Without a systematic approach to medical billing, things can get out of control fast. If you don’t have the expertise, medical background, or latest technologies you face problems that inflate costs and cause:
Complex Billing Statements
Time wasting on hard to find details
Confusing, improper coding
Medical Bill Review
Discover the Hidden Costs
Detection of duplicate or improper billing saves you the unnecessary expenditures from bad coding, unbundling, and non-compensable charges. Streamlining the bill review process to your specific business rules guarantees your needs are met with seamless and real-time integration. This ensures blazing fast application of any unrelated or non-covered charges.
Medical bills are reviewed for carriers and self-insured employers for injured workers' medical treatment. Bills are analyzed against applicable fee schedules, division rules, AMA coding guides, and NCCI edits, when applicable, to maximize cost containment and savings for the client. In states with no fee schedule, Usual and Customary reductions are applied to combat excessive charges.
Does Ethos offer a portal for claims examiners to approve or pend medical bills?
Yes, Ethos has a portal for claims examiners to approve or pend/deny bills in real time with our medical bill auditor.
What is the typical turnaround time to re-price a medical bill?
The average turnaround time is 7 to 10 business days for all bills including specialty bill review and signed, negotiated agreements.
What PPO’s network are you contracted with?
We are contracted with over 25 different PPO’s. We will perform an analysis to determine which networks will provide the most hits and savings for your claim demographics.
Control Costs - Don’t Let Them Control You
It’s time to stop letting the complexity of medical bills cost you money. Take power back and maximize your savings by assigning your case today.