Compliance/Medical Compliance Specialists

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BCBSIL hired Altegra Health for medical record retrieval/chart review.
They get 32-40 charts and review for error rate. That is then extrapolated. Say each of the charts  had errors, then that is considered 100% error rate. BCBS can extrapolate that figure over 3 years, and request every cent back from the provider.
Prior to submission of the charts a letter can be attached to fill in gaps. BUT, you have to know where those gaps
There are very large fines that can be tied to these reviews.
I suggest you not go it alone. We can help!
Following guidance from the first visit will keep you on track and keep repayments low if anything is found in error. If you know you are on shaky ground, we may be able help you
Diane M. Barton
708 922-1400
18665 Dixie Hwy.
Homewood Illinois 60430

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