Considine & Associates is a leading company based in Irvine, CA, specializing in comprehensive medical review and hospital facility audit services for healthcare payers and administrators. With a vast network of over 125 specialist MDs covering various medical specialties, they offer expert opinions on medical necessity, pre-certification, claim coding review, fraud and abuse analysis, and more. Their core competencies also include disability file review, post-payment audits, and Medicare and Medicaid audits, making them a trusted partner for health insurance payer markets.
HealthClaim Review, a subsidiary of Considine Associates, stands out as an industry leader in hospital and facility bill audit. Their in-house physician specialists set them apart from traditional bill review firms, providing thorough and accurate assessments of inpatient bills, physician charges, and line charges. Serving self-funded employers, they also assist in benefit plan design, ensuring comprehensive coverage while identifying key policy exclusions and limitations. With their commitment to quality and expertise, Considine & Associates is a URAC-accredited Independent Medical Review Organization, delivering reliable and efficient services to the healthcare industry.
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