|AXIS executes in-depth Medical Bill Audits which compares the billed
charges to the actual medical record to ensure that items billed
were ordered and the services were performed. Surgical bills are
evaluated to verify that the procedures coded are accurate, and those
procedures performed were anticipated during the Precertification
process. All overbilled charges, including procedures unrelated to
the claim are identified and deducted from the bill prior to application
to applicable Fee Schedules, Cost-to-Charge ratios, Per-diem rates,etc.
A detailed explanation of the reductions is provided, and the Appeal
Process is explained in that report.