Who We Are

Nurse Audit, a comprehensive healthcare claims payment solutions company, offers pre- and post-payment audit programs, including medical bill audits, DRG validation audits, CPT code reviews, high cost implant and pharmacy audits, and provider bill negotiation services. Our healthcare cost containment programs identify billing errors on medical claims and subsequent overpayments by payors. Nurse Audit identifies and saves our clients millions of dollars every year.

We provide electronic interfaces to our clients as part of the claims referral, screening and audit resolution components of our cost containment workflow processes. Based in the Northeast, Nurse Audit serves a variety of healthcare clients across the United States.

In May, 2016, Nurse Audit joined Equian, a leading end-to-end Payment Integrity organization that manages over $250 billion of claims data in their innovative platform designed to assist clients by avoiding, identifying, pricing, analyzing clinical codes (Read More)