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Medical Auditing Services

Medical Auditing Services (MAS) has been providing hospital bill audit services since 1985. For the past twelve years, MAS has focused its recovery efforts on the health payer insurance industry. MAS offers options specifically designed to fit each payer’s unique contractual terms with healthcare providers.

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Hospital Billing Audits

MAS auditors examine medical records and patients' bills to identify charges for denial and ensure that all billing is accurate, complete and properly documented. MAS reviews all paid claims data based on specific criteria to identify claims of interest.

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DRG Evaluation

MAS provides detailed audits of DRGs, employing qualified AHIMA-certified coding specialists with extensive knowledge of coding systems and coding compliance guidelines. MAS compares the diagnosis codes and all ICD-9 procedure codes to ensure that the correct DRG was assigned.

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Contract Compliance

Using tools developed by MAS to determine the accuracy and appropriateness of billing and payment procedures, MAS examines health plans’ contractual pricing agreements to ensure accurate reimbursement of each claim.

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Custom Tools

CAT is a database application that streamlines and automates the claims audit and recovery process. It has a user-friendly front end and powerful SQL Server back end. CAT enables rapid data searching, sorting and filtering to help identify payment errors.

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Medical Auditing Services (MAS) has been providing hospital bill audit services since 1985. For the past twelve years, MAS has focused its recovery efforts on the health payer insurance industry. MAS offers options specifically designed to fit each payer’s unique contractual terms with healthcare providers.