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Select Independent Review Organization IRO Services
- Pharmaceutical Foundation
Acting IRO—Prescription Drug Donor Agreement
- Regional Home Care
Acting IRO—Non-allowable Cost Review
- Psychiatric Hospital
Acting IRO—Insufficient Documentation Issues
- Regional Home Health Provider
Acting IRO—Medical Necessity Determination
- Academic Medical Center
IRO—Non-allowable Cost Review, Systems Review
- Specialty Hospital
IRO – IP/OP Cardiac Services
Investigative Settlement Assistance
- Community Hospital System
OIG Report for 100% Chart review
- Community Hospital
OIG Review of Medicare Cost Outlier Cases
- Community Teaching Hospital
Clinical Laboratory Services Settlement
- Academic Medical Center
Assist with Pharmacy Investigation
- Behavioral Health Provider
OP Behavioral Health Settlement
Other Compliance Services
- Behavioral Health Provider
Risk Assessment—Medical Necessity / Documentation
- Physician Practice Plan
Medicaid Hospital – Based Physician Reimbursement Review
- Specialty Hospital
Certification / Licensure Review
- Hospital Based Home Health Agency
Home Care Survey Assistance
- Specialty Hospital
Intensive Care Unit Licensure / Certification
- Academic Medical Center
Physician Effort Reporting review
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Billing, Coding, and Documentation Reviews
- Teaching Hospital
RAC Chart Review
- Multi-Hospital System
Medicare Psych PPS Co-morbidity
- Community Hospital
Review of Observation Services
- Academic Medical Center
Medical Necessity Review of Inpatient Admission and Two-Day Stay Cases
- Multi-Hospital System
Review of Medical Wound Care Debridement Cases
- Multi-Hospital System
RAC Readiness Assessments
- Specialty Hospital
Review of Implementable Cardiac Services
- Community Hospital
Emergency Department Coding / Billing / Documentation Review
- Community Hospital
Cardiac Catheterization Coding / Billing / Documentation Review
- Community Hospital
Interventional Radiology Coding / Billing / Documentation Review
- Hospital Based Home Care
Home Care Coding / Billing / Documentation Review
- Academic Medical Center
Physical Therapy Claims Review
- Academic Medical Center
Ambulance Coding / Billing / Documentation Review
- Hospital Based Home Care
Home Care Coding / Billing / Documentation Review
- Not-for-Profit Nursing Home Chain
Billing / Coding Reviews—Skilled Nursing Facility (SNF)
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