Medical Bill Review
Cost containment is a vital segment in Broadspire’s comprehensive collection of
medical management strategies. Broadspire delivers an industry-leading medical
bill review (MBR) service that helps control costs associated with injuries and
illnesses.
Medical Bill Review At-A-Glance
- Helps employers save money by identifying and eliminating inaccurate, duplicate
and unwarranted charges
- Proprietary technologies and methods subject medical and hospital bills to
scrutiny that greatly exceeds state mandated and usual and customary reviews to
expose duplicate and inaccurate charges
- Broadspire’s team of in-house medical experts, which includes physicians and
registered nurses, aggressively help identify unwarranted charges
- Provides bill adjudication for fee schedule, usual and customary review,
enhanced savings and PPO discounts
- Features utilization management integration
- Integrated with claims systems for easy access to claims-related information
A Difference You Can Measure
Broadspire’s customers have experienced significant savings that continue to
increase annually. Customers who used medical bill review in 2007 averaged a
61.5% savings from the identification of inaccurate and
unwarranted charges.
Broadspire Introduces e-Billing
Beginning January 1, 2008, health care providers and insurance carriers in the
Texas workers compensation system are required to be able to exchange medical
billing and reimbursement data electronically. Electronic billing is expected to
reduce administrative costs, improve efficiencies and create faster results for
both providers and payers.
More...
Beginning July 15, 2009, Minnesota group purchasers and health care providers
will be required to exchange health care administrative transactions electronically.
Broadspire’s current eBilling agent for Texas will also be used for
Minnesota’s electronic exchange of health care administrative transactions.
More...
Learn more about the advantages of medical bill review.
Contact us.
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