Moody Review, Inc. is a national health care cost containment company specializing in group health and workers' compensation. Moody Review was founded on the principles of reducing health care costs while serving as an advocate on behalf of the patient. Cost containment services help our clients stay ahead of their costs, delivering up to 70% savings.
Medical Bill Verification (MBV)
Proprietary databases are maintained by Moody Review containing charge data from millions of medical billings. Nurses also review the claims for Inappropriate and Incomplete Documentation charges in addition to the following:
- Incorrect codes
- Wrong dates, or amounts
- Unbundling of services
- Unbundling of supplies
- Charges for surgical procedures
- Duplicate billing of like items
- Usual Customaryand Reasonable review tied to geographic region
Fee Negotiation
What if a PPO network discount is not available?
Our highly experienced staff will produce significant savings through negotiation with facilities for reduced fees. Fee Negotiation will result in a full release of liability so patients arenot balance billed for remaining balances. Combining our proprietary databases and highly trained claims analysts, Moody Review's Fee Negotiation product helps clients avoid paying unreasonable charges. Claims over $250 are evaluated for upcoding, unbundling, and overcharges. Our staff further reviews each claim and directly contacts providers to discuss any detected billing, coding or pricing issues. Moody Review obtains a signed agreement from the provider on all negotiated discounts.
Benefits of Fee Negotiation
- Significant savings
- Turnaround time (after claim is received) typically within 5 business days
- Signed agreement from the provider on all negotiated discounts
- Patients can not be balance billed
- Negotiated settlements are supported by our proprietary hospital UC&R databases
