This article will talk about why medical bill review is vital in workers’ compensation. And what employers can do to maximize the benefits of a medical bill review workers compensation service.
1. Maximize Savings by Lowering Claim Costs
Companies that offer bill review services have experienced medical bill analysts, nurses, and state of the art automated bill review technology to ensure that every bill is audited for any mistakes (whether intentional or unintentional). With the combination of tools, technical skills and experience of these people, they can easily detect duplicate charges on bills.
Medical review companies first review the correctness of the coding. When they find out that the provided medical care level is coded higher than it needs to be, this is called upcoding, which elevates medical care costs if not caught.
These medical bill review specialists will then downcode the bill if they rule out that its original coding isn’t appropriate for the injury.
2. Flexibility and Customizability
Create specific business rules to make the bill review process more streamlined. Also, in the context of flexibility and customizability, medical bill review companies have highly experienced RNs in their roster. They can utilize the right fee schedule regardless of where the injured employee sustained his or her injury. This is important, especially for employees who continuously travel like truck drivers.
3. Short Turn-Around Time To Increases Productivity
Some states impose penalties on late payment of medical care. That’s why the turnaround time on medical bill processing must be as prompt as possible. Medical providers often have delays in sending the bill, which shortens the medical review company’s window in reviewing the injured worker’s statement.
The medical bill review company usually has a turnaround time of seven days or less to avoid late payment penalties to the hospital.
Without a medical review, workers’ compensation costs can be higher than they ought to be. Medical bill review workers compensation management services can help your organization save a lot of money and ensure your injured staff’s best health outcome.
If you’re an employer who is looking to recover costs for your organization by combating excessive medical charges, Call Novare right now at 866.532.1929