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AuditIQ

Maximizing Payment Accuracy for Greater Savings

The standard medical bill review process typically involves payment reductions based on state fee schedules, usual and customary rates, network discounts, and audits of high-cost or specialty bills. For many bill review programs, this is where the process ends, however, CompIQ goes further.

Our AuditIQ solution takes medical bill review to an advanced level, ensuring that clients make accurate payments, on time, the first time leading to significant additional savings each year.

A Comprehensive Approach to Payment Integrity

AuditIQ enhances existing medical bill review programs by thoroughly analyzing line-level coding and charges, identifying billing errors that may have been overlooked initially. This comprehensive solution includes:

01

A robust library of coding-based algorithms that support all aspects of Workers’ Comp, Auto, and OWCP billing.

02

Customizable rules tailored to meet specific business needs, categorized into:
  • Auditing: Identifying potential overpayments based on established coding standards and industry guidelines.
  • State-Specific Payment Strategies: Addressing bills in jurisdictions where no fee schedule exists. In these situations, it is not a “one size fits all” approach. Instead, we leverage repricing methodologies that are based on each state’s statutes and case law. This approach allows us to deliver the maximum amount of savings with minimal risk of overturning savings upon appeal.
  • Negotiation Opportunities: Identifying bills with limited network discounts or those lacking state fee schedule rates.

03

A team of experienced auditing and billing experts, including certified professional coders and registered nurses, who are regularly trained to ensure compliance and integrity in coding and billing practices.

04

A dedicated Dispute Resolution Team to efficiently address and resolve issues, including reconsiderations and state-level disputes.

By leveraging these advanced capabilities, the AuditIQ solution helps clients achieve more accurate payments and uncover substantial savings opportunities.

Benefits of AuditIQ

8%

Significant Savings
Clients save an average of an additional 8% on medical spending with AuditIQ, translating into substantial annual savings.

97%

High Provider Acceptance
The program boasts a 97% provider acceptance rate, underscoring its effectiveness and reliability.
Our Product Offerings

At CompIQ, maximizing our customers’ medical savings isn’t just a goal–its our unwavering commitment. Whether you’re leveraging our cutting-edge medical bill review platform or relying on our team of seasoned experts to manage it for you, we’re dedicated to delivering results. Together, we’re transforming the medical billing landscape for the better.

IQExtract

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The first step in the Medical Bill Review process is ensuring high-quality bill data is extracted. We can help with sorting, scanning, and/or data capture services for both physical and digital receipts—including various flexible integrations.

Bill Review Services

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Whether you need to augment or fully outsource your bill review services, CompIQ’s team of highly tenured medical bill review specialists can help. We can guarantee bill processing stability and dependability so that you can focus on the things that matter most.

Bill Review Software Lease

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CompIQ’s Bill Review Software Lease provides flexible, scalable solutions to enhance your bill review process. Our software ensures reliable, efficient processing, allowing you to focus on your core operations.

AuditIQ

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AuditIQ combines an exceptional team of expert auditors and seasoned negotiators to achieve the highest level of defensible savings for our clients. The AuditIQ team works closely with clients and providers with a focus on payment integrity and recommending the correct payment, on time, the first time. This program has a 97% provider acceptance rate on audits and a vast network for successful negotiations.

Network Solutions

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We’re proud to have access to national, regional, and specialty PPO networks. Our clients can choose to leverage our networks, manage their PPO contracts directly, or design a hybrid approach and get access to the best of both worlds.

IQPay

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Reduce costs by making payments to providers and vendors directly from the CompIQ integrated platform. Seamless integration gives you the ability to reduce the amount of time it takes to get payments adjudicated while providing improved tracking and audit capabilities and reducing overall costs.