Advantages of Outsourcing Your Medical Bill Management

Trade associations, insurance companies and self-insured’s have historically attempted to manage their own workers compensation claims and cost containment in-house.  What more and more administrators are discovering is that the advantages of outsourced medical bill review and cost containment services can dramatically impact the overall claims cost. These claims cost savings are realized by identifying and denying:

·         Payment of procedures not related to the compensable injury
·         Payment of improperly coded procedures
·         Payment for duplicate services at no charge to the client

With access to flexible state of the art software programs, outsourced bill review services contribute to the overall goal of cost containment.  Application of current State mandated fee schedule values, access to usual, customary and reasonable data bases and access to multiple PPO networks all work hand in hand to meet the client’s goal of maximum savings.