Our Medical bill review systems ingests data from multiple sources, runs them against our automated rules engines, and gets validation by a professional claims administrator, professional vendor. It also reviews medical bills related to claims and audits the bills for accuracy, duplication of charges, and reasonableness. The costs for these services are allocated claim expenses, meaning they get charged directly to the claim file. This makes figuring out what you’re paying more difficult, as bill review charges tend to blend in with other expenses and bills.
The goal of our medical bill review systems is to maximize savings for employers by making sure they are paying only the appropriate medical fees of their injured workers. Effective, multi-faceted medical bill review systems have earned its place as vitally important in managed care strategies.
Enhance efficiencies in community-based practices and allow staff to focus on patient care
Reduce the number of duplicate tests that are ordered, resulting in health care system efficiencies
Improve patient safety by reducing adverse drug events
Support improved interactions and communications among care team members and between providers and patients
Improve health outcomes when used for preventive care and chronic disease management
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