Alpha Review

Company Overview
Formed in 1995 by founders Mike and Nancy Drevalas, Alpha Review Corporation developed its reputation by customizing bill review services to meet their clients' individual needs. As a member of the American Academy of Professional Coders, Alpha Review ensures that each bill is carefully reviewed by a trained Certified Professional Coder (CPC) and reduced appropriately by determining if:

• Proper coding protocols were followed
• CPT coding correlates with diagnostic coding
• The coding utilized is supported by the documentation in the medical records
• CPT coding matches the level of service provided

Business Challenge
Although Alpha Review's existing process delivered significant savings on the vast majority of bills reviewed, their clients' high-dollar bills demanded a solution that addressed providers' complex charges.

FAIRPAY Solution Often, an innovative product is the result of a client who experiences a business problem for which there is no specific current solution. In response to the egregious charges that Alpha Review’s clients were experiencing, FAIRPAY Solutions developed Medical Analysis Auditing and Repricing Services (MAARS.net). MAARS.net has revolutionized the bill review industry by maintaining more than 300 million transactions from more than 20 public and proprietary databases. The data points include:

• Cost and charge data
• Acceptable payment data
• Case law precedents
• Jurisdiction-specific data

Results
The Alpha Review/FAIRPAY partnership, resulted in savings that surpassed Alpha Review's and its clients’ expectations. Average savings for 16 Alpha Review customers utilizing MAARS exceeded 52% across numerous jurisdictions, or $3 million in bottom-line savings.