“VARIS was chosen as the vendor to perform these crucial services based on their large market presence, established relationships with contracted providers, Northern California location, positive references, and their ability to validate both DRGs and APCs.”

Audit Process

Audit Process

VARIS’ proprietary TAPRx Review process is built upon a tri-level risk analysis and stratification of all of the payer’s paid claims.

VARIS’ three-step review process encompassing data analytics, human analysis, and complex medical record review allows health plans to recover maximum dollars on identified overpayments.  100% of your paid claims are reviewed.

 

 

Audits are conducted in accordance with client policies and payment methodology application, including provider contract provisions.

Get more information on hard dollar recoveries