AHR's services include:

  • Prepayment audits
  • Postpayment audits
  • Collection of recoverable charges

Doing business as "American Healthcare Recoveries," American Software Resources' Medical Claims Reclamation Division is one of the country's leading Recovery Audit Contractors (RACs). Along with our medical recovery partners, we have successfully analyzed billions of dollars in hospital claims, returning over $60 million in overpayments. Our clients have included Fortune 1000 self-insured corporations, health insurance providers, and third party administrators (TPAs).

American Healthcare Recoveries offers a set of provider bill audit services that validate charges billed for hospital-based treatments.

  • Hospital Bill Audits
  • DRG Validation
  • Outpatient Audits
  • Physician Bill (MD) Audits
  • Provider Bill Review

American Healthcare Recoveries works with a client's existing internal recovery processes to detect claims adjudication errors.

  • Coordination of Benefits (COB)
  • Duplicate Payments
  • Eligibility Overpayments
  • Benefit Exclusions or Limitations

As a zero-outlay auditor, we will never be a line-item to any client's budget. Since even an 0.1% error rate may cost you thousands of dollars, let alone 10%-20%, why not have us make sure you only pay claim charges that are compliant? Our state-of-the-art software and experienced medical professionals offer a proven method to reduce both your bills and health insurance premiums by finding and recovering money from errors that others typically overlook. Just as important, we do our work in the quickest and least obtrusive manner possible to both you and the billing hospital.

AHR Advantages

  • Enhanced Process
  • Experienced Medical Professionals & Caregivers
  • Experts in cost containment and Implementation
  • Turn-key Solution
  • Provides superior subrogation and overpayment recoveries
  • Fully-integrated, customizable services
  • Remain forefront of collections industry to meet needs of our clients
  • 24/7 Office Security
  • HIPAA Compliant
  • Member of SIIA
  • ISO 9001 Certified
  • SAS 70 Type II Certified. Developed by the American Institute of Certified Public Accountants (AICPA).
  • Integrated systems and strategies proven
  • Highly-skilled staff and technological sophistication
  • Over $60 million in returned overpayments
  • Good Relationship with Providers
  • Highest Quality Results
  • Successful Recoveries in All 50 States of America
  • Negotiated Savings Solutions
  • High returned overpayments
  • Fast and efficient collection
  • Outstanding recovery results and client satisfaction