Workers' Compensation Fee Schedule
Medical Provider Bill Review
Key components of our programs:
- Provider bill review services to ensure you don't pay more than state fee schedule.
- Use of usual and customary databases in non-fee schedule states.
- Clinical edits to determine appropriate charges according to diagnosis and nationally accepted medical practices.
- Use of proprietary and national medical provider networks to achieve additional savings and provide prompt, quality medical care with the goal of safe return-to-work.
- Utilization review by utilization review nurses to protect against over-utilization of healthcare services.
Hospital Bill Audits
Non-network PPO or below state fee schedule savings can be realized with a medical bill audit consultant.
- Any Medical claim $5,000 for hospital - $2,500 for physician
- Nationwide - in or out of a PPO
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