Hospital Bill Audits

HDM provides retrospective audits of hospital bills to identify inappropriate charges and recover overpayments. We conduct desk and onsite audits using our nationwide network of experienced nurse auditors that go onsite to hospitals, giving us the ability to perform a hospital bill audit anywhere in the country.

Bill Review and Chart Audits
HDM auditors achieve the most thorough results by scrutinizing, line-by-line, all items per itemized bill to check for billing inconsistencies and overcharges. HDM audits all types of bills including medical providers, inpatient facilities, durable medical equipment, dialysis, home health and other types. We compare the medical record, which includes doctor’s orders, nurse’s notes and various department reports, to the itemized bill to ensure that items billed were documented in the medical record.

DRG Validation
HDM analyzes 100% of DRG claims electronically. The result is an efficient and effective method for reducing DRG claims exposure. HDM's experienced audit team reviews designated claims and medical records to determine appropriateness of the DRG. 

Value Delivered
HDM’s Hospital Bill Audit is the perfect tool for any employer who suspects that an administrator or hospitals are making mistakes like coding errors and overcharges.  The Audit also reduces DRG claims exposure.

To discuss how HDM’s cost containment solutions for self-insured employers can benefit your organization, contact HDM today at 800.859.5119 ext. 1 or e-mail your inquiry to: info@HDMinc.com.