- Medical Chart Review
- DRG Validation
- Medical Necessity of Admission
- Appropriateness of Billing
- Adherence to Treatment Plan
- Correct Coding
- Level of Service
Recovery Audit Solutions, Inc. (RASI) can review a host of services, including but not limited to medical chart review, DRG validation and medical necessity of admission. RASI can determine if the provider adhered to a correct treatment plan and if the level of service provided was adequate.
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 done correctly, which includes reviewing for the unbundling of services, double billing and inappropriate modifier usage.