Medicare Claims Audit

The Center for Medicare and Medicaid is the center piece of healthcare reimbursement today.

Providers who enroll in the Medicare Fee-For-Service program must follow strict billing guidelines when seeking payment for Medicare Fee-For-Services enrollees.

Many healthcare organizations contractually agree to use CMS Guidelines and Fee Schedules as a reimbursement methodology when contracting with Managed Care Payers.

JHS has a proven track record of auditing claims based on Medicare Fee-For-Service Guidelines and other contracted arrangements.

JHS will validate these Guidelines and Fee Schedules, pricing claims accordingly, and identify any payment issues in any of the following provider categories: