The Challenge
Where practices commonly run into trouble
Payer audits, such as Anthem's Post-Payment Review (PPR) or Optum's Payment Network Integrity (PNI) reviews, request detailed documentation on a short timeline, and an unprepared response can lead to recoupments or ongoing scrutiny.
Our Process
How Statim LLC approaches insurance audit support
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Review audit notices and identify the specific documentation being requested.
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Compile and organize claims, clinical, and authorization records to support each claim under review.
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Prepare responses aligned with payer-specific audit requirements.
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Track audit outcomes and follow up on appeals where appropriate.
Related Services
Explore more of our revenue cycle services
Revenue Cycle Management
End-to-end management of your billing cycle, from patient intake to final payment, so your practice runs on one coordinated process instead of disconnected steps.
Learn moreMedical Billing & Claims Submission
Accurate, timely claim preparation and submission built to reduce rejections and keep claims moving through the payer process.
Learn moreMedical Coding
Coding support intended to reflect documented services accurately and align with current coding guidelines.
Learn moreEligibility & Benefits Verification
Verification of coverage and benefits before the visit, so your team and your patients know what to expect.
Learn moreReady to see what a coordinated billing process could do for your practice?
Request a free consultation and we'll walk through your current billing workflow, answer questions, and outline how Statim LLC could help.