AXIS executes in-depth Medical Bill Audits which compares the billed charges to the actual medical record to ensure that items billed were ordered and the services were performed. Surgical bills are evaluated to verify that the procedures coded are accurate, and those procedures performed were anticipated during the Precertification process. All overbilled charges, including procedures unrelated to the claim are identified and deducted from the bill prior to application to applicable Fee Schedules, Cost-to-Charge ratios, Per-diem rates,etc. A detailed explanation of the reductions is provided, and the Appeal Process is explained in that report.