HELP-Accucheker & Medical Reviews
- I have a HUGE favor to ask of you, if you do not mind!?! I just got
my Accuchecker in today, I was suppose to get it in
on Wednesday however just got it this morning, anyway I am doing some
medical review's for an attorney. There are about 100+
claims to look at, I have looked at all of them and reviewed them in
Accuchecker, but I was told by the maker of this product
that when I review the claims and the fee's that I should mark up the
fee to 200%, anything over that the charge is to much.
Is that correct? And if so, can you explain to me why to mark it up
to 200%. Also when a provider uses the MOD -51 that he is allowed to
apply 50% more to the charge, is that correct? If so why? Also, are
hospitals allowed to charge a higher fee than the 200%, because ALOT
if not all of them are way over the 200% fee. And when I narrow the
search down to a specific area as to where the services were rendered
at can I assume that the fee's in Accuchecker are correct, I have the
2000 version. Do you know where I an find dental codes and fee's?
Where can I find hospital procedure codes, I onlyu ask that because
alot of these claims have numbers like 641036725,
7314304,157339121,338001738,49281027110, LBO0003, LBO0009, etc. I
would greatly appreciate
any help with this. I have to have a report completed by Monday
morning. Thanks so much.