Independent Review Organization (IRO) Claims Review

Independent Review Organization (IRO) Claims Review

Our consultant specialists will perform the claims reviews required under the Client’s Corporate Integrity Agreement (CIA), prepare required reports for the Office of Inspector General (OIG), make recommendations for Client’s corrective action plan and provide necessary staff training and education on current coding and billing methodologies. We also assess the providers billing and coding practices and compliance obligations under the CIA and Medicare rules and regulations. HMI provides medical billing and coding compliance and compliance program audit services, medicare compliance audit, claims audit, (IRO) Independent Review Organization Claim Review for compliance process.