What is BPR ...

AND WHAT CAN BPR DO FOR ME?

►BPR & Associates, LLC is a leader in detecting and preventing healthcare provider billing fraud and abuse. BPR has assembled experienced healthcare fraud and abuse auditors. Among them are experts who give seminars in billing to healthcare providers and board certified medical subspecialists. They bring an insider’s understanding of physician office practices and billing, and generally are not directly available to insurers.

►BPR offers audits of all major medical subspecialties. BPR is especially and uniquely valuable in the detection and recoupment of claims overpayments in those specialties whose claims are the most difficult to monitor – due to specialty specific payment systems or unique practice complexities.

►BPR’s use of experienced subspecialty physician reviewers restores some balance to today’s healthcare payment system, allowing the insurer a better understanding of healthcare provider billing strategies.

►BPR does not rely on outlier methodology and does not assume average specialty behavior to be an acceptable standard. Not infrequently, inappropriate billing behavior will involve an entire subspecialty.

►BPR focuses its professional auditing resources to select appropriate codes within chosen areas of examination, and to assure exceptionally firm bases for overpayment recoupment.

►Recent successful audits include anesthesia/pain management, chiropracty, cardiology, and oncology.

BPR provides:

• Specialty physician auditors
• Moving beyond detecting outlier status
• Few or no false-positives
• Solid return on investment
• Significant recoupment opportunities
• Opportunities for substantial prospective cost savings