FHAS is one of the nation’s leading government contractors for Medicare Claims and appeals redeterminations. Our services cover all areas of Medicare review including traditional Medicare under Parts A, B, D, & DME, and also Medicare Advantage (MA).
Our medical claims review offers operational peace of mind to our commercial and government clients; we have reviewed over 2.5 million Medicare claims and adjudicated cases with a 100% timeliness rate. Our seasoned adjudicators review medical necessity appeals under the provisions of Medicare Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs).
Our certified nurse coders, pharmacists, physicians, and legal experts are Industry leaders regarding inpatient and outpatient hospital and ancillary services, prescription medication, and durable medical equipment (DME), and medical necessity evaluations.