Medical bills are reviewed using state-specific fee schedules and customary charges for the area. Our workers’ compensation bill review uses medical cost containment experts, healthcare analytics as well as efficient software programs to identify bill duplication and coding errors normally associated with medical bills. During the review process, additional information may be requested from the healthcare provider to clarify any billing discrepancies or to ensure that the treatment provided was necessary for the work-related injury.
Overall, our workers’ compensation medical bill review program is an essential process in managing the costs of workers’ compensation claims.
By providing injured workers with appropriate medical care and support, employers can help them recover quickly and return to work. A faster recovery can reduce costs associated with lost productivity and wage replacement benefits.
Our fee-for service pricing model ensures that clients only pay for the cost savings generated through our services, providing transparency and accountability. We stay up-to-date with latest trends and regulations in the healthcare industry, ensuring that you receive the most effective compliant solutions. We pride ourselves on providing excellent customer service and support, building strong relationships with our clients and delivering exceptional results.
Our medical case management program involves working with the employer and healthcare providers to manage the medical care and treatment plan for the injured worker. This includes:
Overall, our medical case management program is a crucial process in ensuring that injured employees receive the appropriate and necessary medical care to help them recover from their injuries and return to work as soon as possible.