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Medical Management
Overview
Medical Bill Review
Preferred Provider Network
Pharmacy Management
Utilization Management
Physician Review Services
Senior Nurse Reviewer
Telephonic Case Management
Field Case Management

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 2006 averaged a 47.4 percent savings (excluding duplicates) 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...

Learn more about the advantages of medical bill review. Contact us or call 1-866-830-2383.

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