eXperienced eXpert eXcellence
eXperienced eXpert eXcellence
Recipient of the American Orthotic & Prosthetic Association award for business educational excellence, Dale Berry is recognized as an industry leader and expert on prosthetic evaluation, documentation and clinical standards of care to validate medically necessary care.
Review claim to ensure documentation compliance with clinical, industry and policy standards
Cross reference Physician records and provider records to ensure corroboration of care.
Confirm requested services, components and technology are aligned with medically necessary care
Verify that coding is complaint with appropriate industry, government and policy compliance standards
Verify and validate the application of '99' codes for unlisted procedures
Audit claim to identify duplicate codes
Exam claim to confirm codes for services and products have not been unbundled
Validate pricing to industry "Usual & Customary" (U&C) pricing profile.
Cross referenced pricing and coding to Manufacturer Suggested Retail Price (MSRP)
For '99' unlisted codes, corroborate and substantiate a fair provider profit markup based upon acquisition cost and clinical labor to provide care.
eXpert
eXcellence
Copyright © 2022 DaJe2 LLC, PXCRx - All Rights Reserved.
612-810-1100 Dale@PXCRX.com