Recovery Audit Solutions, Inc. (RASI) provides a broad range of payment integrity auditing services to every facet of the healthcare industry. Our healthcare professionals have an established track record for accurate and ethical audit reviews. RASI’s goal is to partner with our clients to identify potential issues, recommend solutions and protect our clients bottom-line.
Our highly structured innovative approach and proprietary algorithms are managed by experienced professionals who have significant healthcare experience and a steadfast dedication to customer service.
With the healthcare industry’s rising number of medical claims coupled with complex rules we make it our business to identify and pursue every erroneous payment. Our focus during reviews is on a commitment to innovation, transparency, and exceptional customer service, while providing best practice recommendations and delivering industry-leading savings to our clients.
Recovery Audit Solutions, Inc. (RASI) provides a broad range of payment integrity auditing services to every facet of the healthcare industry – Commercial, Medicare, Medicaid, Self-Insured Employers, Third Party Liability and Subrogation.
Administrative Compliance Support
Recovery Audit Solutions, Inc. (RASI) performs a payment integrity analysis of prepaid and postpaid claims data to determine if services were provided based on contractual, policy and procedural standards. RASI’s experienced staff utilize cutting-edge tools and technology to deliver accurate audit results and identify process improvement recommendations for our clients.
Core Competencies
Recovery Audit Solutions, Inc. (RASI) provides a broad range of payment integrity, data analytics, auditing, and compliance services for our clients. RASI’s experienced staff has the technical knowledge and skillset to perform audit reviews on all services and claim types.
Review Types
RASI reviews the appropriateness of billing by looking for excessive units billed, code definitions, medically reasonable limits or limits imposed by policy. RASI also reviews to make sure all coding was correctly billed, which includes review for unbundling of services, duplicate billing, and inappropriate modifier usage.
Personal Injury Medical Review Validation
Recovery Audit Solutions Inc. (RASI) are the industry experts in identifying and validating accident-related claims. RASI’s staff of Paralegals, Certified Coders, Nurses, and Medical Doctors are experts in accurately identifying and validating accident-related injury claims.
Audit & Recovery
We review coding accuracy, policies, and procedures to ensure an efficient and effective operation. We provide a wide range of pre-payment and post-payment review services for all sectors of the Healthcare industry.
Compliance
We strictly adhere to all up-to-date rules, payment policies and provider agreements. We are committed to monitoring, responding and improving on every touchpoint throughout our partnership.