both parties. Allied always obtains a sign-off agreement from the provider.

 
Savings Opportunities

Facility

Provider

Negotiations

  • Hospital - Inpatient/Outpatient
  • Arthroscopic Surgeries
  • Multiple Procedure
  • High Dollar/Complex
  • Ambulatory Surgery Center
  • Assistant Surgeon
  • Spinal Surgeries
  • Out-of-Network
  • Skilled Nursing
  • Anesthesia
  • Implant Analysis
  • Non-Subscriber
  • Trauma
  • DRG Validation
  • Air Ambulance
  • Prospective Treatment
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