Overbrook Consultants
Medical Fraud Analysts

Services

Our Services

Our Services


SPEAKING & EDUCATION

WE BELIEVE THAT AN INFORMED INDIVIDUAL IS OUR COUNTRY'S FIRST LINE OF DEFENSE

  • Our CEO, Angel Cellucci is the host of the Medical Fraud Fighters Podcast. Her goal, through the podcast, is to make the consumers of healthcare aware of the fraud and abuse that is going on right underneath our noses; to provide the tools and education necessary to recognize signs of fraud and abuse; and to empower everyone to stand up for and protect themselves and their loved ones from medical fraud and abuse so that they can become the heroes of their healthcare needs and expenditures!

  • Some of the topics the podcast touches on are:

    • How to protect yourself from medical fraud and abuse

    • How to interpret EOBs, medical bills, and medical billing codes

    • How to recognize signs of fraud & abuse

    • What to do if you suspect medical billing errors

  • Ms. Cellucci is available for speaking engagements and workshops. Please contact us for more information.

MEDICAL Record analysis

OUR GOAL IS TO ENSURE THAT OUR CLIENTS PAY WHAT IS OWED ON A CLAIM - NOTHING MORE BUT NOTHING LESS

  • Nurse Reviews

    • Chronology of events and treatment

    • Medical necessity of treatment based on Clinical Guidelines

    • Causal relationship of injuries to the incident in question

    • Proper use of CPT codes

    • Findings are then applied to all billing invoices

    • *Includes a Bill Review*

  • Peer Reviews

    • Medical necessity and relatedness of treatment is determined based upon the medical opinion of a peer

    • Peers findings are applied to the medical records

    • Proper use of CPT codes

    • Findings are then applied to all billing invoices

    • *Includes a Bill Review*

  • Bill Review

    • Used as a stand alone service when causal relationship and necessity of treatment are not being disputed

    • Evaluation of documentation and fees charged

    • Proper use of CPT codes

    • Directly relates the treatment and supporting documentation to the amount billed

    • UCR fees are geo-targeted for that specific area

  • We work with:

    • Third Party Administrators (TPAs)

    • Risk Management for Self-Insured Companies

    • Insurance Companies - Casualty, Auto, Personal Injury/Bodily Injury

    • Attorneys