Bill Review - We review workers' compensation medical bills for diagnosis and coding accuracy. This assures that bills and codes are in compliance with AMA standard coding rules, state-approved coding rules and state reimbursement compliance. We check for duplication of payment and verify that the services concern the specific accident.
Medical and Surgical Fee Negotiation - We offer negotiation of fees for medical and surgical services. Working within our clients' municipal guidelines and AMA guidelines, we arrange for a fair and equitable fee for all negotiable services. In most cases, we demonstrate a monthly savings between 25% and 50% of suggested charges. This positive return is due in part to our rapport with many physician offices, which facilitates our negotiating ability. Our strong coding and medical expertise helps us determine when certain medical circumstances require extra consideration. We advise our clients, assisting them with clarification of medical questions.